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PTJ Sep Oct 2010.pdf

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training table<br />

Measuring Hydration Status in Athletes<br />

tivity due to water turnover, intercultural differences, and regulatory<br />

mechanisms (4).<br />

Plasma Osmolality: Posm is the most widely used hematological index of<br />

hydration, and it is considered the “gold standard” for determination of hydration<br />

status. Posm is positively correlated with hydration status; Posm<br />

will proportionally decrease when dehydrated and it will increase when<br />

euhydrated. Posm is measured by an osmometer which is expensive and<br />

requires training. Thus, Posm is also considered impractical for clinical use<br />

(4).<br />

Calculating Sweat Rate: To correctly assess rehydration needs for each individual,<br />

it is important to calculate one’s sweat rate. The following sweat<br />

rate calculation is recommended: (Sweat Rate = body weight pre-run –<br />

body weight post-run + fluid intake – urine volume/exercise time in hours).<br />

Establishing a sweat rate in similar climatic conditions is recommended (1).<br />

References<br />

1. Casa, DJ, Proper hydration for distance running-identifying individual<br />

fl uid needs: A USA Track & Field Advisory.2003. Retrieved <strong>Sep</strong>tember 23,<br />

2010 from http://www.usatf.org/groups/Coaches/library/2007/hydration/<br />

ProperHydrationForDistanceRunning.pdf<br />

2. Caselli MA and Brummer J. Recognizing and preventing dehydration in<br />

athletes. Podiatry Today17(12): 66-69, 2004.<br />

3. Institute of Medicine. Dietary Reference Intakes for Water, Potassium,<br />

Sodium, Chloride, and Sulfate for Hydration. 2009. Retrieved August 6,<br />

2010 from http://iom.edu/Activities/Nutrition/SummaryDRIs/~/media/Files/<br />

Activity%20Files/Nutrition/DRIs/DRI_Electrolytes_Water.ashx<br />

4. Minton DM, Eberman, LE. Best practices for clinical hydration<br />

measurement. Athletic Therapy Today 14(1): 9-11, 2009.<br />

Measurement of hydration status is essential for prevention, recognition,<br />

and treatment of heat-related illness. Individual differences will exist<br />

with regards to tolerance of amount of fluids that can be comfortably<br />

consumed, gastric emptying, intestinal absorption rates, and availability<br />

of fluids during the workout or event. Each individual’s rehydration procedures<br />

should be tested in practice and modified regularly, if necessary, to<br />

optimize hydration while maximizing performance in competition. Individuals<br />

should be encouraged to retest themselves during different seasons<br />

depending on their training/racing schedule to know their hydration<br />

needs during those seasons (1).<br />

Practical hydration recommendations to<br />

promote optimal hydration:<br />

The recommendation to drink eight 8-ounce glasses (64 fluid ounces) of<br />

water per day is a general rule of thumb; it is not based on scientific evidence.<br />

However, the Institute of Medicine (IOM) Food and Nutrition Board<br />

recommends 2.7 liters (91 ounces) for women and 3.7 liters (125 ounces)<br />

for men. These recommendations represent total fluid intake for all beverages<br />

and food consumed per day (3).<br />

About 80% of our total water intake comes from drinking water and other<br />

beverages, and food contributes to the other 20%. So the actual recommendations<br />

for water including beverages are approximately 9 cups of<br />

fluids for women and 13 cups of fluids for men (3). •<br />

nsca’s performance training journal • www.nsca-lift.org • volume 9 issue 5 18

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