Relevance of temperature and gastric emptying of liquids consumed by individuals who practice physical activities
Keywords:
Gastric emptying, Exercise, Fluid therapyAbstract
Physical activity implies in changes to the water and electrolyte homeostasis which may result in adverse effects on performance and possibly on health if the body liquids lost by sweating are not completely replaced. Hydration efficiency also depends on gastric emptying, which is affected by several factors, including the temperature of the ingested liquid. The objective of this study was to critically assess the fluid replacement practices used by individuals who practice physical activities and discuss how the effect of liquid temperature on gastric emptying influences this hydrating behavior. Studies on the theme have found contradicting
results, probably due to the different methods used. The studies that investigate liquid temperature in the gastrointestinal tract during exercise are limited. Considering the total gastric emptying time during rest, extreme liquid temperatures have no significant effect on the total gastric emptying time, since the temperature inside the stomach normalizes quickly after ingestion of the liquid. However, there are clear scientific evidences that the ingestion of ice-cold liquids increases gastric emptying in the first minutes after ingestion. This fact needs to be better investigated when it is associated with other pre-competition factors, such as the
psychological state of the athlete. However, low temperatures improve the palatability of the drink, implying in greater consumption by the athletes and reducing the risk of dehydration. The effects of low temperature on gastric emptying are not decisive, since fluid replacement has intervention factors that are more relevant than temperature.
References
American College of Sports Medicine. Position stand: exercise and fluid replacement. Med Sci Sports Exerc. 2007; 39(2):377-90.
Marins JCB, Dantas E, Navarro S. Deshidratación y ejercicio físico. Selección. 2000; 9(3):149-63.
Casa DJ, Clarkson PM, Roberts WO. American College of Sports Medicine roundtable on hydration and physical activity: consensus statements. Curr Sports Med Rep. 2005; 4(3): 115-27.
Cheuvront S, Carter R, Sawka MN. Fluid balance and endurance exercise performance. Curr Sports Med Rep. 2003; 2(4):202-8.
Sociedade Brasileira de Medicina do Esporte. Diretriz da Sociedade Brasileira de Medicina do Esporte. Modificações dietéticas, reposição hídrica, suplementos alimentares e drogas: comprovação de ação ergogênica e potenciais riscos para a saúde. Rev Bras Med Esporte. 2003; 9(2):1-13.
Byrne C, Lim CL, Chew SA, Ming ET. Water versus carbohydrate-electrolyte fluid replacement during loaded marching under heat stress. Mil Med. 2005; 170(8):715-21.
Nicholas CW, Tsintzas K, Boobis L, Williams C. Carbohydrate-electrolyte ingestion during intermittent high-intensity running. Med Sci Sports Exerc. 1999; 31(9):1280-6.
Lima-Silva AE, Fernandes TC, De-Oliveira FR, Nakamura FY, Gevaerd MS. Metabolismo do glicogênio muscular durante o exercício físico: mecanismos de regulação. Rev Nutr. 2007; 20(4):417-29. doi: 10.1590/S141552732007000400009.
Puhl SM, Buskirk ER. Bebidas nutrientes para o exercício e o esporte. In: Wolinsky I, Hikson JFJ. Nutrição no exercício e no esporte. 2a. ed. São Paulo: Roca; 2002. p.331-76.
Murray R. The effects of consuming carbohydrate-electrolyte beverages on gastric emptying and fluid absorption during and following exercise. Sports Med. 1987; 4(5):322-51.
Rehrer NJ, Beckers E, Brouns F, Ten Hoor F, Saris WHM. Exercise and training effects on gastric emptying of carbohydrate beverages. Med Sci Sports Exerc. 1989; 21(5):540-9.
Calbet JA, MacLean DA. Role of caloric content on gastric emptying in humans. J Physiol. 1997; 498(Pt 2):553-9.
Takii H, Takii Nagao Y, Kometani T, Nishimura T, Nakae T, Kuriki T, et al. Fluids containing a highly branched cyclic dextrin influence the gastric emptying rate. Int J Sports Med. 2005; 26(4): 314-9.
