Fluid balance and hydration status in combat sport Olympic athletes: a systematic review with meta-analysis of controlled and uncontrolled studies

European Journal of Nutrition
Damir ZubacVladimir Ivancev

Abstract

Athletes in Olympic combat sports experience body water fluctuations resulting from training and intentional dehydration when making weight. Despite the popularity of urine specific gravity (USG) and urine osmolality (UOSM) measurement in characterizing fluid fluctuations, their utility remains questioned. This systematic review/meta-analysis examined the utility of urinary hydration indices in laboratory and field settings in Olympic combat sport athletes. 27 articles met the inclusion criteria for systematic review, 15 studies were included in the meta-analysis; with USG and UOSM the main outcome variables. Meta-regression analyses evaluated the interrelationship among body mass (BM), fluid intake, and urine measures. Significant USG alterations were observed following different sampling time frames: dehydration (ES 0.59; 95% CI 0.46-0.72; p = 0.001), follow-up period (ES 0.31; 95% CI 0.11-0.50; p = 0.002) and rehydration (ES - 0.34; 95% CI - 0.56 to - 0.12; p = 0.003). Direct comparison of laboratory (ES 0.20; 95% CI - 0.19 to 0.59; p = 0.324) and field (ES 0.35; 95% CI 0.14-0.56; p = 0.001) sampling showed marginally trivial and small effects. Small effects on UOSM were observed following dehydration (ES 0.31; 95% CI 0.12-0...Continue Reading

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Citations

Nov 1, 2020·Journal of the International Society of Sports Nutrition·Oliver R BarleyChris R Abbiss
Apr 2, 2021·Current Sports Medicine Reports·Louise M BurkeCraig A Horswill

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