Electrolytes
14 benefits mapped to clinical evidence across supplements.
Dose per serving from products
45 products in our catalogue print how much Electrolytes a serving holds.
Most common: 25 mg to 50 mg and 100 mg to 250 mg, 18% of 45 products each.
| Dose per serving | Products |
|---|---|
| 500 mcg or less | 1 |
| 500 mcg to 1 mg | 5 |
| 1 mg to 2.5 mg | 1 |
| 2.5 mg to 5 mg | 3 |
| 5 mg to 10 mg | 1 |
| 10 mg to 25 mg | 3 |
| 25 mg to 50 mg | 8 |
| 50 mg to 100 mg | 4 |
| 100 mg to 250 mg | 8 |
| 250 mg to 500 mg | 6 |
| 500 mg to 1 g | 3 |
| over 1 g | 2 |
Dose per serving from research
63 study groups in 44 studies say how much Electrolytes participants took a day.
These are the doses the studies gave. They are not a recommendation.
Most common: 500 mg to 1 g, 17% of 63 study groups.
| Daily dose | Study groups |
|---|---|
| 25 mg or less | 3 |
| 25 mg to 50 mg | 5 |
| 50 mg to 100 mg | 3 |
| 100 mg to 250 mg | 6 |
| 250 mg to 500 mg | 0 |
| 500 mg to 1 g | 11 |
| 1 g to 2.5 g | 9 |
| 2.5 g to 5 g | 10 |
| 5 g to 10 g | 3 |
| 10 g to 25 g | 5 |
| 25 g to 50 g | 6 |
| over 50 g | 2 |
Commonly used together
41 of 144 study groups took Electrolytes with something else. Shown: what 3 or more different studies gave.
What was given together, not what works together.
| Taken with | Study groups |
|---|---|
| Calcium | 22 |
| Vitamin D | 7 |
| Creatine | 3 |
| Magnesium | 3 |
| Potassium | 3 |
| Vitamin C | 3 |
Benefit Evidence
Immersion/cooling: â core temp
Hydration/salt: â core temp
-0.5°C, +7% PV
Hydration lifts focus +performance
Dehydration blunts attention -5%
Electrolytes improve cognition +4%
Immersion/cooling: â core temp
Hydration/salt: â core temp
-0.5°C, +7% PV
Hydration lifts focus +performance
Dehydration blunts attention -5%
Electrolytes improve cognition +4%
Research sources
Hydration (1011)
- Bioimpedance-guided fluid management in maintenance hemodialysis: a pilot randomized controlled trial
PubMed ID: 24583055
Bioimpedance-guided fluid removal reduced relative fluid overload and improved arterial stiffness â strong, direct evidence for better fluid balance in dialysis patients.
- Paricalcitol for secondary hyperparathyroidism in renal transplantation
PubMed ID: 25194004
Paricalcitol lowered PTH and changed bone markers in transplant recipients â affects mineral metabolism and fluid/electrolyte milieu.
- Efficacy and safety of lanthanum carbonate in pre-dialysis CKD patients with hyperphosphatemia: a randomized trial
PubMed ID: 25079863
Lanthanum carbonate clearly reduced serum phosphate burden in CKD â direct effect on systemic electrolyte balance.
- Treatment of hyperkalemia in patients with chronic kidney disease: a comparison of calcium polystyrene sulphonate and sodium polystyrene sulphonate
PubMed ID: 25672163
Cationâexchange resins reliably lower serum potassium over days â clinically important tool for restoring electrolyte balance in hyperkalemia.
- The effects of plasmalyte-148 vs. Hartmann's solution during major liver resection: a multicentre, double-blind, randomized controlled trial
PubMed ID: 25407026
RCT demonstrated PlasmaâLyte produced less chloride/lactate rise and fewer complications than Hartmann's â direct evidence for improved fluid/electrolyte balance clinically.