Vist GE, Maughan RJ. The effect of osmolality and carbohydrate content on the rate of gastric emptying of liquids in man. J Physiol. 1995; 486 (Pt 2):523-31.
Noakes TD, Rehrer NJ, Maughan RJ. The importance of volume in regulating gastric emptying. Med Sci Sports Exerc. 1991; 23(3):307-13.
Mitchell JB, Voss KW. The influence of volume on gastric emptying and fluid balance during prolonged exercise. Med Sci Sports Exerc. 1991; 23(3):314-9.
Leiper JB, Nicholas CW, Ali A, Williams C, Maughan RJ. The effect of intermittent high-intensity running on gastric emptying of fluids in man. Med Sci Sports Exerc. 2005; 37(2):240-7.
Brouns F. Gastric emptying as a regulatory factor in fluid uptake. Int J Sports Med. 1998; 19(Suppl 2):125-8.
Rehrer NJ, Brouns F, Beckers EJ, Ten Hoor F, Saris WH. Gastric emptying with repeated drinking during running and bicycling. Int J Sports Med. 1990; 11(3):238-43.
Houmard JA, Egan PC, Johns RA, Neufer PD, Chenier TC, Israel RG. Gastric emptying during 1h of cycling and running at 75% VO2 max. Med Sci Sports Exerc. 1991; 23(3):320-5.
Costill DL, Saltin B. Factors limiting gastric emptying during rest and exercise. J Appl Physiol. 1974; 37(5):679-83.
Valadares CP, Silva RAP, Tavares-Junior WC, Duarte MA. Apresentação da técnica de estudo do tempo de esvaziamento gástrico por meio da ultra-sonografia. Radiol Bras. 2006; 39(1):15-18.
George JD. New clinical method for measuring the rate of gastric emptying: the double sampling test meal. Gut. 1968; 9(2):237-42.
Beckers EJ, Rehrer NJ, Brouns F, Ten Hoor F, Saris WH. Determination of total gastric volume, gastric secretion and residual meal using the double sampling technique of George. Gut. 1988; 29(12): 1725-29.
Beckers EJ, Rehrer NJ, Saris WH, Brouns F, Ten Hoor F, Kester AD. Daily variation in gastric emptying when using the double sampling technique. Med Sci Sports Exerc. 1991; 23(10):1210-2.
van Nieuwenhoven MA, Wagenmakers AJ, Senden JM, Brouns F, Brummer RJ. Performance of the [13C]-acetate gastric emptying breath test during physical exercise. Eur J Clin Invest. 1999; 29(11): 922-8.
Lambert GP, Bleiler TL, Chang RT, Johnson AK, Gisolfi CV. Effects of carbonated and noncarbonated beverages at specific intervals during treadmill running in the heat. Int J Sport Nutr. 1993; 3(2):177-93.
Shi X, Bartoli W, Horn M, Murray R. Gastric emptying of cold beverages in humans: effect of transportable carbohydrates. Int J Sport Nutr Exerc Metab. 2000; 10(4):394-403.
Sun WM, Houghton LA, Read NW, Grundy DG, Johnson AG. Effect of meal temperature on gastric emptying of liquids in man. Gut. 1988; 29(3): 302-5.
Collares EF, Brasil MR. Gastric emptying in children. I. Influence of the temperature of a hydration solution for oral use. Arq Gastroenterol. 1981; 18(3):123-6.
Macedo Ada S, Collares EF, Troncon LE, Machado NC. Gastric emptying in children. VI. Evaluation of the cumulative effect of the water low temperature. Arq Gastroenterol. 1986; 23(3):184-8.
Thompson DG, Richelson E, Malagelada JR. Perturbation of upper gastrointestinal function by cold stress. Gut. 1983; 24(4):277-83.
Nakae Y, Kagaya M, Takagi R, Matsutani Y, Horibe H, Kondo T. Cold pain prolongs gastric emptying of liquid but not solid meal: an electrical impedance tomography (EIT) study. J Gastroenterol. 2000; 35(8):593-7.
