Evidence-Based Approach to Lingering Hydration Questions

Clinics in Sports Medicine

Volumn 26, Issue 1, 2007, Pages 1-16

  Ganio, Matthew S ^a   Casa, Douglas J ^a   Armstrong, Lawrence E ^a   Maresh, Carl M ^a  

^a UNIVERSITY OF CONNECTICUT   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CAFFEINE; CREATINE; SODIUM;

ATHLETE; CLINICAL PRACTICE; CORE TEMPERATURE; DEHYDRATION; DIET; DISEASE PREDISPOSITION; EVIDENCE BASED MEDICINE; EXERCISE; FLUID INTAKE; HEAT; HEAT CRAMP; HEAT INJURY; HYDRATION; HYPONATREMIA; MEDICAL LITERATURE; MEDICAL RESEARCH; REVIEW; SAFETY; SPORTS MEDICINE; SWEATING;

BODY TEMPERATURE; CAFFEINE; CREATINE; DEHYDRATION; DRINKING; EXERCISE; HEAT; HEAT STRESS DISORDERS; HUMANS; REHYDRATION SOLUTIONS;

EID: 33846222910     PISSN: 02785919     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.csm.2006.11.001     Document Type: Review

References (75)

1. Armstrong L.E., Costill D.L., and Fink W.J. Influence of diuretic-induced dehydration on competitive running performance. Med Sci Sports Exerc 17 4 (1985) 456-461
2. Binkley H.M., Beckett J., Casa D.J., et al. National Athletic Trainers' Association position statement: exertional heat illnesses. J Athl Train 37 3 (2002) 329-343
3. Gonzalez-Alonso J., Mora-Rodriguezk R., Below P.R., et al. Dehydration markedly impairs cardiovascular function in hyperthermic endurance athletes during exercise. J Appl Physiol 82 4 (1997) 1229-1236
4. Gonzalez-Alonso J., Teller C., Andersen S.L., et al. Influence of body temperature on the development of fatigue during prolonged exercise in the heat. J Appl Physiol 86 3 (1999) 1032-1039
5. Gonzalez-Alonso J. Separate and combined influences of dehydration and hyperthermia on cardiovascular responses to exercise. Int J Sports Med 19 Suppl 2 (1998) S111-S114
6. Casa D.J., Armstrong L.E., Hillman S.K., et al. National Athletic Trainers' Association position statement: fluid replacement for athletes. J Athl Train 35 2 (2000) 212-224
7. Montain S.J., and Coyle E.F. Influence of graded dehydration on hyperthermia and cardiovascular drift during exercise. J Appl Physiol 73 4 (1992) 1340-1350
8. Laursen P.B., Suriano R., Quod M.J., et al. Core temperature and hydration status during an ironman triathlon. Br J Sports Med 40 4 (2006) 320-325
9. Godek S.F., Bartolozzi A.R., Burkholder R., et al. Core temperature and percentage of dehydration in professional football linemen and backs during preseason practices. J Athl Train 41 1 (2006) 8-17
10. Sharwood K.A., Collins M., Goedecke J.H., et al. Weight changes, medical complications, and performance during an ironman triathlon. Br J Sports Med 38 6 (2004) 718-724
11. Godek S.F., Godek J.J., and Bartolozzi A.R. Hydration status in college football players during consecutive days of twice-a-day preseason practices. Am J Sports Med 33 (2005) 843-851
12. Sawka M.N., and Wenger C.B. Physiological responses to acute exercise-heat stress. In: Pandolf K.B., Sawka M.N., and Gonzalez R.R. (Eds). Human performance physiology and environmental medicine at terrestrial extremes (1988), Cooper Publishing Group, Traverse City 97-151
13. Gonzalez-Alonso J., Mora-Rodriguez R., and Coyle E.F. Stroke volume during exercise: interaction of environment and hydration. Am J Physiol Heart Circ Physiol 278 2 (2000) H321-H330
