Ad Libitum Drinking Prevents Body Mass Loss Across Consecutive Workdays in Heat

• Published in: Physiology (Bethesda, Md.) Md.), 2024-05, Vol.39 (S1)
• Main Authors: Rawlings, Alexander, Kozlin, Michael, Przybysz, Johnathan, Cavuoto, Lora, Schlader, Zachary, Pryor, Riana
• Format: Article
• Language: English
• ISSN: 1548-9213; 1548-9221
• DOI: 10.1152/physiol.2024.39.S1.914

Abstract only Hydration practices across consecutive days of heavy-intensity work in heat when fluid is freely available is unknown. Without this information it remains unknown whether hydration modifies heat strain under hot working conditions and whether worker recommendations adequately maintain hydration status. We hypothesized that participants would maintain hydration status including daily percent change in body mass across workdays. Fifteen healthy, unacclimated participants (7 Females, Age: 27±6 y, Body mass: 75.0±14.4 kg, Body fat: 26.6±5.8%) completed three consecutive days (Day 1, Day 2, Day 3) of 4 h of 395±10 W work to a work/rest cycle of 45/15 min in a 36.3±0.8°C, 21±5% relative humidity environment. Participants were offered 237 mL of a sport drink every 20 min to consume ad libitum. Urine flow rate (UFR) was measured before work. Urine specific gravity (USG) and nude body mass were measured before and after work. Thirst and fluid consumption were measured throughout work. USG before work was not different between Day 1 (1.013±0.010) and Day 2 (1.013±0.010, p=0.822), but was greater before work on Day 3 (1.015±0.010, p=0.046) compared to Day 2. Change in USG from before to after work was not different between Day 1 (+0.003±0.008) and Day 2 (+0.000±0.006, p=0.123), but was lower on Day 3 (-0.002±0.006, p=0.021) compared to Day 1, with no difference between Day 2 and Day 3 (p=0.058). Before work body mass was not different across days (p=0.103). Daily percent change in body mass was not different across days (p=0.366, Day 1: 0.53±1.11%, Day 2: 0.18±0.95%, Day 3: 0.18±0.81%), indicating weight gain each day. Sweat rate (p=0.790) and UFR (p=0.469) were not different among days. Participants consumed 77±18% (Day 1), 82±19% (Day 2), and 82±16% (Day 3) of fluid offered (p=0.401), equaling 31±10 mL/kg (Day 1), 33±11 mL/kg (Day 2), 33±10 mL/kg (Day 3) (p=0.370). Maximum thirst was greater on Day 1 (3.5±1.1) compared to Day 3 (2.9±1.0, p=0.045) with no difference between Day 1 and Day 2 (3.4±1.4, p=0.648) or between Day 2 and Day 3 (p=0.121). This study demonstrates consistent hydration practices and no differences in hydration status across three consecutive days of high-intensity work in heat when fluid is freely available. Under these conditions, workers can consume fluids ad libitum and worker recommendations for hydration during heat stress should be revisited. This project was funded my the National Institute for Occupational Safety and Health