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Is thirst a good predictor of dehydration?

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/lauren-ball-14718">Lauren Ball</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a> and <a href="https://theconversation.com/profiles/kiara-too-2243669">Kiara Too</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p>Water is essential for daily functioning and health, and we can only survive <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2908954/">a few days</a> without it. Yet we constantly lose water through sweat, urination and even evaporation when we breathe.</p> <p>This is why we <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5957508/">have evolved</a> a way to regulate and maintain water in our bodies. Like other animals, our survival relies on a strong biological drive that tells us to find and drink water to balance fluid loss.</p> <p>This is thirst – a sensation of dryness in the mouth signalling we need to have a drink. This <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5957508/">basic physiological mechanism</a> is controlled mainly by part of the brain’s “control centre”, called the hypothalamus. The hypothalamus <a href="https://www.ncbi.nlm.nih.gov/books/NBK535380/#:%7E:text=The%20hypothalamus%20is%20the%20region,and%20the%20control%20of%20appetite.">receives signals</a> from various regions of the body and in return, releases hormones that act as a messenger to signal the thirst sensation.</p> <h2>What is dehydration?</h2> <p>Staying hydrated (having enough water in our bodies) is important for <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2908954/">several reasons</a>, including:</p> <ul> <li>regulating body temperature through sweat and respiration</li> <li>lubricating joints and eyes</li> <li>preventing infections</li> <li>digesting and absorbing nutrients</li> <li>flushing out waste (via the kidneys)</li> <li>preventing constipation</li> <li>brain function (including memory and concentration)</li> <li>mood and energy levels</li> <li>physical performance and recovery from exercise</li> <li>skin health.</li> </ul> <p>Dehydration occurs when our body doesn’t have enough water. Even slight drops in fluid levels have <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2908954/">noticeable consequences</a>, such as headaches, feeling dizzy, lethargy and struggling to concentrate.</p> <p><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC4874113/">Chronic dehydration</a> can pose more serious health risks, including urinary tract infections, constipation and kidney stones.</p> <h2>What does the evidence say?</h2> <p>Despite thirst being one of the most basic biological drivers for good hydration, science suggests our feelings of thirst and subsequent fluid intake don’t always correlate with hydration levels.</p> <p>For example, a <a href="https://www.mdpi.com/2072-6643/16/18/3212">recent study</a> explored the impact of thirst on fluid intake and hydration status. Participants attended a lab in the morning and then later in the afternoon to provide markers of hydration status (such as urine, blood samples and body weight). The relationship between levels of thirst in the morning and afternoon hydration status was negligible.</p> <p>Further, thirst may be driven by environmental factors, such as access to water. For example, <a href="https://www.sciencedirect.com/science/article/pii/0031938484901549">one study</a> looked at whether ample access to water in a lab influenced how much people drank and how hydrated they were. The link between how thirsty they felt and how hydrated they were was weak, suggesting the availability of water influenced their fluid intake more than thirst.</p> <p>Exercise can also <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6893511/">change our thirst mechanism</a>, though studies are limited at this stage.</p> <p>Interestingly, research shows women experience thirst more strongly than men, regardless of hydration status. To understand <a href="https://www.sciencedirect.com/science/article/pii/S2475299123148852">gender differences in thirst</a>, researchers infused men and women with fluids and then measured their thirst and how hydrated they were. They found women generally reported thirst at a lower level of fluid loss. Women have also been found to respond more <a href="https://www.mdpi.com/2072-6643/16/18/3212">to feeling thirsty</a> by drinking more water.</p> <h2>Other ways to tell if you need to drink some water</h2> <p>While acknowledging some people will need to drink more or less, for <a href="https://theconversation.com/dont-like-drinking-plain-water-10-healthy-ideas-for-staying-hydrated-this-summer-191859">many people</a>, eight cups (or two litres) a day is a good amount of water to aim for.</p> <p>But beyond thirst, there are many other ways to tell whether you might need to drink more water.</p> <p><strong>1. urine colour:</strong> pale yellow urine typically indicates good hydration, while darker, concentrated urine suggests dehydration</p> <p><strong>2. frequency of going to the toilet:</strong> <a href="https://www.ncbi.nlm.nih.gov/books/NBK291/">urinating regularly</a> (around four to six times a day) indicates good hydration. Infrequent urination can signal dehydration</p> <p><strong>3. skin turgor test:</strong> gently <a href="https://www.healthline.com/health/skin-turgor#test">pinching the skin</a> (for example, on the back of the hand) and observing how quickly the skin returns to its normal position can help assess hydration. Slow return may indicate dehydration</p> <p><strong>4. mouth and lips:</strong> a dry mouth or cracked lips can be early signs of dehydration</p> <p><strong>5. headaches and fatigue:</strong> frequent headaches, dizziness, or unexplained fatigue can be <a href="https://www.tandfonline.com/doi/full/10.1080/07853890.2019.1628352">signs of inadequate hydration</a></p> <p><strong>6. sweating:</strong> in physically active people, monitoring how much they sweat during activity can help estimate fluid loss and hydration needs. Higher levels of sweat may predispose a person to dehydration if they are unable to replace the fluid lost through water intake</p> <p>These indicators, used together, provide a more comprehensive picture of hydration without solely depending on the sensation of thirst.</p> <p>Of course, if you do feel thirsty, it’s still a good idea to drink some water.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/242194/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/lauren-ball-14718">Lauren Ball</a>, Professor of Community Health and Wellbeing, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a> and <a href="https://theconversation.com/profiles/kiara-too-2243669">Kiara Too</a>, PhD candidate, School of Human Movement and Nutrition Sciences, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/is-thirst-a-good-predictor-of-dehydration-242194">original article</a>.</em></p> </div>

