Lesson 5

SPORTS NUTRITION LESSON FIVE

WATER

  • Between 45 and 75% of the body is made from water
    • 45% for infants
    • 55% for adult females
    • 60% for adult males
  • All tissuesorgans and fluids of the body contain water as an essential constituent
  • Keeps lining of mucus membranesdigestive tract and bronchial tubes moist
  • Helps lubricate joints and membranes
  • Adipose tissuebones, teeth and hair contain very little water
  • The diagram below shows the ‘water ingestion/secretion and absorption’ of the body per day

Functions:

  • to transport nutrients throughout the body
  • to dissolve substances (such as minerals for absorption)
  • hold substances in colloidal suspension
  • to remain a liquid over a wide range of temperatures

Requirements in the body:

  • Increases at times of: –
    • Illness – when the temperature is raised and swelling occurs
    • Vomiting or diarrhea – when dehydration occurs
    • Lactation – milk production
    • Intense or prolonged physical exercise – or at altitude

Homeostasis (fluid balance):

  • Balance (homeostasis) is maintained by fluid intake from the sources of food and drink in the diet
  • Some water is also produced during the oxidation of absorbed nutrients to provide the body with energy – thus releasing water
  • 1 kg of glucose will produce 1/2 litre of water on oxidation
  • Some chemical changes, such as the enzymatic and hydrolytic breakdown of nutrients during the digestion of food, involve the uptake of water
  • All body fluids contain varying amounts of water, each of which can have a dramatic effect upon fluid balance at times of need
  • The fluids in question are:-
  • Digestive juices
  • Mucus
  • Saliva
  • Blood
  • Lymph
  • Sweat 
  • Urine

    Water Gain:
  • Ingested liquids account for some 1600 ml of water per day
  • Most foods have some water content and account for 700 ml – absorbed from the GI tract
  • The technical name for the above-ingested forms is ‘preformed water’
  • Metabolic water – accounts for some 200 ml/day
    • As a result of the metabolic reactions of the body

Water Loss:

  • The kidneys will help excrete some 1500 ml/day
  • The skin a further 600 ml/day
    • 400 ml in evaporation
    • 200 ml as sweat
  • The lungs will exhale some 300 ml
  • The remainder is lost in the feces – 100 ml

Regulating fluid loss:

  • Three hormones help regulate fluid loss:-
    1. Antidiuretic hormone (ADH)
    2. Aldosterone
    3. Atrial natriuretic peptide (ANP)
  • 1 and 2 will slow down fluid loss in the urine
  • 3 increases urine flow rate
  • at different times in our lives, water can be saved/lost for a variety of reasons
Severe Dehydration

  • Blood pressure drops
  • Glomerular filtration rate decreases (In the kidneys)
  • Less water lost in the urine
Water overload  

  • Increased blood pressure
  • Glomerular rate increases
  • More water lost in the urine
Exercise / Injury

  • Hyperventilation causes water vapour lost through the lungs
  • Vomiting & diarrhea lead to water loss from the GI tract
  • Burns to the skin results in water loss through the skin

Dehydration: Re-hydration

  • Dehydration may take mild or severe forms – the severest leading to fatal results
  • In all cases, thirst in the mouth is the first sign of the need for fluid intake
  1. Decreased production of saliva leads to further dryness in the mouth
  2. Increased blood osmotic pressure is registered in the hypothalamus
  • (low water concentration in the blood)
  • the hypothalamus will then increase the thirst sensations
  1. Blood volume also decreases
  • This leads to a drop in blood pressure
  • Kidneys then release renin
  • The release of renin promotes the synthesis of angiotensin II – which is released into the blood
    • (Angiotensin II increases thirst sensation)
  • As a result of 1, 2 and 3 – thirst sensation is heightened
  • The thirst sensation is then quashed by the intake of fluids and the homeostatic balance of fluid is retained water in the Diet:
  • Water is an essential nutrient in the body, its very characteristic that chemically there are no changes upon it as it travels through the body making it unique
  • As we have seen, under normal conditions, fluid balance (intake: loss) is maintained throughout our lives
  • Research is now beginning to show that fluid (water) intake may be of some benefit to those who wish to ‘lose weight’
  • The reasons for the belief:
    • Water is an appetite suppressant
    • Can help metabolize stored fat
    • Without water, kidney function is impaired

Appetite-suppressant:

  • When the stomach is ‘full’ messages are sent to the brain informing it, and the need to ingest further food is suppressed
  • Satiety – “fullnessMetabolizing stored fat:
  • When water intake is low (or decreased), the body will cause fat deposits to increase
  • Fortunately, when water intake is high, the body will reduce its fat deposits
  • (See below for reasons why)

