Riesgo de deshidratación entre deportistas y sedentarios con discapacidad intelectual / Incidence of Hypohidration in Athletes and Sedentary Male Adults with Intellectual Disability

M.A. Rosety, F. Brenes-Martin, M.T. Pery, S. Elosegui, M. Rosety-Rodriguez, A.J. Diaz, G. Fornieles, F.J. Ordoñez, I. Rosety

Resumen


El presente estudio descriptivo de tipo transversal se diseñó para determinar el nivel de hidratación de deportistas con discapacidad intelectual y su comparación con adultos sedentarios con la misma discapacidad.

Participaron 22 deportistas federados que realizan el mismo programa de entrenamiento además de 22 adultos sedentarios ajustados en sexo, edad y cociente de inteligencia. Los parámetros ensayados fueron la densidad urinaria determinada mediante refractómetro así como la ingesta diaria de líquido ad-libitum. Este protocolo fue aprobado por un Comité de Ética Institucional.

Tan solo 6 deportistas (21,6%) presentaron valores de euhidratación frente a 9 (40,9%) de los participantes sedentarios incluidos en el grupo control. Las únicas diferencias significativas respecto a la ingesta de líquidos se estableció precisamente entre deportistas y sedentarios con euhidratación.

Se concluye que los deportistas con discapacidad intelectual se encuentran en riesgo de deshidratación que podría explicarse, al menos en parte, por una insuficiente ingesta hídrica.

PALABRAS CLAVE: Discapacidad intelectual; Deporte; deshidratación; Densidad de orina

 

ABSTRACT

The current study was designed to determine hydration status of well-trained, male athletes with ID. A secondary purpose was to compare these results with hydration status of sedentary young adults with ID.

A total of 22 athletes with ID volunteered for this cross-sectional, descriptive study. The control group included 22, age, sex and IQ-matched sedentary adults with ID. Main outcome measurements were urine specific gravity (USG) and daily fluid intake for three consecutive days.

With regard to athletes with ID, it was found that 5 participants (21,7%) stayed significantly hypohydrated, 12 athletes (52,2%) appeared hypohydrated and 6 participants (26,1%) stayed euhydrated. In fact, a significantly lower percentage of athletes was euhydrated when compared to sedentary matched adults with ID (26,1vs.40,9%;χ2=5,67;p<001).

In conclusion, athletes with ID are at increased risk of dehydration that may be explained, at least in part, given that ad-libitum fluid consumption was insufficient.

KEY WORDS: Intellectual disability; Sport; dehydration; urine specific gravity


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Referencias


Ball, S.L., Panter, S.G., Redley, M., Proctor, C.A., Byrne, K., Clare, I.C. y Holland, A.J. (2012). The extent and nature of need for mealtime support among adults with intellectual disabilities. Journal of Intellectual Disability Research, 56, 382-401. http://dx.doi.org/10.1111/j.1365-2788.2011.01488.x

Baker, L.B., Dougherty, K.A., Chow, M. y Kenney, W.L. (2007). Progressive dehydration causes a progressive decline in basketball skill performance. Medicine and Sciences in Sports and Exercise, 39, 1114–1123. http://dx.doi.org/10.1249/mss.0b013e3180574b02

Beis, L.Y., Willkomm, L., Ross, R., Bekele, Z., Wolde, B., Fudge, B. y Pitsiladis, Y.P. (2011). Food and macronutrient intake of elite Ethiopian distance runners. Journal of the International Society of Sports Nutrition, 8:7. http://dx.doi.org/10.1186/1550-2783-8-7

Cleary, M.A., Hetzler, R.K., Wasson, D., Wages, J.J., Stickley, C. y Kimura, I.F. (2012). Hydration behaviors before and after an educational and prescribed hydration intervention in adolescent athletes. Journal of Athletic Training, 47,273-81.

Coris, E.E., Walz, S.M., Duncanson, R., Ramirez, A.M. y Roetzheim, R.G. (2006). Heat illness symptom index (HISI): a novel instrument for the assessment of heat illness in athletes. Southern Medical Journal, 99,340-5.http://dx.doi.org/10.1097/01.smj.0000209285.96906.0f

Eidelman, S.M. (2011). The times they are a changing: special olympics and the movement towards valued lives and inclusion. Intellectual and Developmental Disability, 49, 403-6. http://dx.doi.org/10.1352/1934-9556-49.5.403

Harriss, D.J. y Atkinson, G. (2011). Update-Ethical standards in sport and exercise science research. International Journal of Sports Medicine, 32,819-21.http://dx.doi.org/10.1055/s-0031-1287829

Hillman, A.R., Vince, R.V., Taylor, L., McNaughton, L., Mitchell, N.y Siegler, J. (2011). Exercise-induced dehydration with and without environmental heat stress results in increased oxidative stress. Applied Physiology, Nutrition and Metabolism, 36,698-706. http://dx.doi.org/10.1139/h11-080

Holway, F.E. y Spriet, L.L. (2011). Sport-specific nutrition: practical strategies for team sports. Journal of Sports Sciences, 29: S115-25. http://dx.doi.org/10.1080/02640414.2011.605459

