Fluid-electrolyte balance during labor and exercise: Concepts and misconceptions

International Journal of Sport Nutrition

Volumn 9, Issue 1, 1999, Pages 1-12

  Epstein, Yoram ^b   Armstrong, Lawrence E ^a  

^a UNIVERSITY OF CONNECTICUT   (United States)

^b HELLER INSTITUTE OF MEDICAL RESEARCH   (Israel)

Author keywords

Body temperature; Body water; Extracellular fluid; Gastric emptying; Heat illness; Hypohydration; Hyponatremia; Performance; Sodium; Thirst

Indexed keywords

HYPOTONIC SOLUTION; SODIUM ION;

ARTICLE; BODY WATER; COGNITION; DEHYDRATION; DIAPHORESIS; ELECTROLYTE BALANCE; EXERCISE; FLUID BALANCE; FLUID INTAKE; HEAT STRESS; HIGH TEMPERATURE; HUMAN; METABOLIC REGULATION; MOTOR PERFORMANCE; ORAL REHYDRATION THERAPY; REGULATORY MECHANISM; THERMOREGULATION; THIRST; TREATMENT INDICATION;

EID: 0033054501     PISSN: 10501606     EISSN: None     Source Type: Journal    
DOI: 10.1123/ijsn.9.1.1     Document Type: Article

References (73)

