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Fluid balance of cyclists during a 387-km race.

PMID 24444237 (2014): 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 24444237

Fluid balance of cyclists during a 387-km race.

European journal of sport science2014 • DOI 10.1080/17461391.2012.711860
Evidence C56/100
Action 2: Consider

Worth trying if it fits your goal and context.

ELI5

In plain language

Current hydration guidelines are designed to address the fine balance between minimising dehydration while reducing the risk of hyponatremia. (expert consensus / guideline; cyclists).

In this expert consensus / guideline, the abstract suggests potential trade-offs that could affect Time to exhaustion, Performance in heat, Cramp risk. Treat this as a signal, not a guarantee; confirm methods and context in the full paper.

Takeaways

What the abstract suggests

  • Study question: Current hydration guidelines are designed to address the fine balance between minimising dehydration while reducing the risk of hyponatremia.
  • In this expert consensus / guideline, the abstract suggests potential trade-offs that could affect Time to exhaustion, Performance in heat, Cramp risk.
  • Population: cyclists.
  • Protocol cues (title/abstract): 387 km.

Protocol

Protocol (as reported)

  • Intervention/exposure: hydration, fluid.
  • Dose/time/duration cues in abstract/title: 387 km.
  • 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 (cyclists) 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: expert consensus / guideline.
  • Population: cyclists.
  • Outcomes measured: Time to exhaustion, Performance in heat, Cramp risk.
  • Protocol cues mentioned: 387 km.
  • Source: PubMed PMID 24444237 (2014) — European journal of sport science.

Results excerpt

What the abstract reports

Upon completion of the race 7 of the 18 (39%) cyclists had blood sodium concentrations of 135 mmol L(-1) or lower with one cyclist recording a value of 132 mmol L(-1).

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