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What might've been the issue that triathlete experienced at the end of his race when he had an altered state and almost fell?
dehydration
heat stroke
humid environment
producing a ton of heat
genetics
not heat acclimated
Do lots of people walk around dehydrated?
Yes- some
How would you know they are dehydrated/what would you measure or look for?
thirst
body weight loss
concentrated urine
elevated resting HR
head rush
high levels of electroly
Consequence of inadequate hydration
low BP causing syncope
kidney stone
Lost more than 1% of body weight
Low Blood volume = _______ BP
low
Water balance
Need same amount of fluid added and lost
Water intake
beverages (most)
food
metabolic water
Water output
Urine- 60% of loss
Lungs
Evaporation thru skin/sweat loss
feces
How are you losing fluid thru lungs?
Anytime you are in a space breathing in dry air, you must humidify it through your lungs
*Equals metabolic water you make with intake**
Three locations for fluid
blood
interstitial space
cells
How does water flow between compartments?
By following electrolytes
Where is the majority of fluid?
2/3 is in cells
1/3...interstitial space (most here) and some in blood
Do males or females have more fluid? Why?
Males
leaner and lean tissue holds more fluid than fat tissue
If you drink water it is absorbed in the _______ and then distributed from there into _______ and _______
blood
interstitial space, cells
Water is removed from the blood by the _________ and excreted as _______
kidney
urine
Hyperhydration
too much water
Euhydration
normal hydration
Hypohydration
dehydration
Osmolarity
total concentration of all solute particles in a solution
Osmolarity of body vs. sweat
body- 300 mOsm
sweat- 100 mOsm
Control of hydration status is done by the ________ in the brain
hypothalamus
When osmolarity increases (too concentrated), the hypothalamus tells the pituitary to secrete _________ which preserves water in the kidneys making urine __________ __________. This process makes someone __________(more/less) thirsty
antidiuretic hormone
more concentrated
more
Homeotherm
constant body temperature
Normal core temp
97-100
Core temp
inside brain & torso
need tight regulation
Skin/shell temp
Can change it without having big impacts
Head added and heat loss from the system needs to be in ____________
balance
Heat gain mechanisms
metabolic heat
conduction
convection
radiation
Heat loss mechanisms
radiation
conduction
convection
evaporation
Conduction
The direct transfer of heat from one substance to another substance that it is touching.
Convection
air moving over your skin
Radiation
The transfer of energy by electromagnetic waves
Evaporation
The change of a substance from a liquid to a gas
CAN ONLY LOSE HEAT HERE NOT GAIN
Conduction- tile floor
Feeling heat leave your feet (sensation of being cold)
Not feeling the temperature of other tile
Temp always goes from ________ to _______
high to low
Why can you put a pan of cookies into the oven and not burn yourself, but you need an oven mitt to take them out?
In- air is not a good conductor of heat, so can touch the metal initially
Out- metal has a high conduction of heat so need an oven mitt to not burn yourself
maximal sweating rates
2-4 L/hour
1 L = ______ kg....what's the significance?
1 kg
means you are losing 2-4 kg which is 4-9 lb/hour = extreme
1 L = ______ kcal of heat
580 kcal
Salt = _____ g/L sweat
3 g/L of sweat
More loss here than the amount recommended by US dietary guidelines- 2.3 g/day
How does humidity impact evaporation?
If it's 100% humid you cannot evaporate sweat
Which becomes an issue for cooling yourself
Control system if you get too hot
Vasodilate to send blood to skin
Trying to balance heat added by evaporating more
Cannot control radiation because that's just the room temp
Control system if you get too cold
Prevent blood from going to skin, keeps in core, causes shivering
Burning ______ kcal/min at rest
1 kcal.min
Is all energy we produce lost as heat?
No
During exercise from rest to max in a normal environment, what are the typical energy trends?
