Skip to main content
Top
Published in: BMC Sports Science, Medicine and Rehabilitation 1/2016

Open Access 01-12-2016 | Research article

Volume kinetic evaluation of fluid turnover after oral intake of tap water, lemonade and saline in volunteers

Authors: Joachim Zdolsek, Annika Metander, Robert Hahn

Published in: BMC Sports Science, Medicine and Rehabilitation | Issue 1/2016

Login to get access

Abstract

Background

Volume kinetic fluid turnover of three beverages was investigated for the purpose of estimating their rates of absorption and elimination as well as their maximum effect on the blood volume. The results were then used to simulate the effects of ingesting different combinations of these fluids.

Method

Ten healthy volunteers ingested 0.5 L of tap water, lemonade (90 g/L carbohydrates) and isotonic saline (9 g/L) on different occasions. Venous blood samples for measurement of the blood haemoglobin (Hb), haematocrit and glucose concentrations were collected on 10 occasions over 2 h. A kinetic model based on haemoglobin dilution and urinary excretion was used to estimate the rate of absorption, the blood volume expansion over time, and the rate of elimination. Obtained kinetic data was used to simulate combinations of the three beverages in order to reach a predetermined goal of a 1:1 hydration of the blood volume and peripheral tissues over 6 h.

Results

Tap water had the fastest absorption but primarily hydrated peripheral tissues. Maximum hydration was reached after 17 min. Lemonade effectively expanded the blood volume and was absorbed and excreted at a high rate. The maximum hydration from isotonic saline occurred 60 min after ingestion. Slow excretion could make it possible to use saline to prolong the effects of the other two beverages.

Conclusions

It is possible to use the kinetic model to evaluate fluid turnover and compartmental distribution. Composition and timing of fluid intake can be calculated mathematically to meet predetermined goals of hydration and distribution.