1. Adolph, E.F., and D.B. Dill. Observations on water metabolism in the desert. Am. J. Physiol. 123: 369-378, 1938.
2. Adolph, E.F. Physiology of man in the desert. New York: Interscience, 1947.
3. American College of Sports Medicine. Position stand. Exercise and fluid replacement. Med. Sci. Sports Exerc. 28(1):i-vii, 1996.
4. American College of Sports Medicine. Position stand. Heat and cold illnesses during distance running. Med. Sci. Sports Exerc. 28(12):i-xi, 1996.
5. Armstrong, L.E. Considerations for replacement beverages: Fluid-electrolyte balance and heat illness. In Fluid Replacement and Heat Stress, B.M. Marriott (Ed.). Washington, DC: National Academy Press, 1994, pp. 37-54.
6. Armstrong, L.E., W.C. Curtis, R.W. Hubbard, R.P. Francesconi, R. Moore, and E.W. Askew. Symptomatic hyponatremia during prolonged exercise in the heat. Med. Sci. Sports Exerc, 25:543-549, 1993.
7. Armstrong, L.E., R.W. Hubbard, B.H. Jones, and J.T. Daniels. Preparing Alberto Salazar for the heat of the 1984 Olympic marathon. Physician Sportsmed. 14:73-81, 1986.
8. Backer, H.D., E. Shopes, and S. Collins. Hyponatremia in recreational hikers in Grand Canyon National Park. J. Wilderness Med, 4:391-496, 1993.
9. Barr, S.I., and D.L. Costill. Water: Can the endurance athlete get too much of a good thing? J. Am. Diet Assoc. 89:1629-1632, 1989.
10. Barr, S.I., D.L. Costill, and W.J. Fink, Fluid replacement during prolonged exercise: Effects of water, saline, or no fluid. Med. Sci. Sports Exerc. 23:811-817, 1991.
11. Bernard, C. An Introduction to the Study of Experimental Medicine. New York: Dover, 1992.
12. Brouns, F., W.H.M. Saris, and N.J. Rehrer. Abdominal complaints and gastrointestinal function during long lasting exercise. Int. J. Sports Med. 8:175-189, 1987.
13. Burstein, R., and E. Galun. Exercise induced hyponatremia - As rare as believed? Med. Sci. Sports Exerc. 22:879, 1990.
14. Candas, V., P. Libert, G. Brandenberger, J.C. Sagot, C. Amoros, and J.M. Kahn. Hydration during exercise. Eur. J. Appl. Physiol. 55:113-122, 1986.
15. Costill, D.L. Gastric emptying of fluids during exercise. In Fluid Homeostasis During Exercise, C.V. Gisolfi and D.R. Lamb (Eds.). Indianapolis, IN: Benchmark Press, 1990, pp. 97-127.
16. Costill, D.L., and B. Saltin, Factors limiting gastric emptying during rest and exercise. J. Appl. Physiol. 37:679-683, 1974.
17. Coyle, E.F., and S.J. Montain. Carbohydrate and fluid ingestion during exercise: Are there tradeoffs? Med. Sci. Sports Exerc. 24:671-678, 1992.
18. Eichna, L.W., W.B. Bean, W.F. Ashe, and N. Nelson. Performance in relation to environmental temperature. Reaction of normal young men to hot, humid (simulated jungle) conditions. Bull. Johns Hopkins Hosp. 76:25-58, 1945.
19. Epstein, Y., and E. Sohar. Fluid balance in hot climates: Sweating, water intake, and prevention of dehydration. Public Health Rev. 13:115-137, 1985.
20. Fordtran, J.S., R. Levitan, V. Bikerman, and B.A. Burrows. The kinetics of water absorption in the human intestine. Trans. Assoc. Am. Physicians 74:195-206, 1961.
21. Fortney, S.M., E.R. Nadel, C.B. Wenger, and J.R. Bowe. Effect of blood volume on sweating rate and body fluids in exercising humans. J. Appl. Physiol. 51:1594-1600, 1981.
22. Fortney, S.M., C.B. Wenger, J.R. Bove, and E.R. Nadel. Effect of hyperosmolality on control of blood flow and sweating. J. Appl. Physiol. 57:1688-1695, 1984.
23. Frizzell, R.T., G.H. Lang, D.C. Lowance, and S.R. Lathan. Hyponatremia and ultramarathon running. JAMA 255:772-774, 1986.
24. Galun, E.,I. Tur-Kaspa, E. Assia, R. Burstein, N. Strauss, Y. Epstein, and M.N. Popovitzer. Hyponatremia induced by exercise: A 24-h endurance march study. Miner. Electrolyte Metab, 17:315-320, 1991.
25. Geist, M., and N. Barzilai. Dilutional hyponatremia and convulsions after strenuous exercise. Harefuah 122:420-421, 1992.
26. Gisolfi, C.V., and S.M. Duchman. Guidelines for optimal replacement beverages for different athletic events. Med. Sci. Sports Exerc. 24:679-687, 1992.
