Aim
Urine concentration measured via osmolality (U
OSM) and specific gravity (U
SG) reflects the adequacy of daily fluid intake, which has important relationships to health in pregnant (PREG) and lactating (LACT) women. Urine color (U
COL) may be a practical, surrogate marker for whole-body hydration status.
PurposeTo determine whether U
COL was a valid measure of urine concentration in PREG and LACT, and pair-matched non-pregnant, non-lactating control women (CON).MethodsEighteen PREG/LACT (age 31 ± 1 years, pre-pregnancy BMI 24.3 ± 5.9 kg m−2) and eighteen CON (age 29 ± 4 years, BMI 24.1 ± 3.7 kg m−2) collected 24-h and single-urine samples on specified daily voids at five time points (15 ± 2, 26 ± 1, and 37 ± 1 weeks gestation, 3 ± 1 and 9 ± 1 weeks postpartum during lactation; CON visits were separated by similar time intervals) for measurement of 24-h U
OSM, U
SG, and U
COL and single-sample U
OSM and U
COL.ResultsTwenty-four-hour U
COL was significantly correlated with 24-h U
OSM (r = 0.6085–0.8390, P < 0.0001) and 24-h U
SG (r = 0.6213–0.8985, P < 0.0001) in all groups. A 24-h U
COL ≥ 4 (AUC = 0.6848–0.9513, P < 0.05) and single-sample U
COL ≥ 4 (AUC = 0.9094–0.9216, P < 0.0001) indicated 24-h U
OSM ≥ 500 mOsm kg−1 (representing inadequate fluid intake) in PREG, LACT, and CON.ConclusionsUrine color was a valid marker of urine concentration in all groups. Thus, PREG, LACT, and CON can utilize U
COL to monitor their daily fluid balance. Women who present with a U
COL ≥ 4 likely have a U
OSM ≥ 500 mOsm kg−1 and should increase fluid consumption to improve overall hydration status.
Little is known about the response of the cerebrovasculature to acute exercise in children and how these responses might differ with adults. Therefore, we compared changes in middle cerebral artery blood velocity (MCAV), end-tidal Pco ([Formula: see text]), blood pressure, and minute ventilation (V̇e) in response to incremental exercise between children and adults. Thirteen children [age: 9 ± 1 (SD) yr] and thirteen sex-matched adults (age: 25 ± 4 yr) completed a maximal exercise test, during which MCAV, [Formula: see text], and V̇e were measured continuously. These variables were measured at rest, at exercise intensities specific to individual ventilatory thresholds, and at maximum. Although MCAV was higher at rest in children compared with adults, there were smaller increases in children (1-12%) compared with adults (12-25%) at all exercise intensities. There were alterations in [Formula: see text] with exercise intensity in an age-dependent manner [(2.5,54.5) = 7.983, < 0.001; η = 0.266], remaining stable in children with increasing exercise intensity (37-39 mmHg; > 0.05) until hyperventilation-induced reductions following the respiratory compensation point. In adults, [Formula: see text] increased with exercise intensity (36-45 mmHg, < 0.05) until the ventilatory threshold. From the ventilatory threshold to maximum, adults showed a greater hyperventilation-induced hypocapnia than children. These findings show that the relative increase in MCAV during exercise was attenuated in children compared with adults. There was also a weaker relationship between MCAV and [Formula: see text] during exercise in children, suggesting that cerebral perfusion may be regulated by different mechanisms during exercise in the child. These findings provide the first direct evidence that exercise increases cerebral blood flow in children to a lesser extent than in adults. Changes in end-tidal CO parallel changes in cerebral perfusion in adults but not in children, suggesting age-dependent regulatory mechanisms of cerebral blood flow during exercise.
Completing the HHH activated the coagulation and fibrinolytic systems in balance. Age was positively correlated with IP D-Dimer concentrations. Additionally, participants displaying a larger BMI and waist circumference exhibited a positive correlation with PRE PAI-1 Ag concentrations.
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