Exercise-Associated Hyponatremia: 2017 Update
Open accessAbstract
Exercise-associated hyponatremia (EAH) was initially described in the 1980s in endurance athletes, and work done since then has conclusively identified that overdrinking beyond thirst and non-osmotic arginine vasopressin release are the most common etiologic factors. In recent years, EAH has been described in a broader variety of athletic events and also has been linked to the development of rhabdomyolysis. The potential role of volume and sodium depletion in a subset of athletes has also been described. This review focuses on the most recent literature in the field of EAH and summarizes key new findings in the epidemiology, pathophysiology, treatment, and prevention of this condition.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Poorly-managed ultra-marathon hydration and electrolyte strategies can result in exercise-associated hyponatremia (serum sodium <135 mmol·L−1), a potentially fatal complication of long-distance racing.
“For example, poorly-managed ultra-marathon hydration and electrolyte strategies can result in exercise-associated hyponatremia (serum sodium <135 mmol·L− 1), which is a potentially fatal complication of long-distance racing [9].”
From International Society of Sports Nutrition Position Stand: nutritional considerations for single-stage ultra-marathon training and racing (2019) · cites this paper as [9]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
ACSM Position Stand: Exercise and Fluid Replacement
Convertino, V. A., Armstrong, L. E., Coyle, E. F., Mack, G. W., Sawka, M. N., Senay, L. C., & Sherman, W. M. (1996) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199610000-00045 · Cited by 1,977 · see citing works
Osmotic Demyelination Syndrome Following Correction of Hyponatremia
Sterns, R. H., Riggs, J. E., & Schochet, S. S. (1986) · New England Journal of Medicine · doi:10.1056/nejm198606123142402 · Cited by 810 · see citing works
American College of Sports Medicine Position Stand: Exercise and Fluid Replacement
Shephard, R. J. (2007) · Yearbook of Sports Medicine · doi:10.1016/s0162-0908(08)70206-x · Cited by 666 · see citing works
Hyponatremia Treatment Guidelines 2007: Expert Panel Recommendations
Verbalis, J. G., Goldsmith, S. R., Greenberg, A., Schrier, R. W., & Sterns, R. H. (2007) · The American Journal of Medicine · doi:10.1016/j.amjmed.2007.09.001 · Cited by 611 · see citing works
Hyponatremia among runners in the Boston Marathon.
Almond, C. S. D., Shin, A. Y., Fortescue, E. B., Mannix, R. C., Wypij, D., Binstadt, B. A., Duncan, C. N., Olson, D. P., Salerno, A. E., Newburger, J. W., et al. (2005) · New England Journal of Medicine · doi:10.1056/nejmoa043901 · Cited by 553 · see citing works
Clinical assessment of extracellular fluid volume in hyponatremia
Chung, H.-M., Kluge, R., Schrier, R. W., & Anderson, R. J. (1987) · The American Journal of Medicine · doi:10.1016/0002-9343(87)90649-8 · Cited by 398 · see citing works
Influence of the emetic reflex on vasopressin release in man
Rowe, J. W., Shelton, R. L., Helderman, J. H., Vestal, R. E., & Robertson, G. L. (1979) · Kidney International · doi:10.1038/ki.1979.189 · Cited by 331 · see citing works
Noakes, T. D., Sharwood, K. A., Speedy, D. B., Hew, T. D., Reid, S., Dugas, J. P., Almond, C. S. D., WHARAM, P. C., & Weschler, L. B. (2005) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0509096102 · Cited by 330 · see citing works
Glycosaminoglycan polymerization may enable osmotically inactive Na+storage in the skin
Titze, J. M., Shakibaei, M., Schafflhuber, M., Schulze-Tanzil, G. G., Porst, M., Schwind, K. H., Dietsch, P., & Hilgers, K. F. (2004) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.01237.2003 · Cited by 329 · see citing works
Hyponatremia, Cerebral Edema, and Noncardiogenic Pulmonary Edema in Marathon Runners
Ayus, J. C., Varón, J., & Arieff, A. I. (2000) · Annals of Internal Medicine · doi:10.7326/0003-4819-132-9-200005020-00005 · Cited by 313 · see citing works
Hyponatremia in ultradistance triathletes
Speedy, D. B., Noakes, T. D., Rogers, I. R., Thompson, J., Campbell, R. G., Kuttner, J. A., Boswell, D. R., Wright, S. P., & HAMLIN, M. (1999) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199906000-00008 · Cited by 283 · see citing works
Water Intoxication: A Possible Complication During Endurance Exercise☆
Noakes, T. D., Goodwin, N., Rayner, B. L., BRANKEN, T., & Taylor, R. K. N. (2005) · Wilderness and Environmental Medicine · doi:10.1580/1080-6032(2005)16[221:wiapcd]2.0.co;2 · Cited by 237 · see citing works
Brain cell volume regulation in hyponatremia: role of sex, age, vasopressin, and hypoxia
Ayus, J. C., Achinger, S. G., & Arieff, A. I. (2008) · American Journal of Physiology-Renal Physiology · doi:10.1152/ajprenal.00502.2007 · Cited by 231 · see citing works
Hew‐Butler, T., Ayus, J. C., Kipps, C., Maughan, R. J., Mettler, S., Meeuwisse, W. H., Page, A., Reid, S. A., Rehrer, N. J., Roberts, W. O., et al. (2008) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0b013e318168ff31 · Cited by 223 · see citing works
Self-citationExercise-Associated Hyponatremia
Rosner, M. H., & Kirven, J. (2006) · Clinical Journal of the American Society of Nephrology · doi:10.2215/cjn.02730806 · Cited by 214 · see citing works
Self-citationHew-Butler, T., Rosner, M. H., Fowkes-Godek, S., Dugas, J. P., Hoffman, M. D., Lewis, D. P., Maughan, R. J., Miller, K. C., Montain, S. J., Rehrer, N. J., et al. (2015) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0000000000000221 · Cited by 205 · see citing works
Self-citationThe Incidence, Risk Factors, and Clinical Manifestations of Hyponatremia in Marathon Runners
Hew, T. D., Chorley, J. N., Cianca, J. C., & Divine, J. G. (2003) · Clinical Journal of Sport Medicine · doi:10.1097/00042752-200301000-00008 · Cited by 203 · see citing works
Noakes, T. D., GOODWIN, N., RAYNER, B. L., BRANKEN, T., & Taylor, R. K. N. (1985) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-198506000-00012 · Cited by 197 · see citing works
Effect of physical training on peripheral sweat production
Buono, M. J., & Sjoholm, N. T. (1988) · Journal of Applied Physiology · doi:10.1152/jappl.1988.65.2.811 · Cited by 185 · see citing works
Exercise-associated hyponatremia in marathon runners: a two-year experience
Davis, D. P., Videen, J. S., Marino, A., Vilke, G. M., Dunford, J. V., Camp, S. P. V., & Maharam, L. G. (2001) · Journal of Emergency Medicine · doi:10.1016/s0736-4679(01)00320-1 · Cited by 182 · see citing works
Weight changes, medical complications, and performance during an Ironman triathlon
Sharwood, K. A., Collins, M., Goedecke, J. H., Wilson, G., & Noakes, T. D. (2004) · British Journal of Sports Medicine · doi:10.1136/bjsm.2003.007187 · Cited by 179 · see citing works
Fluid Balance During and After an Ironman Triathlon
Speedy, D. B., Noakes, T. D., Kimber, N. E., Rogers, I. R., Thompson, J., Boswell, D. R., Ross, J. J., Campbell, R. G., Gallagher, P. G., & Kuttner, J. A. (2001) · Clinical Journal of Sport Medicine · doi:10.1097/00042752-200101000-00008 · Cited by 171 · see citing works
Fluid replacement during prolonged exercise: effects of water, saline, or no fluid.
