Sex differences in hydration status among adolescent elite soccer players
DOI:
https://doi.org/10.14198/jhse.2019.142.02Keywords:
Dehydration, Drinking to thirst, Female athletes, Male athletes, Gender, Urine biomarkers, Weight loss, SweatAbstract
Hydration of athletes may affect performance and health status likely with differences among sexes. We studied the impact of sex on hydration behaviour in adolescent athletes. Hydration status and urine markers were investigated in 7 female and 7 male elite 16 years-old soccer players in temperate climate (21-24°C). Participants consumed water ad libitum during the first training session (LIB), whereas in the second session (HYD) they drunk a water amount matching 70% of sweat loss from the LIB session. Post-training performances were evaluated by Yo-Yo intermittent recovery level 1 (IR1) test and countermovement jump (CMJ). Body mass values were recorded and urine samples were collected before and after each experimental session. Males drunk a double amount of water in HYD (1.19±0.21 kg) compared to LIB (0.62±0.19 kg; p=0.001; ES=2.88), resulting in a lower percentage body mass loss (HYD -0.95±0.63% versus LIB -1.59±0.33%; p=0.044; ES=-1.35); total distance of Yo-Yo IR1 was higher, albeit not significantly, in HYD (2953±779 m) than in LIB (2103±939 m); CMJ performance was unchanged. In females, water drunk, body mass, Yo-Yo IR1 and CMJ did not vary in HYD versus LIB sessions. In adolescent males a 70% sweat replacement personalized hydration regimen reduced body mass loss and tended to improve performance, whereas in females ad libitum water drinking allowed to maintain hydration status (<1% body mass loss). Our results suggest that coaches and athletes themselves should consider a personalized hydration regimen for adolescent male soccer players, whereas ad libitum drinking seems suitable for females.
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University of UdineDownloads
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Almond, C.S.D., Shin, A.Y., Fortescue, E.B., Mannix, R.C., Wypij, D., Binstadt, B.A., Duncan, C.N., Olson, D.P., Salerno, A.E., Newburger, J.W., Greenes, D.S. (2005) Hyponatremia among runners in the Boston marathon. N Engl J Med 352(15), 1550-1556. https://doi.org/10.1056/NEJMoa043901
Armstrong, L.E., & Maresh, C.M. (1998) Effects of training, environment, and host factors on the sweating response to exercise. Int J Sports Med 19(S 2), S103-105. https://doi.org/10.1055/s-2007-971969
Arnaoutis, G., Kavouras, S.A., Angelopoulou, A., Skoulariki, C., Bismpikou, S., Mourtakos, S., Sidossis, L.S. (2015) Fluid balance during training in elite young athletes of different sports. J Strength Cond Res 29(12), 3447-3452. https://doi.org/10.1519/JSC.0000000000000400
Bangsbo, J., Iaia, F., Krustrup, P. (2008) The Yo-Yo intermittent recovery test: a useful tool for evaluation of physical performance in intermittent sports. Sports Med 38(1), 37-51. https://doi.org/10.2165/00007256-200838010-00004
Benton, D., Braun, H., Cobo, J.C., Edmonds, C., Elmadfa, I., El-Sharkawy, A., Feehally, J., Gellert, R., Holdsworth, J., Kapsokefalou, M., Kenney, W.L., Leiper, J.B., Macdonald, I.A., Maffeis, C., Maughan, R.J., Shirreffs, S.M., Toth-Heyn, P., Watson, P. (2015) Executive summary and conclusions from the European Hydration Institute expert conference on human hydration, health, and performance. Nutr Rev 73(suppl 2), 148-150. https://doi.org/10.1093/nutrit/nuv056
Buoite Stella, A., Francescato, M., Sims, S., Morrison, S. (2017) Fluid intake behavior in athletes during typical training bouts. J Sports Med Phys Fitness 57, 1504-1512. https://doi.org/10.23736/S0022-4707.16.06722-0