- Saline versus Plasma-Lyte A in initial resuscitation of trauma patients: a randomized trial
PubMed ID: 23732264
Randomized trial directly showed PlasmaâLyte improved base excess/pH and lowered chloride compared with saline â strong evidence for better fluid/electrolyte balance.
- Effects of Hydration and Calcium Supplementation on Urine Calcium Concentration in Healthy Postmenopausal Women
PubMed ID: 25856469
Large RCT secondary analysis showed calcium supplements increased urinary Ca but maintaining urine volume âĽ2 L/day largely removed the added kidney-stone risk â direct evidence that adequate hydration mitigates electrolyte-supplement risks.
- Potassium Bicarbonate Supplementation Lowers Bone Turnover and Calcium Excretion in Older Men and Women: A Randomized Dose-Finding Trial
PubMed ID: 25990255
Oral potassium bicarbonate significantly reduced net acid excretion and urinary calcium, directly showing an electrolyte (alkali) can rebalance acidâbase and mineral handling.
- Increased intake of selected vegetables, herbs and fruit may reduce bone turnover in post-menopausal women
PubMed ID: 25856221
Dietary intervention (more vegetables/herbs/fruit) reduced urinary calcium and bone turnover markers, indicating shifts in systemic acidâbase/electrolyte handling.
- Adenotonsillectomy Normalizes Hormones and Urinary Electrolytes in Children With Nocturnal Enuresis and Sleep-Disordered Breathing
PubMed ID: 26142600
Surgery normalized ADH/BNP and urinary sodium in enuretic children, showing how physiological interventions change body fluid/electrolyte regulation.
- [Changes in Electrolytic Concentration Resulting from Perioperative Amino Acid Fluid Administration]
PubMed ID: 26121805
Amino acid infusion produced a clinically measurable decrease in serum sodium, indicating how interventions can shift body-fluid electrolytes.
- The Association Between Conversion to In-centre Nocturnal Hemodialysis and Left Ventricular Mass Regression in Patients With End-Stage Renal Disease
PubMed ID: 26386732
Switching to nocturnal hemodialysis produced substantial changes in serum phosphate and likely improved overall fluid/electrolyte control.
- Consequences of a high phosphorus intake on mineral metabolism and bone remodeling in dependence of calcium intake in healthy subjects - a randomized placebo-controlled human intervention study
PubMed ID: 26786148
Dietary phosphorus (1,000 mg/day) altered renal phosphate excretion and FGF23, demonstrating dietary electrolyte (mineral) intake affects mineral/fluid balance.
- Calcium Mass Balance during Citrate Hemodialysis: A Randomized Controlled Trial Comparing Normal and Low Ionized Calcium Target Ranges
PubMed ID: 28030601
Citrate hemodialysis iCa targeting markedly altered calcium mass balance per sessionâdirect fluid/electrolyte balance intervention.
- Effects of lanthanum carbonate and calcium carbonate on fibroblast growth factor 23 and hepcidin levels in chronic hemodialysis patients
PubMed ID: 27928636
Lanthanum reduced FGF23 and affected phosphateâmeaningful influence on mineral homeostasis.
- Effects of parathyroid hormone rhPTH(1-84) on phosphate homeostasis and vitamin D metabolism in hypoparathyroidism: REPLACE phase 3 study
PubMed ID: 27734257
rhPTH in hypoparathyroidism produced consistent, physiologic reductions in serum phosphate and urinary phosphateâdirect, high-quality evidence of rebalancing mineral/electrolyte homeostasis.
- An Intervention with Mineral Water Decreases Cardiometabolic Risk Biomarkers. A Crossover, Randomised, Controlled Trial with Two Mineral Waters in Moderately Hypercholesterolaemic Adults
PubMed ID: 27367723
Randomized crossover trial: drinking 1 L/day of bicarbonated mineral water produced measurable changes in urine pH/calcium and modest metabolic benefitsâbest direct evidence for routine electrolyte-containing water improving hydration.
- Electrolyte and mineral disturbances in septic acute kidney injury patients undergoing continuous renal replacement therapy
PubMed ID: 27603344
Septic AKI cohort shows serum phosphate abnormalities are common and strongly prognosticâhigh relevance to fluid/electrolyte balance in illness.