Barr, S. I., Dl, C., & Fink, W. J. (1991) · PubMed · Cited by 164 · see citing works
Sodium-free fluid ingestion decreases plasma sodium during exercise in the heat
Vrijens, D., & Rehrer, N. J. (1999) · Journal of Applied Physiology · doi:10.1152/jappl.1999.86.6.1847 · Cited by 162 · see citing works
Hyponatremia in Marathon Runners due to Inappropriate Arginine Vasopressin Secretion
Siegel, A. J., Verbalis, J. G., Clement, S. C., Mendelson, J. H., Mello, N. K., Adner, M. M., Shirey, T., Glowacki, J., Lee-Lewandrowski, E., & Lewandrowski, K. B. (2007) · The American Journal of Medicine · doi:10.1016/j.amjmed.2006.10.027 · Cited by 157 · see citing works
Hyponatremia and Ultramarathon Running
Frizzell, R. T. (1986) · JAMA · doi:10.1001/jama.1986.03370060086025 · Cited by 149 · see citing works
Titze, J. M., Dahlmann, A., Lerchl, K., Kopp, C., Rakova, N., Schröder, A., & Luft, F. C. (2013) · Kidney International · doi:10.1038/ki.2013.367 · Cited by 148 · see citing works
Hew‐Butler, T., Almond, C. S. D., Ayus, J. C., Dugas, J. P., Meeuwisse, W. H., Noakes, T. D., Reid, S., Siegel, A. J., Speedy, D. B., Stuempfle, K. J., et al. (2005) · Clinical Journal of Sport Medicine · doi:10.1097/01.jsm.0000174702.23983.41 · Cited by 145 · see citing works
Self-citationHormonal, electrolyte, and renal responses to exercise are intensity dependent
Freund, B. J., Shizuru, E. M., Hashiro, G. M., & Claybaugh, J. R. (1991) · Journal of Applied Physiology · doi:10.1152/jappl.1991.70.2.900 · Cited by 137 · see citing works
Weight Changes, Sodium Levels, and Performance in the South African Ironman Triathlon
Sharwood, K. A., Collins, M., Goedecke, J. H., Wilson, G., & Noakes, T. D. (2002) · Clinical Journal of Sport Medicine · doi:10.1097/00042752-200211000-00012 · Cited by 131 · see citing works
Death from Hyponatremia as a Result of Acute Water Intoxication in an Army Basic Trainee
Garigan, T. P., & Ristedt, D. E. (1999) · Military Medicine · doi:10.1093/milmed/164.3.234 · Cited by 125 · see citing works
Diagnosis and Prevention of Hyponatremia at an Ultradistance Triathlon
Speedy, D. B., Rogers, I. R., Noakes, T. D., Thompson, J., Guirey, J., Safih, S., & Boswell, D. R. (2000) · Clinical Journal of Sport Medicine · doi:10.1097/00042752-200001000-00010 · Cited by 122 · see citing works
Medical and physiological considerations in triathlons
Hiller, W. D. B., OʼToole, M. L., Fortess, E. E., Laird, R. H., Imbert, P. C., & Sisk, T. D. (1987) · The American Journal of Sports Medicine · doi:10.1177/036354658701500212 · Cited by 119 · see citing works
Arginine Vasopressin Response to Insulin-Induced Hypoglycemia in Man*
Baylis, P. H., & Zerbe, R. L. (1981) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-53-5-935 · Cited by 115 · see citing works
Osmotic and Nonosmotic Regulation of Arginine Vasopressin during Prolonged Endurance Exercise
Hew‐Butler, T., Jordaan, E., Stuempfle, K. J., Speedy, D. B., Siegel, A. J., Noakes, T. D., Soldin, S. J., & Verbalis, J. G. (2008) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2007-2336 · Cited by 109 · see citing works
Self-citationStudy of Hematological and Biochemical Parameters in Runners Completing a Standard Marathon
Reid, S. A., Speedy, D. B., Thompson, J., Noakes, T. D., Mulligan, G., Page, T., Campbell, R. G., & Milne, C. (2004) · Clinical Journal of Sport Medicine · doi:10.1097/00042752-200411000-00004 · Cited by 107 · see citing works
Effects of different sodium concentrations in replacement fluids during prolonged exercise in women
Twerenbold, R., Knechtle, B., Kakebeeke, T. H., Eser, P., Müller, G., von Arx, P., & Knecht, H. (2003) · British Journal of Sports Medicine · doi:10.1136/bjsm.37.4.300 · Cited by 105 · see citing works
Exertional heat illness and hyponatremia in hikers
Backer, H., Shopes, E., Collins, S. L., & Barkan, H. E. (1999) · The American Journal of Emergency Medicine · doi:10.1016/s0735-6757(99)90191-2 · Cited by 100 · see citing works
The incidence of exercise-associated hyponatraemia in the London marathon
Kipps, C., Sharma, S., & Pedoe, D. T. (2009) · British Journal of Sports Medicine · doi:10.1136/bjsm.2009.059535 · Cited by 94 · see citing works
Hyponatremia and Weight Changes in an Ultradistance Triathlon
Speedy, D. B., Faris, J. G., Hamlin, M., Gallagher, P. G., & Campbell, R. G. (1997) · Clinical Journal of Sport Medicine · doi:10.1097/00042752-199707000-00005 · Cited by 93 · see citing works
Risk Factors for Exercise-associated Hyponatremia in Non-elite Marathon Runners
Chorley, J. N., Cianca, J. C., & Divine, J. G. (2007) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0b013e3181588790 · Cited by 92 · see citing works
A different view on sodium balance
Titze, J. M. (2014) · Current Opinion in Nephrology & Hypertension · doi:10.1097/mnh.0000000000000085 · Cited by 82 · see citing works
Bruso, J. R., Hoffman, M. D., Rogers, I. R., Lee, L., Towle, G., & Hew-Butler, T. (2010) · Wilderness & Environmental Medicine · doi:10.1016/j.wem.2010.06.012 · Cited by 82 · see citing works