27. Gisolfi, C.V., R. Summer, and H.P. Schedl. Intestinal absorption of fluids during rest and exercise. In Fluid Homeostasis During Exercise, C.V. Gisolfl and D.R. Lamb (Eds.). Indianapolis, IN: Benchmark Press, 1990, pp. 129-180.
28. Gopinathan, P.M., G. Pichan, and V.M. Sharma. Role of dehydration in heat stressinduced variations in mental performance. Arch. Environ. Health 43:15-17, 1998.
29. Greenleaf, J.E., and B.L. Castle. Exercise temperature regulation in man during hypohydration and hyperhydration. J. Appl. Physiol. 30:847-853, 1971.
30. Greenleaf, J.E., V.A. Convertino, and G.R. Mangseth. Plasma volume during stress in man: Osmolality and red ceell volume. J. Appl. Physiol. 47:1031-1038, 1979.
31. Greenleaf, J.E. Problem: Thirst, drinking behavior and involuntary dehydration. Med. Sci. Sports Exerc. 24:645-656, 1992.
32. Greenleaf, J.E., and F. Sargent. Voluntary dehydration in man. J. Appl. Physiol. 20:719-724, 1965.
33. Hiller, W.D. Dehydration and hyponatremia during triathlons. Med. Sci. Sports Exerc. 21:S219-S221, 1989.
34. Hubbard, R.W., P.C. SzIyk, and L.E. Armstrong. Influence of thirst and fluid palatability on fluid ingestion during exercise. In Fluid Homeostasis During Exercise, C.V. Gisolfi and D.R. Lamb (Eds.). Indianapolis, IN: Benchmark Press, 1990, pp. 39-96.
35. Irving, R.A., T.D. Noakes, R. Buck, R. Van Zyl Smith, E. Raine, J. Godlonton, and R.J. Norman. Evaluation of renal function and fluid homeostasis during recovery from exerciseinduced hyponatremia. J. Appl. Physiol. 70:342-348, 1991.
36. Kenney, W.L., C.G. Tankersley, D.L. Newswanger, D.E. Hyde, S.M. Puhl, and N.L. Turner. Age and hypohydration independently influence the peripheral vascular response to heat stress. J. Appl. Physiol. 68:1902-1908, 1990.
37. Kozlowski, S., J.E. Greenleaf, E. Turlejska, and K. Nazar. Extracellular hyperosmolality and body temperature during physical exercise in dogs. Am. J. Physiol. 239:R180-R183, 1980.
38. Ladell, W.S.S. The effects of water and salt intake upon the performance of men working in hot and humid environments. J. Physiol. (Lond.) 127:11-46, 1995.
39. Lamb, D.R., and G.R. Brodowicz. Optimal use of fluids of varying formulations to minimize exercise-induced disturbances in homeostasis. Sports Med, 3:247-274, 1986.
40. Maughan, R.J. Carbohydrate-electrolyte solutions dunng prolonged exercise. In Perspectives in Exercise Science and Sports Medicine. Ergogenics: Enhancement of Performance in Exercise and Sport, D.R. Lamb and M.H. Williams (Eds.). Indianapolis, IN: Benchmark Press, 1991, pp. 35-85.
41. Minami, H., and R.W. McCallum. The physiology and pathophysiology of gastric emptying in humans. Gastroenterology 86:1592-1610, 1984.
42. Mitchell, J.B., D.L. Costill, J.A. Houmard, W.J. Fink, R.A. Robergs, and J.A. Davis. Gastric emptying: Influence of prolonged exercise and carbohydrate concentration. Med. Sci. Sports Exerc. 21:269-274, 1989.
43. Montain, S.J., and E.F. Coyle. The influence of graded dehydration on hyperthermia and cardiovascular drift during exercise. J. Appl. Physiol. 73:1340-1350, 1992.
44. :3C]acetate breath test method. Eur. J. Appl. Physiol. 75:109-114, 1997.
45. Murray, R. The effects of consuming carbohydrate-electrolyte beverages on gastric emptying and fluid absorption during and following exercise. Sports Med. 4:322-351, 1987.
46. Nadel, E.R., E. Cafarelli M.F. Roberts, and C.B. Wenger. Circulatory regulation during exercise in different ambient temperatures. J. Appl. Physiol. 45:430-437, 1979.
47. Nakashima, T., T. Hori, T. Kiyohara, and M. Shibata. Effects of local osmolality changes on medial preoptic thermosensitive neurons in hypothalamic slices, in vitro. Therm. Physiol. 9:133-137, 1984.
48. Neufer, P.D., D.L. Costill, W.J. Fink, J.P. Kirwan, R.A. Fielding, and M.G. Flynn. Effects of exercise and carbohydrate composition on gastric emptying. Med. Sci. Sports Exerc. 18:658-662, 1986.