- The role of oral sodium bicarbonate supplementation in maintaining acid-base balance and its influence on the cardiovascular system in chronic hemodialysis patients - results of a prospective study
PubMed ID: 27928454
Oral sodium bicarbonate robustly maintained predialysis bicarbonate levels and favorably affected phosphate/iPTH and vascularâcalcification trendsâstrong evidence of improved acidâbase/mineral balance in dialysis.
- Two phosphAte taRGets in End-stage renal disease Trial (TARGET): A Randomized Controlled Trial
PubMed ID: 28550080
Titrated calcium carbonate lowered serum phosphate by ~1.2 mg/dL without increased calcium eventsâmeaningful manipulation of mineral balance in dialysis patients.
- Multimodal Nutritional Management in Primary Total Knee Arthroplasty: A Randomized Controlled Trial
PubMed ID: 28697860
Multimodal nutrition decreased early postoperative kaliopenia/hypocalcemia and raised early electrolyte levelsâsupports balanced perioperative fluid/electrolyte status.
- Randomized trial of intravenous iron-induced hypophosphatemia
PubMed ID: 30518682
Large trial showing marked, prolonged disruptions in serum phosphate and related hormones â strong evidence that electrolyte shifts substantially affect body fluid/ionic balance.
- Renal tubular effects of prolonged therapy with the GLP-1 receptor agonist lixisenatide in patients with type 2 diabetes mellitus
PubMed ID: 30353743
Direct evidence of altered renal electrolyte excretion and urine pHâcore to fluid/electrolyte balance
- Effects of the Potassium-Binding Polymer Patiromer on Markers of Mineral Metabolism
PubMed ID: 30381412
Patiromer caused measurable changes in urinary phosphate and lowered PTH/1,25Dâaffects mineral/volume homeostasis in patients
- Association of Urinary Citrate With Acid-Base Status, Bone Resorption, and Calcium Excretion in Older Men and Women
PubMed ID: 29211866
KHCO3 doseâdependently changed urinary citrate and net acid excretionâkey acidâbase/electrolyte balance data
- Potassium Citrate Supplementation Decreases the Biochemical Markers of Bone Loss in a Group of Osteopenic Women: The Results of a Randomized, Double-Blind, Placebo-Controlled Pilot Study
PubMed ID: 30213095
Potassium citrate produced clear urinary citrate/pH changes and corrected targeted metabolic electrolyte deficits in subgroups
- Calcium-Polystyrene Sulfonate Decreases Inter-Dialytic Hyperkalemia in Patients Undergoing Maintenance Hemodialysis: A Prospective, Randomized, Crossover Study
PubMed ID: 30109784
Calciumâbased K binder substantially stabilizes serum K between dialysis sessionsâimportant for fluid/electrolyte balance
- [Comparison of curative effect and serum electrolytes between different oral rehydration salts in treatment of neurally mediated syncope children]
PubMed ID: 29886470
Direct study of oral rehydration formulations (electrolyte solution)âmost directly relevant to hydration.
- A randomized controlled trial of different serum phosphate ranges in subjects on hemodialysis
PubMed ID: 30717691
Deliberate dialysis study manipulating serum phosphate produced clear electrolyte separation; directly about managing a specific electrolyte.
- Multimodal Nutritional Management in Primary Lumbar Spine Surgery: A Randomized Controlled Trial
PubMed ID: 30817733
Perioperative multimodal nutrition reduced electrolyte disorder rates after surgery â strong clinical relevance to keeping body fluids/electrolytes balanced.
- Manual versus Pump Infusion of Distending Media for Hysteroscopic Procedures: A Randomized Controlled Trial
PubMed ID: 31628359
Perioperative infusion volumes correlated with sodium, potassium, calcium and magnesium changes â direct evidence fluids alter serum electrolytes.
