Hypohydration Decreases Neuromuscular Performance before and after Intermittent Exercise in the Heat.

Elliott, Kelly B; Keefe, Marcos S; Dunn, Ryan A; Palmer, Ty B; Lepley, Adam S; Sekiguchi, Yasuki · Med Sci Sports Exerc · 2026

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Abstract

To examine the effect of hydration status on neuromuscular performance before and after intermittent exercise in the heat. Eleven male soccer players (age, 20 ± 2 years; height, 179.0 ± 7.9 cm; body mass, 74.9 ± 10.3 kg; maximal oxygen consumption, 62.4 ± 11.5 mL·kg -1 ·min -1 ) performed a familiarization trial involving ultrasound (cross-sectional area and muscle thickness), landing error scoring system, and isometric knee extensions (rate of torque development [RTD]; time intervals of 0-30 ms [RTD 30], 0-50 ms [RTD 50], 0-100 ms [RTD 100], and 0-200 ms [RTD 200] from contraction onset). After this, participants completed 45-min of intermittent exercise in the heat (33ºC, 30% relative humidity) as part of familiarization. Experimental trials replicated the same protocol of pre and post neuromuscular testing separated by two 45-minute intermittent exercise bouts in the heat. Two experimental trials (euhydrated [EUH] and hypohydrated [HYP]) were randomly assigned; EUH maintained euhydration throughout the trial; HYP performed a 24-h fluid restriction before the trial. Before and after exercise, urine specific gravity, urine osmolality, and body mass loss were measured. A linear mixed effect model with Tukey post hoc was utilized to assess differences between trials. Cross-sectional area of the rectus femoris was smaller in HYP pre (13.3 ± 2.4 cm 2 ) compared with EUH pre (14.0 ± 2.6 cm 2 ), and in HYP post (12.7 ± 2.4 cm 2 ) compared with EUH post (14.0 ± 2.6 cm 2 ) ( P < 0.05). Independent of time, muscle thickness was also smaller in HYP (2.27 ± 0.2 cm) compared with EUH (2.45 ± 0.2 cm, P < 0.05). Furthermore, landing error scoring system scores were higher in HYP (4.1 ± 2.0) compared with EUH (2.9 ± 2.0, P < 0.05). RTD 30, 50, and 100 were all lower in HYP (326 ± 138 Nm·s -1 ; 441 ± 207 Nm·s -1 ; 648 ± 302 Nm·s -1 ) compared with EUH (427 ± 175 Nm·s -1 ; 584 ± 282 Nm·s -1 ; 796 ± 392 Nm·s -1 , P < 0.05), respectively. Additionally, urine specific gravity, urine osmolality, and body mass loss were all higher in HYP compared with EUH (P < 0.05). Hypohydration can negatively impact neuromuscular performance before and after intermittent exercise in the heat.

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