{"id":{"repo_id":"south-carolina","oai_identifier":"oai:scholarcommons.sc.edu:etd-1072"},"canonical_url":"https://search.dev.ndltd.org/etd/south-carolina/oai:scholarcommons.sc.edu:etd-1072","repository":{"repo_id":"south-carolina","name":"University of South Carolina","base_url":"https://scholarcommons.sc.edu/do/oai/"},"display":{"title":"The Relationship Between Sodium Concentrations and Common Clinical Hydration Measures During Exercise","abstract":"&lt;p&gt;&lt;strong&gt;Context:&lt;/strong&gt; Importance of maintaining proper electrolyte concentrations is continuously stressed to prevent hypohydration and decreases in performance, but there is no practical method for Certified Athletic Trainers (ATs) to measure sodium concentrations ([Na+]).&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Objective:&lt;/strong&gt; To examine the relationship between plasma [Na+], urine [Na+], and common clinical hydration measures of urine specific gravity (USG), urine color (Ucol), and percent change in body mass (%&amp;#916;BM).&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Design:&lt;/strong&gt; Randomized repeated measures design was used to elicit 6 experimental conditions: control(C), sodium depleted(S), hypohydrated(Hh), hypohydrated and sodium depleted(Hh+S), fatigue(F) and hyperthermia and fatigue(Ht+F).&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Setting:&lt;/strong&gt; Exercise Science Research Laboratory.&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Participants:&lt;/strong&gt; Nineteen moderately trained (training 3d/wk for &gt;90min total), healthy volunteers (mean age=28.13+6.82y, height=171.20+12.16cm, mass=73.81+15.21kg) participated in the study.&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Main Outcome Measures:&lt;/strong&gt; Plasma [Na+], urine [Na+], USG, Ucol, and %&amp;#916;BM.&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Results:&lt;/strong&gt; We found a significant correlation between USG and Ucol (r=0.831, p&lt;0.001) for all data and within all groups, but no correlation between plasma [Na+] and urine [Na+] or hydration measures overall. For C, urine [Na+] had high correlation to USG (r=0.742, p&lt;0.001). For F, there was a high correlation between plasma [Na+] and %&amp;#916;BM (r=0.713, p=0.021). Only USG and Ucol were correlated (r=0.830, p&lt;0.001) for the Ht+F group. Ucol had a high negative correlation with %&amp;#916;BM (r=-0.759, p=0.001) in the Hh condition. For S only urine [Na+] highly correlated with USG (r=0.890, p&lt;0.001). Lastly, for Hh+S urine [Na+] highly correlated with both plasma [Na+] (r=0.719, p=0.019) and USG (r 0.884, p=0.001).&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; Based upon our results there remains no practical method for ATs to estimate [Na+] in athletes potentially at risk for exertional heat illness, exercise associated muscle cramping, and sodium depletion. Our results do support the continued use of USG and Ucol to estimate hydration status in exercising individuals.&lt;/p&gt;","abstract_html":"&amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Context:&amp;lt;/strong&amp;gt; Importance of maintaining proper electrolyte concentrations is continuously stressed to prevent hypohydration and decreases in performance, but there is no practical method for Certified Athletic Trainers (ATs) to measure sodium concentrations ([Na+]).&amp;lt;/p&amp;gt; &amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Objective:&amp;lt;/strong&amp;gt; To examine the relationship between plasma [Na+], urine [Na+], and common clinical hydration measures of urine specific gravity (USG), urine color (Ucol), and percent change in body mass (%&amp;amp;#916;BM).&amp;lt;/p&amp;gt; &amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Design:&amp;lt;/strong&amp;gt; Randomized repeated measures design was used to elicit 6 experimental conditions: control(C), sodium depleted(S), hypohydrated(Hh), hypohydrated and sodium depleted(Hh+S), fatigue(F) and hyperthermia and fatigue(Ht+F).&amp;lt;/p&amp;gt; &amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Setting:&amp;lt;/strong&amp;gt; Exercise Science Research Laboratory.&amp;lt;/p&amp;gt; &amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Participants:&amp;lt;/strong&amp;gt; Nineteen moderately trained (training 3d/wk for &amp;gt;90min total), healthy volunteers (mean age=28.13+6.82y, height=171.20+12.16cm, mass=73.81+15.21kg) participated in the study.