Casa, D.J., Stearns, R.L., Lopez, R.M., Ganio, M.S., McDermott, B.P., Walker Yeargin, S., Yamamoto, L.M., Mazerolle, S.M., Roti, M.W., Armstrong, L.E., Maresh, C.M. (2010) Influence of hydration on physiological function and performance during trail running in the heat. J Athl Train 45(2), 147-156. https://doi.org/10.4085/1062-6050-45.2.147
Castagna, C., & Castellini, E. (2013) Vertical jump performance in Italian male and female national team soccer players. J Strength Cond Res 27(4), 1156-1161. https://doi.org/10.1519/JSC.0b013e3182610999
Cauci, S., Francescato, M.P., Curcio, F. (2017) Combined oral contraceptives increase high-sensitivity C-reactive protein but not haptoglobin in female athletes. Sports Med 47(1), 175-185. https://doi.org/10.1007/s40279-016-0534-9
Cheuvront, S.N., Carter, R., Castellani, J.W., Sawka, M.N. (2005) Hypohydration impairs endurance exercise performance in temperate but not cold air. J Appl Physiol 99(5), 1972-1976. https://doi.org/10.1152/japplphysiol.00329.2005
Chlíbková, D., Knechtle, B., Rosemann, T., Zákovská, A., Tomášková, I. (2014) The prevalence of exercise-associated hyponatremia in 24-hour ultra-mountain bikers, 24-hour ultra-runners and multi-stage ultra-mountain bikers in the Czech Republic. J Int Soc Sports Nutr 113. https://doi.org/10.1186/1550-2783-11-3
Cotter, J.D., Thornton, S.N., Lee, J.K., Laursen, P.B. (2014) Are we being drowned in hydration advice? Thirsty for more? Extrem Physiol Med 318. https://doi.org/10.1186/2046-7648-3-18
Da Silva, R., Mündel, T., Natali, A., Bara Filho, M., Alfenas, R., Lima, J., Belfort, F., Lopes, P., Marins, J. (2012) Pre-game hydration status, sweat loss, and fluid intake in elite Brazilian young male soccer players during competition. J Sports Sci 30(1), 37-42. https://doi.org/10.1080/02640414.2011.623711
Ersoy, N., Ersoy, G., Kutlu, M. (2016) Assessment of hydration status of elite young male soccer players with different methods and new approach method of substitute urine strip. J Int Soc Sports Nutr 13(1), 34. https://doi.org/10.1186/s12970-016-0145-8
Fernández-Elías, V., Martínez-Abellán, A., López-Gullón, J., Morán-Navarro, R., Pallarés, J., De la Cruz-Sánchez, E., Mora-Rodriguez, R. (2014) Validity of hydration non-invasive indices during the weightcutting and official weigh-in for Olympic combat sports. Plos ONE 9(4), e95336. https://doi.org/10.1371/journal.pone.0095336
Freund, B.J., Shizuru, E.M., Hashiro, G.M., Claybaugh, J.R. (1991) Hormonal, electrolyte, and renal responses to exercise are intensity dependent. J Appl Physiol 70(2), 900-906. https://doi.org/10.1152/jappl.1991.70.2.900
Gibson, J.C., Stuart-Hill, L.A., Pethick, W., Gaul, C.A. (2012) Hydration status and fluid and sodium balance in elite Canadian junior women's soccer players in a cool environment. Appl. Physiol. Nutr. Metab. 37(5), 931-937. https://doi.org/10.1139/h2012-073
Gordon, R.E., Kassier, S.M., Biggs, C. (2015) Hydration status and fluid intake of urban, underprivileged South African male adolescent soccer players during training. J Int Soc Sports Nutr 12(1), 21. https://doi.org/10.1186/s12970-015-0080-0
Goulet, E.D. (2012) Dehydration and endurance performance in competitive athletes. Nutr Rev 70(Suppl. 2), S132-136. https://doi.org/10.1111/j.1753-4887.2012.00530.x
Hamouti, N., Del Coso, J., Mora-Rodriguez, R. (2013) Comparison between blood and urinary fluid balance indices during dehydrating exercise and the subsequent hypohydration when fluid is not restored. Eur J Appl Physiol Occup Physiol 113(3), 611-620. https://doi.org/10.1007/s00421-012-2467-9
Hew-Butler, T., Loi, V., Pani, A., Rosner, M.H. (2017) Exercise-associated hyponatremia: 2017 Update. Front Med (Lausanne) 421. https://doi.org/10.3389/fmed.2017.00021
Higham, D., Naughton, G., Burt, L., Shi, X. (2009) Comparison of fluid balance between competitive swimmers and less active adolescents. Int J Sport Nutr Exerc Metab 19(3), 259-274. https://doi.org/10.1123/ijsnem.19.3.259