    Kidney Function:
  • The kidneys can only function at efficient levels of performance when there is a plentiful supply of water
  • Without this plentiful water supply, some of the kidney functions/workloads are transferred to the liver

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Liver Function- the Metabolism of Fat:

  • If the Liver is required to take over some of the functions of the kidney, then one can see it is unable to perform some of its’ functions efficiently
  • One function of the Liver is to metabolize stored fat for energy – if this function is impaired (lessened) – then LESS fat is metabolized, more fat remains stored in the body, and weight is increased fluid retention:
  • When water is scarce in the body, it holds onto every drop (survival)
  • Water is then stored in the extracellular spaces (outside the cells)
    • Evidence of this is when one sees swollen feet, legs and hands
  • Diuretics can temporarily lessen these effects
    • The effect will force out this stored water, but also essential nutrients
    • When the opportunity arises (water intake) – the situation is reversed
  • By increasing one’s water intake, the body’s stored water can then be released
  • Constant water retention may also be the result of excess salt (sodium)
  • The more sodium in the body, the more water is required to dilute it before going into the kidneys
  • When water is in plentiful supply it dilutes the sodium and helps remove any excess sodium
  • Overweight persons require more water than thinner ones – their metabolism is larger and slower
  • Acknowledging the above – such persons require more water!
  • Muscle tone can also be maintained/improved through greater water intakes – water prevents dehydration in the muscle and aids contractility
    • When weight loss is experienced, there is some ‘sagging’ of the skin – shrinking cells are buoyed by water,
    • The water intake helps ‘plump’ the skin, and leaves it clear, healthy and resilient
  • We have also seen in the Digestive system (Large Intestine) that during times of low intake, the body will retain its stored water supplies
  • If water stores are low/ depleted, then absorption of water will occur – and in such cases, it is removed from the colon
  • The net result is harder stools and constipation
  • Greater intake of water therefore will alleviate constipation and normal bowel function returns

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How much do we need?

  • The ‘average’ person requires some 2 litres of water per day
  • For every 25 lbs that one is overweight, one requires a further 8 ounces (or 250 ml)
  • In hot, humid climates, or during exercise, the requirement will be so much the greater
    • During the 1998 Commonwealth Games in Kuala Lumpur (Malaysia), the England Track & Field Team was advised to consume some 7-9 litres of water per day on REST days
    • During training and competition, the intake was increased to 9-11 litres per day
    • Long-distance and marathon runners were advised to increase their intake from 12 litres upwards
  • Although it is unlikely we shall experience such demands under normal circumstances, one can see the demands placed upon the body just to maintain fluid balance

Note,

  • Coldwater is absorbed quicker in to the body than warm
  • Adding sodium or electrolytes in the right proportions will also speed up absorption rates in times of need

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Electrolyte Balance:

  • Although it is NOT an essential part of the curriculum at this stage, there is no harm in discussing electrolyte balance and ‘tonic’ drinks – especially if one is expected to give some advice in the future!
  • Isotonic 
    • This is where the concentration of the liquid (the additives of salts, ions and electrolytes, etc) is the same as the cytosol in the body
  • Hypotonic
    • The solution consists of a higher water concentration than the proportions of salts, etc which are normally found in the cytosol
    • Such solutions can cause the cells of the body to swell as a result of osmosis
  • Hypertonic
    • The solution contains higher concentrations of the salts, etc than found naturally in the cytosol
    • Such solutions can cause the cells of the body to shrink (osmotic pressure)

SUMMARY:

  • Plentiful supplies of water can help alleviate the problems of
    • Stored fat deposits (metabolize more efficiently by the Liver)
    • Fluid retention – removes the water stored in the extracellular spaces
  • Water will also help endocrine-gland function
  • Natural thirst will return (avoiding dehydration)Supplies of Water:
  • Our supplies of water come from one of three sources: –
    • Rain
    • Spring
    • River
  • Rainwater – contains small amounts of dissolved gases (oxygen, carbon dioxide and may be dissolved oxides of sulphur and nitrogen [acid rain])
  • Springwater – dissolved salts
  • River water – impurities such as vegetation and drainage impuritiesClean Water:
  • Although we will get it from the tap – it has been through several processes: –
    • Settlement
    • Filtration
    • Sterilization
    • Some waters have been ‘fluorinated’
  • 1995 European Union regulations laid down strict regulations for the bacteriological and chemical quality of water supplies

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Hard Water:

