Impact of 3-day high and low dietary sodium intake on sodium status in response to exertional-heat stress: a double-blind randomized control trial

Eur J Appl Physiol. 2019 Sep;119(9):2105-2118. doi: 10.1007/s00421-019-04199-2. Epub 2019 Aug 3.

Abstract

Purpose: To determine the impact of altering dietary sodium intake for 3 days preceding exercise on sweat sodium concentration [Na+], and cardiovascular and thermoregulatory variables.

Methods: Fifteen male endurance athletes (runners n = 8, cyclists n = 7) consumed a low (LNa, 15 mg kg-1 day-1) or high (HNa, 100 mg kg-1 day-1) sodium diet, or their usual free-living diet [UDiet, 46 (37-56) mg kg-1 day-1] for 3 days in a double-blind, randomized cross-over design, collecting excreted urine (UNa) and refraining from exercise. On day 4, they completed 2 h running at 55% [Formula: see text]O2max or cycling at 55% maximum aerobic power in Tamb 35 °C. Pre- and post-exercise blood samples were collected, and sweat from five sites using absorbent patches along the exercise protocol.

Results: UNa on days 2-3 pre-exercise [mean (95% CI) LNa 16 (12-19) mg kg-1 day-1, UDiet 46 (37-56) mg kg-1 day-1, HNa 79 (72-85) mg kg-1 day-1; p < 0.001] and pre-exercise aldosterone [LNa 240 (193-286) mg kg-1 day-1, UDiet 170 (116-224) mg kg-1 day-1, HNa 141 (111-171) mg kg-1 day-1; p = 0.001] reflected sodium intake as expected. Pre-exercise total body water was greater following HNa compared to LNa (p < 0.05), but not UDiet. Estimated whole-body sweat [Na+] following UDiet was 10-11% higher than LNa and 10-12% lower than HNa (p < 0.001), and correlated with pre-exercise aldosterone (1st h r = - 0.568, 2nd h r = - 0.675; p < 0.01). Rectal temperature rose more quickly in LNa vs HNa (40-70 min; p < 0.05), but was similar at the conclusion of exercise, and no significant differences in heart rate or perceived exertion were observed.

Conclusions: Three day altered sodium intake influenced urinary sodium excretion and sweat [Na+], and the rise in rectal temperature, but had no effect on perceived exertion during moderate-intensity exercise in hot ambient conditions.

Keywords: Cycling; Endurance; Plasma osmolality; Plasma volume; Running; Salt; Sweat.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Cross-Over Studies
  • Double-Blind Method
  • Drinking / physiology
  • Exercise / physiology
  • Heart Rate / physiology
  • Heat Stress Disorders / metabolism*
  • Heat Stress Disorders / physiopathology*
  • Heat-Shock Response / physiology*
  • Hot Temperature
  • Humans
  • Male
  • Physical Endurance / physiology
  • Running / physiology
  • Sodium / metabolism*
  • Sodium, Dietary / administration & dosage*
  • Sweat / metabolism
  • Sweating / physiology*
  • Water-Electrolyte Balance / physiology

Substances

  • Sodium, Dietary
  • Sodium