- Home Fortification of Rice With Lime: A Novel Potential Way to Reduce Calcium Deficiency in Bangladesh
PubMed ID: 31272212
Food fortification with slaked lime substantially increased rice calcium content â relevant to improving population-level calcium intake and longâterm electrolyte balance.
- Proteinuria-associated renal magnesium wasting leads to hypomagnesemia: a common electrolyte abnormality in chronic kidney disease
PubMed ID: 29796601
Demonstrated prevalent hypomagnesemia and that oral Mg raises serum Mg in many CKD patients â direct evidence about correcting a key electrolyte for fluid/electrolyte homeostasis.
- Determinants of Total/ionized Calcium in patients undergoing citrate CVVH: A retrospective observational study
PubMed ID: 32485438
Identified determinants of total/ionized calcium ratio during citrate CVVH â directly describes shifts in calcium/electrolyte balance in an extracorporeal-support setting.
- Effects of Potassium or Sodium Supplementation on Mineral Homeostasis: A Controlled Dietary Intervention Study
PubMed ID: 32506135
Well-controlled randomized crossover demonstrated direct, quantifiable effects of K and Na supplementation on FGF23, phosphate handling and urinary calcium â strong evidence that electrolyte intake shifts body-fluid mineral balance.
- The effect of nutritional education program on quality of life and serum electrolytes levels in hemodialysis patients: A single-blind randomized controlled trial
PubMed ID: 32418680
Nutrition education in hemodialysis patients produced significant changes in multiple serum electrolytes (Na, K, P, Mg) â clinically meaningful evidence for managing fluid/electrolyte balance.
- Effect of high bicarbonate hemodialysis solution on biochemical parameters and anthropometric indices
PubMed ID: 32419310
Higher bicarbonate in dialysate altered weight/BMI and preserved fat mass, reflecting systemic effects on fluid/electrolyte/acidâbase handling.
- Effects of a Preoperative Carbohydrate-Rich Drink Before Ambulatory Surgery: A Randomized Controlled, Double-Blinded Study
PubMed ID: 32856619
A small, safe 200 mL carbohydrate drink containing electrolytes improved subjective comfort without disturbing serum electrolytes.
- Efficacy and safety of an innovative prolonged-release combination drug in patients with distal renal tubular acidosis: an open-label comparative trial versus standard of care treatments
PubMed ID: 32712761
Direct electrolyte/alkali therapy (potassium citrate/bicarbonate) produced clear improvements in plasma bicarbonate, K+ and urine risk markers.
- Alfacalcidol vs Calcitriol in the Management of Patient With Hypoparathyroidism: A Randomized Controlled Trial
PubMed ID: 33616655
Study of hypoparathyroidism compared active vitamin D analogues and reported direct effects (and persistent imbalances) in serum calcium, phosphate and urine calcium â directly relevant to fluid/electrolyte balance.
- Advantages of the use of citrate over acetate as a stabilizer in hemodialysis fluid: A randomized ABC-treat study
PubMed ID: 36210622
In haemodialysis patients, citrateâstabilized dialysis fluid reduced intradialytic hypotension and altered ionic Ca/Mg â clinically meaningful effects on intravascular volume stability and fluidârelated symptoms.
- Pharmacodynamics of Oral Cholecalciferol in Healthy Individuals with Vitamin D Deficiency: A Randomized Open-Label Study
PubMed ID: 34371803
Cholecalciferol produced clear, biologically meaningful changes in calciumâphosphate regulators (PTH, FGFâ23, 1,25OH2D) which directly affect mineral and fluid homeostasis.
- Balanced forced-diuresis as a renal protective approach in cardiac surgery: Secondary outcomes of electrolyte changes
PubMed ID: 34414606
Demonstrates major intraoperative/early-postop fluid losses and the need for electrolyte (K+) replacementâdirectly relevant to rehydration strategies.
- Effect of lanthanum carbonate and calcium carbonate on the progression of coronary artery calcification among hemodialysis patients with vascular calcification risk: a randomized controlled trial
PubMed ID: 36064876
Hemodialysis patients: choice of phosphate binder directly relates to longâterm phosphate/electrolyte balance (even though clinical effect was null for CAC).
