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Alkaline water improves exercise-induced metabolic acidosis and enhances anaerobic exercise performance in combat sport athletes.

PMID 30452459 (2018): hydration, sodium — Time to exhaustion, Performance in heat, Cramp risk (study note for endurance athletes).

Last updated/Feb 23, 2026, 10:34 PM

Study note • PMID 30452459

Alkaline water improves exercise-induced metabolic acidosis and enhances anaerobic exercise performance in combat sport athletes.

PloS one2018 • DOI 10.1371/journal.pone.0205708
Evidence B74/100
Action 1: Default

Low risk + high feasibility for most athletes.

ELI5

In plain language

Hydration is one of the most significant issues for combat sports as athletes often use water restriction for quick weight loss before competition. (randomized trial; n=16 well-trained athletes).

Effects on Time to exhaustion, Performance in heat, Cramp risk are mixed or unclear from the abstract alone. Treat this as a signal, not a guarantee; confirm methods and context in the full paper.

Takeaways

What the abstract suggests

  • Study question: Hydration is one of the most significant issues for combat sports as athletes often use water restriction for quick weight loss before competition.
  • Effects on Time to exhaustion, Performance in heat, Cramp risk are mixed or unclear from the abstract alone.
  • Population: n=16 well-trained athletes.
  • Protocol cues (title/abstract): 3 minutes.

Protocol

Protocol (as reported)

  • Intervention/exposure: hydration, sodium (vs placebo).
  • Dose/time/duration cues in abstract/title: 3 minutes.
  • 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 (n=16 well-trained 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: randomized trial (double-blind, placebo-controlled).
  • Population: n=16 well-trained athletes.
  • Comparator: placebo.
  • Outcomes measured: Time to exhaustion, Performance in heat, Cramp risk.
  • Protocol cues mentioned: 3 minutes.
  • Source: PubMed PMID 30452459 (2018) — PloS one.

Results excerpt

What the abstract reports

Anaerobic performance was evaluated by two double 30 s Wingate tests for lower and upper limbs, respectively, with a passive rest interval of 3 minutes between the bouts of exercise.

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).
  • Single studies often don’t generalize to your event, history, and training load; treat results as a starting point.
  • 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