Self-citationPritchett, K. L., Bishop, P. A., PRITCHETT, R. C., Green, M., & Katica, C. (2009) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/h09-104 · Cited by 76 · see citing works
RADIOIMMUNOASSAY OF PLASMA VASOPRESSIN IN PHYSIOLOGICAL AND PATHOLOGICAL STATES IN MAN
Beardwell, C. G., Geelen, G., Palmer, H. M., Roberts, D. C. S., & SALAMONSON, L. (1975) · Journal of Endocrinology · doi:10.1677/joe.0.0670189 · Cited by 72 · see citing works
Body temperature modification of osmotically induced vasopressin secretion and thirst in humans
Takamata, A., Mack, G. W., Stachenfeld, N. S., & NADEL, E. R. (1995) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.1995.269.4.r874 · Cited by 67 · see citing works
Fluid replacement during prolonged exercise: effects of water, saline, or no fluid
BARR, S. I., COSTILL, D. L., & FINK, W. J. (1991) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-199107000-00007 · Cited by 67 · see citing works
Hyponatremia in runners requiring on-site medical treatment at a single marathon
Hsieh, M., Roth, R., DAVIS, D. L., Larrabee, H., & Callaway, C. W. (2002) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200202000-00001 · Cited by 63 · see citing works
Weight Changes and Serum Sodium Concentrations After an Ultradistance Multisport Triathlon
Speedy, D. B., Campbell, R., Mulligan, G., Robinson, D. J., Walker, C., Gallagher, P., & Hellemans, J. (1997) · Clinical Journal of Sport Medicine · doi:10.1097/00042752-199704000-00005 · Cited by 62 · see citing works
Exertional Dysnatremia in Collapsed Marathon Runners
Siegel, A. J., d’Hemecourt, P. A., Adner, M. M., Shirey, T., Brown, J. L., & Lewandrowski, K. B. (2009) · American Journal of Clinical Pathology · doi:10.1309/ajcp30oglslwleiy · Cited by 60 · see citing works
Anastasiou, C. A., Kavouras, S. A., Arnaoutis, G., Gioxari, A., Kollia, M., Botoula, E., & Sidossis, L. S. (2009) · Journal of Athletic Training · doi:10.4085/1062-6050-44.2.117 · Cited by 58 · see citing works
Hyponatremia Among Runners in the Zurich Marathon
Mettler, S., Rusch, C., Frey, W. O., Bestmann, L., Wenk, C., & Colombani, P. C. (2008) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0b013e31817e3515 · Cited by 56 · see citing works
Changes in Copeptin and Bioactive Vasopressin in Runners With and Without Hyponatremia
Hew‐Butler, T., Hoffman, M. D., Stuempfle, K. J., Rogers, I. R., Morgenthaler, N. G., & Verbalis, J. G. (2011) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0b013e31821a62c2 · Cited by 54 · see citing works
Self-citationRogers, I. R., Brechtel, G., Stuempfle, K. J., Hoffman, M. D., & Hew‐Butler, T. (2011) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0b013e31821a6450 · Cited by 54 · see citing works
Self-citationSodium Supplementation and Exercise-Associated Hyponatremia during Prolonged Exercise
Hoffman, M. D., & Stuempfle, K. J. (2014) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000000599 · Cited by 52 · see citing works
Exercise-associated hyponatremia with exertional rhabdomyolysis: importance of proper treatment
Hoffman, M. D., Stuempfle, K. J., Sullivan, K., & Weiss, R. H. (2014) · Clinical Nephrology · doi:10.5414/cn108233 · Cited by 51 · see citing works
Hyponatremia in recreational hikers in Grand Canyon National Park
Backer, H., Shopes, E., & Collins, S. L. (1993) · Journal of Wilderness Medicine · doi:10.1580/0953-9859-4.4.391 · Cited by 49 · see citing works
Prevalence of exercise-associated hyponatremia in male ultraendurance athletes
Knechtle, B., Gnädinger, M., Knechtle, P., Imoberdorf, R., Kohler, G., Ballmer, P., Rosemann, T., & Senn, O. (2011) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0b013e31820cb021 · Cited by 48 · see citing works
(2001) · Journal of the American Society of Nephrology · doi:10.1681/asn.v12122860 · Cited by 45 · see citing works
Exercise-Associated Hyponatremia with Rhabdomyolysis during Endurance Exercise
Ellis, C., Cuthill, J. A., Hew‐Butler, T., George, S. M., & Rosner, M. H. (2009) · The Physician and Sportsmedicine · doi:10.3810/psm.2009.04.1693 · Cited by 39 · see citing works
Self-citationDysnatremia Predicts a Delayed Recovery in Collapsed Ultramarathon Runners
Hew‐Butler, T., Sharwood, K. A., Boulter, J., Collins, M., Tucker, R., Dugas, J. P., Shave, R., George, K., Cable, N. T., Verbalis, J. G., et al. (2007) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0b013e31804c779b · Cited by 37 · see citing works
Self-citationMechanisms of potentiation in sweating induced by long-term physical training
Yamazaki, F., FUJII, N. L., Sone, R., & IKEGAMI, H. (1994) · European Journal of Applied Physiology · doi:10.1007/bf01094793 · Cited by 37 · see citing works
Renal Function and Vasopressin During Marathon Running
Verbalis, J. G. (2007) · Sports Medicine · doi:10.2165/00007256-200737040-00048 · Cited by 37 · see citing works
Cairns, R. S., & Hew-Butler, T. (2015) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0000000000000144 · Cited by 37 · see citing works
Self-citationEncephalopathy due to severe hyponatremia in an ultramarathon runner.
