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Date November 2020 Marks available 2 Reference code 20N.3.SL.tz0.10
Level Standard Level Paper Paper 3 Time zone time zone 0
Command term Calculate Question number 10 Adapted from N/A

Question

A study considered the hydration status of 345 athletes. To assess validity, the best urine measure of hydration (urine osmolarity) was compared with four other measures (urine specific gravity; urine colour; thirst perception scale; and bioelectrical impedance analysis).

Correlation to urine osmolarity is shown in the scattergrams.

[Source: Fernández-Elías VE, Martínez-Abellán A, López-Gullón JM,
Morán-Navarro R, Pallarés JG, De la Cruz-Sánchez E, et al. (2014) Validity of Hydration Non-Invasive
Indices during the Weightcutting and Official Weigh-In for Olympic Combat Sports. PLoS ONE 9(4): e95336.
https://doi.org/10.1371/journal.pone.0095336. © 2014 Fernández-Elías et al. Published under the terms of
Creative Commons CC by 4.0 licence: https://creativecommons.org/licenses/by/4.0.]

State the measure with a non-significant correlation to urine osmolarity.

[1]
a.i.

Calculate the difference in the strength of the correlation (r) with urine osmolarity between urine colour and thirst perception scale.

[2]
a.ii.

Urine osmolarity is considered the most accurate measure of hydration that does not require blood. Comment on the relative validity of each of the other methods in this study.

[2]
a.iii.

State two reasons why water is vital to sustain human life.

[2]
b.

Discuss regulation of electrolyte balance in endurance exercise.

[3]
c.

Markscheme

bioelectrical impedance analysis;

a.i.

0.74 – 0.30;

= 0.44;

Accept in different order.

a.ii.

urine specific gravity is the most strongly related to urine osmolarity / therefore the most valid;

urine colour strongly positively related to urine osmolarity / therefore valid;

thirst perception scale only shows a small positive relationship with urine osmolarity / therefore questionable validity;

bioelectrical impedance is unrelated to urine osmolarity / therefore not valid;

a.iii.

basic substance for all metabolic processes in the body;

regulates body temperature;

enables transport of substances essential for growth;

allows for the exchange of nutrients and aids the removal/excretion of metabolic end products;

b.

electrolyte balance can become a problem when electrolyte levels are too high or too low/balance is disrupted;

athletes lose large amounts of water through sweat, which must be replaced;

profuse sweating includes loss of sodium/electrolytes;

too much water intake can dilute electrolyte balance / hyponatremia;

cramping;

fewer electrolytes are lost through urine, as urine production declines;

dehydration induces ADH, which promotes the retention of sodium;

c.

Examiners report

No issues.

a.i.

No issues.

a.ii.

No issues.

a.iii.

No issues.

b.

Candidates struggled with the application nature of this question.

c.

Syllabus sections

Option D: Nutrition for sports, exercise and health » D.2. Water and electrolyte balance » D.2.6. Describe how the hydration status of athletes can be monitored.
Option D: Nutrition for sports, exercise and health » D.2. Water and electrolyte balance
Option D: Nutrition for sports, exercise and health

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