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Hypohydration induced by prolonged cycling in the heat increases biomarkers of renal injury in males

Juett LA, Drury JE, Greensmith TB, Thompson AP, Funnell MP, James LJ, Mears SA

European journal of applied physiology · 3 citations

Review labels

Author industry ties

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Randomized controlled trial (classified by our AI screen)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
Authors
At least one author declares a financial tie to industry

Based on full-text disclosure statement.

Publication

Published
2023-10-17 · Eur J Appl Physiol · vol. 124 · issue 4 · pp. 1085–1096
Publisher
Springer Science+Business Media
Cited
5 citations · more than 68% of similar papers · 0.7× the field average
References
42 works
Access
Open access (hybrid journal) · CC-BY
Research areas
Thermoregulation and physiological responses · Exercise and Physiological Responses · Muscle metabolism and nutrition
Keywords
Urine specific gravity, Cycling, Medicine, Urine osmolality, Urine, Urinary system, Internal medicine, Plasma osmolality, Osmole, Chemistry, Endocrinology, Urology
MeSH
kidney, humans, dehydration, water, adult, male, hot temperature, young adult, biomarkers

7 authors

From GB

  • Loris A. JuettLoughborough University; Loughborough College
  • Jack E. DruryLoughborough University
  • Thomas B. GreensmithLoughborough University
  • Alfie P. ThompsonLoughborough University
  • Mark P. FunnellLoughborough University
  • Lewis John JamesLoughborough University

Abstract

Purpose

Recent studies have shown that hypohydration can increase renal injury. However, the contribution of hypohydration to the extent of renal injury is often confounded by exercise induced muscle damage. Therefore, the aim of the present study was to investigate the effect of manipulating hydration status during moderate-intensity cycling in the heat on biomarkers of renal injury.

Methods

Following familiarisation, fourteen active males (age: 21 [20-22] y; BMI: 22.1 ± 1.9 kg/m2; V ˙ O2peak: 55 ± 9 mL/kg/min) completed two experimental trials, in a randomised cross-over design. Experimental trials consisted of up to 120 min of intermittent cycling (~ 50% Wpeak) in the heat (~ 35 °C, ~ 50% relative humidity). During exercise, subjects consumed either a water volume equal to 100% body mass losses (EU) or minimal water (HYP; 75-100 mL) to induce ~ 3% body mass loss. Blood and urine samples were collected at baseline, 30 min post-exercise and 24 h post-baseline, with an additional urine sample collected immediately post-exercise.

Results

Thirty minutes post-exercise, body mass and plasma volume were lower in HYP than EU (P < 0.001), whereas serum and urine osmolality (P < 0.001), osmolality-corrected urinary kidney injury molecule-1 concentrations (HYP: 2.74 [1.87-5.44] ng/mOsm, EU: 1.15 [0.84-2.37] ng/mOsm; P = 0.024), and percentage change in osmolality-corrected urinary neutrophil gelatinase-associated lipocalin concentrations (HYP: 61 [17-141] %, EU: 7.1 [- 4 to 24] %; P = 0.033) were greater in HYP than EU.

Conclusion

Hypohydration produced by cycling in the heat increased renal tubular injury, compared to maintaining euhydration with water ingestion.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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