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Unit 25 Water
1
Water
2


       50-65% of total body weight

       Survive 6 weeks or longer without food

       Survive only days without water
        (approx. 6 days)

       WATER IS ESSENTIAL!
Functions of Water
3


       Provide shape and structure to cells
       Regulate body temperature
       Aids in digestion and absorption
       Transports nutrients and oxygen into cells
       Eliminate waste products


       INVOLVED IN VIRTUALLY EVERY BODY
        FUNCTION
Water losses
4


       On average, adults lose approximately 1750 to 3000
        mL of water daily

       Insensible water losses from the skin and expirations
        account for approximately ½ of the total water lost

       Extreme environmental temperatures, high altitude,
        low humidity, and strenuous exercise increase
        insensible losses

       Water evaporation from the skin is also increased by
        prolonged exposure to heated or recirculated air such
        as during long airplane flights
Water and Fluoride
5


       Water is a major source of fluoride

       Fluoride - formation and maintenance of enamel
        and resistance to tooth decay

       Added to 70% of all municipal water supplies in US

       Not removed by filters
Water losses
6


       Sensible water losses from urine and feces make
        up the remaining water loss

       Because the body needs to excrete a minimum of
        500 mL of urine daily to rid itself of metabolic
        wastes, the minimum daily total fluid output is
        approximately 1500 mL
Water Intake
7



       35-55% consumed comes from tap/bottled water

       49-63% comes from other beverages

       19-25% comes from food
Water in Food
8




       Fruits and vegetables
        - made up of 70-90% water

       Meats
        - made up of 50-70% water

       Most beverages
        - made up of more than 85% water
Foods with High water content
9


       Lettuce
       Watermelon
       Broccoli
       Carrots
       Grapes
       Tomatoes
       Oranges
Bottled vs. Tap Water
10


        Both are regulated by the FDA

        25% of bottled water is actually tap water

        “Enhanced” waters are more commercial than
         nutritional
Plastic Bottles and BPA
11


        Certain types of plastics contain BPA (bisphenol A)
        Softening compound that makes plastic flexible
        Released when plastic is heated
        Similar shape to estrogen

        May be linked to increased risk :
         - reproductive problems
         - heart disease
         - diabetes
         - behavior changes
How much do we need?
12


        Men AI = 3.7 L per day (approx. 15 cups)
         - 3 L coming from water and beverages

        Women AI = 2.7 per day (approx. 11 cups)
         - 2.2 L coming from water and beverages


        8 glasses a day???
         - most do not consume this amount
         - no scientific evidence that increased intake increases
         health
How do we know if we’re getting enough?
13


        Thirst – poor indicator of hydration status – may be
         2-3% dehydrated before you feel it

        Urine color – pale yellow – like lemonade
Fluids That Don’t Hydrate
14


        Fluids with >8% carbohydrates can increase
         dehydration
         - can also draw water in the stomach, causing
         fullness and cramping

        Alcoholic beverages are not hydrating
         - diuretic
         - *Beer is used after some marathons for CHO

        In a sodium-depleted person, water is not hydrating
Carbohydrate and Sodium Contents
15
Estimating Fluid Needs During
16
     Exercise
        Sweat rate
         - Fluid loss per hour of exercise
         - Sum of body weight loss plus fluid intake

        Calculate sweat rate:
         - Weigh yourself 1 hour before/after workout
         - Subtract post-workout weight from pre-
         - 1 pound lost = 16 oz
Inadequate Intake of Water
17


        Dehydration

        Impaired mental function

        Impaired motor control

        Increased HR

        Unresolved dehydration can lead to kidney failure
         and even death
Consequences of Dehydration
18


        Dehydration:
         - Loss of more than 2% of body weight (2-4 pounds)
           during an event

         - Impairs performance




         - Can lead to heat exhaustion or heat stroke
Heat Exhaustion
19


        Caused by  body H2O & Na due to
         excessive loss of water through sweat
         in hot weather

        Symptoms:
         - intense thirst   - weakness
         - paleness         - dizziness
         - nausea           - fainting
         - confusion

        Remedy: fluids w/ electrolytes & rest in
         a cool place
Heat Stroke
20


        Requires emergency              Body temp. > 105° F
         medical care                     - breakdown of
        Characterized by:                mechanisms that regulate
         - hot, dry skin                  body temp.
         - labored, rapid breathing
         - rapid pulse                   AKA sunstroke
         - nausea
         - blurred vision                Caused by prolonged
         - irrational behavior            exposure to environ. heat
         - coma                           or strenuous activity
Signs of Dehydration
21


        Thirst
        Lightheadedness or fatigue
        Headache or inability to concentrate
        Feeling cold or chills in hot weather
        Collapse due to heat exhaustion or heat stroke
        Producing small amounts of dark-colored urine
Hyponatremia and Athletes
22


        Hyponatremia
         - Low blood sodium

         - Life-threatening condition in marathon runners

         - Caused by consuming large amounts of water
           without sodium during an endurance event

         - Causes difficulty breathing, bloating, confusion,
           nausea, vomiting, swelling around brain
Water Intoxication
23


        Too much water – hyponatremia
         – dilute constituents in blood
         - causes imbalances of water
              and electrolytes
         – rare

        Symptoms:
         - confusion    - headache
         - vomiting     - seizure
         - coma         - death
Water Intoxication
24


