Multiple regression analyses to determine the effect of sweating rate and tattoo characteristics on sweat outcome measures during exercise

David M Keyes, Shyretha D Brown, Michelle A King, Megan D Engel, Matthew Ciciora-Gold, Peter John D De Chavez, Lindsay B Baker, David M Keyes, Shyretha D Brown, Michelle A King, Megan D Engel, Matthew Ciciora-Gold, Peter John D De Chavez, Lindsay B Baker

Abstract

Purpose: To compare local sweating rate (LSR) and local sweat sodium ([Na+]), chloride ([Cl-]), and potassium ([K+]) concentrations of tattooed skin and contralateral non-tattooed skin during exercise.

Methods: Thirty-three recreational exercisers (17 men, 16 women) with ≥ 1 unilateral permanent tattoo on the torso/arms were tested during cycling, running, or fitness sessions (26 ± 4 °C and 54 ± 13% relative humidity). Forty-eight tattoos with a range of ink colors, ages (3 weeks to 20 years), and densities (10-100%) were included. Before exercise, the skin was cleaned with alcohol and patches (3 M Tegaderm + Pad) were placed on the tattooed and contralateral non-tattooed skin. LSR was calculated from sweat mass (0.80 ± 0.31 g), patch surface area (11.9 cm2), and duration (62 ± 14 min). Sweat [Na+], [Cl-], and [K+] were measured via ion chromatography.

Results: Based on the analysis of variance results, there were no differences between tattooed and non-tattooed skin for LSR (1.16 ± 0.52 vs. 1.12 ± 0.53 mg/cm2/min; p = 0.51), sweat [Na+] (60.2 ± 23.5 vs. 58.5 ± 22.7 mmol/L; p = 0.27), sweat [Cl-] (52.1 ± 22.4 vs. 50.6 ± 22.0 mmol/L; p = 0.31), or sweat [K+] (5.8 ± 1.6 vs. 5.9 ± 1.4 mmol/L; p = 0.31). Multiple regression analyses suggested that younger tattoos were associated with higher sweat [Na+] (p = 0.045) and colorful tattoos were associated with higher sweat [Cl-] (p = 0.04) compared with contralateral non-tattooed skin. Otherwise, there were no effects of LSR or tattoo characteristics on regression models for LSR or sweat electrolyte concentrations.

Conclusion: There were no effects of tattoos on LSR and sweat [K+] during exercise-induced sweating, but tattoo age and color had small effects on sweat [Na+] and sweat [Cl-], respectively.

Clinical trial identifiers: NCT04240951 was registered on January 27, 2020 and NCT04920266 was registered on June 9, 2021.

Keywords: Chloride; Cycling; Fitness exercise; Potassium; Running; Sodium.

Conflict of interest statement

The authors are employed by PepsiCo R&D. The views expressed in this manuscript are those of the authors and do not necessarily reflect the position or policy of PepsiCo, Inc.

© 2022. The Author(s).

Figures

Fig. 1
Fig. 1
Individual data points for local sweating rate for each tattoo versus no tattoo comparison. The labels on the x-axis correspond with the tattoo identifier in Table 1, which are organized in ascending order from lowest to highest non-tattoo local sweating rate. Inset shows the group mean ± SD. LSR, local sweating rate. There was no statistical difference between tattoo and non-tattoo (ANOVA, p = 0.51)
Fig. 2
Fig. 2
Individual data points for local sweat sodium concentration for each tattoo versus no tattoo comparison. The labels on the x-axis correspond with the tattoo identifier in Table 1, which are organized in ascending order from lowest to highest non-tattoo local sweating rate. Inset shows the group mean ± SD. There was no statistical difference between tattoo and non-tattoo (ANOVA, p = 0.27)
Fig. 3
Fig. 3
Individual data points for local sweat chloride concentration for each tattoo versus no tattoo comparison. The labels on the x-axis correspond with the tattoo identifier in Table 1, which are organized in ascending order from lowest to highest non-tattoo local sweating rate. Inset shows the group mean ± SD. There was no statistical difference between tattoo and non-tattoo (ANOVA, p = 0.31)
Fig. 4
Fig. 4
Individual data points for local sweat potassium concentration for each tattoo versus no tattoo comparison. The labels on the x-axis correspond with the tattoo identifier in Table 1, which are organized in ascending order from lowest to highest non-tattoo local sweating rate. Inset shows the group mean ± SD. There was no statistical difference between tattoo and non-tattoo (ANOVA, p = 0.31)
Fig. 5
Fig. 5
Sweat sodium concentration difference scores for each tattoo vs. non-tattoo comparison organized by tattoo age in ascending order