Clark, J. M., & Gennari, F. J. (1993) · PubMed Central · Cited by 36 · see citing works
Hew‐Butler, T., Dugas, J. P., Noakes, T. D., & Verbalis, J. G. (2008) · British Journal of Sports Medicine · doi:10.1136/bjsm.2008.049742 · Cited by 35 · see citing works
Self-citationEfficacy of oral versus intravenous hypertonic saline in runners with hyponatremia
Owen, B. E., Rogers, I. R., Hoffman, M. D., Stuempfle, K. J., Lewis, D. P., Fogard, K., Verbalis, J. G., & Hew‐Butler, T. (2013) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2013.09.001 · Cited by 33 · see citing works
Self-citationFirst Reported Cases of Exercise-Associated Hyponatremia in Asia
LEE, J. K. W., Nio, A. Q. X., Ang, W. H., Johnson, C., Aziz, A. R., Lim, C. L., & Hew‐Butler, T. (2011) · International Journal of Sports Medicine · doi:10.1055/s-0030-1269929 · Cited by 32 · see citing works
Self-citationDehydration and Hyponatremia in Professional Rugby Union Players
Jones, B. L., O'Hara, J. P., Till, K., & King, R. F. (2014) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000000620 · Cited by 32 · see citing works
Mohseni, M., Silvers, S. M., McNeil, R. B., Diehl, N. N., Vadeboncoeur, T. F., Taylor, W., Shapiro, S. A., Roth, J. A., & Mahoney, S. (2011) · Sports Health A Multidisciplinary Approach · doi:10.1177/1941738111400561 · Cited by 31 · see citing works
Atypical Hyperplasia of the Breast
Hartmann, L. C., Degnim, A. C., & Wd, D. (2015) · New England Journal of Medicine · doi:10.1056/nejmc1501046 · Cited by 31 · see citing works
The Treatment of Symptomatic Hyponatremia With Hypertonic Saline in an Ironman Triathlete
Hew‐Butler, T., Anley, C. M., Schwartz, P., & Noakes, T. D. (2007) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0b013e31802e9c18 · Cited by 30 · see citing works
Self-citationKnechtle, B., Knechtle, P., & Rosemann, T. J. (2010) · The Physician and Sportsmedicine · doi:10.3810/psm.2010.12.1831 · Cited by 30 · see citing works
Moritz, M. L., & Ayus, J. C. (2015) · New England Journal of Medicine · doi:10.1056/nejmc1501342 · Cited by 28 · see citing works
Nolte, H. W., Hew‐Butler, T., Noakes, T. D., & Duvenage, C. S. J. (2015) · The Physician and Sportsmedicine · doi:10.1080/00913847.2015.1001714 · Cited by 26 · see citing works
Self-citationCairns, R. S., & Hew‐Butler, T. (2016) · European Journal of Applied Physiology · doi:10.1007/s00421-015-3324-4 · Cited by 26 · see citing works
Self-citationHoffman, M. D., & Myers, T. M. (2015) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.2014-0241 · Cited by 25 · see citing works
Chlíbková, D., Knechtle, B., Rosemann, T. J., Žákovská, A., & Tomášková, I. (2014) · Journal of the International Society of Sports Nutrition · doi:10.1186/1550-2783-11-3 · Cited by 23 · see citing works
Hoffman, M. D., Stuempfle, K. J., & Valentino, T. R. (2015) · Sports Medicine - Open · doi:10.1186/s40798-015-0040-x · Cited by 23 · see citing works
Does Replacing Sodium Excreted in Sweat Attenuate the Health Benefits of Physical Activity?
Turner, M. J., & Avolio, A. P. (2016) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.2015-0233 · Cited by 23 · see citing works
Exercise-Associated Hyponatremia
Schucany, W. G. (2007) · Baylor University Medical Center Proceedings · doi:10.1080/08998280.2007.11928331 · Cited by 22 · see citing works
Hew‐Butler, T., Noakes, T. D., & Siegel, A. J. (2008) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0b013e3181802c6d · Cited by 22 · see citing works
Self-citationHyponatremia among triathletes in the ironman European Championship
Danz, M., Pöttgen, K., Tönjes, P. M., Hinkelbein, J., & Braunecker, S. (2016) · New England Journal of Medicine · doi:10.1056/nejmc1510409 · Cited by 22 · see citing works
Knechtle, B., Knechtle, P., & Rosemann, T. J. (2012) · The Chinese Journal of Physiology · doi:10.4077/cjp.2011.amm050 · Cited by 22 · see citing works
Pre- and post-race hydration status in hyponatremic and non-hyponatremic ultra-endurance athletes
Chlíbková, D. (2016) · The Chinese Journal of Physiology · doi:10.4077/cjp.2016.bae391 · Cited by 21 · see citing works
Hypernatremia and Intravenous Fluid Resuscitation in Collapsed Ultramarathon Runners
Hew‐Butler, T., Boulter, J., MBChB, J. G., PhD, R. T., & Noakes, T. D. (2008) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0b013e31815eb0b5 · Cited by 20 · see citing works
Self-citationElsaesser, T. F., Pang, P. S., Malik, S., & Chiampas, G. (2013) · Journal of Emergency Medicine · doi:10.1016/j.jemermed.2012.11.048 · Cited by 19 · see citing works
Exercise associated hyponatraemia leading to tonic-clonic seizure
Reynolds, C., Cleaver, B., & Finlay, S. E. (2012) · BMJ Case Reports · doi:10.1136/bcr.08.2012.4625 · Cited by 19 · see citing works
Exercise-Associated Hyponatremia in a Lactating Female
Bailowitz, Z., Grams, R., Teeple, D., & Hew‐Butler, T. (2016) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0000000000000344 · Cited by 18 · see citing works
Self-citationRestricting dietary sodium reduces plasma sodium response to exercise in the heat
Koenders, E. E., Franken, C. P. G., Cotter, J. D., Thornton, S. N., & Rehrer, N. J. (2017) · Scandinavian Journal of Medicine & Science in Sports · doi:10.1111/sms.12748 · Cited by 17 · see citing works
Exertional hyponatremia and serum sodium change during ultraendurance cycling
Armstrong, L. E., Lee, E. C., Casa, D. J., Johnson, E. C., Ganio, M. S., McDermott, B. P., Vingren, J. L., Oh, H. M., & Williamson, K. H. (2017) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.2016-0135 · Cited by 17 · see citing works
Exercise-Associated Hyponatremic Encephalopathy in an Endurance Open Water Swimmer
Rogers, I. R., Grainger, S., & Nagree, Y. (2014) · Wilderness and Environmental Medicine · doi:10.1016/j.wem.2014.07.010 · Cited by 15 · see citing works
Are we being drowned by overhydration advice on the Internet?
