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Urinary Indices of Hydration Status
Abstract
Athletes and researchers could benefit from a simple and universally accepted technique to determine whether humans are well-hydrated, euhydrated, or hypohydrated. Two laboratory studies (A, B) and one field study (C) were conducted to determine if urine color () indicates hydration status accurately and to clarify the interchangeability of , urine osmolality (), and urine specific gravity () in research. , , and were not significantly correlated with plasma osmolality, plasma sodium, or hemato-crit. This suggested that these hematologic measurements are not as sensitive to mild hypohydration (between days) as the selected urinary indices are. When the data from A, B, and C were combined, was strongly correlated with and U„sm. It was concluded that (a) may be used in athletic/industrial settings or field studies, where close estimates of or are acceptable, but should not be utilized in laboratories where greater precision and accuracy are required, and (b) and may be used interchangeably to determine hydration status.
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“Assessment of the first morning urine void increases the validity of hydration-status measurement.”
From National Athletic Trainers' Association Position Statement: Fluid Replacement for the Physically Active (2017) · cites this paper as [135]
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“The urine color chart (available at www.hydrationcheck.com) demonstrated good sensitivity and specificity compared with USG and osmolality measures. 41,135,136”
From National Athletic Trainers' Association Position Statement: Fluid Replacement for the Physically Active (2017) · cites this paper as [135]
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“Lastly, a urine color of 8 on the chart indicates gross muscle damage and myoglobin present in the urine (rhabdomyolysis or kidney dysfunction); a patient presenting with this color should receive prompt referral and follow-up testing. 135,138”
From National Athletic Trainers' Association Position Statement: Fluid Replacement for the Physically Active (2017) · cites this paper as [135]
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Metadata
- Authors
- Armstrong, L. E., Maresh, C. M., Castellani, J. W., Bergeron, M. F., Kenefick, R. W., LaGasse, K. E., & Riebe, D.
- Venue
- International Journal of Sport Nutrition
- Publisher
- Human Kinetics
- Published
- 1994-09
- Volume
- 4
- Issue
- 3
- Pages
- 265-279
- ISSN
- 1050-1606
- Cited by
- 548
- References
- 0
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