Ad Libitum Fluid Consumption via Self- or External Administration

作者:Yeargin Susan W*; Finn Megan E; Eberman Lindsey E; Gage Matthew J; McDermott Brendon P; Niemann Andrew
来源:Journal of Athletic Training, 2015, 50(1): 51-58.
DOI:10.4085/1062-6050-49.3.76

摘要

Context: During team athletic events, athletic trainers commonly provide fluids with water bottles. When a limited number of water bottles exist, various techniques are used to deliver fluids. Objective: To determine whether fluid delivered via water-bottle administration influenced fluid consumption and hydration status. Design: Crossover study. Setting: Outdoor field (22.2 degrees C 6 3.5 degrees C). Patients or Other Participants: Nineteen participants (14 men, 5 women, age = 30 6 10 years, height = 176 +/- 8 cm, mass = 72.5 +/- 10 kg) were recruited from the university and local running clubs. Intervention(s): The independent variable was fluid delivery with 3 levels: self-administration with mouth-to-bottle direct contact (SA-DC), self-administration with no contact between mouth and bottle (SA-NC), and external administration with no contact between the mouth and the bottle (EA-NC). Participants warmed up for 10 minutes before completing 5 exercise stations, after which an ad libitum fluid break was given, for a total of 6 breaks. Main Outcome Measure(s): We measured the fluid variables of total volume consumed, total number of squirts, and average volume per squirt. Hydration status via urine osmolality and body-mass loss, and perceptual variables for thirst and fullness were recorded. We calculated repeated-measures analyses of variance to assess hydration status, fluid variables, and perceptual measures to analyze conditions across time. Results: The total volume consumed for EA-NC was lower than for SA-DC (P = .001) and SA-NC (P = .001). The total number of squirts for SA-DC was lower than for SA-NC (P =.009). The average volume per squirt for EA-NC was lower than for SA-DC (P =.020) and SA-NC (P = .009). Participants arrived (601.0 +/- 21.3 mOsm/L) and remained (622.3 +/- 38.3 mOsm/L) hydrated, with no difference between conditions (P = .544); however, the EA-NC condition lost more body mass than did the SA-DC condition (P = .001). There was no main effect for condition on thirst (P = .147) or fullness (P = .475). Conclusions: External administration of fluid decreased total volume consumed via a decreased average volume per squirt. The SA-DC method requires fewer squirts within a specific time frame. Fluid breaks every 15 minutes resulted in maintenance of euhydration; however, loss of body mass was influenced by fluid administration. Athletic trainers should avoid external administration to promote positive hydration behaviors. When fluid is self-administered, individual bottles may be the best clinical practice because more volume can be consumed per squirt.

  • 出版日期2015-1