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Fluid and electrolyte balance in ultra-endurance sport.

PMID 11547892 (2001): hydration, fluid — Time to exhaustion, Performance in heat, Cramp risk (study note for endurance athletes).

Last updated/Feb 23, 2026, 11:13 PM

Study note • PMID 11547892

Fluid and electrolyte balance in ultra-endurance sport.

Sports medicine (Auckland, N.Z.)2001 • DOI 10.2165/00007256-200131100-00001
Evidence C60/100
Action 2: Consider

Worth trying if it fits your goal and context.

ELI5

In plain language

It is well known that fluid and electrolyte balance are critical to optimal exercise performance and, moreover, health maintenance. (review; athletes).

In this review, the abstract is mixed or unclear for Performance in heat. Treat this as a signal, not a guarantee; confirm methods and context in the full paper.

Takeaways

What the abstract suggests

  • Study question: It is well known that fluid and electrolyte balance are critical to optimal exercise performance and, moreover, health maintenance.
  • In this review, the abstract is mixed or unclear for Performance in heat.
  • Population: athletes.
  • Protocol cues (title/abstract): 3 hours.

Protocol

Protocol (as reported)

  • Intervention/exposure: hydration, fluid.
  • Dose/time/duration cues in abstract/title: 3 hours.
  • Outcomes: Time to exhaustion, Performance in heat, Cramp risk.
  • Replication note: abstracts often omit adherence and timing; confirm details before changing training or supplementation.

Fit

Who it helps, and who should skip it

Who it helps

  • Athletes similar to the study population (athletes) working on hydration.
  • Athletes who can measure Time to exhaustion, Performance in heat, Cramp risk with a repeatable workout or time-trial effort.

Who should skip

  • If you have symptoms or conditions that make the intervention risky, get professional guidance.
  • If you’re near race day and can’t safely test, defer the experiment.

Methods

What the study actually did

  • Design: review.
  • Population: athletes.
  • Outcomes measured: Time to exhaustion, Performance in heat, Cramp risk.
  • Protocol cues mentioned: 3 hours.
  • Source: PubMed PMID 11547892 (2001) — Sports medicine (Auckland, N.Z.).

Results excerpt

What the abstract reports

If insufficient fluids are taken during exercise, sodium is necessary in the recovery period to reduce the urinary output and increase the rate of restoration of fluid balance.

Note: excerpts are short; for full context, read the paper.

Limits

Limitations & bias

  • Abstract-only summaries can miss critical details (population, protocol, adherence, and context).
  • Reviews and consensus statements mix protocols and populations; recommendations may not match your exact constraints.
  • If your context differs (elite vs recreational; cycling vs running), adjust expectations and be conservative.
  • This is performance information, not medical advice.

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Sources