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KISS concert halted as Gene Simmons falls ill on stage

<p>KISS singer Gene Simmons gave fans - and bandmates - a fright when dehydration got the better of him live on stage, and the group were forced to bring their entire concert to a halt. </p> <p>In a video from the event, KISS’ Paul Stanley can be seen addressing the crowd, telling them that “we’re gonna have to stop to take care of him. Because we love him, right?”</p> <p>He goes on to call for a cheer for Simmons, with the 73-year-old catching his breath on a chair on stage - the same chair that he remained in for the rest of the show, after a five minute break to assure he was well enough to continue.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="pt">Gene Simmons, baixista e vocalista do Kiss, passa mal e show é brevemente interrompido na Arena da Amazônia. <a href="https://t.co/nphJEj1PQo">pic.twitter.com/nphJEj1PQo</a></p> <p>— A Crítica (@ACritica) <a href="https://twitter.com/ACritica/status/1646372105523478529?ref_src=twsrc%5Etfw">April 13, 2023</a></p></blockquote> <p>And while fans were concerned for the singer, he later took to social media to assure them that he was “fine” and looking forward to the band’s next stadium performance. </p> <p>“I’m fine. Yesterday at Manaus Stadium in Brazil, [I] experienced weakness because of dehydration,” he explained. “We stopped for about five minutes, I drank some water, and then all was well. Nothing serious.”</p> <p>“Brazil is hotter than hell!!” one fan responded, “so glad you're okay and I can't wait to see you in São Paulo! Take care, god of thunder!!”</p> <p>“Even the God of Thunder needs hydration,” another agreed. “Good to hear you're doing well.”</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">Hey everybody, thanks for the good wishes. I’m fine. Yesterday at Manaus Stadium in Brazil, experienced weakness because of dehydration. We stopped for about five minutes, I drank some water, and then all was well. Nothing serious. Tomorrow, Bogota Stadium. See you there!</p> <p>— Gene Simmons (@genesimmons) <a href="https://twitter.com/genesimmons/status/1646530305791266818?ref_src=twsrc%5Etfw">April 13, 2023</a></p></blockquote> <p>And as news broke around the world of what had gone down in Brazil, Simmons returned with another round of assurances, writing that it was “not a big deal” while again thanking everyone for their well wishes. </p> <p>“Last night we played Amazon jungle Stadium/Brazil. Humidity and temperature were sky high. I was dehydrated and was forced to sit for a song,” he said. “We got back on stage in 5 minutes &amp; finished the show.”</p> <p>It was enough for his fans, who were quick to share their delight that their star was okay, as well as voicing their excitement for upcoming shows - with a good portion of requests for the singer to take care of himself, and avoid a repeat performance. </p> <p>“Happy to hear you're doing better,” one wrote. “Even more happy it wasn’t anything serious.Ya'll take care.”</p> <p>“Frankly, I don’t know [how] you do it every night. You’re amazing!” another declared. </p> <p>Meanwhile, some could see the humour in it all now that their fears had been put to rest, with one joking “and who says playing music couldn't be dangerous”.</p> <p><em>Images: Twitter</em></p>

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Nutrition experts bust 10 myths about hydration

