Week 4 - Hydration Flashcards

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1
Q

Describe the percentage of water in an adult body and its distribution in lean body tissues versus fat mass

A

Adult body is composed of 50-60% water, with lean body tissues containing 75% water and fat mass containing 5-10% water

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2
Q

Define dehydration or hypohydration

A

Dehydration or hypohydration refers to a body water deficit greater than normal daily fluctuation

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3
Q

Define net body water balance

A

Net body water balance is the difference between fluid water gain and fluid loss. It can be challenged during periods of high sweat rates

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4
Q

Describe the different assessments for determining dynamic hydration status before and after exercise

A

Plasma Osmolality (275-295 mOsm/kg)
Body Mass Change
Urine specific gravity (1.003-1.035)

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5
Q

What is the signifiance of a change in body mass in determining dehydration

A

A change in body mass provides a sensitive and simple measure to determine acute changes in body water, with >2% body mass reduction indicating a 90% chance of dehydration

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6
Q

Describe the role of sweating during exercise

A

Sweating is the body’s principal means of preventing hyperthermia during exercise by evaporative cooling, removing heat from the body

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7
Q

How does hypohydration impact performance during exercise

A

1-2%: Minimal imapct
2-3%: May degrade aerobic performance
>3% : Impaired cognitive function
3-4%: Minimal impact on muscle strength and power

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8
Q

Potential Mechanisms of Impaired Aerobic Performance

A

Cardiovascular (high skin blood flow + reduced blood volume primary factor)
Central nervous system
Peripheral muscular factors
Psychological
Respiration

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9
Q

What are the ACSM guidelines regarding hydration

A

2-4h pre-event: 5-10ml fluid/kg body weight (sodium or salt snacks may help)

During exercise: Sufficient fluid to limit body mass losses to <2% (0.4-0.8L/h) add sodium + CHO

Post-exercise (<12h): Rapid recovery (1.25-1.5L for each kg BM loss + sodium)

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10
Q

How can hyponatremia occur during exercise

A

Hyponatremia, low blood sodium levels, can arise from overdrinking fluids more than fluid losses, especially common among recreational athletes and women

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11
Q

What is CHO-E Solution

A

CHO-E solution is the combination of carbohydrate and sodium in maintaining hydration status.
CHO is >75% of energy that induces high glycaemic response, and 20-50 mmol/L of sodium

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12
Q

Importance of Sodium for hydration

A

Pre-exercise: fluid retention
During exercise: limit electrolyte losses & stimulate thirst
Post exercise: restoration of sodium & fluid balance

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13
Q

Calculating Sweat Rate

A

Weight before - weight after = weight loss
Bottle weight before - after = volume consumed
Sweat Rate = (weight loss + volume consumed - urine loss) / duration of exercise (hours)

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14
Q

How much heat is produced during exercise

A

For every 1L of oxygen consumed, 4kcal of heat is produced, only 1kcal is used to perform mechanical work

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15
Q

How effective is evaporative cooling

A

1L sweat evaporated will remove 573 kcal of heat from the body

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16
Q

What impact does dehydration have on aerobic perfomance

A

29C threshold, every 1C increase reduced performance by a further 1.6%

Blinded dehydration impairs endurance performance

17
Q

What assessment tools can be used to determine hydration status 2-4 hours before exercise

A

Plasma osmolality
Urine colour

18
Q

Describe how you could develop an individualised plan for fluid consumption during exercise to minimise the risk of developing dehydration in an athlete

A

Sweat loss estimated from pre to post-exercise body mass change, corrected for fluid consumed during exercise, and urine produced

19
Q

How can the environment affect sweat rate losses

A

Hot & humid conditions can increase sweat rates much more than cold & dry conditions

Not uncommon for sweat rates to exceed 1L/h