Hoffman, M. D., Bross, T. L., & Hamilton, R. T. (2016) · The Physician and Sportsmedicine · doi:10.1080/00913847.2016.1222853 · Cited by 15 · see citing works
Exercise-Associated Hyponatremia in an Ultra-Endurance Mountain Biker
Khodaee, M., Luyten, D., & Hew‐Butler, T. (2013) · Sports Health A Multidisciplinary Approach · doi:10.1177/1941738113480928 · Cited by 13 · see citing works
Self-citationBody Mass Changes Across a Variety of Running Race Distances in the Tropics
Tan, D. W., Yap, S. H., Wang, M., Fan, P. W., Teo, Y. S., Krishnasamy, P., Krishna, L., Hew‐Butler, T., & LEE, J. K. W. (2016) · Sports Medicine - Open · doi:10.1186/s40798-016-0050-3 · Cited by 13 · see citing works
Self-citationAn unusual cause of exercise‐induced hyponatremia
Morton, A. (2007) · Emergency Medicine Australasia · doi:10.1111/j.1742-6723.2007.00994.x · Cited by 11 · see citing works
Evaluation of the local irritation potential of hypertonic saline–dextran (HSD) in mice and rabbits
Dubick, M. A., & Wade, C. E. (2004) · Journal of Applied Toxicology · doi:10.1002/jat.943 · Cited by 11 · see citing works
A Study of Serum Sodium Level Among Hong Kong Runners
Au-Yeung, K. L., Wu, W. C. V., Yau, W. H., & Ho, H. F. (2010) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0b013e3181f469f0 · Cited by 10 · see citing works
High Incidence of Hyponatremia in Rowers During a Four-week Training Camp
Mayer, C. U., Treff, G., Fenske, W. K., Blouin, K., Steinacker, J. M., & Allolio, B. (2015) · The American Journal of Medicine · doi:10.1016/j.amjmed.2015.04.014 · Cited by 9 · see citing works
Overdrinking-induced hyponatraemia in the 2007 London Marathon
Draper, S. B., Mori, K., Lloyd-Owen, S. J., & Noakes, T. D. (2009) · BMJ Case Reports · doi:10.1136/bcr.09.2008.1002 · Cited by 8 · see citing works
Urea Treatment for Exercise-associated Hyponatremia
Decaux, G., & Soupart, A. (2006) · Clinical Journal of Sport Medicine · doi:10.1097/00042752-200605000-00017 · Cited by 6 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- [12]Stevens A Update: Douglas County Football Player Has Died. The Atlanta Journal-Constitution 14 A.D. (2015). Available from: http://www.ajc.com/news/news/family-douglas-county-football-player-has-no-brain/ngy2X/
Cited by
Sorted by citations
Tiller, N. B., Roberts, J. D., Beasley, L., Chapman, S., Pinto, J. M., Smith, L., Wiffin, M., Russell, M., Sparks, S. A., Duckworth, L., et al. (2019) · Journal of the International Society of Sports Nutrition · doi:10.1186/s12970-019-0312-9 · Cited by 164 · see citing works
“Although the condition is rare, and individual susceptibility plays a role in prevalence, the earliest reported cases were observed in ultramarathon runners and Ironman triathletes [9] (i.”
BackgroundInfluentialWesseling, C., Glaser, J. R., Rodríguez-Guzmán, J., Weiss, I., Lucas, R. A. I., Peraza, S., da Silva, A. S., Hansson, E., Johnson, R. J., Hogstedt, C., et al. (2020) · Revista Panamericana de Salud Pública · doi:10.26633/rpsp.2020.15 · Cited by 150 · see citing works
Heffernan, S. M., Horner, K., De Vito, G., & Conway, G. E. (2019) · Nutrients · doi:10.3390/nu11030696 · Cited by 130 · see citing works
Yeargin, S. W., Dompier, T. P., Casa, D. J., Hirschhorn, R. M., & Kerr, Z. Y. (2019) · Journal of Athletic Training · doi:10.4085/1062-6050-504-17 · Cited by 61 · see citing works
Knechtle, B., Chlíbková, D., Papadopoulou, S. Κ., Mantzorou, M., Rosemann, T. J., & Nikolaidis, P. Τ. (2019) · Medicina · doi:10.3390/medicina55090537 · Cited by 61 · see citing works
Rehydration during Endurance Exercise: Challenges, Research, Options, Methods
Armstrong, L. E. (2021) · Nutrients · doi:10.3390/nu13030887 · Cited by 66 · see citing works
Limits of Ultra: Towards an Interdisciplinary Understanding of Ultra-Endurance Running Performance
BERGER, N. J. A., Best, R., Best, A. W., Lane, A. M., Millet, G. Y., Barwood, M. J., Marcora, S., Wilson, P. B., & Bearden, S. E. (2023) · Sports Medicine · doi:10.1007/s40279-023-01936-8 · Cited by 59 · see citing works
Management of mental health emergencies in elite athletes: a narrative review
Currie, A., Mcduff, D. R., Johnston, A., Hopley, P., Hitchcock, M., Reardon, C. L., & Hainline, B. W. (2019) · British Journal of Sports Medicine · doi:10.1136/bjsports-2019-100691 · Cited by 54 · see citing works
Approach to the Patient: Hyponatremia and the Syndrome of Inappropriate Antidiuresis (SIAD)
Martin‐Grace, J., Tomkins, M., O’Reilly, M., Thompson, C. J., & Sherlock, M. (2022) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgac245 · Cited by 51 · see citing works
Wu, T., Zhu, W., Chen, L., Jiang, T., Dong, Y., Wang, L., Tong, X., Zhou, H., Yu, X., Peng, Y., et al. (2023) · Food Research International · doi:10.1016/j.foodres.2023.113185 · Cited by 50 · see citing works
Bennett, B. L., Hew‐Butler, T., Rosner, M. H., Myers, T. M., & Lipman, G. S. (2020) · Wilderness and Environmental Medicine · doi:10.1016/j.wem.2019.11.003 · Cited by 45 · see citing works
Self-citationWittbrodt, M. T., Sawka, M. N., Mizelle, J. C., Wheaton, L. A., & Millard-Stafford, M. L. (2018) · Physiological Reports · doi:10.14814/phy2.13805 · Cited by 42 · see citing works
Effects of Sodium Intake on Health and Performance in Endurance and Ultra-Endurance Sports
Veniamakis, E., Kaplanis, G., Voulgaris, P., & Nikolaidis, P. Τ. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19063651 · Cited by 36 · see citing works
Acute Dysnatremias - a dangerous and overlooked clinical problem
Joergensen, D., Tazmini, K., & Jacobsen, D. (2019) · Scandinavian Journal of Trauma Resuscitation and Emergency Medicine · doi:10.1186/s13049-019-0633-3 · Cited by 35 · see citing works
Of Mice and Men—The Physiology, Psychology, and Pathology of Overhydration
Hew‐Butler, T., Smith‐Hale, V., Pollard-McGrandy, A. M., & VanSumeren, M. (2019) · Nutrients · doi:10.3390/nu11071539 · Cited by 34 · see citing works