<h2>Myth: If you’re thirsty, you’re already dehydrated</h2> <p>Actually, your thirst sensations are a pretty sensitive gauge of your fluid levels. “Dehydration is the body’s natural loss of water through sweat, tears and breathing. The kidneys control the water balance in the body, and when they sense the need for more water replacement, it sends a message to our brains to drink more water by making us feel thirsty,” explains kidney specialist Dr Dara Huang.</p> <h2>Myth: Drink eight glasses of water every day</h2> <p>No question that drinking enough water is important. But the eight glasses advice is a myth, says Dr Huang, and it can be dangerous. “If your heart or kidneys is compromised, drinking too much water can cause congestive heart failure, pulmonary edema, or water intoxication. In these cases, fluid intake should be limited,” she explains.</p> <p>To figure out the magic millilitre-count of aqua that your body needs, you should take many factors into consideration, according to nutritionist Dr Roger E. Adams. “This number may be too much for some and not even close for others, especially if you are a heavy sweater, or simply larger. The larger you are, the more water you need for every function in your body, not to mention replacing sweat. However, if you are smaller or don’t sweat a lot, even less than eight glasses may suffice to maintain water balance,” he notes.</p> <p>When in doubt, talk to your doctor for their expert opinion.</p> <h2>Myth: Always drink water first thing in the AM</h2> <p>You’ve heard it before: “Start your day with a full glass of water.” While you might be thirsty and you might naturally reach for that, Dr Huang says it’s not necessary. “If you have normally functioning kidneys, it may be refreshing to reach for water, but it’s not vital,” she notes. “Some people think that if you go to sleep at midnight and wake up at 8am, you’ve gone at least eight hours without hydrating, so you have to drink water. This isn’t the case. And your urine can give a glimpse too: Your urine is clear because it’s diluted. If your urine is dark, it’s because your kidneys are doing their job to conserve water and it’s concentrated. The first void of the day is usually the darkest,” she notes.</p> <h2>Myth: Coconut water is the best recovery drink</h2> <p>Yes, it’s trendy, and it’s supposed to replenish you after a night on the town or a tough workout. It does contain fewer kilojoules than other potassium-rich fluids – but it’s not always your best option, says Dr Huang: “To prevent dehydration, drinking plain water is just fine. And it’s important to know that coconut water is not for everybody. It can cause dangerously high potassium levels in those who have kidney disease and should be avoided.” When in doubt, start with water and then speak with your doctor if you still feel dehydrated.</p> <h2>Myth: You can’t overhydrate</h2> <p>You know what they say about too much of a good thing, right? It actually becomes a bad thing, and the same is true for H20. People tend to think that you can’t drink too much water – especially novice runners, says Adams. The truth is you can, and it can be lethal. “A condition called hyponatremia, is a result of ingesting too much water thusly causing a decreased concentration of sodium in the body. This can lead to confusion, convulsions, and even death, especially when running,” he shares.</p> <h2>Myth: Water is all you need</h2> <p>You can go longer without food than you can without water, but Adams is quick to note that sometimes good ole’ fashion H20 doesn’t give your system all it needs. Take into consideration how much activity you’re doing, he says, how hot it is outside and how much you’re sweating. “Water is a great fluid replacer for most people, but it isn’t the perfect way to regain water balance for everyone and in every situation,” he says. “Higher amounts of electrolytes are lost when sweat rates increase during longer events or activities in hotter climates. A 10K run in a hot area of the country demands more electrolyte replacement than a walk in chilly temperatures.”</p> <h2>Myth: Electrolyte-enhanced drinks are best</h2> <p>Ever wondered where Gatorade comes from, especially now that this electrolyte sports drink and its ilk have cornered the rehydration market? It’s an interesting story, but you may want to think twice before reaching for these popular beverages, according to Dr Tania Dempsey. You don’t always need one after light activity, and some of the ingredients can be questionable.</p> <p>“The hydrogenated oils they use – particularly brominated vegetable oil, which was taken out of Gatorade but is still present in Powerade – can be harmful to the thyroid,” she explains. (Note that most manufacturers have removed or are planning to remove the ingredient.) “Also, the sugars found in these sports drinks are unhealthy. Powerade still contains high fructose corn syrup, which has been linked to type 2 diabetes. Gatorade recently switched to sugar and dextrose, which might sound better than HFCS but is equally problematic in causing the blood sugar to rise drastically.”</p> <h2>Myth: Caffeine causes dehydration</h2> <p>That daily cup of coffee in the am might be the only thing that ensures you get to your morning planning meeting, but is it drying out your system before you’ve even had a bite of breakfast? According to Adams, the commonly-held belief that coffee makes you dehydrated is plain wrong, especially for the casual coffee or tea drinker. Although large doses of caffeine alone can dehydrate, the water in your coffee and tea more than make up for any dehydrating effects, he explains.</p> <h2>Myth: Only drink extra during exercise</h2> <p>If you think sipping on a diet coke or tea is enough to keep you hydrated because you don’t work out frequently, you might be missing out on some much-needed H2O-induced nutrition – and make sure you know the subtle signs of dehydration. Adams says that many people think they only need water when they’re working up a sweat, but this habit can lead to mild dehydration during the day. Instead, he suggests drinking water throughout the day to make it your go-to beverage: “This is a simple way to ensure you are getting water all day long; not just when exercising. You need water for daily functions, so provide for that and you will ensure hydration the rest of the day,” he says.</p> <h2>Myth: The colour of your urine is the best hydration check</h2> <p>Yes, says Adams, the colour of your urine can be an indicator you need to chug, but there are other important indicators. Plus, if take multivitamins or are on a high-protein diet, the colour could be dark for reasons other than dehydration. “Instead of just looking at the colour, look at volume. The more you put in your body, the more that should come out. If you seldom go to the restroom, that’s a sign you are probably not consuming enough fluids,” he explains. “On the other hand, if you are running to the restroom every 15 minutes, you may be over-consuming fluids.”</p> <p><strong>This article originally appeared on <a href="https://www.readersdigest.com.au/healthsmart/nutrition-experts-bust-10-myths-about-hydration" target="_blank" rel="noopener">Reader's Digest</a>.</strong></p> <p><em>Image: Shutterstock</em></p>