Fone DR, Horowitz M, Maddox A, Akkermans LM, Read NW, Dent J. Gastroduodenal motility during the delayed gastric emptying induced by cold stress. Gastroenterology. 1990; 98(5 Pt 1):1155-61.
Troncon LE, Iazigi N. Effect of test meal temperature on the gastric emptying of liquids. Braz J Med Biol Res. 1988; 21(1):57-60.
Sun WM, Penagini R, Hebbard G, Malbert C, Jones KL, Emery S, et al. Effect of drink temperature on antropyloroduodenal motility and gastric electrical activity in humans. Gut. 1995; 37(3):329-34.
Thompson DG, Richelson E, Malagelada JR. Perturbation of gastric emptying and duodenal motility through the central nervous system. Gastroenterology. 1982; 83(6):1200-6.
McArthur KE, Feldman M. Gastric acid secretion, gastrin release, and gastric emptying in humans as affected by liquid meal temperature. Am J Clin Nutr. 1989; 49(1):51-4.
Bateman DN. Effects of meal temperature and volume on the emptying of liquid from the human stomach. J Physiol. 1982; 331(10):461-7.
Armstrong LE, Hubbard RW, Szlyk PC, Matthew WT, Sils IV. Voluntary dehydration and electrolyte losses during prolonged exercise in the heat. Aviat Space Environ Med. 1985; 56(8):765-70.
Hubbard RW, Sandick BL, Matthew WT, Francesconi RP, Sampson JB, Durkot MJ, et al. Voluntary dehydration and alliesthesia for water. J Appl Physiol. 1984; 57(3):868-73.
American College of Sports Medicine. Position stand: exercise and fluid replacement. Med Sci Sports Exerc. 1996; 28(1):i-vii.
Burke LM. Nutritional needs for exercise in the heat. Comp Biochem Physiol A Mol Integr Physiol. 2001; 128(4):735-48.
Marins JCB, Ferreira FG. Nível de conhecimento dos atletas universitários da UFV sobre hidratação. Fit Perform J. 2005; 4(3):175-87.
Brito ISS, Brito CJ, Fabrini SP, Marins JCB. Caracterização das práticas de hidratação em Karatecas do estado de Minas Gerais. Fit Perform J. 2006; 5(1):24-30.
Brito CJ, Marins JCB. Caracterização das práticas sobre hidratação em atletas da modalidade de judô no estado de Minas Gerais. Rev Bras Ciên Mov. 2005; 13(2):59-74.
Duarte MFS, Duarte CR, Andrade DR. Perfil de ultramaratonista brasileiros. Treinamento Desport. 1997; 3(2):65-8.
Marins JCB, Argudo C, Iglesias ML, Marins N, Zamora S. Hábitos de hidratación en un colectivo de pruebas de resistência. Selecciõn. 2004; 13(1): 18-28.
Ferreira FG. Hidratação e perda hidromineral em corredores e indivíduos ativos [dissertação]. Viçosa: Universidade Federal de Viçosa; 2007.
Brito ISS, Dinis A, Brito CJ, Marins, JCB. Caracterização das práticas e hábitos de hidratação em lutadores brasileiros de jiu-jitsu. In: Fontoura P, organizador. Coleção pesquisa em educação física. Jundiaí: Fontoura; 2007. p.153-60.
Mundel T, King J, Collacott E, Jones DA. Drink temperature influences fluid intake and endurance capacity in men during exercise in a hot, dry environment. Exp Physiol. 2006; 91(5):925-33.
Sandick BL, Engell DB, Maller O. Perception of drinking water temperature and effects for humans after exercise. Physiol Behav. 1984; 32(5):851-5.
Gatorade Sports Science Institute (GSSI). Consenso do Conselho Consultivo em Ciência e Educação do GSSI na América Latina. Atividade física no calor: regulação térmica e hidratação, 1999 [acesso 2007 ago 30]. Disponível em: <http://www.gssi.com.br>.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Rafael Pires da SILVA, Janaína Lubiana ALTOÉ, João Carlos Bouzas MARINS
This work is licensed under a Creative Commons Attribution 4.0 International License.