Trial registration

NCT01360333 Date of registration: 05/23/2011.
Appendix
Available only for authorised users
Literature
1.
go back to reference Baker LB, Jeukendrup AE. Optimal composition of fluid-replacement beverages (review article). Compr Physiol. 2014;4:575–620.CrossRefPubMed Baker LB, Jeukendrup AE. Optimal composition of fluid-replacement beverages (review article). Compr Physiol. 2014;4:575–620.CrossRefPubMed
2.
go back to reference Convertino VA. Blood volume response to physical activity and inactivity. Am J Med Sci. 2007;334:72–9.CrossRefPubMed Convertino VA. Blood volume response to physical activity and inactivity. Am J Med Sci. 2007;334:72–9.CrossRefPubMed
3.
go back to reference Coyle EF, Hemmert MK, Coggan AR. Effects of detraining on cardiovascular responses to exercise: Role of blood volume. Am J Physiol. 1986;60:96–9. Coyle EF, Hemmert MK, Coggan AR. Effects of detraining on cardiovascular responses to exercise: Role of blood volume. Am J Physiol. 1986;60:96–9.
4.
go back to reference Greenleaf JE, Looft-Wilson R, Wisherd JL, McKenzie MA, Jensen CD, Whittam JH. Pre-exercise hypervolemia and cycle ergometer endurance in men. Biol Sport. 1997;14:103–14.PubMed Greenleaf JE, Looft-Wilson R, Wisherd JL, McKenzie MA, Jensen CD, Whittam JH. Pre-exercise hypervolemia and cycle ergometer endurance in men. Biol Sport. 1997;14:103–14.PubMed
5.
go back to reference Hagberg JM, Goldberg AP, Lakatta L, O’Connor FC, Becker LC, Lakatta EG, Fleg JL. Expanded blood volumes contribute to the increased performance of endurance-trained older men. J Appl Physiol. 1998;85:484–9.PubMed Hagberg JM, Goldberg AP, Lakatta L, O’Connor FC, Becker LC, Lakatta EG, Fleg JL. Expanded blood volumes contribute to the increased performance of endurance-trained older men. J Appl Physiol. 1998;85:484–9.PubMed
6.
go back to reference Horwitz LD, Atkins JM, Leshin SJ. Role of the Frank-Starling mechanism in exercise. Circ Res. 1972;31:868–75.CrossRefPubMed Horwitz LD, Atkins JM, Leshin SJ. Role of the Frank-Starling mechanism in exercise. Circ Res. 1972;31:868–75.CrossRefPubMed
7.
go back to reference Gigou PY, Dion T, Asselin A, Berrigan F, Goulet ED. Pre-exercise hyperhydration-induced bodyweight gain does not alter prolonged treadmill running time-trial performance in warm ambient conditions. Nutrients. 2012;4:949–66.CrossRefPubMedPubMedCentral Gigou PY, Dion T, Asselin A, Berrigan F, Goulet ED. Pre-exercise hyperhydration-induced bodyweight gain does not alter prolonged treadmill running time-trial performance in warm ambient conditions. Nutrients. 2012;4:949–66.CrossRefPubMedPubMedCentral
8.
go back to reference Starling EH. The Linacre lecture on the law of the heart. London: Longmans, Green and Co.; 1918. Starling EH. The Linacre lecture on the law of the heart. London: Longmans, Green and Co.; 1918.
9.
go back to reference Jimenez C, Melin B, Koulmann N, Allevard AM, Launay JC, Savourey G. Plasma volume changes during and after acute variations of body hydration level in humans. Eur J Appl Physiol Occup Physiol. 1999;80:1–8.CrossRefPubMed Jimenez C, Melin B, Koulmann N, Allevard AM, Launay JC, Savourey G. Plasma volume changes during and after acute variations of body hydration level in humans. Eur J Appl Physiol Occup Physiol. 1999;80:1–8.CrossRefPubMed
10.
go back to reference Noakes TD, Wilson G, Gray DA, Lambert MI, Dennis SC. Peak rates of diuresis in healthy humans during oral fluid overload. S Afr Med J. 2001;91:852–7.PubMed Noakes TD, Wilson G, Gray DA, Lambert MI, Dennis SC. Peak rates of diuresis in healthy humans during oral fluid overload. S Afr Med J. 2001;91:852–7.PubMed
11.
go back to reference Ewaldsson CA, Hahn RG. Kinetics and extravascular retention of acetated Ringer’s solution during isoflurane and propofol anesthesia for thyroid surgery. Anesthesiology. 2005;103:460–9.CrossRefPubMed Ewaldsson CA, Hahn RG. Kinetics and extravascular retention of acetated Ringer’s solution during isoflurane and propofol anesthesia for thyroid surgery. Anesthesiology. 2005;103:460–9.CrossRefPubMed
12.
go back to reference Goulet EDB. Dehydration and endurance performance in competitive athletes. Nutr Rev. 2012;70 Suppl 2:S132–6.CrossRefPubMed Goulet EDB. Dehydration and endurance performance in competitive athletes. Nutr Rev. 2012;70 Suppl 2:S132–6.CrossRefPubMed
13.
go back to reference Evans GH, Shirreffs SM, Maughan RJ. Acute effects of ingesting glucose solution on blood and plasma volume. Br J Nutr. 2009;101:1503–8.CrossRefPubMed Evans GH, Shirreffs SM, Maughan RJ. Acute effects of ingesting glucose solution on blood and plasma volume. Br J Nutr. 2009;101:1503–8.CrossRefPubMed
