在囊性纤维化中自愿脱水和热不耐受
O Bar-Or1, C J Blimkie, J A Hay
1Children's Exercise and Nutrition Centre, Department of Pediatrics, Hamilton, Ontario, Canada.
Lancet (London, England)
|March 21, 1992
概括
患有囊性纤维化 (CF) 的儿童可能会低估他们在炎热运动期间的液体需求. 这导致由于减少口渴反应而导致过度脱水,增加健康风险.
科学领域:
- 运动生理学 运动生理学
- 儿科 儿科 儿科
- 肺部医学 肺部医学
背景情况:
- 运动对囊性纤维化 (CF) 患者有益,但热应激会增加发病率和死亡率.
- 肌痛性肌痛患者表现出高汗盐含量,可能会在长时间出汗时改变口渴调节.
研究的目的:
- 为了调查患有CF的儿童在炎热条件下运动时是否有减少的口渴反应.
- 为了评估CF患者的液体摄入量和脱水水平,与在口渴导向水合下对照组相比.
主要方法:
- 八名患有CF的儿童和八名对照儿童在受控的热环境 (31-33°C) 中进行了两次运动.
- 补水要么以口渴为指导,要么以随机顺序控制 (强迫饮酒).
- 监测液体摄入量,体重变化和心率恢复.
主要成果:
- 在口渴引导的条件下,CF患者的饮用量明显减少 (0.80%的体重) 并且比对照组 (1.73%和0.78%) 流失更多的液体 (1.57%的体重).
- 在CF患者中观察到心率恢复速度较慢,但没有其他热应变迹象有所不同.
- 在强迫饮酒期间,没有发现两组之间的差异.
结论:
- 患有CF的儿童在热环境中炼时显著低估了他们的水分需求.
- 这种受损的口渴感知导致过度脱水,造成潜在的健康风险.
- 对于在炎热的情况下炼的CF患者来说,口渴引导的水分是不够的.
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