Hydration Assessment Essay

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Hydration Assessment of Athletes KEY POINTS • Although there is no scientific consensus for 1) how best to assess the hydration status of athletes 2) what criteria to use as acceptable outcome measurements, or 3) the best time to apply practical assessment methods, there are methods that can be used to provide athletes with useful feedback about their hydration status • Hydration assessment techniques include: 1) Total body water measured by isotope dilution or estimated by bioelectrical impedance analysis, 2) Plasma markers, such as osmolality (test that measures the concentration of all chemical particles found in plasma), sodium, hematocrit (blood test that measures the %ge of the volume of whole blood that is made up of rbc) and hemoglobin changes, or the concentrations of hormones that help regulate body fluids 3) Urine markers, such as osmolality, specific gravity, or colour, 4) Changes in body mass, and 5) Other variables, such as salivary flow or gross, physical signs and symptoms of clinical dehydration. • In most athletic settings, the use of body mass measurements in combination with some measure of urine concentration at the first urination of the morning allows ample sensitivity for detecting daily deviations from normal hydration (euhydration)-normal state of body water content. The methods are simple, inexpensive, accurately distinguish euhydration from dehydration, and can therefore be used as a sole source for assessment. • When more precision of acute hydration changes is desired, plasma osmolality, isotope dilution, and body mass changes, used in appropriate context, provide for the accurate gradations in measurement often required in research. • Plasma markers (other than osmolality), bioelectrical impedance analysis, saliva measures, and gross physical signs and symptoms of dehydration are often confounded or too

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