Accuracy of urine specific gravity and osmolality as indicators of hydration status.

To reduce the adverse consequences of exertion-related and acute intentional dehydration research has focused on monitoring hydration status. This investigation: 1) compared sensitivity of urine specific gravity (Usg), urine osmolality (U(osm)) and a criterion measurement of hydration, plasma osmolality (P(osm)), at progressive stages of acute hypertonic dehydration and 2) using a medical decision model, determined whether Usg or U(osm) accurately reflected hydration status compared to P(osm) among 51 subjects tested throughout the day. Incremental changes in P(osm) were observed as subjects dehydrated by 5% of body weight and rehydrated while Usg and U(osm) showed delayed dehydration-related changes.

Blood and urinary measures of hydration status during progressive acute dehydration.

Purpose: To determine whether: a) plasma osmolarity (Posm) is sensitive to small incremental changes in hydration status, b) urine specific gravity (Usg) can accurately identify a state of euhydration, c) Usg is a sensitive indicator of a change in hydration status, and d) Usg correlates with Posm.

Methods: Euhydrated (Posm = 288 +/- 4 mOsm.L-1) subjects (N = 12) were dehydrated by 5% of their body weight via exercise in the heat (40 degrees C, 20% RH).