FLUID BALANCE OF ADOLESCENT SWIMMERS DURING
TRAINING
J. D. ADAMS,
1
STAVROS A. KAVOURAS,
1
JOSEPH I. ROBILLARD,
1
COSTAS N. BARDIS,
1
EVAN C. JOHNSON,
1
MATTHEW S. GANIO,
1
BRENDON P. MCDERMOTT,
1
AND MICHAEL A. WHITE
2
1
Department of Health, Human Performance, and Recreation, Human Performance Laboratory, University of Arkansas,
Fayetteville, Arkansas; and
2
Sun Prairie Storm Swim Club, Racine, Wisconsin
ABSTRACT
Adams, JD, Kavouras, SA, Robillard, JI, Bardis, CN, Johnson, EC,
Ganio, MS, McDermott, BP, and White, MA. Fluid balance of
adolescent swimmers during training. J Strength Cond Res
30(3): 621–625, 2016—Swimming, either competitively or
leisurely, is a unique activity that involves prolonged exercise
while immersed in stable water temperatures. This environment
could have an influence on the hydration status of swimmers
independently of fluid balance. Forty-six healthy adolescent
swimmers (26 males and 20 females; 12.8 6 2.3 years; 50.6 6
13.4 kg) were studied during a typical training session in an indoor
swimming pool. First morning, prepractice and postpractice urine
samples were tested for osmolality and specific gravity, whereas
all athletes consumed fluids ad libitum. Sixty-seven percent of the
athletes were hypohydrated (urine osmolality [U
osm
] $700
mmol$kg
21
) based on their first morning urine sample, which
increased to 78% immediately before training. During the 2-
hour swimming practice, the minimal sweat loss (0.39 6
0.27 L) combined with ad libitum fluid availability resulted in
unchanged body weight (0.1 6 0.3 kg). Additionally, thirst was
similar (before practice: 46 6 26, after practice: 55 6 33 mm on
a 100-mm visual analog scale) at pretraining and posttraining
time points (p . 0.05). Interestingly, postpractice U
osm
was
reduced significantly compared with the prepractice value (630
vs. 828 mmol$kg
21
; p = 0.001), without any significant change in
body weight (0.1 6 0.3 kg; p . 0.05). In conclusion, the present
data indicated that more than two-thirds of the young swimmers
appeared in their practice suboptimally hydrated. Although no
changes in body mass were observed during the swimming prac-
tice, the decrease in urine hydration markers after swimming
might less accurately reflect hydration state.
KEY WORDS hypohydration, urine specific gravity, urine
osmolality
INTRODUCTION
M
aintenance of fluid homeostasis is vital for ath-
letic performance and thermoregulation in
youths and adults. Both adults and children
fail to drink adequately to replace water loss
under warm conditions and exhibit hypohydration even
when fluids are provided ad libitum, a phenomenon
described as involuntary dehydration (13,28,39). Previous
research has shown that adolescent athletes arrive to prac-
tice hypohydrated and remain hypohydrated throughout
their practice (18). Furthermore, it has been shown that
these adolescent athletes remain hypohydrated throughout
the training day, until their next practice session (40).
During prolonged exercise, dehydration greater than .2%
of body mass has been shown to degrade aerobic exercise
performance, especially in hot weather (20). The greater the
dehydration level, the greater the physiological strain and
performance decrement (3,31). However, recent research
has proposed that during endurance exercise ad libitum drink-
ing might be an effective way to address fluid needs during
exercise (24,25,38). To our knowledge, there have been few
studies investigating the effect of ad libitum drinking on main-
tenance of hydration status in adolescents during training
(2,15,39). It is important to review this practice with reference
to adolescent swimmers to evaluate the best practice for fluid
replacement before, during, and after swim training.
Aquatic sports are unique in reference to maintenance of
hydration status because they combine the stressors associated
with exercise and the additional impact of water immersion.
During prolonged exercise, urine excretion is reduced, primar-
ily because of increased antidiuretic hormone (ADH) and
aldosterone (4,6,7,9,36,37). Conversely, during head out water
immersion, there is a suppression of ADH secretion and
reduced perception of thirst. The hydrostatic pressure exerted
by water on the human body expands plasma volume and
suppresses peripheral blood pooling, which results in central
hypervolemia and central baroreceptor loading (4,27). This
cephalic shift in blood volume can suppress both ADH secre-
tion and thirst, while increasing the output of dilute urine
because of baroreceptor activation (11,12,30).
Swimming, either competitively or leisurely, is a unique
activity that involves prolonged exercise during water
Address correspondence to Stavros A. Kavouras, kavouras@uark.edu.
30(3)/621–625
Journal of Strength and Conditioning Research
Ó 2015 National Strength and Conditioning Association
VOLUME 30 | NUMBER 3 | MARCH 2016 | 621
Copyright © National Strength and Conditioning Association Unauthorized reproduction of this article is prohibited.