References

    1. ACSM . In: ACSM’s guidelines for exercise testing and prescription. 9. Pescatello LS, editor. Philadelphia: Lippincott Williams and Wilkins; 2014.
    1. Armstrong ML, Murphy KP, Sallee A, Watson MG. Tattooed army soldiers: examining the incidence, behavior, and risk. Mil Med. 2000;165(2):135–141. doi: 10.1093/milmed/165.2.135.
    1. Baker LB. Sweating rate and sweat sodium concentration in athletes: a review of methodology and intra/interindividual variability. Sports Med. 2017;47(Suppl 1):111–128. doi: 10.1007/s40279-017-0691-5.
    1. Baker LB, Barnes KA, Anderson ML, Passe DH, Stofan JR. Normative data for regional sweat sodium concentration and whole-body sweating rate in athletes. J Sports Sci. 2016;34(4):358–368. doi: 10.1080/02640414.2015.1055291.
    1. Baker LB, Ungaro CT, Sopena BC, Nuccio RP, Reimel AJ, Carter JM, Stofan JR, Barnes KA. Body map of regional versus whole body sweating rate and sweat electrolyte concentrations in men and women during moderate exercise-heat stress. J Appl Physiol. 2018 doi: 10.1152/japplphysiol.00867.2017.
    1. Baker LB, De Chavez PJD, Ungaro CT, Sopena BC, Nuccio RP, Reimel AJ, Barnes KA. Exercise intensity effects on total sweat electrolyte losses and regional vs whole-body sweat [Na(+)], [Cl(−)], and [K(+)] Eur J Appl Physiol. 2019;119(2):361–375. doi: 10.1007/s00421-018-4048-z.
    1. Barnes KA, Anderson ML, Stofan JR, Dalrymple KJ, Reimel AJ, Roberts TJ, Randell RK, Ungaro CT, Baker LB. Normative data for sweating rate, sweat sodium concentration, and sweat sodium loss in athletes: an update and analysis by sport. J Sports Sci. 2019;37(20):2356–2366. doi: 10.1080/02640414.2019.1633159.
    1. Beliveau J, Perreault-Briere M, Jeker D, Deshayes TA, Duran-Suarez A, Baker LB, Goulet EDB. Permanent tattooing has no impact on local sweat rate, sweat sodium concentration and skin temperature or prediction of whole-body sweat sodium concentration during moderate-intensity cycling in a warm environment. Eur J Appl Physiol. 2020 doi: 10.1007/s00421-020-04350-4.
    1. Chalmers S, Harwood AE, Morris NB, Jay O. Do tattoos impair sweating? J Sci Med Sport. 2019;22(11):73–1174. doi: 10.1016/j.jsams.2019.08.001.
    1. Cheuvront SN, Kenefick RW. CORP: Improving the status quo for measuring whole body sweat losses (WBSL) J Appl Physiol. 2017;123(3):632–636. doi: 10.1152/japplphysiol.00433.2017.
    1. Cotton DW, Kuypers BR. Thermal induced sweating in tattooed skin. Dermatologica. 1970;141(3):252–254. doi: 10.1159/000252474.
    1. Dziedzic CE, Ross ML, Slater GJ, Burke LM. Variability of measurements of sweat sodium using the regional absorbent patch method. Int J Sports Physiol Perform. 2014 doi: 10.1123/ijspp.2013-0480.
    1. Gagnon D, Jay O, Kenny GP. The evaporative requirement for heat balance determines whole-body sweat rate during exercise under conditions permitting full evaporation. J Physiol. 2013;591(Pt 11):2925–2935. doi: 10.1113/jphysiol.2012.248823.
    1. Gibson LE, Cooke RE. A test for concentration of electrolytes in sweat in cystic fibrosis of the pancreas utilizing pilocarpine by iontophoresis. Pediatrics. 1959;23(3):545–549. doi: 10.1542/peds.23.3.545.
    1. Heywood W, Patrick K, Smith AM, Simpson JM, Pitts MK, Richters J, Shelley JM. Who gets tattoos? Demographic and behavioral correlates of ever being tattooed in a representative sample of men and women. Ann Epidemiol. 2012;22(1):51–56. doi: 10.1016/j.annepidem.2011.10.005.
    1. Hjortskov N, Jepsen LT, Nielsen B, Juul A, Skakkebaek NE. Pilocarpine iontophoresis test: an index of physiological sweat secretion? Clin Physiol. 1995;15(4):409–414. doi: 10.1111/j.1475-097X.1995.tb00530.x.