14. Eddy N.B., and Downs A.W. Tolerance and cross-tolerance in the human subject to the diuretic effect of caffeine, theobromine, and theophylline. J Pharmacol Exp Ther 33 (1928) 167-174
15. Armstrong L.E. Caffeine, body fluid-electrolyte balance, and exercise performance. Int J Sport Nutr Exerc Metab 12 2 (2002) 189-206
16. Maughan R.J., and Griffin J. Caffeine ingestion and fluid balance: a review. J Hum Nutr Dietet 16 (2003) 411-420
17. Robertson D., Frolich J.C., Carr R.K., et al. Effects of caffeine on plasma renin activity, catecholamines and blood pressure. N Engl J Med 298 4 (1978) 181-186
18. Passmore A.P., Kondowe G.B., and Johnston G.D. Renal and cardiovascular effects of caffeine: a dose-response study. Clin Sci (Lond) 72 6 (1987) 749-756
19. Wemple R.D., Lamb D.R., and McKeever K.H. Caffeine vs caffeine-free sports drinks: effects on urine production at rest and during prolonged exercise. Int J Sports Med 18 1 (1997) 40-46
20. Grandjean A.C., Reimers K.J., Bannick K.E., et al. The effect of caffeinated, non-caffeinated, caloric and non-caloric beverages on hydration. J Am Coll Nutr 19 5 (2000) 591-600
21. Neuhauser B., Beine S., Verwied S.C., et al. Coffee consumption and total body water homeostasis as measured by fluid balance and bioelectrical impedance analysis. Ann Nutr Metab 41 1 (1997) 29-36
22. Graham T.E., Hibbert E., and Sathasivam P. Metabolic and exercise endurance effects of coffee and caffeine ingestion. J Appl Physiol 85 3 (1998) 883-889
23. Falk B., Burstein R., Rosenblum J., et al. Effects of caffeine ingestion on body fluid balance and thermoregulation during exercise. Can J Physiol Pharmacol 68 7 (1990) 889-892
24. Gordon N.F., Myburgh J.L., Kruger P.E., et al. Effects of caffeine ingestion on thermoregulatory and myocardial function during endurance performance. S Afr Med J 62 18 (1982) 644-647
25. Fiala K.A., Casa D.J., and Roti M.W. Rehydration with a caffeinated beverage during the nonexercise periods of 3 consecutive days of 2-a-day practices. Int J Sport Nutr Exerc Metab 14 4 (2004) 419-429
26. Armstrong L.E., Pumerantz A.C., Roti M.W., et al. Fluid, electrolyte, and renal indices of hydration during 11 days of controlled caffeine consumption. Int J Sport Nutr Exerc Metab 15 3 (2005) 252-265
27. Roti M.W., Casa D.J., Pumerantz A.C., et al. Thermoregulatory responses to exercise in the heat: chronic caffeine intake has no effect. Aviat Space Environ Med 77 2 (2006) 124-129
28. Almond C.S., Shin A.Y., Fortescue E.B., et al. Hyponatremia among runners in the Boston Marathon. N Engl J Med 352 15 (2005) 1550-1556
29. Armstrong L.E. Exertional hyponatremia. In: Armstrong L.E. (Ed). Exertional heat illnesses (2003), Human Kinetics, Champaign (IL) 103-135
30. Vrijens D.M., and Rehrer N.J. Sodium-free fluid ingestion decreases plasma sodium during exercise in the heat. J Appl Physiol 86 6 (1999) 1847-1851
31. Speedy D.B., Noakes T.D., Kimber N.E., et al. Fluid balance during and after an ironman triathlon. Clin J Sport Med 11 1 (2001) 44-50
32. Speedy D.B., Noakes T.D., Rogers I.R., et al. Hyponatremia in ultradistance triathletes. Med Sci Sports Exerc 31 6 (1999) 809-815
33. Armstrong L.E. Exertional hyponatraemia. J Sports Sci 22 1 (2004) 144-145