Self-citationVasopressin and Breathing: Review of Evidence for Respiratory Effects of the Antidiuretic Hormone
Proczka, M. S., Przybylski, J., Cudnoch‐Jędrzejewska, A., Szczepanska‐Sadowska, E. K., & Żera, T. (2021) · Frontiers in Physiology · doi:10.3389/fphys.2021.744177 · Cited by 34 · see citing works
Ultra-Endurance Participation and Acute Kidney Injury: A Narrative Review
Tidmas, V., Brazier, J., Bottoms, L. M., Muniz‐Pumares, D., Desai, T., Hawkins, J., Sridharan, S., & Farrington, K. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192416887 · Cited by 33 · see citing works
Yadav, S., Yadav, J., Kumar, S., & Singh, P. K. (2024) · Springer eBooks · doi:10.1007/978-981-97-4723-8_8 · Cited by 30 · see citing works
Murphy, G. R., Dunstan, R. H., Macdonald, M. M., Borges, N. R., Radford, Z., Sparkes, D. L., Dascombe, B. J., & Roberts, T. K. (2019) · PLoS ONE · doi:10.1371/journal.pone.0223381 · Cited by 28 · see citing works
Exercise-Associated Hyponatremia in Marathon Runners
Klingert, M., Nikolaidis, P. Τ., Weiss, K., Thuany, M., Chlíbková, D., & Knechtle, B. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11226775 · Cited by 29 · see citing works
Surapongchai, J., Saengsirisuwan, V., Rollo, I., Randell, R. K., Nithitsuttibuta, K., Sainiyom, P., Leow, C. H. W., & LEE, J. K. W. (2021) · Nutrients · doi:10.3390/nu13041374 · Cited by 28 · see citing works
Hyponatremia in patients with cancer
Kitchlu, A., & Rosner, M. H. (2019) · Current Opinion in Nephrology & Hypertension · doi:10.1097/mnh.0000000000000525 · Cited by 25 · see citing works
Self-citationIncidence of Hyponatremia During a Continuous 246-km Ultramarathon Running Race
Seal, A., Anastasiou, C. A., Skenderi, K., Echegaray, M., Yiannakouris, N., Tsekouras, Y. E., Matalas, A., Yannakoulia, M., Pechlivani, F., & Kavouras, S. A. (2019) · Frontiers in Nutrition · doi:10.3389/fnut.2019.00161 · Cited by 23 · see citing works
Association of Daily Dietary Intake and Inflammation Induced by Marathon Race
Passos, B. N., Lima, M. C., Sierra, A., de Oliveira, R. A., Maciel, J. F. D. S., Manoel, R., Rogante, J. I., Pesquero, J. B., & Cury‐Boaventura, M. F. (2019) · Mediators of Inflammation · doi:10.1155/2019/1537274 · Cited by 23 · see citing works
Endurance athletes and climate change
Nowak, A. S., Kennelley, G. E., Krabak, B. J., Roberts, W. O., Tenforde, K. M., & Tenforde, A. S. (2022) · The Journal of Climate Change and Health · doi:10.1016/j.joclim.2022.100118 · Cited by 22 · see citing works
Oh, R., Malave, B., & Chaltry, J. D. (2018) · Military Medicine · doi:10.1093/milmed/usx105 · Cited by 19 · see citing works
Mortality during marathons: a narrative review of the literature
Dayer, M., & Green, I. (2019) · BMJ Open Sport & Exercise Medicine · doi:10.1136/bmjsem-2019-000555 · Cited by 19 · see citing works
A Case-Series Observation of Sweat Rate Variability in Endurance-Trained Athletes
Smith, J. W., Bello, M. L., & Price, F. G. (2021) · Nutrients · doi:10.3390/nu13061807 · Cited by 19 · see citing works
Effect of Sodium Supplements and Climate on Dysnatremia During Ultramarathon Running
Lipman, G. S., Burns, P., Phillips, C. T., Jensen, J., Little, C. E., Jurkiewicz, C., Jarrett, B., Walker, A., Mansfield, N., & Krabak, B. J. (2020) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0000000000000832 · Cited by 18 · see citing works
Rosenbloom, C., Morley, F. L., Ahmed, I., & Cox, A. R. (2020) · International Journal of Pharmacy Practice · doi:10.1111/ijpp.12646 · Cited by 18 · see citing works
Exercise-Associated Hyponatremia during the Olympus Marathon Ultra-Endurance Trail Run
Arnaoutis, G., Anastasiou, C. A., Suh, H., Maraki, M. I., Tsekouras, Y. E., Dimitroulis, E., Echegaray, M., Papamichalopoulou, D., Methenitis, S. K., Sidossis, L. S., et al. (2020) · Nutrients · doi:10.3390/nu12040997 · Cited by 17 · see citing works
Khorram‐Manesh, A., Löf, T., Börjesson, M., Nilson, F., Thorsson, S., Lindberg, F., & Carlström, E. (2019) · Sports · doi:10.3390/sports8010002 · Cited by 16 · see citing works
Sports and Energy Drinks: Aspects to Consider
Raizel, R., Coqueiro, A. Y., Bonvini, A., & Tirapegui, J. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-815851-7.00001-2 · Cited by 16 · see citing works
Exertional heat stroke: nutritional considerations
LEE, J. K. W., Tan, B., Ogden, H. B., Chapman, S., & Sawka, M. N. (2022) · Experimental Physiology · doi:10.1113/ep090149 · Cited by 14 · see citing works
Neurovascular Changes Associated With the Water Drinking Test
Gameiro, G. R., Monsalve, P., Golubev, I., Ventura, L. M., & Porciatti, V. (2018) · Journal of Glaucoma · doi:10.1097/ijg.0000000000000898 · Cited by 14 · see citing works
Rehydrating efficacy of maple water after exercise-induced dehydration
Matias, A. A., Dudar, M. D., Kauzlaric, J., Frederick, K. A., Fitzpatrick, S., & Ives, S. J. (2019) · Journal of the International Society of Sports Nutrition · doi:10.1186/s12970-019-0273-z · Cited by 14 · see citing works
Exertional heat fatalities in Australian sport and recreation
Fortington, L. V., Gamage, P., Cartwright, A., & Bugeja, L. C. (2021) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2021.04.007 · Cited by 13 · see citing works
Johnson, K. B., Connolly, C. P., Cho, S. P., Miller, T. K., Sallis, R. E., & Hiller, W. D. B. (2023) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/sms.14401 · Cited by 13 · see citing works
Life‐threatening heat‐related illness with severe hyponatremia in an aluminum smelter worker
Wesdock, J. C., & Donoghue, A. M. (2019) · American Journal of Industrial Medicine · doi:10.1002/ajim.23061 · Cited by 13 · see citing works
Leshem, M. (2020) · British Journal Of Nutrition · doi:10.1017/s0007114520000173 · Cited by 13 · see citing works
Why are placebos not on WADA’s Prohibited List?
