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Front Med (Lausanne). 2017 Mar 03;4:21. doi: 10.3389/fmed.2017.00021. eCollection 2017.

Exercise-Associated Hyponatremia: 2017 Update.

Frontiers in medicine

Tamara Hew-Butler, Valentina Loi, Antonello Pani, Mitchell H Rosner

Affiliations

  1. Oakland University School of Health Sciences , Rochester, MI , USA.
  2. SC Nephrology and Dialysis, Brotzu Hospital , Cagliari , Italy.
  3. Department of Medicine, University of Virginia Health System , Charlottesville, VA , USA.

PMID: 28316971 PMCID: PMC5334560 DOI: 10.3389/fmed.2017.00021

Abstract

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.

Keywords: exercise; hyponatremia; pathogenesis; rhabdomyolysis; water

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