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Why do I wake up thirsty?

<p>If you wake up in the morning feeling thirsty, you might be dehydrated.</p> <p>There are a few things which might be at play here, including not drinking enough the day before.</p> <p>The temperature overnight will also impact your hydration levels, with warm conditions meaning you will sweat overnight.</p> <p>However, even during cold weather, we still lose fluid from breathing, which you’ve probably noticed when your breath becomes visible in the cold.</p> <p>Often people avoid drinking fluids just before bed to avoid waking in the night to visit the toilet, which may further exacerbate dehydration.</p> <p>And one of the commonest causes for waking up thirsty is consuming too many diuretics, especially alcohol. Diuretics are things which cause you to lose fluid through urine, but beyond what you would normally lose from the volume you have consumed.</p> <p>So why is it so important to stay hydrated, and what can we do to ensure we are?</p> <h2>How do I know if I’m dehydrated?</h2> <p>Our brains release a hormone called “antidiuretic hormone” when it senses we are becoming dehydrated. It also releases this during the night to help us retain fluid since we can’t drink water while we sleep.</p> <p>This hormone does two things. It makes us feel thirsty, prompting us to go and drink water, and it tells our kidneys to absorb more water back into the body, rather than turning it into urine.</p> <p>This response occurs when we are dehydrated by 1-2% of our body weight. So if you weigh 70kg, and you have lost 1.4kg of weight over the day, it is a 2% loss of body fluids. (We know this amount of weight loss is fluids and not body weight, as it would almost be impossible for people to lose this amount of fat and/or muscle in a day).</p> <p>The colour of your first morning urine is a really good indicator of how hydrated you are. The darker the colour, the more dehydrated you are. You should be aiming for your first morning urine, as viewed in a white toilet bowl, to be the colour of hay.</p> <h2>Why is hydration important?</h2> <p>Staying hydrated is crucial for the <a href="https://pubmed.ncbi.nlm.nih.gov/19724292/" target="_blank" rel="noopener">optimal functioning of our body</a>.</p> <p>Dehydration, even at 2% of body weight, can impact <a href="https://pubmed.ncbi.nlm.nih.gov/17921463/" target="_blank" rel="noopener">physical performance</a> – this includes things like fine motor skills, coordination, and strength and endurance when working and exercising. It also makes you feel like you are exerting yourself more than normal, which means you will tire more easily.</p> <p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4207053/" target="_blank" rel="noopener">Cognitive performance</a> and ability are also affected at 1-2% dehydration. This includes the ability to concentrate, solve problems and make decisions.</p> <p>Dehydration also increases your risk of feeling more unwell with heat, and of course in heat you are more at risk of dehydration. Health is further impacted if dehydration goes beyond 2%. At about 10% dehydration (so losing 7kg of fluids in a 70kg person), delirium can set in, as well as renal failure and even death.</p> <p>Recommendations tell us we need to consume <a href="https://theconversation.com/do-i-have-to-drink-eight-glasses-of-water-per-day-we-asked-five-experts-93025" target="_blank" rel="noopener">around two litres of fluid</a> per day, much of which can come from the food we eat, and importantly fluid losses <a href="https://pubmed.ncbi.nlm.nih.gov/15673099/" target="_blank" rel="noopener">can be corrected within 24 hours</a>.</p> <h2>What are diuretics and why do they make us dehydrated?</h2> <p>Diuretics are a class of drugs that make the kidneys remove salt and water from the body through urine, usually to treat high blood pressure. But naturally occurring diuretics are also found in our diet.</p> <p>Alcoholic drinks above 4% alcohol concentration cause our body to turn more fluid into urine than the amount of fluid we’re actually drinking. Given most beers, wines and spirits are above this level, a night with friends having a couple of glasses of alcohol may cause dehydration.</p> <p>Coffee is also a diuretic as it contains two chemicals, caffeine and theophylline, which both increase blood flow to the kidneys – this makes them excrete more fluid. Intakes below 450mg of caffeine (about three to four coffees) are unlikely to impact hydration levels, and most people have a lot of milk and water with their coffee which would replenish most of the fluid lost.</p> <p>Other known diuretics include cranberry juice, ginger, fennel, apple cider vinegar and some teas including green, dandelion and nettle. There are <a href="https://link.springer.com/content/pdf/10.1007/s00345-002-0293-0.pdf" target="_blank" rel="noopener">many</a> herbs that are known to be diuretics. However, this does not mean they should be avoided as they offer many other important nutrients, and fluid recommendations account for diuretics in foods consumed in typical serve sizes.</p> <p>Eating foods high in salt does not lead to total water loss from your body, but it causes fluid loss from your cells. This is problematic for your body and the way cells are regulated. So it’s crucial to drink plenty of fluids when consuming a high-salt meal or diet.</p> <h2>How can I stay hydrated?</h2> <p>Activities that lead to increased sweating, such as training, playing sport or even gardening, can cause dehydration. So be sure to increase your fluid intake if you have been active, or if the weather is warm.</p> <p>All fluids contribute to your intake, but water is very effective.</p> <p>Recently a <a href="https://pubmed.ncbi.nlm.nih.gov/26702122/" target="_blank" rel="noopener">group of researchers</a> looked at the potential of different beverages to affect hydration status relative to water.</p> <p>Sparkling water, sports drinks, cola, diet cola, tea and coffee were equivalent to water. Milk (any fat percentage) from either dairy or soy, milk-based meal replacements, oral rehydration solutions and <a href="https://journals.humankinetics.com/view/journals/ijsnem/23/6/article-p593.xml?rskey=JTFcHB&amp;result=603&amp;utm_source=TrendMD&amp;utm_medium=cpc&amp;utm_campaign=International_Journal_of_Sport_Nutrition_and_Exercise_Metabolism_TrendMD_0" target="_blank" rel="noopener">beer</a> under 4% alcohol were superior to water. And of course alcohol above 4% alcohol concentration was inferior to water.</p> <p><strong>This article originally appeared on <a href="https://theconversation.com/why-do-i-wake-up-thirsty-183731" target="_blank" rel="noopener">The Conversation</a>. </strong></p> <p><em>Image: Shutterstock</em></p>

