FLUIDS

 


Humans can go for weeks without food, but they can't survive going without water for longer than a few days because it is vital to life. Numerous essential bodily processes involve water.

Understanding the homeostatic mechanisms and actions the body employs to preserve the ideal conditions for cell activity is essential for managing fluid and electrolyte balance, which is a complicated process. A complex network of homeostatic systems, which are aimed at ensuring that water intake and loss are balanced, maintains a stable internal environment.  Cell function is significantly impacted by the volume, composition, and distribution of bodily fluids. The composition, distribution, and quantity of bodily fluids can be changed, as well as the fluid, electrolyte, and acid-base balances, by protein-energy deficiency, illness, trauma, and surgery. Cell function can be adversely affected by even little variations in pH, hydration status, and electrolyte contents. Serious repercussions or even death may occur if these derangements are not addressed. Cell function can be adversely affected by fluid status and electrolyte imbalances. Death or serious repercussions may follow if these derangements are not treated. 

 

The phrase "you are what you eat" should be reworded to " you what you drink".

►Roughly 55-60% of average humans body weight is water. Two-third of body water us fund inside the cells & is referred to as intracellular water. Muscle tissue, which is of obvious importance to athletes, is approximately 70% water. The remaining one-third of body water is found outside of cells and is known as extracellular water.

Intracellular and extracellular water content vary based on several factors:

A. Protein content of the tissue

► B. Carbohydrate content of the tissue

►C. Electrolyte concentration within and outside

A. Protein content of the tissue: muscle, composed of a large amount if protein, contains a much greater % of water than adipose tissue, which is composed of fats. The percentage of total body water can vary tremendously for lean, muscular athlete with a low body fat composition to an obese, sedentary individual with high body fat composition.

B. Carbohydrate content of the tissue: glycogen consists of linked glucose molecules and is stored inside cells along with water. For every gram of glycogen, 3 grams of water are stored. The water released from glycogen breakdown during exercise can be useful for preventing dehydration.

C. Electrolyte concentration within and outside: intracellular and extracellular minerals such as sodium, chloride, potassium and calcium affect the flux of fluid into and out of cell.

Water homeostasis ( Balance)

Controlling water intake and output is necessary for maintaining water homeostasis, or balance. Usually, the mechanism of thirst determines how much water is consumed. Through the control of water intake and excretion, homeostatic control systems guarantee the maintenance of the physiological water balance in bodily fluids. It has been demonstrated that a variety of variables, including lifestyle, eating habits, body temperature, and body-fluid conditions, influence how much water people drink. Excessive water consumption that surpasses the amount of water eliminated by the kidneys causes hyponatremia (hypotonicity), while dehydration causes hypernatremia (hypertonicity) in bodily fluids.

Water Intoxication:
Water intoxication occurs as a result of water intake in excess of the body’s ability to excrete water. 

 This fluid overload affects the electrolyte balance in the body by causing sodium levels and plasma osmolality to drop beyond what can normally be handled by the kidneys.

 The increased volume of intracellular fluid causes the cells, particularly the brain cells, to swell, leading to headache, nausea, vomiting, muscle twitching, blindness, and convulsions with impending stupor.

 If left untreated, water intoxication can be fatal. Water intoxication is not commonly seen in normal, healthy individuals. It may be seen in endurance athletes who consume large amounts of electrolyte-free beverages during events, individuals with psychiatric illness, or because of water drinking contests.



References: Noda, M., & Matsuda, T. (2022). Central regulation of body fluid homeostasis. Proceedings of the Japan Academy. Series B, Physical and biological sciences98(7), 283–324.

Manual of Dietetic Practice (Fifth Edition)


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