Journal of Applied Physiology
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J Appl Physiol (April 26, 2007). doi:10.1152/japplphysiol.01203.2006
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Submitted on October 24, 2006
Accepted on April 23, 2007

Pre-exercise sodium loading aids fluid balance and endurance for women exercising in the heat

Stacy T Sims1*, Nancy J. Rehrer1, Melanie L Bell2, and James D. Cotter3

1 School of Physical Education, University of Otago, Dunedin, New Zealand
2 Social and Preventive Medicine, University of Otago, Dunedin, New Zealand
3 University of Otago, Dunedin, New Zealand

* To whom correspondence should be addressed. E-mail: stacy.sims{at}gmail.com.

This study investigated the high hormone (HH) phase of both natural and oral contraceptive pill (OCP) menstrual cycles to determine if pre-exercise ingestion of a concentrated sodium beverage would increase plasma volume (PV), reduce physiological strain and aid endurance of females cycling in warm conditions. Thirteen trained cyclists ( VO2peak 52 mL·kg-1·min-1 (SD 2); 26 y (SD 6), 60.8 kg (SD 5)) on triphasic-OCPs (OCP, n=6) or not (NAT, n= 7) completed this double-blind, crossover experiment. Cyclists ingested a concentrated sodium (HighNa+: 164 mmol Na+·L-1) or low-sodium (LowNa+: 10 mmol Na+·L-1) beverage (10 ml·kg-1) before cycling to exhaustion at 70% VO2max in warm conditions (32°C, 50% RH, Va 4.5 m·s-1). Beverage (~628 mL) was ingested in 7 portions across 60 min beginning 105 min before exercise. Trials were separated by 1-2 menstrual cycles. HighNa+ increased PV (calculated from Hct and [Hb]) before exercise, whereas LowNa+ didn’t ({Delta}4.4 (SD 1.1) vs. -1.9 % (SD 1.3), 95% CI 5.20, 6.92, P < 0.0001), with greater time to exhaustion (98.8 (SD 25.6) vs. 78.7 min (SD 24.6), 95% CI: 13.3, 26.8, P < 0.0001). Core temperature rose more quickly with LowNa+ (1.6°C·h-1 (SD 0.2)) than HighNa+ (1.2°C ·h-1 (SD 0.2); P = 0.04). Plasma [AVP], [Na+] and osmolality, and urine volume, [Na+] and osmolality decreased with sodium loading (P < 0.05) independent of pill usage. Pre-exercise ingestion of a concentrated sodium beverage increased PV, reduced thermoregulatory strain, increased exercise capacity for women in HH of NAT and OCP menstrual cycles, in warm conditions.




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J Appl Physiol, July 1, 2008; 105(1): 91 - 99.
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S. T. Sims, N. J. Rehrer, M. L. Bell, and J. D. Cotter
Endogenous and exogenous female sex hormones and renal electrolyte handling: effects of an acute sodium load on plasma volume at rest
J Appl Physiol, July 1, 2008; 105(1): 121 - 127.
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