HYDRATION KNOWLEDGE, ATTITUDES AND PRACTICES AMONG UNIVERSITY ATHLETES AND RECREATIONAL SPORTS PLAYERS IN THE KLANG VALLEY
DOI:
https://doi.org/10.24191/mjssr.v22i1.9166Keywords:
Hydration Knowledge, Attitudes towards Hydration, Hydration Practices, University Athletes, Recreational Sports PlayersAbstract
Hydration plays an important role in athletic performance and in prevention of heat stroke and injuries. Lack of hydration knowledge may lead to dehydration that can impair performance and health. This cross-sectional study aimed to determine the associations between hydration knowledge, attitudes towards hydration, and hydration practices among university athletes and recreational sports players in the Klang Valley. A total of 193 university students aged 18-24 years old participated in the study, with 79 of them being university athletes and 114 were recreational sports players (engaged in sports at least 4 hours per week). Anthropometric measurements were conducted. Body fat percentage and muscle mass were measured using a bioelectrical impedance analysis (BIA) machine. Physical activity level was assessed using the International Physical Activity Questionnaire-Short Form (IPAQ-SF). Hydration knowledge, attitudes and practices were obtained through a self-administered questionnaire. Majority of the participants were male (84.5%) and the most common type of sports played was basketball (42%). The mean physical activity level was 10,990.54±3,987.05 MET-mins/week. The mean body fat percentage and muscle mass was 19.64±5.83% and 30.62±4.31 kg, respectively. Only 33.7% of the participants had sufficient knowledge on hydration. Hydration knowledge (r=0.730, p<0.001) and attitudes towards hydration (r=0.688, p<0.001) were positively associated with hydration practices. Sex (B=1.046, p<0.001), age (B=0.190, p=0.003), muscle mass (B=0.136, p<0.001), body fat percentage (B=-0.890, p<0.001), hydration knowledge (B=0.060, p<0.001), and attitudes towards hydration (B=0.051, p=0.024), were significant predictors of hydration practices. Thus, providing knowledge on hydration and inculcating positive attitudes towards hydration may improve hydration practices among university athletes and recreational sports players.
References
Amawi, A., AlKasasbeh, W., Jaradat, M., Almasri, A., Alobaidi, S., Hammad, A. A., Bishtawi, T., Fataftah, B., Turk, N., Saoud, H. Al, Jarrar, A., & Ghazzawi, H. (2024). Athletes’ nutritional demands: a narrative review of nutritional requirements. Frontiers in Nutrition, 10, 1331854. https://doi.org/10.3389/FNUT.2023.1331854
Armstrong, L. E. (2021). Rehydration during Endurance Exercise: Challenges, Research, Options, Methods. Nutrients, 13(3), 887. https://doi.org/10.3390/NU13030887
Cheuvront, S.N. and Kenefick, R.W. (2014). Dehydration: physiology, assessment, and performance effects. Comprehensive Physiology, 4(1), pp.257–285. https://doi.org/10.1002/cphy.c130017.
Cherian, K.S., Gavaravarapu, S.M., Sainoji, A., and Yagnambhatt, V.R. (2020). Coaches’ perceptions about food, appetite, and nutrition of adolescent Indian athletes- A qualitative study. Heliyon, 6, e03354. https://doi.org/10.1016/j.heliyon.2020.e03354.
Craig, C., Marshall, A., Sjostrom, M., Bauman, A., Lee, P., Macfarlane, D., & Stewart, S. (2017). International physical activity questionnaire-short form. J Am Coll Health, 65(7), 492-501.
Dube, A., Gouws, C., & Breukelman, G. (2022). Effects of hypohydration and fluid balance in athletes’ cognitive performance: a systematic review. African Health Sciences, 22(1), 367–376. https://doi.org/10.4314/AHS.V22I1.45,
Esa, N. H., Saad, H. A., Phing, C. H., & Karppaya, H. (2015). Knowledge, attitudes and behaviours regarding hydration and hydration status of malaysian national weight category sports athletes. Journal of Physical Education and Sport, 15(3), 452–459. https://doi.org/10.7752/jpes.2015.03068
Guiama, V.D., Kemdjeu, J.H., Kembe, A., Enone, B.S., Tchingnabe, J.T., Ngah, E., Etamé-Loé, G.M-M., and Koubé, J. (2025). Hydration Knowledge and Practices Among School Athletes and Coaches in Tropical Area. European Journal of Nutrition & Food Safety, 17(3), 357-368. https://doi.org/10.9734/ejnfs/2025/v17i31673.
IOM, Institute of Medicine. (2005). Dietary reference intakes for water, potassium, sodium, chloride, and sulfate. The National Academies Press, Washington, DC.