&amp;lt;/p&amp;gt; &amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Main Outcome Measures:&amp;lt;/strong&amp;gt; Plasma [Na+], urine [Na+], USG, Ucol, and %&amp;amp;#916;BM.&amp;lt;/p&amp;gt; &amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Results:&amp;lt;/strong&amp;gt; We found a significant correlation between USG and Ucol (r=0.831, p&amp;lt;0.001) for all data and within all groups, but no correlation between plasma [Na+] and urine [Na+] or hydration measures overall. For C, urine [Na+] had high correlation to USG (r=0.742, p&amp;lt;0.001). For F, there was a high correlation between plasma [Na+] and %&amp;amp;#916;BM (r=0.713, p=0.021). Only USG and Ucol were correlated (r=0.830, p&amp;lt;0.001) for the Ht+F group. Ucol had a high negative correlation with %&amp;amp;#916;BM (r=-0.759, p=0.001) in the Hh condition. For S only urine [Na+] highly correlated with USG (r=0.890, p&amp;lt;0.001). Lastly, for Hh+S urine [Na+] highly correlated with both plasma [Na+] (r=0.719, p=0.019) and USG (r 0.884, p=0.001).&amp;lt;/p&amp;gt; &amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Conclusions:&amp;lt;/strong&amp;gt; Based upon our results there remains no practical method for ATs to estimate [Na+] in athletes potentially at risk for exertional heat illness, exercise associated muscle cramping, and sodium depletion. Our results do support the continued use of USG and Ucol to estimate hydration status in exercising individuals.&amp;lt;/p&amp;gt;","abstract_has_math":false,"creators":["Minton, Dawn Marie"],"institution":null,"degree_name":"MS","degree_level":"Campus Access Thesis","degree_discipline":"Physical Education","degree_department":null,"school":null,"contributors":["Toni Torres-McGehee"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2009,"date_issued":"2009-01-01T08:00:00Z","date_published":"2009-01-01T08:00:00Z","updated_at":"2026-07-24T04:36:43Z","subjects":["Education","Other Education","Body mass","Dehydration","Electrolyte depletion","Urine color","Urine specific gravity"],"languages":[],"rights":["© 2009, Dawn Marie Minton"],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://scholarcommons.sc.edu/etd/71","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Toni Torres-McGehee"]},{"key":"dc:creator","label":"Author","values":["Minton, Dawn Marie"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"thesis:degree_discipline","label":"Discipline","values":["Physical Education"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Campus Access Thesis"]},{"key":"thesis:degree_name","label":"Degree Name","values":["MS"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Education","Other Education","Body mass","Dehydration","Electrolyte depletion","Urine color","Urine specific gravity"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:rights","label":"Dc Rights","values":["© 2009, Dawn Marie Minton"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://scholarcommons.sc.edu/etd/71"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["&lt;p&gt;&lt;strong&gt;Context:&lt;/strong&gt; Importance of maintaining proper electrolyte concentrations is continuously stressed to prevent hypohydration and decreases in performance, but there is no practical method for Certified Athletic Trainers (ATs) to measure sodium concentrations ([Na+]).&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Objective:&lt;/strong&gt; To examine the relationship between plasma [Na+], urine [Na+], and common clinical hydration measures of urine specific gravity (USG), urine color (Ucol), and percent change in body mass (%&amp;#916;BM).&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Design:&lt;/strong&gt; Randomized repeated measures design was used to elicit 6 experimental conditions: control(C), sodium depleted(S), hypohydrated(Hh), hypohydrated and sodium depleted(Hh+S), fatigue(F) and hyperthermia and fatigue(Ht+F).&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Setting:&lt;/strong&gt; Exercise Science Research Laboratory.&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Participants:&lt;/strong&gt; Nineteen moderately trained (training 3d/wk for &gt;90min total), healthy volunteers (mean age=28.13+6.82y, height=171.20+12.16cm, mass=73.81+15.21kg) participated in the study.&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Main Outcome Measures:&lt;/strong&gt; Plasma [Na+], urine [Na+], USG, Ucol, and %&amp;#916;BM.