Howe, A.S. y Boden, B.P. (2007). Heat-related illness in athletes. American Journal of Sports Medicine, 35,1384-95. http://dx.doi.org/10.1177/0363546507305013

Lazenby, T. (2008). The impact of aging on eating, drinking, and swallowing function in people with Down's syndrome. Dysphagia, 23:88-97. http://dx.doi.org/10.1007/s00455-007-9096-1

Lopez, M., Sessler, D.I., Walter, K., Emerick, T. y Ozaki, M. (1994). Rate and gender dependence of the sweating, vasoconstriction, and shivering thresholds in humans. Anesthesiology, 80,780-8. http://dx.doi.org/10.1097/00000542-199404000-00009

Mahy, J., Shields, N., Taylor, N.F. y Dodd, K.J. (2010). Identifying facilitators and barriers to physical activity for adults with Down syndrome. Journal of Intellectual Disability Research, 54, 795-805. http://dx.doi.org/10.1111/j.1365-2788.2010.01308.x

Maughan, R.J. (2003). Impact of mild dehydration on wellness and on exercise performance. European Journal of Clinical Nutrition, 57, S19–S23 http://dx.doi.org/10.1038/sj.ejcn.1601897

Maughan, R.J. y Shirreffs, S.M. (2010). Dehydration and rehydration in competitive sport. Scandinavian Journal of Medicine and Sciences in Sports, 20, 40–47. http://dx.doi.org/10.1111/j.1600-0838.2010.01207.x

O'Neal, E.K., Wingo, J.E., Richardson, M.T., Leeper, J.D., Neggers, Y.H., Bishop, P.A. (2011). Half-marathon and full-marathon runners' hydration practices and perceptions. Journal of Athletic Training, 46, 581-91.

Ordonez, F.J., Rosety, M.A., Camacho, A., Rosety, I., Diaz, A.J., Fornieles, G., Garcia, N. y Rosety-Rodriguez, M. (2013). Aerobic training improved low-grade inflammation in obese women with intellectual disability. Journal of Intellectual Disability Research, 2013 Jun 7. doi: 10.1111/jir.12056. http://dx.doi.org/10.1111/jir.12056

Osterberg, K.L., Horswill, C.A. y Baker, L.B. (2009). Pregame urine specific gravity and fluid intake by National Basketball Association players during competition. Journal of Athletic Training, 44,53-7. http://dx.doi.org/10.4085/1062-6050-44.1.53

Pagano, G. y Castello, G. (2012). Oxidative stress and mitochondrial dysfunction in Down syndrome. Advances in Experimental Medicine and Biology, 724, 291-9. http://dx.doi.org/10.1007/978-1-4614-0653-2_22

Ramirez, M., Yang, J., Bourque, L., Javien, J., Kashani, S., Limbos, M.A., Peek-Asa, C. (2009). Sports injuries to high school athletes with disabilities. Pediatrics, 123,690-6. http://dx.doi.org/10.1542/peds.2008-0603

Rodríguez Pérez, M.A., Casimiro Andújar, A.J., Sánchez Mu-oz, C., Muros Molina, J.J. y Zabala Díaz, M. (2012). Feeding habits of young international elite motorcyclists. Revista Internacional de Medicina y Ciencias de la Actividad Física y el Deporte, 12, 195-207

Rosety-Rodriguez, M., Rosety, I., Fornieles-Gonzalez, G., Diaz, A., Rosety, M, Ordonez, F.J. (2010). A 12-week aerobic training programme reduced plasmatic allantoin in adolescents with Down syndrome. British Journal of Sports Medicine, 44, 685-7. http://dx.doi.org/10.1136/bjsm.2008.052530

Salman, M. (2002). Systematic review of the effect of therapeutic dietary supplements and drugs on cognitive function in subjects with Down syndrome. European Journal of Paediatric Neurology, 6, 213-9. http://dx.doi.org/10.1053/ejpn.2002.0596

Sawka, M.N., Burke, L.M., Eichner, E.R., Maughan, R.J., Montain, S.J. y Stachenfeld, N.S. (2007). American College of Sports Medicine position stand. Exercise and fluid replacement. Medicine and Sciences in Sports and Exercise, 39, 377-90.

Stover, E.A., Petrie, H.J., Passe, D., Horswill, C.A., Murray, B. y Wildman, R. (2006). Urine specific gravity in exercisers prior to physical training. Applied Physiology, Nutrition, and Metabolism, 31, 320-7. http://dx.doi.org/10.1139/h06-004

Volpe, S.L., Poule, K.A. y Bland, E.G. (2009). Estimation of prepractice hydration status of National Collegiate Athletic Association Division I athletes. Journal of Athletic Training, 44, 624-9. http://dx.doi.org/10.4085/1062-6050-44.6.624

Wolff, J.J. y Symons, F.J. (2013). An evaluation of multi-component exposure treatment of needle phobia in an adult with autism and intellectual disability. Journal of Applied Research in Intellectual Disabilities, 26, 344-8. http://dx.doi.org/10.1111/jar.12002




DOI: http://dx.doi.org/10.15366/rimcafd2016.63.006

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