Literature DB >> 21088626

Limitations of salivary osmolality as a marker of hydration status.

Brett R Ely1, Samuel N Cheuvront, Robert W Kenefick, Michael N Sawka.   

Abstract

UNLABELLED: Salivary osmolality (Sosm) is a potentially useful hydration marker but may be confounded by oral artifacts.
PURPOSE: This study aimed to determine the efficacy of Sosm for detecting hypohydration and evaluate the effect of a simple mouth rinse.
METHODS: Eight healthy volunteers (six males and two females; age = 22 ± 7 yr, body mass = 83.7 ± 14.9 kg, height = 176.9 ± 9.2 cm) were measured for nude body mass (BM), plasma osmolality (Posm), and Sosm when euhydrated (EUH) and again when hypohydrated (HYP) by exercise-heat exposure with fluid restriction. After the initial saliva sample during HYP, a 10-s mouth rinse with 50 mL of water was provided, and saliva samples were obtained 1 min (RIN01), 15 min (RIN15), and 30 min (RIN30) after rinse. The ability of Sosm to detect HYP was compared with Posm.
RESULTS: Volunteers were hypohydrated by -4.0% ± 1.2% of BM (range = -2.2% to -5.3%). Sosm was elevated above EUH after hypohydration (EUH 58 ± 8 mmol · kg vs HYP 96 ± 28 mmol · kg, P < 0.05). Sosm baseline and change values displayed more variability than Posm based on ANOVA and regression analyses. After the oral rinse, saliva decreased in concentration (RIN01 = 61 ± 17 mmol · kg, P < 0.05) but returned to prerinse values within 15 min (RIN15 = 101 ± 25 mmol · kg) and remained similar 30 min after (RIN30 = 103 ± 33 mmol · kg).
CONCLUSIONS: Sosm was remarkably altered 1 min after a brief water mouth rinse. Fifteen minutes proved an adequate recovery time, indicating that the timing of oral artifacts and saliva sample collection is critical when considering Sosm for hydration assessment. Given the inherent variability and profound effect of oral intake, use of Sosm as a marker of hydration status is dubious.

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Year:  2011        PMID: 21088626     DOI: 10.1249/MSS.0b013e3182058643

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


  9 in total

1.  Observations on saliva osmolality during progressive dehydration and partial rehydration.

Authors:  Nigel A S Taylor; Anne M J van den Heuvel; Pete Kerry; Sheena McGhee; Gregory E Peoples; Marc A Brown; Mark J Patterson
Journal:  Eur J Appl Physiol       Date:  2012-01-10       Impact factor: 3.078

2.  Assessment of extracellular dehydration using saliva osmolality.

Authors:  Brett R Ely; Samuel N Cheuvront; Robert W Kenefick; Marissa G Spitz; Kristen R Heavens; Neil P Walsh; Michael N Sawka
Journal:  Eur J Appl Physiol       Date:  2013-10-23       Impact factor: 3.078

3.  Non-invasive estimation of hydration status changes through tear fluid osmolarity during exercise and post-exercise rehydration.

Authors:  Corey T Ungaro; Adam J Reimel; Ryan P Nuccio; Kelly A Barnes; Matthew D Pahnke; Lindsay B Baker
Journal:  Eur J Appl Physiol       Date:  2015-01-10       Impact factor: 3.078

4.  Hypotheses about sub-optimal hydration in the weeks before coronavirus disease (COVID-19) as a risk factor for dying from COVID-19.

Authors:  Jodi D Stookey; Prasanna K R Allu; Dorothee Chabas; David Pearce; Florian Lang
Journal:  Med Hypotheses       Date:  2020-09-02       Impact factor: 1.538

5.  Influence of progressive fluid restriction on mood and physiological markers of dehydration in women.

Authors:  Nathalie Pross; Agnès Demazières; Nicolas Girard; Romain Barnouin; Francine Santoro; Emmanuel Chevillotte; Alexis Klein; Laurent Le Bellego
Journal:  Br J Nutr       Date:  2012-04-13       Impact factor: 3.718

6.  Circadian variation and responsiveness of hydration biomarkers to changes in daily water intake.

Authors:  Erica Perrier; Agnès Demazières; Nicolas Girard; Nathalie Pross; Dominique Osbild; Deborah Metzger; Isabelle Guelinckx; Alexis Klein
Journal:  Eur J Appl Physiol       Date:  2013-04-23       Impact factor: 3.078

7.  Change in hydration indices associated with an increase in total water intake of more than 0.5 L/day, sustained over 4 weeks, in healthy young men with initial total water intake below 2 L/day.

Authors:  Jodi D Stookey; Janice Hamer; David W Killilea
Journal:  Physiol Rep       Date:  2017-11

Review 8.  Evaluation and review of body fluids saliva, sweat and tear compared to biochemical hydration assessment markers within blood and urine.

Authors:  M Villiger; R Stoop; T Vetsch; E Hohenauer; M Pini; P Clarys; F Pereira; R Clijsen
Journal:  Eur J Clin Nutr       Date:  2017-08-30       Impact factor: 4.016

Review 9.  Reviewing the current methods of assessing hydration in athletes.

Authors:  Oliver R Barley; Dale W Chapman; Chris R Abbiss
Journal:  J Int Soc Sports Nutr       Date:  2020-10-30       Impact factor: 5.150

  9 in total

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