&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Results:&lt;/strong&gt; We found a significant correlation between USG and Ucol (r=0.831, p&lt;0.001) for all data and within all groups, but no correlation between plasma [Na+] and urine [Na+] or hydration measures overall. For C, urine [Na+] had high correlation to USG (r=0.742, p&lt;0.001). For F, there was a high correlation between plasma [Na+] and %&amp;#916;BM (r=0.713, p=0.021). Only USG and Ucol were correlated (r=0.830, p&lt;0.001) for the Ht+F group. Ucol had a high negative correlation with %&amp;#916;BM (r=-0.759, p=0.001) in the Hh condition. For S only urine [Na+] highly correlated with USG (r=0.890, p&lt;0.001). Lastly, for Hh+S urine [Na+] highly correlated with both plasma [Na+] (r=0.719, p=0.019) and USG (r 0.884, p=0.001).&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; Based upon our results there remains no practical method for ATs to estimate [Na+] in athletes potentially at risk for exertional heat illness, exercise associated muscle cramping, and sodium depletion. Our results do support the continued use of USG and Ucol to estimate hydration status in exercising individuals.&lt;/p&gt;"]},{"key":"dc:title","label":"Title","values":["The Relationship Between Sodium Concentrations and Common Clinical Hydration Measures During Exercise"]}]}],"canonical_facts":{"dc:contributor":["Toni Torres-McGehee"],"dc:creator":["Minton, Dawn Marie"],"dc:description.abstract":["&lt;p&gt;&lt;strong&gt;Context:&lt;/strong&gt; Importance of maintaining proper electrolyte concentrations is continuously stressed to prevent hypohydration and decreases in performance, but there is no practical method for Certified Athletic Trainers (ATs) to measure sodium concentrations ([Na+]).&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Objective:&lt;/strong&gt; To examine the relationship between plasma [Na+], urine [Na+], and common clinical hydration measures of urine specific gravity (USG), urine color (Ucol), and percent change in body mass (%&amp;#916;BM).&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Design:&lt;/strong&gt; Randomized repeated measures design was used to elicit 6 experimental conditions: control(C), sodium depleted(S), hypohydrated(Hh), hypohydrated and sodium depleted(Hh+S), fatigue(F) and hyperthermia and fatigue(Ht+F).&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Setting:&lt;/strong&gt; Exercise Science Research Laboratory.&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Participants:&lt;/strong&gt; Nineteen moderately trained (training 3d/wk for &gt;90min total), healthy volunteers (mean age=28.13+6.82y, height=171.20+12.16cm, mass=73.81+15.21kg) participated in the study.&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Main Outcome Measures:&lt;/strong&gt; Plasma [Na+], urine [Na+], USG, Ucol, and %&amp;#916;BM.&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Results:&lt;/strong&gt; We found a significant correlation between USG and Ucol (r=0.831, p&lt;0.001) for all data and within all groups, but no correlation between plasma [Na+] and urine [Na+] or hydration measures overall. For C, urine [Na+] had high correlation to USG (r=0.742, p&lt;0.001). For F, there was a high correlation between plasma [Na+] and %&amp;#916;BM (r=0.713, p=0.021). Only USG and Ucol were correlated (r=0.830, p&lt;0.001) for the Ht+F group. Ucol had a high negative correlation with %&amp;#916;BM (r=-0.759, p=0.001) in the Hh condition. For S only urine [Na+] highly correlated with USG (r=0.890, p&lt;0.001). Lastly, for Hh+S urine [Na+] highly correlated with both plasma [Na+] (r=0.719, p=0.019) and USG (r 0.884, p=0.001).&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; Based upon our results there remains no practical method for ATs to estimate [Na+] in athletes potentially at risk for exertional heat illness, exercise associated muscle cramping, and sodium depletion. Our results do support the continued use of USG and Ucol to estimate hydration status in exercising individuals.&lt;/p&gt;"],"dc:identifier":["https://scholarcommons.sc.edu/etd/71"],"dc:rights":["© 2009, Dawn Marie Minton"],"dc:subject":["Education","Other Education","Body mass","Dehydration","Electrolyte depletion","Urine color","Urine specific gravity"],"dc:title":["The Relationship Between Sodium Concentrations and Common Clinical Hydration Measures During Exercise"],"thesis:degree_discipline":["Physical Education"],"thesis:degree_level":["Campus Access Thesis"],"thesis:degree_name":["MS"]},"updated_at":"2026-07-24T04:36:43Z"}