Kayser, B. (2020) · Performance Enhancement & Health · doi:10.1016/j.peh.2020.100163 · Cited by 12 · see citing works
Exertional heat stress and sodium balance: Leaders, followers, and adaptations
McCubbin, A. J. (2021) · Autonomic Neuroscience · doi:10.1016/j.autneu.2021.102863 · Cited by 12 · see citing works
Sex-dependent differences in water homeostasis in wild-type and V-ATPase B1-subunit deficient mice
Nair, A. V., Wei, Y., Păunescu, T. G., Bouley, R., & Brown, D. (2019) · PLoS ONE · doi:10.1371/journal.pone.0219940 · Cited by 12 · see citing works
Ryan, T., Daly, E., & Ryan, L. (2023) · Nutrients · doi:10.3390/nu15204330 · Cited by 11 · see citing works
Leggett, T., Williams, J. M., Daly, C., Kipps, C., & Twycross-Lewis, R. (2018) · Journal of Athletic Training · doi:10.4085/1062-6050-125-17 · Cited by 11 · see citing works
Marathon Runners' Knowledge and Strategies for Hydration
Namineni, N., Potok, O., Ix, J. H., Ginsberg, C., Negoianu, D., Rifkin, D. E., & Garimella, P. S. (2021) · Clinical Journal of Sport Medicine · doi:10.1097/jsm.0000000000000990 · Cited by 11 · see citing works
Sex differences in hydration status among adolescent elite soccer players
Francescato, M. P., Venuto, I., Stella, A. B., Stel, G., Mallardi, F., & Cauci, S. (2018) · Journal of Human Sport and Exercise · doi:10.14198/jhse.2019.142.02 · Cited by 10 · see citing works
Stroke and Athletes: A Scoping Review
Doyle–Baker, P. K., Mitchell, T. J., & Hayden, A. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph181910047 · Cited by 9 · see citing works
Tambalis, K. D. (2022) · European Journal of Fitness Nutrition and Sport Medicine Studies · doi:10.46827/ejfnsm.v3i1.127 · Cited by 9 · see citing works
Hemingway, R., Stourton, F., Leckie, T., Fitzpatrick, D., Jones, G., Wood, F., Boalch, A., McNulty-Ackroyd, J., Thurgood, A., Boulter, M., et al. (2025) · Emergency Medicine Journal · doi:10.1136/emermed-2024-214795 · Cited by 8 · see citing works
McCubbin, A. J., Irwin, C. G., & Costa, R. J. S. (2024) · Current Nutrition Reports · doi:10.1007/s13668-024-00554-8 · Cited by 8 · see citing works
Schenk, K., Rauch, S., Procter, E., Grasegger, K., Mrakic‐Sposta, S., & Gatterer, H. (2021) · Frontiers in Physiology · doi:10.3389/fphys.2021.764694 · Cited by 8 · see citing works
Sudden death in young athletes: Is it preventable?
Modesti, P. A., Casolo, G., Olivotto, I., & Pellegrino, A. (2022) · European Journal of Internal Medicine · doi:10.1016/j.ejim.2022.06.009 · Cited by 8 · see citing works
Huang, W.-C., Tung, Y., Wu, K., Liu, M.-C. J., Lin, T.-J., & Yang, M. (2020) · Antioxidants · doi:10.3390/antiox9040336 · Cited by 7 · see citing works
Fitzpatrick, D., Walter, E. J., Leckie, T., Richardson, A., Stacey, M., Hunter, A., Short, S., Hill, N. E., Woods, D. R., Grimaldi, R., et al. (2020) · European Journal of Emergency Medicine · doi:10.1097/mej.0000000000000739 · Cited by 7 · see citing works
A review of risk factors and prevention strategies for exercise associated hyponatremia
Seal, A., & Kavouras, S. A. (2021) · Autonomic Neuroscience · doi:10.1016/j.autneu.2021.102930 · Cited by 7 · see citing works
Recommendations for Optimizing Research Regarding the Effects of Dehydration on Athletic Performance
Francisco, R., Armstrong, L. E., & Silva, A. M. (2025) · Sports Medicine · doi:10.1007/s40279-025-02310-6 · Cited by 6 · see citing works
Wijering, L. A. J., Cotter, J. D., & Rehrer, N. J. (2022) · European Journal of Applied Physiology · doi:10.1007/s00421-022-05025-y · Cited by 6 · see citing works
Dyshko, K., Nicodemus, M. P., Otterstetter, R., Ghadimi, H., Daniels, S., Fulmer, M., Cheney, Z., Ellis, R., Stege, V., & Monty, C. N. (2023) · European Journal of Applied Physiology · doi:10.1007/s00421-023-05364-4 · Cited by 6 · see citing works
Would Relaxation of the Anti-doping Rule Lead to Red Queen Effects?
Kayser, B., & BLOCK, A. D. (2020) · Sport Ethics and Philosophy · doi:10.1080/17511321.2020.1770846 · Cited by 6 · see citing works
Munson, E. H., Orange, S. T., Bray, J., Thurlow, S., Marshall, P., & Vince, R. V. (2020) · Frontiers in Nutrition · doi:10.3389/fnut.2020.549413 · Cited by 7 · see citing works
Incidence of exercise-associated hyponatremia during a high-altitude 161-km ultramarathon
Khodaee, M., Saeedi, A., Harris-Spinks, C., & Hew‐Butler, T. (2021) · Physical Activity and Nutrition · doi:10.20463/pan.2021.0016 · Cited by 5 · see citing works
Self-citationHenry, D. A. (2025) · Annals of Internal Medicine · doi:10.7326/annals-25-04219 · Cited by 4 · see citing works
de Lara, D. L., Ruiz-Sánchez, J. G., Cuesta, M., Seara, G., Calle‐Pascual, A. L., Rubio, M. Á., Rünkle, I., & Verbalis, J. G. (2022) · Frontiers in Nutrition · doi:10.3389/fnut.2021.781229 · Cited by 4 · see citing works
Critical Care Anywhere: Principles for High-Functioning Management in Low-Resource Environments
Stankiewicz, J., Ward, R. C., & McCurdy, M. T. (2021) · Medical Research Archives · doi:10.18103/mra.v9i1.2317 · Cited by 4 · see citing works
Die belastungsassoziierte Hyponatriämie im Ausdauersport
Knechtle, B., Chlíbková, D., & Nikolaidis, P. Τ. (2019) · Praxis · doi:10.1024/1661-8157/a003261 · Cited by 4 · see citing works
Troubleshooting a Nonresponder: Guidance for the Strength and Conditioning Coach
Gleason, B. H., Hornsby, W. G., Suarez, D. G., Nein, M. A., & Stone, M. H. (2021) · Sports · doi:10.3390/sports9060083 · Cited by 5 · see citing works
ADÖLESAN AMATÖR FUTBOLCULARIN BESLENME DURUMUNUN DEĞERLENDİRİLMESİ
GÜLDEMİR, H. H., & Bayraktaroğlu, E. (2020) · Ankara Üniversitesi Beden Eğitimi ve Spor Yüksekokulu SPORMETRE Beden Eğitimi ve Spor Bilimleri Dergisi · doi:10.33689/spormetre.598251 · Cited by 3 · see citing works
Black, K. E., Black, A. D., Baker, D., & Fairbairn, K. A. (2018) · European Journal of Sport Science · doi:10.1080/17461391.2018.1470677 · Cited by 3 · see citing works
Comment on: “Drinking Strategies: Planned Drinking versus Drinking to Thirst”
