Educational intervention on water intake improves hydration status and enhances exercise performance in athletic youth

S. A. Kavouras, G. Arnaoutis, M. Makrillos, C. Garagouni, E. Nikolaou, O. Chira, E. Ellinikaki, L. S. Sidossis

Research output: Contribution to journalArticlepeer-review

61 Scopus citations


We aimed to evaluate whether an intervention program emphasizing in increased fluid intake can improve exercise performance in children exercising in the heat. Ninety-two young athletes participated in the study (age: 13.8 ± 0.4 years, weight: 54.9 ± 1.5kg). Thirty-one (boys: 13, girls: 18) children served as the control group (CON) and 61 (boys: 30, girls: 31) as the intervention (INT). Volunteers had free access to fluids. Hydration was assessed on the basis of first morning urine. A series of field tests were used to evaluate exercise performance. All tests occurred outdoors in the morning (mean ambient temperature=28°C). After baseline testing, INT attended a lecture on hydration, and urine color charts were mounted in all bathrooms. Additionally, water accessibility was facilitated in training, dining and resting areas. Hydration status was improved significantly in the INT [USG: pre=1.031 ± 0.09, post=1.023 ± 0.012, P<0.05; urine osmolality (mOsm/kg water): pre=941 ± 30, post=782 ± 34, P<0.05], while no statistically significant changes were found in the CON [USG: pre=1.033 ± 0.011, post=1.032 ± 0.013, P>0.05; urine osmolality (mOsm/kg water) 970 ± 38 vs 961 ± 38, P>0.05]. Performance in an endurance run was improved significantly only in INT (time for 600m: pre=189 ± 5s, post=167 ± 4s, P<0.05). Improving hydration status by ad libitum consumption of water can enhance performance in young children exercising in the heat.

Original languageEnglish (US)
Pages (from-to)684-689
Number of pages6
JournalScandinavian Journal of Medicine and Science in Sports
Issue number5
StatePublished - Oct 2012
Externally publishedYes


  • Children
  • Dehydration
  • Environmental symptoms questionnaire
  • Fluid ingestion
  • Hydration state
  • Sport camp
  • Urine specific gravity

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation


Dive into the research topics of 'Educational intervention on water intake improves hydration status and enhances exercise performance in athletic youth'. Together they form a unique fingerprint.

Cite this