Urinary indices during dehydration, exercise, and rehydration.

L E Armstrong, J A Soto, F T Hacker, D J Casa, S A Kavouras, C M Maresh
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引用次数: 435

Abstract

This investigation evaluated the validity and sensitivity of urine color (Ucol), specific gravity (Usg), and osmolality (Uosm) as indices of hydration status, by comparing them to changes in body water. Nine highly trained males underwent a 42-hr protocol involving dehydration to 3.7% of body mass (Day 1, -2.64 kg), cycling to exhaustion (Day 2, -5.2% of body mass, -3.68 kg), and oral rehydration for 21 hr. The ranges of mean (across time) blood and urine values were Ucol, 1-7; Usg, 1.004-1.029; Uosm, 117-1,081 mOsm x kg-1; and plasma osmolality (Posm), 280-298 mOsm x kg-1. Urine color tracked changes in body water as effectively as (or better than) Uosm, Usg, urine volume, Posm, plasma sodium, and plasma total protein. We concluded that (a) Ucol, Uosm, and Usg are valid indices of hydration status, and (b) marked dehydration, exercise, and rehydration had little effect on the validity and sensitivity of these indices.

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脱水、运动和补液期间的尿指标。
本研究通过比较尿液颜色(Ucol)、比重(Usg)和渗透压(Uosm)作为水合状态指标的有效性和敏感性,并将它们与体内水分的变化进行比较。9名训练有素的男性接受了42小时的方案,包括脱水至体重的3.7%(第1天,-2.64 kg),循环至疲惫(第2天,-5.2%体重,-3.68 kg),并口服补液21小时。血、尿均值(跨时间)范围为Ucol, 1-7;美国,1.004 - -1.029;Uosm, 117-1,081 mOsm x kg-1;血浆渗透压(Posm) 280-298 mOsm x kg-1。尿色追踪体内水分变化的效果与Uosm、Usg、尿量、Posm、血浆钠和血浆总蛋白一样有效(甚至更好)。我们得出结论:(a) Ucol、Uosm和Usg是有效的水合状态指标,(b)明显的脱水、运动和补液对这些指标的有效性和敏感性影响不大。
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