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. 2017 Jun 7;12(6):e0178819.
doi: 10.1371/journal.pone.0178819. eCollection 2017.

Bioelectrical impedance vector analysis (BIVA) for measuring the hydration status in young elite synchronized swimmers

Affiliations

Bioelectrical impedance vector analysis (BIVA) for measuring the hydration status in young elite synchronized swimmers

Marta Carrasco-Marginet et al. PLoS One. .

Abstract

Purpose: The assessment of body hydration is a complex process, and no measurement is valid for all situations. Bioelectrical impedance vector analysis (BIVA) has emerged as a relatively novel technique for assessing hydration status in sports. We applied BIVA a) to determine hydration changes evoked by an intense synchronized swimming (SS) training session; b) to characterize the sample of young elite swimmers in relation with a nonathletic reference population; and c) to generate its 50%, 75% and 95% percentiles of the bioelectrical variables.

Methods: Forty-nine elite SS female swimmers of two age categories, comen (Co: 13.9 ± 0.9 years, n = 34) and junior (Jr: 16.3 ± 0.6 years, n = 15), performed a long, high intensity training session. Body mass (BM) and bioelectrical variables (R, resistance; Xc, reactance; PA, phase angle; and Z, impedance module) were assessed pre- and post-training. BIVA was used to characterize 1) the distribution pattern of the bioelectrical vector (BIA vector) for both age groups, and 2) pre- to post-training BIA vector migration. Bioelectrical variables were also correlated with BM change values.

Results: Most swimmers were mostly located outside the 75% and some beyond the 95% percentile of the bioelectrical tolerance ellipses of the general population. The BIA vector showed statistically significant differences in both Co (T2 = 134.7, p = 0.0001) and Jr (T2 = 126.2, p < 0.001). Both groups were also bioelectrically different (T2 = 17.6, p < 0.001). After the training session, a decrease in BM (p = 0.0001) and an increase in BIA variables (p = 0.01) was observed. BIVA also showed a significant pre-post vector migration both in Co (T2 = 82.1; p < 0.001) and Jr (T2 = 41.8; p < 0.001). No correlations were observed between BM changes and bioelectrical variables.

Conclusions: BIVA showed specific bioelectrical characteristics in young elite SS athletes. Considering the decrease in BM and the migration of the BIA vector, we conclude that the homeostatic hydration status of these young elite female swimmers was affected by the execution of intense training sessions. From a methodological perspective, BIVA appears to be sensitive enough to detect subtle hydration changes, but further research is needed to ensure its validity and reliability. Moreover, these findings highlight the importance of ensuring adequate fluid intake during training in young SS athletes.

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Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Study protocol.
°C, body and skin temperature measurements; Pre-T, pre-training measurements; Post-T, post-training measurements; RPE, rating of perceived exertion; Co, comen; Jr, junior.
Fig 2
Fig 2. BIVA patterns before and after training.
On the left side, scattergrams of the Co and Jr individual (as well as the mean) impedance vectors, plotted on the 50%, 75%, and 95% tolerance ellipses of the corresponding healthy female reference population [39] are displayed both for pre- and post-training (Pre-T and Post-T, respectively). On the right side, mean vector displacements of Co and Jr from pre- to post-training are shown. R/h, height-adjusted resistance; Xc/h, height-adjusted reactance; T2, Hotelling’s T2 test; p-value (significance at p < 0.05).
Fig 3
Fig 3. RXc mean graph.
The 95% confidence ellipses for the mean impedance vectors of Co (dotted line ellipse), Jr (dark dashed line ellipse) and the healthy female reference population (solid line ellipse with vector) [39] are shown. R/h, height-adjusted resistance; Xc/h, height-adjusted reactance; Co, comen; Jr, junior; SS, synchronized swimmers.
Fig 4
Fig 4. Tolerance ellipses.
50%, 75%, and 95% tolerance ellipses generated of the entire group of synchronized swimmers. R/h, height-adjusted resistance; Xc/h, height-adjusted reactance.

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Grants and funding

This work was supported by research grants from Generalitat de Catalunya, Institut Català de les Dones (U-34/10) http://www20.gencat.cat/portal/site/icdones, and Agència de Gestió d’Ajuts Universitaris i de Recerca (AGUAR), (VCP/3346/2009) http://agaur.gencat.cat/es/inici/, and Consejo Superior de Deportes (001/UPB10/11) http://www.csd.gob.es/. Marta Carrasco-Marginet was a pre-doctoral researcher also supported by AGAUR (VCP/3346/2009). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

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