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What happens to your body when you're dehydrated?

<p>Water is essential for human life. It <a href="https://books.google.com.au/books?id=yNVYZopJWlkC&amp;pg=PA215&amp;lpg=PA215&amp;dq=water+50-70%25+of+body+weight&amp;source=bl&amp;ots=CBnXnAeebN&amp;sig=dKK09BVRvNJwwtYknQhoGqpeqIs&amp;hl=en&amp;sa=X&amp;ved=0ahUKEwir_biXmM7KAhWD3KYKHXLuAbwQ6AEIIDAB#v=onepage&amp;q=water%2050-70%25%20of%20body%20weight&amp;f=false">accounts for</a> for 50-70% of our body weight and is crucial for <a href="http://www.ncbi.nlm.nih.gov/pubmed/16028570">most bodily functions</a>.</p> <p>Any deficit in normal body water – through dehydration, sickness, exercise or heat stress – can make us feel rotten. First we feel thirsty and fatigued, and may develop a mild headache. This eventually gives way to grumpiness, and mental and physical decline.</p> <p>We continually lose water via our breath, urine, faeces and skin. Most healthy people regulate their body’s water level remarkably well via eating and drinking, and are guided by appetite and thirst. But this is <a href="http://www.tandfonline.com/doi/abs/10.1080/07315724.2007.10719661?journalCode=uacn20#.VnHh1JN95Bw">more difficult</a> for infants, the sick, the elderly, athletes, and those with strenuous physical occupations, especially in the heat.</p> <h2>What happens when you dehydrate?</h2> <p>By the time you feel thirsty your body is already dehydrated; our thirst mechanism lags behind our actual level of hydration.</p> <p>Research shows that as little as 1% dehydration <a href="http://www.ncbi.nlm.nih.gov/pubmed/17921465">negatively affects</a> your mood, attention, memory and motor coordination. Data in humans is lacking and contradictory, but it appears that <a href="http://www.ncbi.nlm.nih.gov/pubmed/26381562">brain tissue fluid decreases</a> with dehydration, thus reducing brain volume and temporarily affecting cell function.</p> <p>As you “lose” body water <a href="http://onlinelibrary.wiley.com/doi/10.1002/cphy.c130017/pdf">without replacing it</a>, your blood becomes more concentrated and, at a point, this triggers your kidneys to retain water. The result: you urinate less.</p> <p>The thicker and more concentrated your blood becomes, the harder it is for your cardiovascular system to compensate by increasing heart rate to maintain blood pressure.</p> <p>When your dehydrated body is “pushed” – such as when exercising or faced with heat stress – the risk of exhaustion or collapse increases. This can <a href="http://www.aafp.org/afp/2011/0901/p527.pdf">cause you to faint</a>, for instance, when you stand up too quickly.</p> <p>Less water also hampers the body’s attempts at regulating temperature, which can cause <a href="https://en.wikipedia.org/wiki/Hyperthermia">hyperthermia</a> (a body temperature greatly above normal).</p> <p>At a cellular level, “shrinkage” occurs as water is effectively borrowed to maintain other stores, such as the blood. The brain senses this and triggers an increased sensation of thirst.</p> <h2>How much should I drink?</h2> <p>Normal water needs range drastically due to a <a href="http://www.ncbi.nlm.nih.gov/pubmed/16028570">number of factors</a>, such as body composition, metabolism, diet, climate and clothing.</p> <p>Surprisingly, the <a href="http://iom.nationalacademies.org/reports/2004/dietary-reference-intakes-water-potassium-sodium-chloride-and-sulfate.aspx">first official recommendation</a> about water intake was made as recently as 2004. According to the Institute of Medicine, the <a href="http://iom.nationalacademies.org/%7E/media/Files/Activity%20Files/Nutrition/DRIs/DRI_Electrolytes_Water.pdf">adequate water intake</a> for adult men and women is 3.7 and 2.7 litres per day, respectively.