Judge, L. W., Bellar, D. M., Popp, J. K., Craig, B. W., Schoeff, M. A., Hoover, D. L., Fox, B., Kistler, B. M., & Al-Nawaiseh, A. M. (2021). Hydration to Maximize Performance and Recovery: Knowledge, Attitudes, and Behaviors Among Collegiate Track and Field Throwers. Journal of Human Kinetics, 79(1), 111. https://doi.org/10.2478/HUKIN-2021-0065
Jusoh, N., & Salim, S. (2019). Association between hydration status, hydration knowledge and fluid consumption during training among soccer players. Physical Education of Students, 23(1), 23–29. https://doi.org/10.15561/20755279.2019.0104
Jusoh, N. (2014). Relationship Between Hydration Status, Hydration Knowledge and Fluid Intake Behaviour Among School Athletes of Selected Perak Sport Schools. Malaysia Journal of Sports Science and Physical Education, 2(1), 11–19. http://jsspj.upsi.edu.my/
Jusoh, N., Lee, J. L. F., Tengah, R. Y., Azmi, S. H., & Suherman, A. (2021). Association between nutrition knowledge and nutrition practice among Malaysian adolescent handball athletes. Malaysian Journal of Nutrition, 27(2), 279–291. https://doi.org/10.31246/MJN-2020-0113
Kenefick, R.W., and Cheuvront, S.N. (2012). Hydration for recreational sport and physical activity. Nutrition Reviews, 70(Suppl. 2), S137-S142. https://doi.org/10.1111/j.1753-4887.2012.00523.x.
Laja García, A., Moráis-Moreno, C., Samaniego-Vaesken, M., Puga, A., Varela-Moreiras, G. and Partearroyo, T. (2019). Association between Hydration Status and Body Composition in Healthy Adolescents from Spain. Nutrients, 11(11), p.2692. https://doi.org/10.3390/nu11112692.
Lorenzo, I., Serra-Prat, M. and Yébenes, J.C. (2019). The Role of Water Homeostasis in Muscle Function and Frailty: A Review. Nutrients, 11(8). https://doi.org/10.3390/nu11081857.
Lu, H., Ayers, E., Patel, P., and Mattoo, T.K. (2023). Body water percentage from childhood to old age. Kidney Research and Clinical Practice, 42(3), 340-348. https://doi.org/10.23876/j.krcp.22.062.
Magee, P. J., Gallagher, A. M., & McCormack, J. M. (2017). High prevalence of dehydration and inadequate nutritional knowledge among university and club level athletes. International Journal of Sport Nutrition and Exercise Metabolism, 27(2), 158–168. https://doi.org/10.1123/IJSNEM.2016-0053.
Malik, Z. A., Rahim, N. A., Nadzalan, A. M., & Abdullah, M. A. (2022). Hydration Knowledge, Fluid Replacement Habit and Hydration Status among Development Athletics Athletes in Malaysian Sports School Pahang. International Journal of Human Movement and Sports Sciences, 10(4), 10–14. https://doi.org/10.13189/saj.2022.101302.
McCauley, L.R., Dyer, A.J., Stern, K., Hicks, T. and Nguyen, M.M. (2012). Factors Influencing Fluid Intake Behavior Among Kidney Stone Formers. Journal of Urology, 187(4), 1282–1286. https://doi.org/10.1016/j.juro.2011.11.111.
McKinney, J., Velghe, J., Fee, J., Isserow, S. and Drezner, J.A. (2019). Defining Athletes and Exercisers. The American Journal of Cardiology, 123(3), 532–535. https://doi.org/10.1016/j.amjcard.2018.11.001.
Nishida, C., Barba, C., Cavalli-Sforza, T., Cutter, J., Deurenberg, P., Darnton-Hill, I., Deurenberg-Yap, M., Gill, T., James, P., Ko, G., Kosulwat, V., Kumanyika, S., Kurpad, A., Mascie-Taylor, N., Moon, H. K., Nakadomo, F., Nishida, C., Noor, M. I., Reddy, K. S., … Zimmet, P. (2004). Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. The Lancet, 363(9403), 157–163. https://doi.org/10.1016/S0140-6736(03)15268-3.
Papaoikonomou, G., Apergi, K., and Malisova, O. (2025). Children, Adolescents and Urine Hydration Indices—A Systematic Literature Review on Athletes and Non-Athletes. Children, 12, 171. https://doi.org/10.3390/children12020171.
Sedek, R., Mohamad, M.M. and Kasim, Z.M. (2015). Knowledge, Attitudes and Practices on Hydration and Fluid Replacement among Endurance Sports Athletes in National University of Malaysia (UKM). Pakistan Journal of Nutrition, 14(10), pp.658–665. https://doi.org/10.3923/pjn.2015.658.665.
Zhang, J., Chen, Y., Zhao, X., Li, X., Wen, W., Wu, W., Zou, M. and Qiu, J. (2025). Hydration behaviors, knowledge, and attitudes among Chinese recreational marathon runners: a cross-sectional study. Frontiers in Nutrition, 12, 1621966. https://doi.org/10.3389/fnut.2025.1621966.
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