Sodium-induced hyperhydration decreases urine output and improves fluid balance compared with glycerol- and water-induced hyperhydration

Appl Physiol Nutr Metab. 2015 Jan;40(1):51-8. doi: 10.1139/apnm-2014-0243.

Abstract

Before 2010, which is the year the World Anti-Doping Agency banned its use, glycerol was commonly used by athletes for hyperhydration purposes. Through its effect on osmoreceptors, we believe that sodium could prove a viable alternative to glycerol as a hyperhydrating agent. Therefore, this study compared the effects of sodium-induced hyperhydration (SIH), glycerol-induced hyperhydration (GIH) and water-induced hyperhydration (WIH) on fluid balance responses. Using a randomized, double-blind and counterbalanced protocol, 17 men (21 ± 3 years, 64 ± 6 kg fat-free mass (FFM)) underwent three 3-h hyperhydration protocols during which they ingested, over the first 60-min period, 30 mL/kg FFM of water with (i) an artificial sweetener (WIH); (ii) an artificial sweetener + 7.45 g/L of table salt (SIH); or (iii) an artificial sweetener + 1.4 g glycerol/kg FFM (GIH). Changes in body weight (BW), urine production, fluid retention, hemoglobin, hematocrit, plasma volume, and perceptual variables were monitored throughout the 3-h trials. After 3 h, SIH was associated with significantly (p < 0.05) lower hemoglobin, hematocrit (SIH: 43.1% ± 2.8%; GIH: 44.9% ± 2.4%), and urine production, as well as greater BW, fluid retention (SIH: 1144 ± 294 mL; GIH: 795 ± 337 mL), and plasma volume (SIH: 11.9% ± 12.0%; GIH: 4.0% ± 6.0%) gains, compared with GIH and WIH. No significant differences in heart rate or abdominal discomfort were observed between treatments. In conclusion, our results indicate that SIH is a superior hyperhydrating technique than, and proves to be a worthwhile alternative to, GIH.

Keywords: dehydration; déshydratation; fluid balance; hydratation; hydration; overhydration; sel de table; surhydratation; table salt; équilibre hydrique.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Beverages
  • Dehydration / prevention & control
  • Doping in Sports*
  • Double-Blind Method
  • Drinking*
  • Glycerol / administration & dosage
  • Glycerol / adverse effects*
  • Humans
  • Male
  • Models, Biological*
  • Oliguria / etiology*
  • Plasma Volume
  • Severity of Illness Index
  • Sodium Chloride, Dietary / administration & dosage
  • Sodium Chloride, Dietary / adverse effects
  • Sodium, Dietary / administration & dosage
  • Sodium, Dietary / adverse effects*
  • Water Intoxication / blood
  • Water Intoxication / etiology*
  • Water Intoxication / physiopathology
  • Water Intoxication / urine
  • Water-Electrolyte Balance
  • Water-Electrolyte Imbalance / etiology
  • Water-Electrolyte Imbalance / prevention & control
  • Weight Gain
  • Young Adult

Substances

  • Sodium Chloride, Dietary
  • Sodium, Dietary
  • Glycerol