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      Effects of Field Position on Fluid Balance and Electrolyte Losses in Collegiate Women’s Soccer Players

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          Abstract

          Background and objectives: Research investigating hydration strategies specialized for women’s soccer players is limited, despite the growth in the sport. The purpose of this study was to determine the effects of fluid balance and electrolyte losses in collegiate women’s soccer players. Materials and Methods: Eighteen NCAA Division I women’s soccer players were recruited (age: 19.2 ± 1.0 yr; weight: 68.5 ± 9.0 kg, and height: 168.4 ± 6.7 cm; mean ± SD), including: 3 forwards (FW), 7 mid-fielders (MD), 5 defenders (DF), and 3 goalkeepers (GK). Players practiced outdoor during spring off-season training camp for a total 14 practices (WBGT: 18.3 ± 3.1 °C). The main outcome measures included body mass change (BMC), sweat rate, urine and sweat electrolyte concentrations, and fluid intake. Results: Results were analyzed for comparison between low (LOW; 16.2 ± 2.6° C, n = 7) and moderate risk environments for hyperthermia (MOD; 20.5 ± 1.5 °C, n = 7) as well as by field position. The majority (54%) of players were in a hypohydrated state prior to practice. Overall, 26.7% of players had a %BMC greater than 0%, 71.4% of players had a %BMC less than −2%, and 1.9% of players had a %BMC greater than −2% (all MD position). Mean %BMC and sweat rate in all environmental conditions were −0.4 ± 0.4 kg (−0.5 ± 0.6% body mass) and 1.03 ± 0.21 mg·cm −2·min −1, respectively. In the MOD environment, players exhibited a greater sweat rate (1.07 ± 0.22 mg·cm −2·min −1) compared to LOW (0.99 ± 0.22 mg·cm −2·min −1; p = 0.02). By position, DF had a greater total fluid intake and a lower %BMC compared to FW, MD, and GK (all p < 0.001). FW had a greater sweat sodium (Na+) (51.4 ± 9.8 mmol·L −1), whereas GK had the lowest sweat sodium (Na+) (30.9 ± 3.9 mmol·L −1). Conclusions: Hydration strategies should target pre-practice to ensure players are adequately hydrated. Environments deemed to be of moderate risk of hyperthermia significantly elevated the sweat rate but did not influence fluid intake and hydration status compared to low-risk environments. Given the differences in fluid balance and sweat responses, recommendations should be issued relative to soccer position.

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          American College of Sports Medicine position stand. Exercise and fluid replacement.

          This Position Stand provides guidance on fluid replacement to sustain appropriate hydration of individuals performing physical activity. The goal of prehydrating is to start the activity euhydrated and with normal plasma electrolyte levels. Prehydrating with beverages, in addition to normal meals and fluid intake, should be initiated when needed at least several hours before the activity to enable fluid absorption and allow urine output to return to normal levels. The goal of drinking during exercise is to prevent excessive (>2% body weight loss from water deficit) dehydration and excessive changes in electrolyte balance to avert compromised performance. Because there is considerable variability in sweating rates and sweat electrolyte content between individuals, customized fluid replacement programs are recommended. Individual sweat rates can be estimated by measuring body weight before and after exercise. During exercise, consuming beverages containing electrolytes and carbohydrates can provide benefits over water alone under certain circumstances. After exercise, the goal is to replace any fluid electrolyte deficit. The speed with which rehydration is needed and the magnitude of fluid electrolyte deficits will determine if an aggressive replacement program is merited.
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            National athletic trainers' association position statement: fluid replacement for athletes.

            To present recommendations to optimize the fluid-replacement practices of athletes. Dehydration can compromise athletic performance and increase the risk of exertional heat injury. Athletes do not voluntarily drink sufficient water to prevent dehydration during physical activity. Drinking behavior can be modified by education, increasing accessibility, and optimizing palatability. However, excessive overdrinking should be avoided because it can also compromise physical performance and health. We provide practical recommendations regarding fluid replacement for athletes. Educate athletes regarding the risks of dehydration and overhydration on health and physical performance. Work with individual athletes to develop fluid-replacement practices that optimize hydration status before, during, and after competition.
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              National Athletic Trainers' Association Position Statement: Fluid Replacement for the Physically Active

              Objective:  To present evidence-based recommendations that promote optimized fluid-maintenance practices for physically active individuals. Background:  Both a lack of adequate fluid replacement (hypohydration) and excessive intake (hyperhydration) can compromise athletic performance and increase health risks. Athletes need access to water to prevent hypohydration during physical activity but must be aware of the risks of overdrinking and hyponatremia. Drinking behavior can be modified by education, accessibility, experience, and palatability. This statement updates practical recommendations regarding fluid-replacement strategies for physically active individuals. Recommendations:  Educate physically active people regarding the benefits of fluid replacement to promote performance and safety and the potential risks of both hypohydration and hyperhydration on health and physical performance. Quantify sweat rates for physically active individuals during exercise in various environments. Work with individuals to develop fluid-replacement practices that promote sufficient but not excessive hydration before, during, and after physical activity.
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                Author and article information

                Journal
                Medicina (Kaunas)
                medicina
                Medicina
                MDPI
                1010-660X
                1648-9144
                24 September 2020
                October 2020
                : 56
                : 10
                : 502
                Affiliations
                [1 ]College of Physical Education and Health Sciences, Zhejiang Normal University, Jinhua 321000, China; hwang56@ 123456lsu.edu
                [2 ]School of Kinesiology, Louisiana State University, Baton Rouge, LA 70803, USA; early_kate@ 123456columbusstate.edu (K.S.E.); btheal1@ 123456lsu.edu (B.M.T.); alowe19@ 123456lsu.edu (A.C.L.); nlemoi3@ 123456lsu.edu (N.P.L.J.)
                [3 ]Department of Kinesiology & Health Sciences, Columbus State University, Columbus, GA 31907, USA
                [4 ]Department of Athletics, Louisiana State University, Baton Rouge, LA 70803, USA; jmarucc@ 123456lsu.edu (J.M.); smulle1@ 123456lsu.edu (S.M.)
                Author notes
                [* ]Correspondence: njohan1@ 123456lsu.edu ; Tel.: +1-225-578-5314
                Author information
                https://orcid.org/0000-0002-2714-339X
                https://orcid.org/0000-0002-0739-0959
                https://orcid.org/0000-0003-4905-4491
                Article
                medicina-56-00502
                10.3390/medicina56100502
                7601799
                32987967
                f84e8047-9828-43c8-94da-acb42c875322
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 07 August 2020
                : 21 September 2020
                Categories
                Article

                women athletes,soccer,sweat electrolytes,fluid balance,sweat rate

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