The DOI matches its Crossref record; 101 of the 101 references it cites were found in a registry or an index.
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.
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“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]
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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
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
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
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 607
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
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
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
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
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
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
Flagged first, then by citations
Research works printed but not linked: 11
- 2008, Electrolyte Imbalance Blamed in Death of Football Player. Coroner’s Office Says Athlete Failed to Replenish Lost Sodium
- Blevins, 2014, Preps Sports Report
- Stevens, 2015, Update: Douglas County Football Player Has Died
- Baumgarder, 2009, Au Sable River Canoe Marathon Pushes Paddlers to the Limits
- Krabel, 2015, Athlete Dies after IM Frankfurt
- Vega, 2005, 8 Charged in Chico Hazing Death
- Sydney Morning Herald, 2012, Bushwalker Died from Drinking Too Much Water
- Gierer, 2016, Benning Soldier Dies after Falling Ill on First Day of Ranger School
- WIlber, 2005, District Officer Dies After Bike Ride. Over-hydration Cited as Factor
- Cruel, 2015, 12 Easy Ways to Drink More Water Every Day
- Associated Press, 2007, Woman Dies after Water Drinking Contest
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Items 101–112 of 112
Ko, J. S., & Chiampas, G. (2021) · Springer eBooks · doi:10.1007/978-3-030-69384-8_20
Advances in Research on the Effects of Hydration Status on Exercise Performance and Health
Cai, T., Yuan, J., Li, Y., & Fan, S. (2023) · Advances in Engineering Technology Research · doi:10.56028/aetr.6.1.15.2023
Akıl, M., Çoban, F. K., & Yalçınkaya, Ö. (2023) · Sport Sciences for Health · doi:10.1007/s11332-023-01125-0
Yıldız, S., & Vardar, S. A. (2024) · Eurasian Journal of Family Medicine · doi:10.33880/ejfm.2024130408
Mikronährstoffbedarfe im Sport
Carlsohn, A. (2025) · Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz · doi:10.1007/s00103-025-04132-3
Spor ve Egzersiz Arasındaki İnce Çizgi: Ani Kardiyak Ölümün Gerçekleri
KİRİŞÇİ, İ. (2025) · Özgür Yayınları eBooks · doi:10.58830/ozgur.pub906.c3769
Exercise-Associated Hyponatremia: Serum Sodium, Symptomatology, Severity, and Sport Specificity
Armstrong, L. E., McDermott, B. P., Young, S. L., & Casa, D. J. (2025) · Open Access Journal of Sports Medicine · doi:10.2147/oajsm.s556848 · Cited by 2
Mechanisms of physical activity in epilepsy
Lebedeva, E. N., Иванова, Н. Е., Shalygin, D. Y., Аbramov, K. B., Dengina, N. O., & Одинцова, Г. В. (2026) · Российский нейрохирургический журнал им профессора А Л Поленова · doi:10.56618/2071-2693_2025_17_4_114
Skotniczny, K., Walencik, J., Siatkowski, S., & Chycki, J. (2026) · Journal of Human Kinetics · doi:10.5114/jhk/220099
Zinner, C., & Sperlich, B. (2026) · Sportphysio · doi:10.1055/a-2769-9036
Przybysz, K., Stadnik, L., Kozłowska, A., Szerenos, N., Dzwonkowska, A., Trocka, D., Zienkiewicz, N., Rachoń, J., Dzwonkowski, J., & Woroniecka, N. (2026) · International Journal of Innovative Technologies in Social Science · doi:10.31435/ijitss.3(51).2026.6355 · Cited by 1
Sears, C. C. (2026) · doi:10.67999/b0001.c17
Metadata
- 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 › Nephrology › Electrolyte and hormonal disorders
- Health Sciences › Medicine › Physiology (medical) › Thermoregulation and physiological responses
- Health Sciences › Medicine › Physiology (medical) › Exercise and Physiological Responses
- Keywords
- exercise-associated hyponatremia, endurance athletes, rhabdomyolysis, sodium depletion, hypovolemia, pathophysiology, prevention, treatment
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