Regulating Water Balance

Electrolyte Balance

Electrolytes (e.g., sodium, potassium) dissolve in blood and sweat.

  • Regulate fluid balance and muscle contraction.

Osmotic Balance

If blood solute levels are too high (high osmolarity), osmosis draws water out of cells → leads to dehydration.

Overhydration without electrolyte replenishment decreases blood osmolarity → hyponatremia.

  • Causes water to move into cells, leading to swelling and serious health risks.

Hypernatremia (High sodium concentration > 145 mmol)

  • Less water relative to sodium → leads to cell dehydration.

  • Occurs after prolonged physical activity if fluids are not properly balanced.

Hyponatremia (Low sodium concentration < 135 mmol)

  • Early symptoms:

    • Bloating, nausea, vomiting, headache, brain swelling.

  • Risks increase in endurance sports, depending on:

    • Duration of performance

    • Type of sport

    • Biological sex

    • Environmental conditions (temperature, country of competition)

 

Why Athletes Need More Fluids

  • Exercise & hot environments increase sweat loss, disrupting water balance.

  • Electrolytes lost in sweat must be replenished to maintain balance.

 

Fluid loss control:

  • Athletes should not lose more than 2% of body mass due to dehydration.

 

Cardiovascular Drift:

  • Heart rate increases, and stroke volume decreases over time during prolonged exercise.

  • More noticeable in hot environments.

  • As sweat rate increases, blood pressure declines.

Measuring Water & Electrolyte Balance

  • Body mass – Monitored before and after exercise.

  • Urine colour –

    • Dark urine = dehydration.

    • Pale urine = normal hydration.

  • Osmosis measurements:

    • Berkeley-Hartley Method.

  • Osmometer:

    • Measures solute concentration in plasma or urine using freezing point depression or vapor pressure.

    • Pros: Highly accurate and reliable.

    • Cons: Requires specialized equipment and trained personnel.

  • Hydrometer:

    • Measures urine solute concentration by comparing density to water.

    • Pros: Simple, portable.

    • Cons: Affected by recent fluid intake and diet.

 

Role of the Kidneys in Water Regulation

  • Kidneys control water and electrolyte retention/loss.

  • Water & electrolytes filter from the blood into the glomerulus.

  • Loop of Henle:

    • Water is absorbed out of the tubule, concentrating and reducing the volume of the fluid.

    • Sodium chloride is actively transported out, reducing volume even more

  • Collecting Duct:

    • ADH increases permeability, allowing water reabsorption.

    • Final regulation of water before excretion as urine.