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Departments of Exercise Science and Internal Medicine, University of Iowa, Iowa City, Iowa 52242
Dehydration and hyperthermia may impair gastric
emptying (GE) during exercise; the effect of these alterations on
intestinal water flux (WF) is unknown. Thus the purpose of this study
was to determine the effect of hypohydration (~2.7% body weight) on GE and WF of a water placebo (WP) during cycling exercise (85 min, 65%
maximal oxygen uptake) in a cool environment (22°C) and to also
compare GE and WF of three carbohydrate-electrolyte solutions (CES)
while the subjects were hypohydrated. GE and WF were determined simultaneously by a nasogastric tube placed in the gastric antrum and
via a multilumen tube that spanned the duodenum and the first 25 cm of
jejunum. Hypohydration was attained 12-16 h before experiments by
low-intensity exercise in a hot (45°C), humid (relative humidity 50%) environment. Seven healthy subjects (age 26.7 ± 1.7 yr,
maximal oxygen uptake 55.9 ± 8.2 ml · kg
1 · min
1)
ingested either WP or a 6% (330 mosmol), 8% (400 mosmol), or a 9%
(590 mosmol) CES the morning following hypohydration. For comparison,
subjects ingested WP after a euhydration protocol. Solutions (~2.0
liters total) were ingested as a large bolus (4.6 ml/kg body wt) 5 min
before exercise and as small serial feedings (2.3 ml/kg body wt) every
10 min of exercise. Average GE rates were not different among
conditions (P > 0.05). Mean
(±SE) values for WF were also similar
(P > 0.05) for the euhydration (15.3 ± 1.7 ml · cm
1
· h
1)
and hypohydration (18.3 ± 2.6 ml · cm
1
· h
1)
experiments. During exercise after hypohydration, water
absorption was greater (P < 0.05)
with ingestion of WP (18.3 ± 2.6) and the 6% CES (16.5 ± 3.7),
compared with the 8% CES (6.9 ± 1.5) and the 9% CES (1.8 ± 1.7). Mean values for final core temperature (38.6 ± 0.1°C),
heart rate (152 ± 1 beats/min), and change in plasma volume
(
5.7 ± 0.7%) were similar among experimental trials. We
conclude that 1) hypohydration to
~3% body weight does not impair GE or fluid absorption during
moderate exercise when ingesting WP, and
2) hyperosmolality (>400 mosmol)
reduced WF in the proximal intestine.
segmental perfusion; osmolality; plasma volume
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