Cross‐validation of equations to predict whole‐body sweat sodium concentration from regional measures during exercise

Abstract We have previously published equations to estimate whole‐body (WB) sweat sodium concentration ([Na+]) from regional (REG) measures; however, a cross‐validation is needed to corroborate the applicability of these prediction equations between studies. The purpose of this study was to determin...

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Main Authors: Lindsay B. Baker, Ryan P. Nuccio, Adam J. Reimel, Shyretha D. Brown, Corey T. Ungaro, Peter John D. De Chavez, Kelly A. Barnes
Format: Article
Language:English
Published: Wiley 2020-08-01
Series:Physiological Reports
Subjects:
Online Access:https://doi.org/10.14814/phy2.14524
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author Lindsay B. Baker
Ryan P. Nuccio
Adam J. Reimel
Shyretha D. Brown
Corey T. Ungaro
Peter John D. De Chavez
Kelly A. Barnes
author_facet Lindsay B. Baker
Ryan P. Nuccio
Adam J. Reimel
Shyretha D. Brown
Corey T. Ungaro
Peter John D. De Chavez
Kelly A. Barnes
author_sort Lindsay B. Baker
collection DOAJ
description Abstract We have previously published equations to estimate whole‐body (WB) sweat sodium concentration ([Na+]) from regional (REG) measures; however, a cross‐validation is needed to corroborate the applicability of these prediction equations between studies. The purpose of this study was to determine the validity of published equations in predicting WB sweat [Na+] from REG measures when applied to a new data set. Forty‐nine participants (34 men, 15 women; 75 ± 12 kg) cycled for 90 min while WB sweat [Na+] was measured using the washdown technique. REG sweat [Na+] was measured from seven regions using absorbent patches (3M Tegaderm + Pad). Published equations were applied to REG sweat [Na+] to determine predicted WB sweat [Na+]. Bland–Altman analysis of mean bias (raw and predicted minus measured) and 95% limits of agreement (LOA) were used to compare raw (uncorrected) REG sweat [Na+] and predicted WB sweat [Na+] to measured WB sweat [Na+]. Mean bias (±95% LOA) between raw REG sweat [Na+] and measured WB sweat [Na+] was 10(±20), 0(±19), 9(±20), 22(±25), 23(±24), 0(±15), −4(±18) mmol/L for the dorsal forearm, ventral forearm, upper arm, chest, upper back, thigh, and calf, respectively. The mean bias (±95% LOA) between predicted WB sweat [Na+] and measured WB sweat [Na+] was 3(±14), 4(±12), 0(±14), 2(±17), −2(±16), 5(±13), 4(±15) mmol/L for the dorsal forearm, ventral forearm, upper arm, chest, upper back, thigh, and calf, respectively. Prediction equations improve the accuracy of estimating WB sweat [Na+] from REG and are therefore recommended for use when determining individualized sweat electrolyte losses.
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spelling doaj.art-b9005ada2692424894c2361089a43c992022-12-21T18:40:17ZengWileyPhysiological Reports2051-817X2020-08-01815n/an/a10.14814/phy2.14524Cross‐validation of equations to predict whole‐body sweat sodium concentration from regional measures during exerciseLindsay B. Baker0Ryan P. Nuccio1Adam J. Reimel2Shyretha D. Brown3Corey T. Ungaro4Peter John D. De Chavez5Kelly A. Barnes6Gatorade Sports Science InstitutePepsiCo R&D Life Sciences Barrington IL USAGatorade Sports Science InstitutePepsiCo R&D Life Sciences Barrington IL USAGatorade Sports Science InstitutePepsiCo R&D Life Sciences Barrington IL USAGatorade Sports Science InstitutePepsiCo R&D Life Sciences Barrington IL USAGatorade Sports Science InstitutePepsiCo R&D Life Sciences Barrington IL USAPepsiCo R&D Barrington IL USAGatorade Sports Science InstitutePepsiCo R&D Life Sciences Barrington IL USAAbstract We have previously published equations to estimate whole‐body (WB) sweat sodium concentration ([Na+]) from regional (REG) measures; however, a cross‐validation is needed to corroborate the applicability of these prediction equations between studies. The purpose of this study was to determine the validity of published equations in predicting WB sweat [Na+] from REG measures when applied to a new data set. Forty‐nine participants (34 men, 15 women; 75 ± 12 kg) cycled for 90 min while WB sweat [Na+] was measured using the washdown technique. REG sweat [Na+] was measured from seven regions using absorbent patches (3M Tegaderm + Pad). Published equations were applied to REG sweat [Na+] to determine predicted WB sweat [Na+]. Bland–Altman analysis of mean bias (raw and predicted minus measured) and 95% limits of agreement (LOA) were used to compare raw (uncorrected) REG sweat [Na+] and predicted WB sweat [Na+] to measured WB sweat [Na+]. Mean bias (±95% LOA) between raw REG sweat [Na+] and measured WB sweat [Na+] was 10(±20), 0(±19), 9(±20), 22(±25), 23(±24), 0(±15), −4(±18) mmol/L for the dorsal forearm, ventral forearm, upper arm, chest, upper back, thigh, and calf, respectively. The mean bias (±95% LOA) between predicted WB sweat [Na+] and measured WB sweat [Na+] was 3(±14), 4(±12), 0(±14), 2(±17), −2(±16), 5(±13), 4(±15) mmol/L for the dorsal forearm, ventral forearm, upper arm, chest, upper back, thigh, and calf, respectively. Prediction equations improve the accuracy of estimating WB sweat [Na+] from REG and are therefore recommended for use when determining individualized sweat electrolyte losses.https://doi.org/10.14814/phy2.14524electrolytesheat stresssweating ratetattoos
spellingShingle Lindsay B. Baker
Ryan P. Nuccio
Adam J. Reimel
Shyretha D. Brown
Corey T. Ungaro
Peter John D. De Chavez
Kelly A. Barnes
Cross‐validation of equations to predict whole‐body sweat sodium concentration from regional measures during exercise
Physiological Reports
electrolytes
heat stress
sweating rate
tattoos
title Cross‐validation of equations to predict whole‐body sweat sodium concentration from regional measures during exercise
title_full Cross‐validation of equations to predict whole‐body sweat sodium concentration from regional measures during exercise
title_fullStr Cross‐validation of equations to predict whole‐body sweat sodium concentration from regional measures during exercise
title_full_unstemmed Cross‐validation of equations to predict whole‐body sweat sodium concentration from regional measures during exercise
title_short Cross‐validation of equations to predict whole‐body sweat sodium concentration from regional measures during exercise
title_sort cross validation of equations to predict whole body sweat sodium concentration from regional measures during exercise
topic electrolytes
heat stress
sweating rate
tattoos
url https://doi.org/10.14814/phy2.14524
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