14.
go back to reference Evans GH, Shirreffs SM, Maughan RJ. The effects of repeated ingestion of high and low glucose-electrolyte solutions on gastric emptying and blood 2H2O concentration after an overnight fast. Br J Nutr. 2011;106:1732–9.CrossRefPubMed Evans GH, Shirreffs SM, Maughan RJ. The effects of repeated ingestion of high and low glucose-electrolyte solutions on gastric emptying and blood 2H2O concentration after an overnight fast. Br J Nutr. 2011;106:1732–9.CrossRefPubMed
15.
go back to reference Luttikhold J, Oosting A, van den Braak CC, van Norren K, Rijna H, van Leeuwen PA, Bouritius H. Preservation of the gut by preoperative carbohydrate loading improves postoperative food intake. Clin Nutr. 2013;32:556–61.CrossRefPubMed Luttikhold J, Oosting A, van den Braak CC, van Norren K, Rijna H, van Leeuwen PA, Bouritius H. Preservation of the gut by preoperative carbohydrate loading improves postoperative food intake. Clin Nutr. 2013;32:556–61.CrossRefPubMed
16.
go back to reference Goulet ED, Rousseau SF, Lamboley CR, Plante GE, Dionne IJ. Pre-exercise hyperhydration delays dehydration and improves endurance capacity during 2 h of cycling in a temperate climate. J Physiol Anthropol. 2008;27:263–71.CrossRefPubMed Goulet ED, Rousseau SF, Lamboley CR, Plante GE, Dionne IJ. Pre-exercise hyperhydration delays dehydration and improves endurance capacity during 2 h of cycling in a temperate climate. J Physiol Anthropol. 2008;27:263–71.CrossRefPubMed
17.
go back to reference Sims ST. Rehrer, NJ, Bell ML, Cotter JD: Preexercise sodium loading aids fluid balance and endurance for women exercising in the heat. J Appl Physiol. 2007;103:534–41.CrossRefPubMed Sims ST. Rehrer, NJ, Bell ML, Cotter JD: Preexercise sodium loading aids fluid balance and endurance for women exercising in the heat. J Appl Physiol. 2007;103:534–41.CrossRefPubMed
18.
go back to reference Sims ST, van Vliet L, Cotter JD, Rehrer NJ. Sodium loading aids fluid balance and reduces physiological strain of trained men exercising in the heat. Med Sci Sports Exerc. 2007;39:123–30.CrossRefPubMed Sims ST, van Vliet L, Cotter JD, Rehrer NJ. Sodium loading aids fluid balance and reduces physiological strain of trained men exercising in the heat. Med Sci Sports Exerc. 2007;39:123–30.CrossRefPubMed
19.
20.
go back to reference Chowdbury AH, Cox EF, Francis ST, Lobo DN. A randomized, controlled, double-blind crossover study on the effects of 2-L infusions of 0.9% saline and Plasma-Lyte 148 on renal blood flow velocity and renal cortical tissue perfusion in healthy volunteers. Ann Surg. 2012;256:18–24.CrossRef Chowdbury AH, Cox EF, Francis ST, Lobo DN. A randomized, controlled, double-blind crossover study on the effects of 2-L infusions of 0.9% saline and Plasma-Lyte 148 on renal blood flow velocity and renal cortical tissue perfusion in healthy volunteers. Ann Surg. 2012;256:18–24.CrossRef
21.
go back to reference Hahn RG, Drobin D. Rapid water and slow sodium excretion of Ringer’s solution dehydrates cells. Anesth Analg. 2003;97:1590–4.CrossRefPubMed Hahn RG, Drobin D. Rapid water and slow sodium excretion of Ringer’s solution dehydrates cells. Anesth Analg. 2003;97:1590–4.CrossRefPubMed
22.
go back to reference Greenleaf JE, Looft-Wilson R, Wisherd JL, Jackson CG, Fung PP, Ertl AC, Whittam JH. Hypervolemia in men from fluid ingestion at rest and during exercise. Aviat Space Environ Med. 1998;69:374–86.PubMed Greenleaf JE, Looft-Wilson R, Wisherd JL, Jackson CG, Fung PP, Ertl AC, Whittam JH. Hypervolemia in men from fluid ingestion at rest and during exercise. Aviat Space Environ Med. 1998;69:374–86.PubMed
23.
go back to reference Frey MA, Riddle J, Charles JB, Bungo MW. Blood and urine responses to ingesting fluids of various salt and glucose concentrations. J Clin Pharmacol. 1991;31:880–7.CrossRefPubMed Frey MA, Riddle J, Charles JB, Bungo MW. Blood and urine responses to ingesting fluids of various salt and glucose concentrations. J Clin Pharmacol. 1991;31:880–7.CrossRefPubMed
Metadata
Title
Volume kinetic evaluation of fluid turnover after oral intake of tap water, lemonade and saline in volunteers
Authors
Joachim Zdolsek
Annika Metander
Robert Hahn
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Sports Science, Medicine and Rehabilitation / Issue 1/2016
Electronic ISSN: 2052-1847
DOI
https://doi.org/10.1186/s13102-016-0045-x

Other articles of this Issue 1/2016

BMC Sports Science, Medicine and Rehabilitation 1/2016 Go to the issue