        Can lead to death

        Jennifer Strange
         “Hold your wee for a wii”
         Drank 2 gallons of water
         Died 6 hours later

                                     Video
        Radio station was held
         accountable for her death

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Hlt 230 unit 25

  • 2. Water 2  50-65% of total body weight  Survive 6 weeks or longer without food  Survive only days without water (approx. 6 days)  WATER IS ESSENTIAL!
  • 3. Functions of Water 3  Provide shape and structure to cells  Regulate body temperature  Aids in digestion and absorption  Transports nutrients and oxygen into cells  Eliminate waste products  INVOLVED IN VIRTUALLY EVERY BODY FUNCTION
  • 4. Water losses 4  On average, adults lose approximately 1750 to 3000 mL of water daily  Insensible water losses from the skin and expirations account for approximately ½ of the total water lost  Extreme environmental temperatures, high altitude, low humidity, and strenuous exercise increase insensible losses  Water evaporation from the skin is also increased by prolonged exposure to heated or recirculated air such as during long airplane flights
  • 5. Water and Fluoride 5  Water is a major source of fluoride  Fluoride - formation and maintenance of enamel and resistance to tooth decay  Added to 70% of all municipal water supplies in US  Not removed by filters
  • 6. Water losses 6  Sensible water losses from urine and feces make up the remaining water loss  Because the body needs to excrete a minimum of 500 mL of urine daily to rid itself of metabolic wastes, the minimum daily total fluid output is approximately 1500 mL
  • 7. Water Intake 7  35-55% consumed comes from tap/bottled water  49-63% comes from other beverages  19-25% comes from food
  • 8. Water in Food 8  Fruits and vegetables - made up of 70-90% water  Meats - made up of 50-70% water  Most beverages - made up of more than 85% water
  • 9. Foods with High water content 9  Lettuce  Watermelon  Broccoli  Carrots  Grapes  Tomatoes  Oranges
  • 10. Bottled vs. Tap Water 10  Both are regulated by the FDA  25% of bottled water is actually tap water  “Enhanced” waters are more commercial than nutritional
  • 11. Plastic Bottles and BPA 11  Certain types of plastics contain BPA (bisphenol A)  Softening compound that makes plastic flexible  Released when plastic is heated  Similar shape to estrogen  May be linked to increased risk : - reproductive problems - heart disease - diabetes - behavior changes
  • 12. How much do we need? 12  Men AI = 3.7 L per day (approx. 15 cups) - 3 L coming from water and beverages  Women AI = 2.7 per day (approx. 11 cups) - 2.2 L coming from water and beverages  8 glasses a day??? - most do not consume this amount - no scientific evidence that increased intake increases health
  • 13. How do we know if we’re getting enough? 13  Thirst – poor indicator of hydration status – may be 2-3% dehydrated before you feel it  Urine color – pale yellow – like lemonade
  • 14. Fluids That Don’t Hydrate 14  Fluids with >8% carbohydrates can increase dehydration - can also draw water in the stomach, causing fullness and cramping  Alcoholic beverages are not hydrating - diuretic - *Beer is used after some marathons for CHO  In a sodium-depleted person, water is not hydrating
  • 15. Carbohydrate and Sodium Contents 15
  • 16. Estimating Fluid Needs During 16 Exercise  Sweat rate - Fluid loss per hour of exercise - Sum of body weight loss plus fluid intake  Calculate sweat rate: - Weigh yourself 1 hour before/after workout - Subtract post-workout weight from pre- - 1 pound lost = 16 oz
  • 17. Inadequate Intake of Water 17  Dehydration  Impaired mental function  Impaired motor control  Increased HR  Unresolved dehydration can lead to kidney failure and even death
  • 18. Consequences of Dehydration 18  Dehydration: - Loss of more than 2% of body weight (2-4 pounds) during an event - Impairs performance - Can lead to heat exhaustion or heat stroke
  • 19. Heat Exhaustion 19  Caused by  body H2O & Na due to excessive loss of water through sweat in hot weather  Symptoms: - intense thirst - weakness - paleness - dizziness - nausea - fainting - confusion  Remedy: fluids w/ electrolytes & rest in a cool place
  • 20. Heat Stroke 20  Requires emergency  Body temp. > 105° F medical care - breakdown of  Characterized by: mechanisms that regulate - hot, dry skin body temp. - labored, rapid breathing - rapid pulse  AKA sunstroke - nausea - blurred vision  Caused by prolonged - irrational behavior exposure to environ. heat - coma or strenuous activity
  • 21. Signs of Dehydration 21  Thirst  Lightheadedness or fatigue  Headache or inability to concentrate  Feeling cold or chills in hot weather  Collapse due to heat exhaustion or heat stroke  Producing small amounts of dark-colored urine
  • 22. Hyponatremia and Athletes 22  Hyponatremia - Low blood sodium - Life-threatening condition in marathon runners - Caused by consuming large amounts of water without sodium during an endurance event - Causes difficulty breathing, bloating, confusion, nausea, vomiting, swelling around brain
  • 23. Water Intoxication 23  Too much water – hyponatremia – dilute constituents in blood - causes imbalances of water and electrolytes – rare  Symptoms: - confusion - headache - vomiting - seizure - coma - death
  • 24. Water Intoxication 24  Can lead to death  Jennifer Strange “Hold your wee for a wii” Drank 2 gallons of water Died 6 hours later Video  Radio station was held accountable for her death