34. Twerenbold R., Knechtle B., Kakebeeke T.H., et al. Effects of different sodium concentrations in replacement fluids during prolonged exercise in women. Br J Sports Med 37 4 (2003) 300-303
35. Hew-Butler T., Almond C., Ayus J.C., et al. Consensus statement of the 1st international exercise-associated hyponatremia consensus development conference, Cape Town, South Africa 2005. Clin J Sport Med 15 4 (2005) 208-213
36. Weschler L.B. Exercise-associated hyponatraemia: a mathematical review. Sports Med 35 10 (2005) 899-922
37. Hew-Butler T.D., Sharwood K., Collins M., et al. Sodium supplementation is not required to maintain serum sodium concentrations during an ironman triathlon. Br J Sports Med 40 3 (2006) 255-259
38. Montain S.J., Sawka M.N., and Wenger C.B. Hyponatremia associated with exercise: risk factors and pathogenesis. Exerc Sport Sci Rev 29 3 (2001) 113-117
39. Convertino V.A., Armstrong L.E., Coyle E.F., et al. American College of Sports Medicine position stand: exercise and fluid replacement. Med Sci Sports Exerc 28 1 (1996) i-vii
40. Montain S.J., Cheuvront S.N., and Sawka M.N. Exercise associated hyponatraemia: quantitative analysis to understand the aetiology. Br J Sports Med 40 2 (2006) 98-105
41. Baker L.B., Munce T.A., and Kenney W.L. Sex differences in voluntary fluid intake by older adults during exercise. Med Sci Sports Exerc 37 5 (2005) 789-796
42. Barr S.I., Costill D.L., and Fink W.J. Fluid replacement during prolonged exercise: effects of water, saline, or no fluid. Med Sci Sports Exerc 23 7 (1991) 811-817
43. Speedy D.B., Thompson J.M., Rodgers I., et al. Oral salt supplementation during ultradistance exercise. Clin J Sport Med 12 5 (2002) 279-284
44. Weschler L.B., and Rehrer N.J. What can be concluded regarding water versus sports drinks from the Vrijens-Reher experiments?. J Appl Physiol 100 4 (2006) 1433-1434
45. Powers M.E., Arnold B.L., Weltman A.L., et al. Creatine supplementation increases total body water without altering fluid distribution. J Athl Train 38 1 (2003) 44-50
46. Kilduff L.P., Georgiades E., James N., et al. The effects of creatine supplementation on cardiovascular, metabolic, and thermoregulatory responses during exercise in the heat in endurance-trained humans. Int J Sport Nutr Exerc Metab 14 4 (2004) 443-460
47. Bailes J.E., Cantu R.C., and Day A.L. The neurosurgeon in sport: awareness of the risks of heatstroke and dietary supplements. Neurosurgery 51 2 (2002) 283-288
48. Terjung R.L., Clarkson P., Eichner E.R., et al. American College of Sports Medicine roundtable: the physiological and health effects of oral creatine supplementation. Med Sci Sports Exerc 32 3 (2000) 706-717
49. Demant T.W., and Rhodes E.C. Effects of creatine supplementation on exercise performance. Sports Med 28 1 (1999) 49-60
50. Kern M., Podewils L.J., Vukovich M., et al. Physiological response to exercise in the heat following creatine supplementation. J Exerc Physiol 4 (2001) 18-27
51. Watson G., Casa D., Fiala K.A., et al. Creatine use and exercise heat tolerance in dehydrated men. J Athl Train 41 1 (2006) 18-29
52. Weiss C.A., Powers M.E., and Horodyski M.B. Creatine supplementation does not alter the physiological response to exercise in the heat. J Athl Train 38 2 (2003) S29
53. Schwellnus M.P., Derman E.W., and Noakes T.D. Aetiology of skeletal muscle 'cramps' during exercise: a novel hypothesis. J Sports Sci 15 3 (1997) 277-285
