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University Medical School, Foresterhill, Aberdeen AB25 2ZD, United Kingdom
Sodium and water
loss during, and replacement after, exercise-induced volume depletion
was investigated in six volunteers volume depleted by 1.89 ± 0.17%
(SD) of body mass by intermittent exercise in a warm, humid
environment. Subjects exercised in a large, open plastic bag, allowing
collection of all sweat secreted during exercise. For over 60 min
beginning 40 min after the end of exercise, subjects ingested drinks
containing 0, 25, 50, or 100 mmol/l sodium (trials 0, 25, 50, and 100) in
a volume (ml) equivalent to 150% of the mass lost (g) by volume
depletion. Body mass loss and sweat electrolyte
(Na+,
K+, and
Cl
) loss were the same on
each trial. The measured sweat sodium concentration was 49.2 ± 18.5 mmol/l, and the total loss (63.9 ± 38.7 mmol) was greater than that
ingested on trials 0 and
25. Urine production over the 6-h
recovery period was inversely related to the amount of sodium ingested.
Subjects were in whole body negative sodium balance on
trials 0 (
104 ± 48 mmol)
and 25 (
65 ± 30 mmol) and
essentially in balance on trial 50 (
13 ± 29 mmol) but were in positive sodium balance on
trial 100 (75 ± 40 mmol). Only on
trial 100 were subjects in positive
fluid balance at the end of the study. There was a large urinary loss
of potassium over the recovery period on trial
100, despite a negligible intake during volume
repletion. These results confirm the importance of replacement of
sodium as well as water for volume repletion after sweat loss. The
sodium intake on trial 100 was
appropriate for acute fluid balance restoration, but its consequences
for potassium levels must be considered to be undesirable in terms of
whole body electrolyte homeostasis for anything other than the short
term.
fluid balance; electrolyte balance; sweat electrolyte loss; dehydration; rehydration
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