Hydration and endocrine responses to intravenous fluid and oral glycerol.

Athletes use intravenous (IV) saline in an attempt to maximize rehydration. The diuresis from IV rehydration may be circumvented through the concomitant use of oral glycerol. We examined the effects of rehydrating with differing regimes of oral and IV fluid, with or without oral glycerol, on hydration, urine, and endocrine indices. Nine endurance-trained men were dehydrated by 4% bodyweight, then rehydrated with 150% of the fluid lost via four protocols: (a) oral = oral fluid only; (b) oral glycerol = oral fluid with added glycerol (1.5 g/kg); (c) IV = 50% IV fluid, 50% oral fluid; and (d) IV with oral glycerol = 50% IV fluid, 50% oral fluid with added glycerol (1.5 g/kg), using a randomized, crossover design. They then completed a cycling performance test. Plasma volume restoration was highest in IV with oral glycerol > IV > oral glycerol > oral. Urine volume was reduced in both IV trials compared with oral. IV and IV with oral glycerol resulted in lower aldosterone levels during rehydration and performance, and lower cortisol levels during rehydration. IV with oral glycerol resulted in the greatest fluid retention. In summary, the IV conditions resulted in greater fluid retention compared with oral and lower levels of fluid regulatory and stress hormones compared with both oral conditions.

Glycerol use in hyperhydration and rehydration: scientific update.

Glycerol ingestion creates an osmotic drive that enhances fluid retention. The major practical applications for athletes are to either (i) hyperhydrate before exercise so that they have more fluid to be lost as sweat during subsequent performance, thereby delaying the progression of dehydration from becoming physiologically significant, or (ii) improve both the rate of rehydration and total fluid retention following exercise. Recently we showed that rehydration may be improved further by combining glycerol with intravenous fluids. Improvements in endurance time, time trial performance and total power and work output have been seen during exercise following glycerol-induced hyperhydration or rehydration. Another recent trial showed that the increased body weight associated with the extra fluid does not inadvertently affect running economy. Concerns that the haemodilution associated with the fluid retention in the vascular space may be sufficient to mask illegal doping practices by athletes led the World Anti-Doping Agency (WADA) to add glycerol to its list of prohibited substances in 2010. Recent evidence suggests that doses of > 0.032 ± 0.010 g/kg lean body mass (much lower than those required for rehydration) will result in urinary excretion that may be detectable, so athletes under the WADA jurisdiction should be cautious to limit their inadvertent glycerol intake.