Literature DB >> 20142772

Ad libitum fluid replacement in military personnel during a 4-h route march.

Heinrich Nolte1, Timothy D Noakes, Bernard Van Vuuren.   

Abstract

INTRODUCTION: Opportunities to determine optimal rates of fluid ingestion could reduce the mass soldiers might need to carry on military missions.
PURPOSE: The first objective was to evaluate the effects of an ad libitum fluid replacement strategy on total body water (TBW), core temperature, serum sodium concentrations [Na+], and plasma osmolality (POsm). The second objective was to determine if an ad libitum water intake was sufficient to maintain these variables during exercise. A third objective was to determine if changes in body mass are an accurate measure of changes in TBW.
METHODS: A field study was conducted with 15 soldiers performing a 16.4-km route march. The average age of 15 subjects was 27 yr (SD = 4.6 yr).
RESULTS: Their mean hourly ad libitum fluid intake was 383 mL (SD = 150 mL). Predicted sweat rate was 626 +/-122 mL.h-1. Despite an average body mass loss of 1.0 kg (SD = 0.50 kg) TBW, POsm and serum [Na+] did not change significantly during exercise. There was a significant (P < 0.05) linear relationship with a negative slope between postexercise serum [Na+] and changes in both body mass and percentage of TBW. Postexercise POsm and serum [Na+] were significantly related (P < 0.05). Higher postexercise percentage of TBW was associated with lower postexercise POsm and serum [Na+] levels. There was no relation between percent body mass loss and postexercise core temperature (38.1 degrees C +/- 0.6 degrees C).
CONCLUSIONS: A mean ad libitum water intake of 383 mL.h-1, replacing approximately 61% of body mass losses during 4 h of exercise, maintained TBW, core temperature, POsm, and serum [Na+] despite a 1.4% body mass loss. A reduction in body mass of 1.4% (1.0 kg) was not associated with a reduction in TBW.

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Year:  2010        PMID: 20142772     DOI: 10.1249/MSS.0b013e3181d6f9d0

Source DB:  PubMed          Journal:  Med Sci Sports Exerc        ISSN: 0195-9131            Impact factor:   5.411


  4 in total

1.  Reply on Baker's comments to Nolte and Noakes: "change in body mass accurately and reliably predicts change in body water after endurance exercise".

Authors:  Timothy D Noakes; Heinrich W Nolte
Journal:  Eur J Appl Physiol       Date:  2010-10-23       Impact factor: 3.078

2.  Low prevalence of exercise-associated hyponatremia in male 100 km ultra-marathon runners in Switzerland.

Authors:  Beat Knechtle; Patrizia Knechtle; Thomas Rosemann
Journal:  Eur J Appl Physiol       Date:  2010-11-17       Impact factor: 3.078

Review 3.  The quantification of body fluid allostasis during exercise.

Authors:  Nicholas Tam; Timothy D Noakes
Journal:  Sports Med       Date:  2013-12       Impact factor: 11.136

4.  Ad libitum water consumption prevents exercise-associated hyponatremia and protects against dehydration in soldiers performing a 40-km route-march.

Authors:  Heinrich W Nolte; Kim Nolte; Tamara Hew-Butler
Journal:  Mil Med Res       Date:  2019-01-25
  4 in total

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