Jackson, A.S., Pollock, M.L. (1978) Generalized equations for predicting body density of men. Br J Nutr 40(3), 497-504. https://doi.org/10.1079/BJN19780152
Jackson, A.S., Pollock, M.L., Ward, A. (1980) Generalized equations for predicting body density of women. Med Sci Sports Exerc 12(3), 175-182. https://doi.org/00005768-198023000-00009
Judge, L.W., Kumley, R.F., Bellar, D.M., Pike, K.L., Pierson, E.E., Weidner, T., Pearson, D., Friesen, C.A. (2016) Hydration and fluid replacement knowledge, attitudes, barriers, and behaviors of NCAA division 1 American football players. J Strength Cond Res 30(11), 2972–2978. https://doi.org/10.1519/JSC.0000000000001397
Krustrup, P., Mohr, M., Amstrup, T., Rysgaard, T., Johansen, J., Steensberg, A., Pedersen, P.K., Bangsbo, J. (2003) The Yo-Yo intermittent recovery test: physiological response, reliability, and validity. Med Sci Sports Exerc 35(4), 697-705. https://doi.org/00005768-200304000-00023
Liu, J., Sharma, N., Zheng, W., Ji, H., Tam, H., Wu, X., Manigrasso, M.B., Sandberg, K., Verbalis, J.G. (2011) Sex differences in vasopressin V2 receptor expression and vasopressin-induced antidiuresis. Am J Physiol Renal Physiol 300(2), 433-440. https://doi.org/10.1152/ajprenal.00199.2010
Logan-Sprenger, H.M., Heigenhauser, G.J., Jones, G.L., Spriet, L.L. (2015) The effect of dehydration on muscle metabolism and time trial performance during prolonged cycling in males. Physiol Rep 3(8), e12483. https://doi.org/10.14814/phy2.12483
Maresh, C.M., Gabaree-Boulant, C.L., Armstrong, L.E., Judelson, D.A., Hoffman, J.R., Castellani, J.W., Kenefick, R.W., Bergeron, M.F., Casa, D.J. (2004) Effect of hydration status on thirst, drinking, and related hormonal responses during low-intensity exercise in the heat. J Appl Physiol 97(1), 39-44. https://doi.org/10.1152/japplphysiol.00956.2003
Maughan, R., & Shirreffs, S. (2010) Dehydration and rehydration in competitive sport. Scand J Med Sci Sports 20(Suppl. 3), 40-47. https://doi.org/10.1111/j.1600-0838.2010.01207.x
Maughan, R., & Shirreffs, S.M. (2008) Development of individual hydration strategies for athletes. Int J Sport Nutr Exerc Metab 18(5), 457-472. https://doi.org/10.1123/ijsnem.18.5.457
Maughan, R.J., McArthur, M., Shirreffs, S.M. (1996) Influence of menstrual status on fluid replacement after exercise induced dehydration in healthy young women. Br J Sports Med 30(1), 41-47. https://doi.org/10.1136/bjsm.30.1.41
Mohr, M., & Krustrup, P. (2013) Heat stress impairs repeated jump ability after competitive elite soccer games. J Strength Cond Res 27(3), 683-689. https://doi.org/10.1097/JSC.0b013e31825c3266
Oppliger, R., Magnes, S., Popowski, L., Gisolfi, C. (2005) Accuracy of urine specific gravity and osmolality as indicators of hydration status. Int J Sport Nutr Exerc Metab 15(3), 236-251. https://doi.org/10.1123/ijsnem.15.3.236
Pallarés, J.G., Martínez-Abellán, A., López-Gullón, J., Morán-Navarro, R., De la Cruz-Sánchez, E., Mora-Rodríguez, R. (2016) Muscle contraction velocity, strength and power output changes following different degrees of hypohydration in competitive olympic combat sports. J Int Soc Sports Nutr 13(10). https://doi.org/10.1186/s12970-016-0121-3
Périard, J.D., Racinais, S., Knez, W.L., Herrera, C.P., Christian, R.J., Girard, O. (2014) Coping with heat stress during match-play tennis: does an individualised hydration regimen enhance performance and recovery? Br J Sports Med 48(Suppl 1), i64-i70. https://doi.org/10.1136/bjsports-2013-093242
Phillips, S.M., Sykes, D., Gibson, N. (2014) Hydration status and fluid balance of elite European youth soccer players during consecutive training sessions. J Sports Sci Med 13(4), 817-822.