</p> <p>Around 80% of total daily water should be obtained from any beverage (including water, caffeinated drinks and alcohol!) and the remaining 20% from food.</p> <p>But of course, this is just a rough guide. Here’s how to <a href="http://www.tandfonline.com/doi/abs/10.1080/07315724.2007.10719661?journalCode=uacn20#.VnHh1JN95Bw">monitor your own hydration</a>:</p> <ol> <li> <p>Track your body weight and stay within 1% of your normal baseline. You can work out your baseline by averaging your weight (just out of bed, before breakfast) on three consecutive mornings.</p> </li> <li> <p>Monitor your urine. You should be urinating regularly (more than three to four times per day) and it should be a pale straw or light yellow colour without strong odour. If less frequent, darker colour or too pungent, then drink more fluids.</p> </li> <li> <p>Be conscious about drinking enough fluids. Your fluid consumption should prevent the perception of thirst.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important; text-shadow: none !important;" src="https://counter.theconversation.com/content/50462/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: http://theconversation.com/republishing-guidelines --></p> </li> </ol> <p><em>Written by <span>Toby Mündel, Senior Lecturer, School of Sport and Exercise, Massey University</span>. Republished with permission of </em><a rel="noopener" href="https://theconversation.com/health-check-what-happens-to-your-body-when-youre-dehydrated-50462" target="_blank"><em>The Conversation</em></a><em>.</em></p>

Body

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How to tell if you are dehydrated

<p>Our bodies are made up of 70 per cent water, so when you’re dehydrated, you are compromising yourself from essential nutrients that are necessary to live a healthy life.</p> <p>While it may seem like dehydration is the simple act of drinking more water, in some cases, the issue can escalate and cause serious problems if pushed to the final stage.</p> <p><strong>So, what is dehydration?</strong></p> <p>When the term dehydration is used, people are generally referring to what medical professionals call “volume depletion” or hypovolaemia.</p> <p>Volume depletion is a reduction in the volume of water in the blood vessels. But dehydration is not the same as hypovolaemia and is something that occurs less frequently.</p> <p>Dehydration is the loss of water from both the body’s cells and blood vessels. Water is responsible for many of the things that require our bodies to function, such as our circulatory, respiratory, gastrointestinal and neurological systems.</p> <p>If taken too far, volume depletion can result in shock and collapse which, if not resuscitated in time, can be fatal.</p> <p><strong>Signs of dehydration</strong></p> <p>If you weigh 70kg, 40kg of that weight is water. So now that you have an indication of just how much water is stored in our bodies, let’s get into how you can decide whether you need an extra boost of hydration.</p> <p>The symptoms of volume depletion are as follows:</p> <ul> <li>Thirst or a dry mouth</li> <li>Dizziness or low blood pressure</li> <li>If in the critical stages, confusion, due to lack of oxygen reaching the brain</li> <li>Your skin doesn’t bounce back right away when pinched</li> <li>Increased heart rate</li> <li>Weight loss</li> </ul> <p>Those especially vulnerable to dehydration are elderly people as the amount of water our body stores reduces as we age. Combine that with other health problems such as chronic kidney disease, dehydration can pose a serious risk to those in a senior age bracket.</p> <p>In order to remain healthy and hydrated, keep an eye out on your water levels, and if you experience any of the above symptoms, start drinking plenty more water and see your GP if necessary.</p>

