Body-mass manipulation was present in all combat sports, with the prevalence and magnitude of acute weight loss greater in MMA. The incidence of and practices reported will help support staff be fully aware of the variety of methods these athletes and coaches may use to achieve weight loss. Additionally, the results could aid regulatory bodies in the further development of policies on weight cutting.

In combat sports, athletes are divided into categories based on gender and body mass. Athletes attempt to compete against a lighter opponent by losing body mass prior to being weighed (i.e., ‘weight-cutting’). The purpose of this narrative review was to explore the current body of literature on weight-cutting and outline gaps for further research. Methods of weight-loss include energy intake restriction, total body fluid reduction and pseudo extreme/abusive medical practice (e.g., diuretics). The influence of weight-cutting on performance is unclear, with studies suggesting a negative or no effect. However, larger weight-cuts (~5% of body mass in <24 h) do impair repeat-effort performance. It is unclear if the benefit from competing against a smaller opponent outweighs the observed reduction in physical capacity. Many mechanisms have been proposed for the observed reductions in performance, ranging from reduced glycogen availability to increased perceptions of fatigue. Athletes undertaking weight-cutting may be able to utilise strategies around glycogen, total body water and electrolyte replenishment to prepare for competition. Despite substantial discussion on managing weight-cutting in combat sports, no clear solution has been offered. Given the prevalence of weight-cutting, it is important to develop a deeper understanding of such practices so appropriate advice can be given.

Barley, OR, Iredale, F, Chapman, DW, Hopper, A, and Abbiss, C. Repeat effort performance is reduced 24 hours after acute dehydration in mixed martial arts athletes. J Strength Cond Res 32(9): 2555-2561, 2018-This study sought to determine the influence of acute dehydration on physical performance and physiology in mixed martial arts (MMA). Mixed martial arts athletes (n = 14; age: 23 ± 4 years) completed in a randomized counterbalanced order a dehydration protocol, (DHY: 3-hour cycling at 60 W in 40° C to induce 5% dehydration) or thermoneutral control (25° C: CONT) exercise, followed by ad libitum fluid/food intake. Performance testing (a repeat sled push test, medicine ball chest throw, and vertical jump) was completed 3 hours and 24 hours after the intervention, whereas urine and blood samples were collected before, 20 minutes, 3 hours, and 24 hours after the intervention. Body mass was reduced (4.8 ± 0.8%) after DHY (p < 0.001) and remained lower than CONT at 3 hours and 24 hours after DHY (p = 0.003 and p = 0.024, respectively). Compared with CONT, average sled push times were slower 3 hours and 24 hours after DHY (19 ± 15%; p = 0.001; g = 1.229 and 14 ± 15%; p = 0.012; g = 0.671, respectively). When compared with the CONT, handgrip was weaker 3 hours after DHY (53 ± 8 and 51 ± 8 kg; p = 0.044, g = 0.243, respectively) and medicine ball chest throw distances were shorter 24 hours after DHY (474 ± 52 and 449 ± 44 cm; p = 0.016, g = 0.253, respectively). No significant differences were observed in vertical jump (p = 0.467). Urine specific gravity was higher than CONT 20 minutes (p = 0.035) and 24 hours (p = 0.035) after DHY. Acute dehydration of 4.8% body mass results in reduced physical performance 3 and 24 hours after DHY. There is need for caution when athletes use dehydration for weight loss 24 hours before competition.

Background Despite a substantial body of research, no clear best practice guidelines exist for the assessment of hydration in athletes. Body water is stored in and shifted between different sites throughout the body complicating hydration assessment. This review seeks to highlight the unique strengths and limitations of various hydration assessment methods described in the literature as well as providing best practice guidelines. Main body There is a plethora of methods that range in validity and reliability, including complicated and invasive methods (i.e. neutron activation analysis and stable isotope dilution), to moderately invasive blood, urine and salivary variables, progressing to non-invasive metrics such as tear osmolality, body mass, bioimpedance analysis, and sensation of thirst. Any single assessment of hydration status is problematic. Instead, the recommended approach is to use a combination, which have complementary strengths, which increase accuracy and validity. If methods such as salivary variables, urine colour, vital signs and sensation of thirst are utilised in isolation, great care must be taken due to their lack of sensitivity, reliability and/or accuracy. Detailed assessments such as neutron activation and stable isotope dilution analysis are highly accurate but expensive, with significant time delays due to data analysis providing little potential for immediate action. While alternative variables such as hormonal and electrolyte concentration, bioimpedance and tear osmolality require further research to determine their validity and reliability before inclusion into any test battery. Conclusion To improve best practice additional comprehensive research is required to further the scientific understanding of evaluating hydration status.

Introduction/Purpose: This study examined the influence of acute dehydration on neuromuscular function.Methods: On separate days, combat sports athletes experienced in acute dehydration practices (n = 14) completed a 3 h passive heating intervention (40°C, 63% relative humidity) to induce dehydration (DHY) or a thermoneutral euhydration control (25°C, 50% relative humidity: CON). In the ensuing 3 h ad libitum fluid and food intake was allowed, after which participants performed fatiguing exercise consisting of repeated unilateral knee extensions at 85% of their maximal voluntary isometric contraction (MVIC) torque until task failure. Both before and after the fatiguing protocol participants performed six MVICs during which measures of central and peripheral neuromuscular function were made. Urine and whole blood samples to assess urine specific gravity, urine osmolality, haematocrit and serum osmolality were collected before, immediately and 3 h after intervention.Results: Body mass was reduced by 3.2 ± 1.1% immediately after DHY (P < 0.001) but recovered by 3 h. Urine and whole blood markers indicated dehydration immediately after DHY, although blood markers were not different to CON at 3 h. Participants completed 28% fewer knee extensions at 85% MVIC (P < 0.001, g = 0.775) and reported a greater perception of fatigue (P = 0.012) 3 h after DHY than CON despite peak torque results being unaffected. No between-condition differences were observed in central or peripheral indicators of neuromuscular function at any timepoint.Conclusion: Results indicate that acute dehydration of 3.2% body mass followed by 3 h of recovery impairs muscular strength-endurance and increases fatigue perception without changes in markers of central or peripheral function. These findings suggest that altered fatigue perception underpins muscular performance decrements in recovery from acute dehydration.