LETTERS TO THE EDITORReply to WeschlerLindsay B. BakerLindsay B. BakerPublished Online:01 Nov 2008https://doi.org/10.1152/japplphysiol.91087.2008MoreSectionsPDF (30 KB)Download PDF ToolsExport citationAdd to favoritesGet permissionsTrack citations ShareShare onFacebookTwitterLinkedInEmailWeChat to the editor:We appreciate Dr. Weschler's (5) interest in our paper (1) and gladly take the opportunity to address the two points she raises in her letter, i.e., that 1) “Baker et al.'s findings may represent the first demonstration of osmotic activation and inactivation [of sodium] in controlled experimental conditions” and 2) the experiments in Baker et al.'s paper were “inadequate to test the hypothesis that weight maintenance means addition of body water.”Weschler's first point misinterprets our results. In her letter, Weschler wrote that “Baker et al. found that the changes in serum [Na] were less than predicted when serum [Na] both increased and decreased.” However, the reported results showed no significant difference between the measured and predicted serum [Na+] during the −4%, −2%, or 0% change in body mass (ΔBM) trials (i.e., when measured serum [Na+] increased or did not change from baseline). When subjects drank more fluid than they lost during the hyperhydration trials (i.e., gained 2% of BM), the predicted decrease in serum [Na] was greater than the measured decrease in serum [Na]. In the latter case we proposed a more plausible explanation, stating “Because of the high rate of urine excretion during the +2% ΔBM trials, subjects drank a substantial volume (∼900 ml) of fluid during the 50-min recovery period to compensate for urine losses and maintain +2% ΔBM. It is possible that fluid absorption was not complete and a portion of the ingested fluid volume remained in the subjects’ stomachs at the time of post-experiment BM measurements. Accordingly, at the end of the 50-min recovery period, subjects rated their level of stomach bloating and sloshing of stomach contents significantly higher during the +2% ΔBM vs. the 0%, −2%, and −4%, ΔBM trials. Consequently, measured serum [Na+] was not as diluted as would be predicted by the ΔTBW (total body water) term in the Nguyen-Kurtz equation (1).” We stand behind the veracity of our data and the strength of its interpretation. We do not agree that our findings support the osmotic activation/inactivation of sodium hypothesis.Dr. Weschler's second point, that more work (i.e., a longer running protocol) would result in more fuel oxidation and more metabolic water production, is well taken. However, realistically, endurance athletes are going to ingest carbohydrate to replace oxidative fuel losses, especially if more work is performed. Additionally, metabolic water production (∼0.13 g/kcal) is offset by respiratory water loss (∼0.12 g/kcal) (2, 3), so this results in water turnover with no net ΔTBW, regardless of exercise duration. Furthermore, because glycogen stores are limited (whether glycogen loaded or not), whatever role the release of water complexed to glycogen plays in contributing to total body water would likely occur within our study time frame (2+ h). Therefore, we maintain that our experiment was adequate to refute the notion (4) that 0% ΔBM results in a net increase in TBW during exercise.REFERENCES1 Baker LB, Lang JA, Kenney WL. Quantitative analysis of serum sodium concentration after prolonged running in the heat. J Appl Physiol 105: 91–99, 2008.Link | ISI | Google Scholar2 Consolazio FC, Johnson RE, Pecora LJ. The computation of metabolic balances. In: Physiological Measurements of Metabolic Function in Man. New York: McGraw-Hill, 1963, p. 313–339.Google Scholar3 Mitchell JW, Nadel ER, Stolwijk JAJ. Respiratory weight losses during exercise. J Appl Physiol 32: 474–476, 1972.Link | ISI | Google Scholar4 Noakes TD, Sharwood K, Speedy D, Hew T, Reid D, Dugas J, Almond C, Wharam P, Weschler L. Three independent biological mechanisms cause exercise-associated hyponatremia: evidence from 2,135 weighed competitive athletic performances. Proc Natl Acad Sci USA 102: 18550–18555, 2005.Crossref | PubMed | ISI | Google Scholar5 Weschler LB. Comments on Baker et al.'s “Quantitative analysis of serum sodium concentration after prolonged running in the heat.” J Appl Physiol; doi:10.1152/japplphysiol.zdg-8198.2008.Link | ISI | Google ScholarAUTHOR NOTESAddress for reprint requests and other correspondence: L. B. Baker, Gatorade Sports Science Institute, 617 W. Main St., Barrington, IL 60010 (e-mail: [email protected]) Download PDF Previous Back to Top FiguresReferencesRelatedInformation More from this issue > Volume 105Issue 5November 2008Pages 1693-1693 Copyright & PermissionsCopyright © 2008 the American Physiological Societyhttps://doi.org/10.1152/japplphysiol.91087.2008History Published online 1 November 2008 Published in print 1 November 2008 Metrics
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