Glycerol
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Course Outline
Lecture Notes
Readings
Assay Manual
Experiments
Assays

Influence of Glycerol Ingestion on the Blood Glycerol Response

Background :

Despite almost 15 years of research on glycerol ingestion and hydration, and another 30 years of research on the clinical applications of glycerol ingestion, there is still confusion over the best method for ingesting glycerol and water to promote a hyper-hydration. This is unfortunate, as most researchers who study glycerol ingestion and body hydration have subjects ingest in excess of 90 g of glycerol and 26 mL/kg of total fluid.  Typically, this regimen results in significant feelings of nausea, as well as symptoms of blurred vision, head ache, and dizziness.

Purpose:

You are to have one of your team ingest distilled water and then a glycerol solution to track changes in serum and urine osmolality and glycerol.  

Experimental Procedure:

The subject will empty their bladder and then ingest 8 ml/kg of distilled water.

Place a catheter in an antecubital vein.  Keep patent with a 1 mL flush of sterile saline every 10 min.

Once cathetered draw a baseline blood sample at 25 min after water ingestion is complete.

At 30 min post-ingestion, have the subject drink 0.75 g glycerol/kg body weight (make sure you measure and record this added volume) followed by 16 mL/kg distilled water.

Complete symptom sheets for the first hour (min 30, 45, 60, 75 and 90).

At 45, 60, 75, 90, 120 and 150 min, draw a blood sample and have the subject empty his/her bladder.

Process blood samples to get serum samples for subsequent glycerol and osmolality analyses.

Measure and record all urine volumes, and store a 2 mL sample for osmolality analysis.

Repeat all of the above on a separate day.  Instead of the glycerol ingestion, have the subject ingest the added volume as distilled water.

 Data Analyses :

Graph the changes in blood and urine glycerol for each trial.

Explain the blood and urine glycerol differences between trials.

Based on the data, can we recommend glycerol ingestion to improve hydration?

 

References

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 Frank, M.S.B., M.C. Nahata, and M.D. Hilty. Glycerol: a review of its pharmacology, pharmacokinetics, adverse reactions, and clinical use. Pharmacotherapy 1:147-160, 1981.

 Freund, B.J., S.J. Montain, A.J. Young, M.N. Sawka, J.P. DeLuca, K.B. Pandolf, and C.R. Valeri. Glycerol hyperhydration: hormonal, renal, and vascular fluid responses. J. Appl. Physiol. 79(6):2069-2077, 1995.

 Gleeson, M., R.J. Maughan, and P.L. Greenhaff. Comparison of the effects of pre-exercise feeding of glucose, glycerol and placebo on endurance and fuel homeostasis in man. Eur. J. Appl. Physiol. 55:645-653, 1986. 

Greenleaf JE, Looft-Wilson R, Wisherd JL, Jackson CGR, Fung PP, Ertl AC, Barnes PR, Jensen CD, Whittam JH. Hypervolemia in men from fluid ingestion at rest and during exercise. Aviation Space Environ Med. 1998;69(4):478-386.

 Hagnevik, K., E. Gordon, L.E. Lins, S. Wilhelmsson, and D. Forster. Glycerol-induced haemolysis with haemglobinuria and acute renal failure: report of three cases. Lancet I:75-77, 1974.

 Hitchins S, Martin DT, Burke L, Yates K, Fallon K, Hahn A, Dobson GP. Glycerol hyperhydration improves cycle time trial performance in hot humid conditions. Eur J Appl Physiol 1999;80:494-501.

 Johnson, V., A.J. Carlson, and A. Johnson. Studies on the physiological action of glycerol on animal organism. Am. J. Physiol. 103:517-534, 1933.

 Koenigsberg, P.S., K.K. Martin, H.R. Hlava, and M.L. Riedesel. Sustained hyperhydration with glycerol ingestion. Life Sci. 5(7):645-653, 1995.

 Kruhoffer, P., and O.I. Nissan. Handling of glycerol in the kidney. Acta Physiol. Scand. 59:284-294, 1963.

 Lin, E.C. Glycerol utilization and its regulation in mammals. Ann. Rev. Biochem. 46:765-795, 1977.

 Lyons, T.P., M.L. Riedesel, L.E. Meuli, and T.W. Chick.  Effects of glycerol-induced hyperhydration prior to exercise in the heat on sweating and core temperature. Med. Sci. Sports Exerc. 22(4):477-483, 1990.

 Montner, P., D.M. Stark, M.L. Riedesel, G. Murata, R.A. Robergs, M. Timms, T.W. Chick. Pre-exercise glycerol hydration improves cycling endurance time. Int. J. Sports Med. 17(1):27-33, 1996.

 Montner, P., Y. Zou, R.A. Robergs, G. Murata, D.M. Stark, C. Quinn, S. Wood, D. Lium, and E.R. Greene. Glycerol-enhanced hydration reduces free water clearance and increases cardiac stroke.  JEPonline 2(1), 1999.  

 McCurdy, D.K., B. Schneider, and H. Schele. Oral glycerol: the mechanism of intraoccular hypotension. Am. J. Opthalmol. 61:1244-1249, 1966.

 Murray, R., D.E. Eddy, G.L. Paul, J.G. Seifert, and G.A. Halaby. Physiological responses to glycerol ingestion during exercise. J. Appl. Physiol. 71(1):144-149, 1991.

 Noakes, T.D.  Fluid replacement during exercise.  Exerc. Sport Sci. Rev.  21:297-330, 1993. 

 Riedesel, M.L., D.Y. Allen, G.T. Peake, and K. Al-Qattan. Hyperhydration with glycerol solutions. J. Appl. Physiol. 63(6):2262-2268, 1987.

 Robergs, R.A. and S.E. Griffin.  Glycerol:  Biochemistry, Pharmacokinetics and Clinical and Practical Applications.  Sports Med.  26(3):145-167, 1998. 

 Rottenberg, D.A., B.J. Hurwitz, and J.B. Posner. The effect of oral glycerol on intraventricular pressure in man. Neurology 27:600-608, 1977.

 Shirreffs, S.M., A.J. Taylor, J.B. Leiper, and R.J. Maughan.  Post-exercise rehydration in man:  effects of volume consumed and drink sodium content.  Med. Sci. Sports Exerc.  28(10):1260-1271, 1996. 

 Sommer, S., R. Nau, E. Wieland, and H.W. Prange. Pharmacokinetics of glycerol adminstered orally in healthy volunteers. Arzneimittel Forschung-Drug Research 43(7):744-747, 1993.

 Tourtellotte, W.W., J.L. Reinglass, and T.A. Newkirk. Cerebral dehydration action of glycerol. Clin. Pharmacol. Ther. 13:159-171, 1972.

 Winkler, B., R. Steele, and N. Altszuler. Relationship of glycerol uptake to plasma glycerol concentration in the normal dog. Am. J. Physiol. 216:191-196, 1969.