Valenzuela, P. L., Morales, J. S., de la Villa, P., & Lucía, A. (2018) · Sports Medicine · doi:10.1007/s40279-018-0905-5 · Cited by 3 · see citing works
Pillai, A., Tata, L. J., Lucas, N., Vowles, Z., & Nelson‐Piercy, C. (2025) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.18247 · Cited by 2 · see citing works
Nutrition, santé et performance du sportif d’endurance
Rousseau, A. (2022) · Cahiers de Nutrition et de Diététique · doi:10.1016/j.cnd.2021.11.004 · Cited by 2 · see citing works
Exercise-Associated Hyponatremia in the Grand Canyon
Rosner, M. H., Myers, T., Bennett, B. L., Lipman, G. S., & Hew‐Butler, T. (2023) · Clinical Journal of the American Society of Nephrology · doi:10.2215/cjn.0000000000000402 · Cited by 2 · see citing works
Self-citationAktitiz, S., Kuru, D., Ergün, Z., & Turnagöl, H. H. (2024) · Turkish Journal of Sports Medicine · doi:10.47447/tjsm.0807 · Cited by 2 · see citing works
An In-Depth Assessment of Dietary Methods and Nutritional Treatments to Improve Female Athletes
Reyed, R. M., & Prabhakar, P. K. (2024) · Advances in medical diagnosis, treatment, and care (AMDTC) book series · doi:10.4018/979-8-3693-6317-1.ch002 · Cited by 2 · see citing works
Factors Influencing the Optimal Choice of Sports Beverages
Shephard, R. J. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-815851-7.00004-8 · Cited by 2 · see citing works
Li, G., Wang, L., & Qian, Q. (2022) · Wiley eBooks · doi:10.1002/9781119105954.ch60 · Cited by 3 · see citing works
Pathophysiology and treatment of exercise-associated hyponatremia
Altieri, B., Aini, I., Cannavale, G., Magnelli, C., Mancini, C., Zamponi, V., Isidori, A. M., Colao, A. A. L., Faggiano, A., Peri, A., et al. (2025) · Journal of Endocrinological Investigation · doi:10.1007/s40618-025-02673-7 · Cited by 1 · see citing works
Umapathi, K. (2026) · Analytical Methods · doi:10.1039/d6ay00459h · Cited by 1 · see citing works
Fitness professionals’ knowledge and perceptions on hydration and fluid intake: a preliminary study
Jusoh, N. B., & Shirreffs, S. M. (2018) · Journal of Fundamental and Applied Sciences · doi:10.4314/jfas.v9i6s.75 · Cited by 1 · see citing works
Exercise and the gastrointestinal system
Stachow, E. (2019) · InnovAiT Education and inspiration for general practice · doi:10.1177/1755738019855412 · Cited by 1 · see citing works
Nutrition for long-distance triathletes: facts and myths
Kruseman, M., Lecoultre, V., & Grémeaux, V. (2020) · German Journal of Sports Medicine · doi:10.5960/dzsm.2020.461 · Cited by 1 · see citing works
Curtis, V. A. (2023) · Elsevier eBooks · doi:10.1016/b978-0-323-99992-2.00013-x · Cited by 1 · see citing works
Nichols, J., Olsen, E., & Lareau, S. A. (2023) · Physician Assistant Clinics · doi:10.1016/j.cpha.2023.08.009 · Cited by 1 · see citing works
Mesafe Koşularında Performansı Etkileyen Fizyolojik, Mekanik ve Genetik Farklılıklar
Yıldız, S., & Vardar, S. A. (2024) · Uludağ Üniversitesi Tıp Fakültesi Dergisi · doi:10.32708/uutfd.1473098 · Cited by 1 · see citing works
Kycler, M., Rzepczyk, S., Szymańska, C., Żaba, C., & Świderski, P. (2024) · Postępy Higieny i Medycyny Doświadczalnej · doi:10.2478/ahem-2024-0017 · Cited by 1 · see citing works
Just the facts: exercise-associated hyponatremia
Jerome, D., & Divito, B. (2025) · Canadian Journal of Emergency Medicine · doi:10.1007/s43678-024-00765-6 · Cited by 1 · see citing works
Elektrolytstörungen: Hypo- und Hypernatriämie
Broll, M., & John, S. (2018) · Intensivmedizin up2date · doi:10.1055/s-0044-101115 · Cited by 1 · see citing works
Goulet, E. D. B., Claveau, P., Simoneau, I. L., Deshayes, T. A., Desroches, A. J., Aloui, F., & Hoffman, M. D. (2023) · Nutrients · doi:10.3390/nu15214500 · Cited by 1 · see citing works
Hydration Knowledge and Intake in High School Student Athletes
Ortiz, E. (2019) · doi:10.30707/etd2019.ortiz.e · Cited by 1 · see citing works
Iponatremia da esercizio fisico: valutazione, prevenzione e trattamento
Zavattaro, M., Prencipe, N., Berton, A. M., Motta, G., & Benso, A. S. (2019) · L Endocrinologo · doi:10.1007/s40619-019-00592-3
The future of genetically based nutritional and pharmacological ergogenic aids in sport
Guest, N. S., García‐Bailo, B., Eny, K. M., Joffre, S., & El‐Sohemy, A. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-816193-7.00020-8
HYPONATREMIA: CAUSES, CLINICAL MANIFESTATIONS AND CORRECTION
Fesenko, U. A. (2019) · Pain anesthesia and intensive care · doi:10.25284/2519-2078.4(89).2019.187786
Hyponatrémie du samedi soir : penser à l’ecstasy !
de Courssou, J.-B. B., Arnaout, M., & Géri, G. (2020) · Annales françaises de médecine d’urgence · doi:10.3166/afmu-2020-0248
Grace, D. (2021) · Current Medical Issues · doi:10.4103/cmi.cmi_15_21
Banerjee, A., Jafar, A. J. N., Mukherjee, A., Solomonides, C., & Witt, E. S. (2019) · doi:10.1093/med/9780198814672.003.0013
- Authors
- Hew-Butler, T., Loi, V., Pani, A., & Rosner, M. H.
- Affiliations
- Azienda Ospedaliera G. Brotzu (IT)
- University of Virginia Health System (US)
- Corresponding author
- Rosner, Mitchell H.
- Venue
- Frontiers in Medicine
- Publisher
- Frontiers Media SA
- Published
- 2017-03-03
- Volume
- 4
- Pages
- 21-21
- ISSN
- 2296-858X (ISSN-L)
- PMC
- PMC5334560
- OpenAlex
- W2594661228
- Cited by
- 112
- References
- 101
- Citations by year
- 2026: 6 · 2025: 9 · 2024: 7 · 2023: 11 · 2022: 12 · 2021: 17 · 2020: 15 · 2019: 26 · 2018: 9
- FWCI
- 2.49
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Frontiers in Medicine (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UNICA IRIS Institutional Research Information System (University of Cagliari) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Electrolyte and hormonal disorders
- Health Sciences › Medicine › Physiology › Thermoregulation and physiological responses
- Health Sciences › Medicine › Rehabilitation › Exercise and Physiological Responses
- Keywords
- exercise-associated hyponatremia, endurance athletes, rhabdomyolysis, sodium depletion, hypovolemia, pathophysiology, prevention, treatment
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