Body

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Weather warning: The first heatwave of summer set to scorch Australia

<p>Experts have warned to take extra care as scorching heat is set to hit Australia on Friday, with the hottest November day in three years predicted.</p> <p>Very high temperatures were already expected but, hot dessert air coming to the south and south-eastern capitals could make for an even more sweltering day, reports <a rel="noopener" href="https://www.news.com.au/technology/environment/hottest-november-day-for-three-years-predicted-as-desert-heat-mass-creeps-towards-four-capitals/news-story/f9a0f2d29e522496fdf5ce159e75d5e4" target="_blank" title="news.com.au"><em>news.com.au</em></a>.</p> <p>“We’re expecting the hottest temperatures since early 2018 between Wednesday and Friday and some of highest maximum November temperatures for up to three years,” Tom Saunders, meteorologist for Sky News Weather, predicted.</p> <p>NSW, Queensland and South Australia could be hit the hardest with inland areas possibly topping 40C. Sydney may experience temperatures of over 38C and Adelaide 36C. It’s a huge leap in average temperatures for November possibly topping an increase of 10C.</p> <p>But the heat is due to ramp up today with a burst of hot air from inland Queensland moving down to southern states. Adelaide is expected to hit predicted 36C, Port Augusta 39C and the heat will top 40C in the Northern Territory. In Melbourne’s CBD it will be a hot one at 33C, but on Friday, NSW will be one of the hardest hit states, with air conditioners no doubt on overload with an expected 37C and in the western suburbs 40C.</p> <p>If temperatures do crack 37C in Sydney, it will make a record for November as the hottest day in three years.</p> <p>The NSW coast including Sydney is expected to experience a low intensity heatwave according to the Bureau of Meteorology, from Thursday through to Saturday.</p> <p>But if you live in Brisbane, Perth or Hobart you’ll be better off with expected temperatures of 29C to the low-30s, the mid-20s, and 24C respectively.</p> <p>Experts have warned to take extra care during the heatwave particularly the elderly, children, and pets.</p> <p>“Heat can kill which is why it’s so important to stay hydrated and look out for the elderly, the young and pets,” Alan Morrison, NSW Ambulance chief superintendent, told <em>news.com.au</em>.</p> <p>The site reports that almost 4500 people were treated by paramedics for dehydration between December 2017 and March 2018, and many more for heat exhaustion.</p> <p>We may also expect bushfire warnings.</p> <p>“Winds will average 40km/h so that could mean severe fire danger in the Mallee and some parts of South Australia, and fires will be fast moving and difficult to control,” said Saunders.</p> <p>But look forward to the weekend with a cool change expected.</p>

Domestic Travel

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The difference between dry and dehydrated skin