    1. Islam PS, Chang C, Selmi C, Generali E, Huntley A, Teuber SS, Gershwin ME. Medical complications of tattoos: a comprehensive review. Clin Rev Allergy Immunol. 2016;50(2):273–286. doi: 10.1007/s12016-016-8532-0.
    1. Kenefick RW, Cheuvront SN, Elliott LD, Ely BR, Sawka MN. Biological and analytical variation of the human sweating response: implications for study design and analysis. Am J Physiol Regul Integr Comp Physiol. 2012;302(2):R252–258. doi: 10.1152/ajpregu.00456.2011.
    1. Klous L, Folkerts M, Daanen H, Gerrett N. The effect of short and continuous absorbent patch application on local skin temperature underneath. Physiol Meas. 2021 doi: 10.1088/1361-6579/abf364.
    1. Kluger N. Epidemiology of tattoos in industrialized countries. Curr Probl Dermatol. 2015;48:6–20. doi: 10.1159/000369175.
    1. Kluger N. Tattoos among athletes: a matter of concern? J Sports Med Phys Fitness. 2021 doi: 10.23736/S0022-4707.20.11229-5.
    1. Laumann AE, Derick AJ. Tattoos and body piercings in the United States: a national data set. J Am Acad Dermatol. 2006;55(3):413–421. doi: 10.1016/j.jaad.2006.03.026.
    1. Luetkemeier MJ, Hanisko JM, Aho KM. Skin tattoos alter sweat rate and na+ concentration. Med Sci Sports Exerc. 2017;49(7):1432–1436. doi: 10.1249/MSS.0000000000001244.
    1. Luetkemeier MJ, Allen DR, Huang M, Pizzey FK, Parupia IM, Wilson TE, Davis SL. Skin tattooing impairs sweating during passive whole body heating. J Appl Physiol. 2020;129(5):1033–1038. doi: 10.1152/japplphysiol.00427.2019.
    1. Maughan RJ, Shirreffs SM. Development of individual hydration strategies for athletes. Int J Sport Nutr Exerc Metab. 2008;18(5):457–472. doi: 10.1123/ijsnem.18.5.457.
    1. Montain SJ, Cheuvront SN, Sawka MN. Exercise associated hyponatraemia: quantitative analysis to understand the aetiology. Br J Sports Med. 2006;40(2):98–105. doi: 10.1136/bjsm.2005.018481.
    1. Mueller SM, Bayer M, Antenna M, Gysin S. Role of tattoos in football: behavioral patterns and success-analysis of the FIFA World Cup 2018. Clin Dermatol. 2020;38(6):788–792. doi: 10.1016/j.clindermatol.2020.04.006.
    1. Rogers E, Irwin C, McCartney D, Cox GR, Desbrow B. Tattoos do not affect exercise-induced localised sweat rate or sodium concentration. J Sci Med Sport. 2019 doi: 10.1016/j.jsams.2019.06.004.
    1. Shibasaki M, Crandall CG. Mechanisms and controllers of eccrine sweating in humans. Front Biosci (schol Ed) 2010;2:685–696.
    1. Shirreffs SM, Sawka MN. Fluid and electrolyte needs for training, competition, and recovery. J Sports Sci. 2011;29(Suppl 1):S39–46. doi: 10.1080/02640414.2011.614269.
    1. Smith CJ, Havenith G. Body mapping of sweating patterns in athletes: a sex comparison. Med Sci Sports Exerc. 2012;44(12):2350–2361. doi: 10.1249/MSS.0b013e318267b0c4.
    1. Smith CJ, Havenith G. Upper body sweat mapping provides evidence of relative sweat redistribution towards the periphery following hot-dry heat acclimation. Temperature. 2019 doi: 10.1080/23328940.2019.1570777.
    1. Taylor NA, Machado-Moreira CA. Regional variations in transepidermal water loss, eccrine sweat gland density, sweat secretion rates and electrolyte composition in resting and exercising humans. Extrem Physiol Med. 2013;2(1):4. doi: 10.1186/2046-7648-2-4.
    1. Vimieiro-Gomes AC, Magalhaes FC, Amorim FT, Machado-Moreira CA, Rosa MS, Lima NR, Rodrigues LO. Comparison of sweat rate during graded exercise and the local rate induced by pilocarpine. Braz J Med Biol Res. 2005;38(7):1133–1139. doi: 10.1590/S0100-879X2005000700017.
    1. Webpage (2016).

Source: PubMed

3
구독하다