49. Nielsen, B., G. Hansen, S.D. Jorgensen, and E. Nielsen. Thermoregulation in exercising man during dehydration and hyperhydration with water and saline. Int. J. Biometeorol. 15:195-200, 1971.
50. Noakes, T.D. The hyponatremia of exercise. Int. J. Sport Nut. 2:205-228, 1992.
51. Noakes, T.D. Fluid replacement during exercise. In Exercise and Sports Science Review, J.O. Holloszy (Ed.). Baltimore: Williams & Wilkins, 1993, pp. 297-330.
52. Noakes, T.D., B.A. Adams, K.H. Myburgh, C. Greeff, T. Lotz, and M. Nathan. The danger of inadequate water intake during prolonged exercise. Eur. J. Appl. Physiol. 57:210-219, 1988.
53. Noakes, T.D., N. Goodwin, B.L. Rayner, T. Branken, and R.K. Taylor. Water intoxication: A possible complication during endurance exercise. Med. Sci. Sports Exerc. 17:370-375, 1985.
54. Noakes, T.D., R.J. Norman, R.H. Buck, J. Godlonton, K. Stevenson, and D. Pittaway. The incidence of hyponatremia during prolonged ultraendurance exercise. Med. Sci. Sports Exerc. 22:165-170, 1990.
55. Pitts, G.C., R.E. Johnson, and F.C. Consolazio. Work in the heat as affected by intake of water, salt and glucose. Am. J. Physiol. 142:253-259, 1944.
56. Putterman, C., L. Levy, and D. Rubinger. Transient exercise-induced water intoxication and rhabdomyolysis. Am. J. Kidney Dis. 21:206-209, 1993.
57. Rowell, L.B. Cardiovascular aspects of human thermoregulation. Cire. Res. 52:367-379, 1983.
58. Ryan, A.J., T.L. Bleiler, J.E. Carter, and C.V. Gisolfi. Gastric emptying during prolonged cycling exercise in the heat. Med. Sci. Sports Exerc. 21:51-58, 1989.
59. Sawka, M.N. Physiological consequences of hypohydration: Exercise performance and thermoregulation. Med. Sci. Sports Exerc. 24:657-670, 1992.
60. Sawka, M.N., R.R. Gonzalez, A.J. Young, R.C. Dennis, C.R. Valeri, and K.B. Pandolf. Control of thermoregulatory sweating during exercise in the heat. Am. J. Physiol. 257:R311-R316, 1989.
61. Sawka, M.N., and K.B. Pandolf. Effects of body water loss on physiological function and exercise performance. In Fluid Homeostasis During Exercise, C.V. Gisolfi and D.R. Lamb (Eds.). Indianapolis, IN: Benchmark Press, 1990, pp. 1-30.
62. Seidman, D.S., I. Ashkenazi, R. Arnon, Y. Shapiro, and Y. Epstein. The effects of glucose polymer beverage ingestion during prolonged outdoor exercise in the heat. Med. Sci. Sports Exerc. 23:458-462, 1991.
63. Shapiro, Y., K.B. Pandolf, and R.F. Goldman. Predicting sweat loss response to exercise, environment and clothing. Eur. J. Appl. Physiol. 48:83-96, 1982.
64. Silva, N.L. and J.A. Boulant. Effects of osmotic pressure, glucose and temperature on neurons in preoptic tissue slices. Am. J. Physiol. 247:R335-R345, 1984.
65. Sohar, E. Man in the desert. In Arid Zone Settlement Planning. The Israeli Experience, G. Golani (Ed.). New York: Pergamon Press, 1979, pp. 477-518.
66. Sohar, E., and R. Adar. Sodium requirements in Israel under conditions of work in hot climate. In Symposium on Physiology and Psychology in Arid Conditions. Lucknow. India, UNESCO, Paris, pp. 55-62, 1962.
67. Sohar, E., R. Adar, T. Gilat, J. Tennenbaum, and M. Nir. Reduction of voluntary dehydration during effort in hot environments. Harefuah 60:319-323, 1961.
68. Sohar, E., Y. Shapiro, M. Nir, and M. Hellman. Comparison of methods for determination of the sodium content of sweat. Nature 205:604-605, 1965.
69. Sullivan, J.E. Marathon Running. New York: American Sports, 1909.
70. Vernon, H.M., and C.G. Warner. The influence of the humidity of the air on capacity for work at high temperatures. J. Hyg. 32:431-463, 1932.
71. Wenger, C.B. Heat evaporation of sweat: Thermodynamic considerations.J. Appl. Physiol. 32:456-459, 1972.
72. Wyndham, C.H., and N.B. Strydom. The danger of an inadequate water intake during marathon running. S. Afr. Med. J. 43:893-896, 1969.
73. Zelingher, J., C. Puterman, Y. Ilan, E.J. Dann, F. Zveibil, Y. Shvil, and E. Galun. Case series: Hyponatremia associated with moderate exercise. Am. J. Med. Sci. 311:86-91, 1996.