  • Due to the presence of certain mineral salts
    • Chiefly the sulphates and bicarbonate variety
    • But also magnesium and calcium
  • Called hard as it is difficult to give a lather with soap
  • It is drinkable
  • NOT used for industrial purposes due to the likelihood of mineral salts being deposited onto pipes, boilers, Soft Water:
  • Via the process of ‘ion-exchange’
  • The ions of calcium and magnesium are exchanged for the ions of sodiumSterilization:
  • The organic matter and dissolved oxygen are a natural breeding ground for bacteria
  • Infected water supplies give rise to several diseases – mostly eliminated in the west, but unfortunately still prevalent in the developing countries
    • Typhoid fever
    • Jaundice
    • Cholera
  • Water is sterilized by adding 0.5 parts per million (ppm) of chlorine
  • Water that is to be canned or bottled will be given 1 to 2 ppm of OzoneMineral Water:
  • Sales of mineral water in the UK are increasing each year
  • Mineral water contains the following mineral salts
    • Sodium chloride
    • Sodium carbonate
    • Sodium bicarbonate
    • Salts of calcium and magnesium
  • Dissolved mineral salts may amount to anything as low as 0.1 g/l but rarely above 3.5 g/l
  • Some mineral waters are of course naturally aerated with carbon dioxide water supplies & Health:
  • There is growing evidence that soft water can be linked to increased incidences of coronary heart disease (CHD) in certain geographical areas
  • It contains less calcium carbonate
  • Less magnesium than 
  • Less sulphate
} Hard water
  • Soft water may also be deficient in the mineral vanadium
  • Soft water is also capable of picking up traces of zinc, calcium, iron, copper and lead – found in pipes

IN REVIEW
  • A high percentage of the human body is made from water, gradually increasing as we become older – until old age
  • With functions including fluids for linings of membranes, digestion, etc, water balance is attained through: –
    • Ingestion and secretion (drinks and from tissues/organs), and
    • Absorption (from tissues/organs)
  • Approximately 9.2 litres of water balanced throughout the day
    • A further 0.1 litres of water is expelled from the body in the feces
  • Main functions: –
    • Transport nutrients
    • Dissolve substances
    • Hold substances in colloidal suspension
    • Remain liquid over a range of temperatures
  • Homeostasis is the internal regulation or balance of fluids in the body
  • Water GAIN and LOSS is approximately 2500 ml each per day
  • The regulation of fluid loss occurs as a result of THREE hormones: –
    1. Antidiuretic hormone (ADH)
    2. Aldosterone
    3. Atrial natriuretic peptide (ANP)
  • 1 and 2 will slow down fluid loss in the urine
  • 3 will increase the urine flow rate
  • Dehydration and rehydration is – in the main – not a problem as water ingestion is not too far away
    • In severe cases, dehydration can have fatal consequences
  • Water in the diet has THREE main functions (any of which can help those who wish to lose weight): –
    • Appetite-suppressant
    • Metabolism of stored fat
    • Normal kidney functioning
  • Electrolyte balance requires sufficient amounts of water to ensure normal functioning: –
    • Isotonic levels ensure that electrolyte contents are equal to cytosol in the body
    • Hypotonic levels are less than cytosol levels (more water)
    • Hypertonic levels are more than cytosol levels (less water)
  • We have THREE main sources of water supply: –
    • Rain
    • Springs
    • Rivers
  • Clean water is now regulated by the 1995 European Union: –
    • Bacteriological and chemical composition
  • Water hardness occurs as a result of the presence of certain mineral salts
    • If it is difficult to get a lather, then it is referred to as ‘hard’ water
    • Hard water is drinkable, but not used in Industry

KEYWORDS and PHRASES

  • Tissues, organ and fluids
  • Mucous membranes, digestive tract and bronchial tubes
  • Lubricate joints and membranes
  • Ingestion/secretion
  • Absorption
  • Saliva, gastric juice, bile, pancreatic juice
  • Transport nutrients
  • Dissolve substances
  • Colloidal suspension
  • Homeostasis (balance)
  • Preformed water
  • Kidneys, liver, skin, etc
  • Antidiuretic hormone (ADH)
  • Aldosterone
  • Atrial natriuretic peptide (ANP)
  • Dehydration and rehydration
  • Hypothalamus gland
  • Clean water – settlement, filtration, sterilization and fluorination
  • Glomerular filtration
  • Renin in the kidneys
  • Angiotensin II
  • Appetite suppression
  • Metabolism of stored fat
  • Normal kidney functioning
  • Fluid retention – extracellular spaces
  • Average requirements for adults = 2 litres/day
  • For every 25 lbs over normal weight = 8 ounces (250 ml) extra
  • Coldwater absorbed quicker than warm
  • Isotonic, Hypotonic and Hypertonic
  • Helps remove water in extracellular spaces
  • Helps in the endocrine-gland function
  • Supplies from – springs, rain and river
  • We have to be aware of impurities from each source
  • Water hardness – sulphates and bicarbonates
TUTOR TALK:  Now all that remains to do is for you to answer the questions and return them to the College for marking. Again, well done. 

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