PMID- 26694503 OWN - NLM STAT- MEDLINE DCOM- 20161221 LR - 20220316 IS - 1533-4287 (Electronic) IS - 1064-8011 (Print) IS - 1064-8011 (Linking) VI - 30 IP - 8 DP - 2016 Aug TI - Validity of Urine Specific Gravity When Compared With Plasma Osmolality as a Measure of Hydration Status in Male and Female NCAA Collegiate Athletes. PG - 2219-25 LID - 10.1519/JSC.0000000000001313 [doi] AB - Sommerfield, LM, McAnulty, SR, McBride, JM, Zwetsloot, JJ, Austin, MD, Mehlhorn, JD, Calhoun, MC, Young, JO, Haines, TL, and Utter, AC. Validity of urine specific gravity when compared with plasma osmolality as a measure of hydration status in male and female NCAA collegiate athletes. J Strength Cond Res 30(8): 2219-2225, 2016-The purpose of this study was to evaluate the response of urine specific gravity (Usg) and urine osmolality (Uosm) when compared with plasma osmolality (Posm) from euhydration to 3% dehydration and then a 2-hour rehydration period in male and female collegiate athletes. Fifty-six National Collegiate Athletic Association (NCAA) wrestlers (mean +/- SEM); height 1.75 +/- 0.01 m, age 19.3 +/- 0.2 years, and body mass (BM) 78.1 +/- 1.8 kg and 26 NCAA women's soccer athletes; height 1.64 +/- 0.01 m, age 19.8 +/- 0.3 years, and BM 62.2 +/- 1.2 kg were evaluated. Hydration status was obtained by measuring changes in Posm, Uosm, Usg, and BM. Male and female subjects dehydrated to achieve an average BM loss of 2.9 +/- 0.09% and 1.9 +/- 0.03%, respectively. Using the medical diagnostic decision model, the sensitivity of Usg was high in both the hydrated and dehydrated state for males (92%) and females (80%). However, the specificity of Usg was low in both the hydrated and dehydrated states for males (10 and 6%, respectively) and females (29 and 40%, respectively). No significant correlations were found between Usg and Posm during either the hydrated or dehydrated state for males or females. Based on these results, the use of Usg as a field measure of hydration status in male and female collegiate athletes should be used with caution. Considering that athletes deal with hydration status on a regular basis, the reported low specificity of Usg suggests that athletes could be incorrectly classified leading to the unnecessary loss of competition. FAU - Sommerfield, Lesley M AU - Sommerfield LM AD - Department of Health and Exercise Science, Appalachian State University, Boone, North Carolina. FAU - McAnulty, Steven R AU - McAnulty SR FAU - McBride, Jeffrey M AU - McBride JM FAU - Zwetsloot, Jennifer J AU - Zwetsloot JJ FAU - Austin, Melanie D AU - Austin MD FAU - Mehlhorn, Jonathan D AU - Mehlhorn JD FAU - Calhoun, Mason C AU - Calhoun MC FAU - Young, Juliane O AU - Young JO FAU - Haines, Traci L AU - Haines TL FAU - Utter, Alan C AU - Utter AC LA - eng GR - R44 AG042990/AG/NIA NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Validation Study PL - United States TA - J Strength Cond Res JT - Journal of strength and conditioning research JID - 9415084 SB - IM MH - Adolescent MH - Dehydration/blood/*diagnosis/therapy/urine MH - Female MH - Fluid Therapy MH - Humans MH - Male MH - Osmolar Concentration MH - Plasma/*chemistry MH - Sensitivity and Specificity MH - Soccer/*physiology MH - Specific Gravity MH - Universities MH - Urine/*chemistry MH - Wrestling/*physiology MH - Young Adult PMC - PMC4912946 MID - NIHMS743765 EDAT- 2015/12/24 06:00 MHDA- 2016/12/22 06:00 PMCR- 2017/08/01 CRDT- 2015/12/24 06:00 PHST- 2015/12/24 06:00 [entrez] PHST- 2015/12/24 06:00 [pubmed] PHST- 2016/12/22 06:00 [medline] PHST- 2017/08/01 00:00 [pmc-release] AID - 10.1519/JSC.0000000000001313 [doi] PST - ppublish SO - J Strength Cond Res. 2016 Aug;30(8):2219-25. doi: 10.1519/JSC.0000000000001313.