Purcell L.K. Canadian Paediatric Society, Paediatric Sports and Exercise Medicine Section. (2013). Sport nutrition for young athletes. Paediatrics & Child Health, 18(4), 200–202. https://doi.org/10.1093/pch/18.4.200
Racinais, S., Alonso, J.M., Coutts, A.J., Flouris, A.D., Girard, O., Gonzalez-Alonso, J., Hausswirth, C., Jay, O., Lee, J.K.W., Mitchell, N., Nassis, G.P., Nybo, L., Pluim, B.M., Roelands, B., Sawka, M.N., Wingo, J.E., Périard, J.D. (2015) Consensus recommendations on training and competing in the heat. Scand J Med Sci Sports 256-19. https://doi.org/10.1111/sms.12467
Rodriguez-Rosell, D., Mora-Custodio, R., Franco-Marquez, F., Yanez-Garcia, J.M., Gonzalez-Badillo, J.J. (2017) Traditional vs. sport-specific vertical jump tests: reliability, validity and relationship with the legs strength and sprint performance in adult and teen soccer and basketball players. J Strength Cond Res 31(1), 196-206. https://doi.org/10.1519/JSC.0000000000001476
Rowland T. (2011) Fluid replacement requirements for child athletes. Sports Med 41(4), 279-288. https://doi.org/10.2165/11584320-000000000-00000
Sawka, M., Burke, L., Eichner, E., Maughan, R., Montain, S., Stachenfeld, N. (2007) American College of Sports Medicine position stand. Exercise and fluid replacement. Med Sci Sports Exerc 39(2), 377-390. https://doi.org/10.1249/mss.0b013e31802ca597
Shirreffs, S., Aragon-Vargas, L., Chamorro, M., Maughan, R., Serratosa, L., Zachwieja, J. (2005) The sweating response of elite professional soccer players to training in the heat. Int J Sports Med 26(2), 90-95. https://doi.org/10.1055/s-2004-821112
Siegel, A.J. (2015) Fatal water intoxication and cardiac arrest in runners during marathons: prevention and treatment based on validated clinical paradigms. Am J Med. 128(10), 1070-1075. https://doi.org/10.1016/j.amjmed.2015.03.031
Stachenfeld, N.S. (2008) Sex hormone effects on body fluid regulation. Exerc Sport Sci Rev 36(3), 152-159. https://doi.org/10.1097/JES.0b013e31817be928
Sullivan, G.M., Feinn, R. (2012) Using effect size—or why the p value is not enough. J Grad Med Educ 4(3), 279-282. https://dx.doi.org/10.4300/JGME-D-12-00156.1
Weitkunat, T., Knechtle, B., Knechtle, P., Rüst, C., Rosemann, T. (2012) Body composition and hydration status changes in male and female open-water swimmers during an ultra-endurance event. J Sports Sci 30(10), 1003-1013. https://doi.org/10.1080/02640414.2012.682083
Williams, C., & Blackwell, J. (2012) Hydration status, fluid intake, and electrolyte losses in youth soccer players. Int J Sports Physiol Perform 7(4), 367-374. https://doi.org/10.1123/ijspp.7.4.367
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