UP- amount of energy burned
UP- amount of heat produced
UP- total heat loss
UP- evaporative heat loss
SAME- convective and radiative heat loss
Why does energy burned go up during exercise?
Because you increase your metabolism during progressively more intense exercise
The difference between heat burned and heat produced is _________________
Mechanical efficiency- which is the energy that actually went to power you during exercise
The difference between heat produced and heat loss is the ___________________
heat balance equation
Is the total heat loss MORE or LESS than the amount of heat produced?
LESS, so your core temp should be increase
Why doesn't convective or radiative heat loss go up?
Room temp didn't change during exercise
What is the MAIN mechanism we can rely on to cause heat LOSS?
evaporation
How do these energy trends CHANGE in HUMID/HOT environments?
DOWN- Total heat loss (because the sweat on your skin isn't able to evaporate much)
DOWN - Evaporation
UP- difference/gap between heat loss and heat production because you are moving toward heat exhaustion (producing SO much heat, but not able to lose it)
During exercise in a hot/humid environment, explain why the gap between heat production and heat loss will increase?
You are moving toward heat exhaustion- you will be producing MORE HEAT from exercise but won't be able to LOSE that heat due to the inability to allow sweat to evaporate off the skin
How do the energy trends change during exercise in a COLD environment?
Radiation loss will be higher
Total heat loss could move closer to heat production
Would sweat less
If you produce more heat than the amount of heat you lose, what happens to your core temp?
RAISES core temp
What happens to rectal temperature when exercising in a hot vs. normal environment?
Hot- Temp goes UP a TON
Normal- Temp goes up slightly due to exercise hyperthermia
How is SV impacted from exercising in a hot environment?
Stroke volume is LOWER due to vasodilation in the skin, so blood wants to hang out there
How does the body compensate for a lower SV in a hot environment?
INCREASE HR to maintain cardiac output
HR is ________ in a hotter environment
HIGHER
When you are exercising in a hot environment and begin to run into HR max, why is this an issue?
You can't compensate for low SV by boosting HR because you are at your HR max
How is cardiac output impacted by hot environments?
Cannot go to same high exercise intensity because you can't keep up cardiac output
What two things are competing for blood?
Active muscles (VO2)
Skin (dissipate heat)
Performance impairments start at ______% body weight loss
2%
Consequences of dehydration are on a __________. One thing leads to the next
continuum
heat exhaustion- how severe? what can we do? symptoms?
not extreme enough to go to the hospital
Need to stop them before they get too warm...can just put in shade, cool to drink
Symptoms= Sweating a lot, Nauseous, Light headed
heat stroke- how severe? what happens?
Life threatening
Damage to nervous system
Can no longer control things optimally
More confusion or loss of consciousness
Is the thirst mechanism precise enough according to the ACSM guidelines on fluid replacement?
No
You should be drinking _______% more than what you are losing, which is like ________ liters for each kg lost
50%
1.5 L
When you drink water what happens in the blood stream?
Adding lots of water to blood stream, which will quickly dilute blood, kidney will try to make a lot of urine from that
Why are electrolytes important for fluid replacement?
They match the osmolarity that you want
There is also more time to distribute fluid into compartments of body, not just automatically made into urine
Including the macronutrient, _________ , benefits glycogen replacement when you are in need of replacing fluids lost
carbs
Hyponatremia
deficient sodium in the blood
When are you at risk of over hydration and hyponatremia?
If you are drinking excess water when sweating a lot without salt
Is overhydration and hyponatremia is more common in males or females? Why?
Females- have less water in the body
Why is overhydration an issue
Water wants to get straight into cells
This causes the cell to swell in brain, which can't swell because of skull
SO it makes the situation worse
Low sodium alters membrane potential...T or F
True
Hydrations recs- before exercise
16 oz, 2 hours before exercise
Hydration recs- during exercise
8 oz, every 15-20 min of exercise
Hydration recs- after exercise
20 oz, for every lb of body mass lost during exercise