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An Aggregate Urine Analysis Tool to Detect Acute Dehydration.
MedLine Citation:
PMID:  23239678     Owner:  NLM     Status:  Publisher    
PURPOSE: Urine sampling has previously been evaluated for detecting dehydration in young male athletes. The present study investigated whether urine analysis can serve as a measure of dehydration in men and women of a wide age span. METHODS: Urine sampling and body weight measurement were undertaken before and after recreational physical exercise (median time: 90 minutes) in 57 volunteers aged between 17 and 69 years (mean age: 42). Urine analysis included urine color, osmolality, specific gravity, and creatinine. RESULTS: The volunteers' body weight decreased 1.1% (mean) while they exercised. There were strong correlations between all four urinary markers of dehydration (r = 0.73 to 0.84, P < 0.001). Researchers constructed a composite dehydration index graded from 1 to 6 based on these markers. This index changed from 2.70 before exercising to 3.55 after exercising, which corresponded to dehydration of 1.0% as given by a preliminary reference curve based on seven previous studies in athletes. Men were slightly dehydrated at baseline (mean: 1.9%) compared to women (mean: 0.7%; P < 0.001), while age had no influence on the results. A final reference curve that considered both the present results and the seven previous studies was constructed in which exercise-induced weight loss (x) was predicted by the exponential equation x= 0.20 dehydration index. CONCLUSION: Urine sampling can be used to estimate weight loss due to dehydration in adults up to the age of 70 years. A robust dehydration index based on four indicators reduces the influence of confounders.
Robert G Hahn; Nana Waldréus
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-7
Journal Detail:
Title:  International journal of sport nutrition and exercise metabolism     Volume:  -     ISSN:  1543-2742     ISO Abbreviation:  Int J Sport Nutr Exerc Metab     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100939812     Medline TA:  Int J Sport Nutr Exerc Metab     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Section for Research, Department of Patient Safety and Quality, SÖdertälje Hospital, SÖdertälje, Sweden and the Department of Anesthesia, Faculty of Health Sciences, LinkÖping University, LinkÖping, Sweden.
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