Transition duration of ingested deuterium oxide to eccrine sweat during exercise in the heat

The time necessary for the initial appearance of ingested water as sweat during exercise in the heat remains unknown. Based on the current literature, we estimated fluid transition through the body, from ingestion to appearance as sweat, to have a minimum time duration of approximately three minutes. The purpose of this study was to test this prediction and identify the time necessary for the initial enrichment of deuterium oxide (D₂O) in sweat following ingestion during exercise in the heat. Eight participants performed moderate intensity (40% of maximal oxygen uptake) treadmill exercise in an environmental chamber (40 °C, 40% rH) to induce active sweating. After fifteen minutes, while continuing to walk, participants consumed D₂O (0.15 ml kg⁻¹) in a final volume of 50 ml water. Scapular sweat samples were collected one minute prior to and ten minutes post-ingestion. Samples were analyzed for sweat D₂O concentration using isotope ratio mass spectrometry and compared to baseline. Mean±SD ∆ sweat D₂O concentration at minutes one and two post-ingestion were not significantly higher than baseline (0 min). Minutes three (9±3 ppm) through ten (23±11 ppm) post-ingestion had ∆ sweat D₂O concentrations significantly (P<0.05) higher than baseline. Such results suggest that ingested water rapidly transports across the mucosal membrane of the alimentary canal into the vasculature space, enters the extravascular fluid, and is actively secreted by the eccrine sweat glands onto the surface of the skin for potential evaporation in as little as three minutes during exercise in the heat.