54. McGee S.R. Muscle cramps. Arch Intern Med 150 3 (1990) 511-518
55. American Medical Association. International classification of diseases: manual of the international statistical classification of diseases, injuries, and causes of death, 9th revision (1998), AMA, Chicago
56. Bergeron M.F. Heat cramps during tennis: a case report. Int J Sport Nutr 6 1 (1996) 62-68
57. Stofan J.R., Zachwieja J.J., Horswill C.A., et al. Sweat and sodium losses in NCAA football players: a precursor to heat cramps?. Int J Sport Nutr Exerc Metab 15 6 (2005) 641-652
58. Talbot J.H. Heat cramps. Medicine (1935), Williams and Wilkins, Baltimore p. 323-76
59. Hubbard R.W., and Armstrong L.E. The heat illnesses: biochemical, ultrastructural, and fluid-electrolyte considerations. In: Pandolf K.B., Sawka M.N., and Gonzalez R.R. (Eds). Human performance physiology and environmental medicine at terrestrial extremes (1988), Cooper Publishing Group, Traverse City 305-359
60. Armstrong L.E. Considerations for replacement beverages: fluid-electrolyte balance and heat illness. Fluid replacement and heat stress (1993), National Academy Press, Washington, DC 37-54
61. Ladell W.S.S. Heat cramps. Lancet 2 (1949) 836-839
62. Bergeron M.F. Exertional heat cramps. In: Armstrong L.E. (Ed). Exertional heat illnesses (2003), Human Kinetics, Champaign (IL) 91-102
63. Bergeron M.F. Heat cramps: fluid and electrolyte challenges during tennis in the heat. J Sci Med Sport 6 1 (2003) 19-27
64. Coyle E.F. Fluid and fuel intake during exercise. J Sports Sci 22 1 (2004) 39-55
65. Casa D. Proper hydration for distance running-identifying individual fluid needs. Track Coach 167 (2004) 5321-5328
66. Armstrong L.E., Hubbard R.W., Szlyk P.C., et al. Voluntary dehydration and electrolyte losses during prolonged exercise in the heat. Aviat Space Environ Med 56 8 (1985) 765-770
67. Rehrer N.J. Fluid and electrolyte balance in ultra-endurance sport. Sports Med 31 10 (2001) 701-715
68. Riedesel M.L., Allen D.Y., Peake G.T., et al. Hyperhydration with glycerol solutions. J Appl Physiol 63 6 (1987) 2262-2268
69. Wingo J.E., Casa D.J., Berger E.M., et al. Influence of a pre-exercise glycerol hydration beverage on performance and physiologic function during mountain-bike races in the heat. J Athl Train 39 2 (2004) 169-175
70. Kavouras S.A., Armstrong L.E., Maresh C.M., et al. Rehydration with glycerol: endocrine, cardiovascular, and thermoregulatory responses during exercise in the heat. J Appl Physiol 100 2 (2006) 442-450
71. Castellani J.W., Maresh C.M., Armstrong L.E., et al. Intravenous vs. oral rehydration: effects on subsequent exercise-heat stress. J Appl Physiol 82 3 (1997) 799-806
72. Casa D.J., Maresh C.M., Armstrong L.E., et al. Intravenous versus oral rehydration during a brief period: responses to subsequent exercise in the heat. Med Sci Sports Exerc 32 1 (2000) 124-133
73. Figaro M.K., and Mack G.W. Regulation of fluid intake in dehydrated humans: role of oropharyngeal stimulation. Am J Physiol 272 6 Pt 2 (1997) R1740-R1746
74. Murray B.M. Training the gut for competition. Curr Sports Med Rep 5 (2006) 161-164
75. Casa D.J., Clarkson P.M., and Roberts W.O. American College of Sports Medicine roundtable on hydration and physical activity: consensus statements. Curr Sports Med Rep 4 3 (2005) 115-127