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运动性脱水后摄入液体量对补液及胃排空的影响。

The effect of volume ingested on rehydration and gastric emptying following exercise-induced dehydration.

作者信息

Mitchell J B, Grandjean P W, Pizza F X, Starling R D, Holtz R W

机构信息

Exercise Physiology Laboratory, Texas Christian University, Fort Worth 76129.

出版信息

Med Sci Sports Exerc. 1994 Sep;26(9):1135-43.

PMID:7808248
Abstract

The purpose of this study was to examine the effects of different drink volumes on rehydration, gastric emptying, and markers of fluid balance following exercise-induced dehydration. Nine male subjects (27.3 +/- 5.47 yr of age, 77.8 +/- 7.9 kg) exercised for 90 min (or until 2.5% of initial body weight was lost) on a cycle ergometer in a hot environment (30 degrees C with 60% RH). Following exercise, subjects were moved to a neutral environment (23 degrees C 50% RH) and rested for 30 min prior to beginning a 3-h rehydration period. During rehydration, subjects were serially fed with an electrolyte solution (14.98 mmol.l-1 Na+, 13.51 mmol.l-1 Cl-, and 7.95 mmol.l-1 K+) every 30 min with either 100% or 150% of the fluid lost during exercise. Gastric contents were determined every 15 min using double sampling. Blood samples, urine samples, and body weights were taken before and after exercise and at 1-h intervals throughout rehydration. Blood samples were analyzed for percent change in plasma volume, electrolyte concentration, aldosterone levels, and renin activity. Urine electrolyte concentrations were also measured. The final percent rehydration was 48.11 and 67.90 for the 100% and 150% conditions, respectively. During rehydration, the subjects emptied 98.9 and 86.0% of the fluid ingested, and the % emptied and used for weight gain at the end of rehydration was 55.1 and 54.6 for the 100% and 150% trials, respectively. Urine production was significantly higher in the 150 compared with the 100% condition while renin and aldosterone levels did not differ significantly.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

本研究的目的是检验不同饮用量对运动性脱水后补液、胃排空及体液平衡指标的影响。9名男性受试者(年龄27.3±5.47岁,体重77.8±7.9千克)在炎热环境(30℃,相对湿度60%)下于自行车测力计上运动90分钟(或直至体重减轻初始体重的2.5%)。运动后,受试者转移至中性环境(23℃,相对湿度50%),休息30分钟,然后开始3小时的补液期。在补液期间,每隔30分钟给受试者依次喂食电解质溶液(14.98毫摩尔/升钠离子、13.51毫摩尔/升氯离子和7.95毫摩尔/升钾离子),饮用量为运动中丢失液体量的100%或150%。每隔15分钟通过双重采样测定胃内容物。在运动前后以及补液全程每隔1小时采集血样、尿样并测量体重。分析血样中的血浆量百分比变化、电解质浓度、醛固酮水平和肾素活性。同时测量尿电解质浓度。100%和150%条件下最终的补液百分比分别为48.11和67.90。在补液期间,受试者分别排空了摄入液体的98.9%和86.0%,补液结束时用于体重增加的排空百分比在100%和150%试验中分别为55.1和54.6。与100%条件相比,150%条件下的尿量显著更高,而肾素和醛固酮水平无显著差异。(摘要截短至250字)

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