<p><strong><em>With an extensive background in pharmacology and a thorough understanding of NIVEA core ingredients, <a href="http://www.nivea.com.au/" target="_blank"><span style="text-decoration: underline;">NIVEA</span></a> Skincare Expert, Robyn Hutch, has a passion for the intrinsic composition of the skin, and solving common skincare problems. </em></strong></p> <p>It’s time to set the record straight to ensure you’re giving your skin the care it needs this winter.</p> <p>It’s the same story year in, year out – with winter well on its way, we all look to start planning ahead to care for our skin from top-to-toe in the cooler seasons.</p> <p>However, before you select your winter skincare arsenal, let’s take a closer look at our skin to determine whether it is dry or dehydrated. Most people believe these are the same skin conditions, as both tend to look the same, however this is certainly not the case!</p> <p>Not only is there a difference between dry and dehydrated skin, but also the characteristics of the two very different issues which each require a specific skincare regime.</p> <p><strong><span style="text-decoration: underline;">Dry Skin</span></strong></p> <p><strong>What is it?</strong></p> <p>Dry skin is actually a skin type, rather than condition, which can be attributed to a lack of oil in the skin. Oils are produced naturally within the skin, which act as a barrier to help retain moisture. If the amount of oil within our skin is impaired, the skin struggles to retain this moisture which can in turn also affect the absorption of specific products.</p> <p><strong>How can it be identified?</strong></p> <p>Dry skin typically looks quite dull and flaky and can feel very tight. You might also notice that your skin is easily irritated, with the issue becoming more prevalent as you age due to a decrease in sebum production.</p> <p><strong>What’s the solution?</strong></p> <p>Dry skin needs a nourishing product to help replenish the lipids in the epidermis. This includes ensuring your skin receives daily care to help rejuvenate and maintain these essential lipids. Products that contain almond oil are particularly effective, as this popular skincare ingredient contains essential nutrients which support the barrier function of the skin.  There are also a range of other skincare ingredients which can help combat dry skin, including: provitamin B5, aloe vera and argan oil.</p> <p><strong><span style="text-decoration: underline;">Dehydrated skin</span></strong></p> <p><strong>What is it?</strong></p> <p>A problem that can come about any time of the year, dehydrated skin is a condition caused by a lack of water, or moisture in the skin. The condition can often result in oily skin or breakouts, and can be exacerbated by a range of factors including exposure to environmental elements – especially with the use of heaters and the cold winter weather. In extreme cases, dehydrated skin can lead to dry skin.</p> <p><strong>How can it be identified?</strong></p> <p>Dehydrated skin can feel both dry and oily at the same time, so it can often lead to confusion when looking for the most appropriate treatments. Dehydrated skin can also feel flaky and as a result, can often feel itchy.</p> <p><strong>What’s the solution?</strong></p> <p>Dehydrated skin requires water rich products in order to replenish the lack of moisture within the skin. A change in diet, environment and care regime can help also help address dehydrated skin, limiting the excessive use of heaters and extremely hot showers where possible.</p> <p>Do you suffer from dry skin? If so, what do you do to tackle it? Let us know in the comments below.</p> <p><strong>Related links:</strong></p> <p><a href="/lifestyle/beauty-style/2016/05/chemicals-in-beauty-products-to-avoid/"><em><strong><span style="text-decoration: underline;">Chemicals in beauty products everyone should avoid</span></strong></em></a></p> <p><a href="/lifestyle/beauty-style/2016/05/diy-skin-care-tips-that-are-bad-for-you/"><strong><em><span style="text-decoration: underline;">5 DIY skin care tips that are bad for you</span></em></strong></a></p> <p><a href="/lifestyle/beauty-style/2016/04/home-remedies-for-sagging-skin/"><em><strong><span style="text-decoration: underline;">5 home remedies for sagging skin</span></strong></em></a></p>

Beauty & Style

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Why you should use body oils for dehydrated skin

<p>If the lotion just isn't cutting it in terms of moisturising, then body oil is going to become your friend. We have a few secrets to share about them.</p> <p>After a summer of dehydrating sunlight and conditioned air, it's no wonder your skin can resemble that of a lizard. All that swimming in salt water and chlorine only makes matters worse. Now is the time to try and undo the damage. However, sitting in front of a heater all day is far from helping.</p> <p>Instead of relying on your moisturising body wash to do all the work, there's something you can do beforehand to help your skin out.</p> <p>The idea may seem a little cuckoo, but have a go at applying body oil generously to your skin before you shower. Doing this works by protecting the skin from the harshness of the water – although it's easy to think that water doesn't damage the skin, in fact it does and hot water, which we are all most inclined to opt for, is even worse. Water strips the skin of the protective layer that lays on the epidermis (our outer layer of skin), which we all naturally have, which in turn opens the door for dryness. Constant showering, swimming, spas all wreak havoc with hydration.</p> <p>And why stop there? Amp up the moisture levels even more by repeating this step once you have got out of the shower to lock in hydration and keep it in.  Layering is also an option – why not apply body oil and then follow this up by adding a body lotion to the mix. This will sink beautifully into the skin and give you a longer-lasting feeling of protection.</p> <p>Choices aside, the most important thing to remember is that applying something to your skin to retain moisture and rehydrate thirsty skin will work wonders for you this season. </p> <p><em>Written by Sarah Simpson. First appeared on</em> <a href="http://www.stuff.co.nz/" target="_blank"><strong><em><span><span style="text-decoration: underline;">Stuff.co.nz</span>.</span></em></strong></a></p> <p><strong>Related links:</strong></p> <p><strong><span style="text-decoration: underline;"><em><a href="http://www.oversixty.co.nz/lifestyle/beauty-style/2016/02/how-to-make-your-own-facemask/">How to make your own face mask</a></em></span></strong></p> <p><strong><span style="text-decoration: underline;"><em><a href="http://www.oversixty.co.nz/lifestyle/beauty-style/2016/01/make-beauty-products-last-longer/">12 tricks to save every last drop of beauty product</a></em></span></strong></p> <p><strong><span style="text-decoration: underline;"><em><a href="http://www.oversixty.co.nz/lifestyle/beauty-style/2016/01/natural-ways-to-reduce-dark-skin-spots/">7 natural ways to reduce dark spots</a></em></span></strong></p>

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