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Prospective Observational Study of Weight-based Assessment of Sodium Supplements on Ultramarathon Performance (WASSUP).

PMID 33594588 (2021): hydration, sodium — Time to exhaustion, Performance in heat, Cramp risk (study note for endurance athletes).

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

Study note • PMID 33594588

Prospective Observational Study of Weight-based Assessment of Sodium Supplements on Ultramarathon Performance (WASSUP).

Sports medicine - open2021 • DOI 10.1186/s40798-021-00302-0
Evidence C56/100
Action 2: Consider

Worth trying if it fits your goal and context.

ELI5

In plain language

BACKGROUND: Sodium supplements are ubiquitous in endurance running, but their impact on performance has been subjected to much debate. (controlled study; runners).

Results section: no clear change in Time to exhaustion, Performance in heat, Cramp risk under the tested conditions. Treat this as a signal, not a guarantee; confirm methods and context in the full paper.

Takeaways

What the abstract suggests

  • Study question: BACKGROUND: Sodium supplements are ubiquitous in endurance running, but their impact on performance has been subjected to much debate.
  • Results section: no clear change in Time to exhaustion, Performance in heat, Cramp risk under the tested conditions.
  • Population: runners.
  • Protocol cues (full paper): 200 mg • 2.79 mg • 360 mg • 4.78 mg • 8°C • 2°C.

Protocol

Protocol (as reported)

  • Intervention/exposure: hydration, sodium (vs comparison group).
  • Dose/time/duration cues found in the full paper: 200 mg • 2.79 mg • 360 mg • 4.78 mg • 8°C • 2°C.
  • 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 (runners) 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: controlled study (parallel groups).
  • Population: runners.
  • Comparator: comparison group.
  • Outcomes measured: Time to exhaustion, Performance in heat, Cramp risk.
  • Protocol cues mentioned: 533 mg • 3.6 min • 4.6 h • 80 km • 250 km.
  • Source: PubMed PMID 33594588 (2021) — Sports medicine - open.

Full paper

What the full paper adds

  • Design features (paper): parallel groups.
  • Participants (paper): runners.
  • More protocol detail (paper): 200 mg • 2.79 mg • 360 mg • 4.78 mg • 8°C • 2°C.
  • Results section: no clear change in Time to exhaustion, Performance in heat, Cramp risk under the tested conditions.

Results excerpt

What the abstract reports

Dehydrated runners were found to have the best performance.

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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