- Effect of Daily Vitamin D Supplementation on Serum Vitamin D Levels in Children with Epilepsy Receiving Sodium Valproate Monotherapy: A Randomized, Controlled Trial
PubMed ID: 35763213
Daily vitamin D prevented declines in calcium and phosphate, directly maintaining mineral/electrolyte balance in children on valproate.
- The effects of drinking bicarbonate-rich mineral water in calcium oxalate stone formers: an open label prospective randomized controlled study in an Asian cohort
PubMed ID: 35781772
Bicarbonate-rich mineral water substantially increased 24-h urine volume and altered urinary electrolytes/pHâdirect effect on fluid/electrolyte balance.
- The efficacy and safety of different doses of calcitriol combined with neutral phosphate in X-linked hypophosphatemia: a prospective study
PubMed ID: 35088103
Higherâdose calcitriol plus phosphate improved serum phosphate and rickets metrics over 24 months â alters systemic phosphate balance.
- Sustained Efficacy and Safety of Burosumab, a Monoclonal Antibody to FGF23, in Children With X-Linked Hypophosphatemia
PubMed ID: 34636899
Longâterm burosumab produced sustained increases in serum phosphate and renal phosphate reabsorption â substantive effect on phosphate homeostasis.
- Sodium Bicarbonate Treatment and Vascular Function in CKD: A Randomized, Double-Blind, Placebo-Controlled Trial
PubMed ID: 37228030
Oral sodium bicarbonate reliably increased plasma bicarbonate (directly altering acidâbase and fluid/electrolyte milieu) though without sustained vascular benefit.
- The effects of adequate dietary calcium intake in patients with hypoparathyroidism non-adherent to treatment: a prospective randomized controlled trial
PubMed ID: 37909613
Increasing dietary calcium corrected hypocalcemia in hypoparathyroid patients â demonstrates dietary mineral (electrolyte) ability to correct systemic mineral balance.
- Blood Pressure Stability and Plasma Aldosterone Reduction: The Effects of a Sodium and Bicarbonate-Rich Water - A Randomized Controlled Intervention Study
PubMed ID: 38124675
Drinking bicarbonate- and sodium-rich mineral water produced clear changes in urinary electrolytes and aldosterone consistent with altered body water/electrolyte handling.
- Short-Term Effects of a Therapeutic Diet on Biochemical Parameters in Hemodialysis Patients: A Randomized Crossover Trial
PubMed ID: 37120127
Therapeutic dialysis-specific diet produced rapid, significant changes in serum phosphate, PTH, FGF23 and calciumâdirect evidence of altering mineral/electrolyte balance.
- Safety and effectiveness for oral intake of carbohydrate-rich drink at preoperative 2 hours before painless colonoscopy
PubMed ID: 37327297
Directly measured electrolyte losses after bowel prep and tested an oral fluid strategyâstrong practical relevance to everyday hydration strategies and limitations.
- Effects of sodium thiosulfate on serum calcification factors in patients undergoing maintenance hemodialysis
PubMed ID: 37424269
Sodium thiosulfate modified calcification-related biomarkers in hemodialysis patientsârelevant to mineral/electrolyte pathophysiology.
- Effect of a Low Salt Diet on the Progression of Chronic Kidney Disease: A Prospective, Open-Label, Randomized Controlled Trial
PubMed ID: 39526855
Low-salt diet in CKD reduced urinary sodium and systolic BPâdirect intervention on a major electrolyte impacting fluid balance.
- Daily versus fortnightly oral vitamin D(3) in treatment of symptomatic vitamin D deficiency in children aged 1-10 years: An open labelled randomized controlled trial
PubMed ID: 39138889
Highâdose vitamin D regimens altered serum Ca/P and PTHâimportant regulators of body fluid electrolyte equilibrium.
- Effect of a plant protein-rich diet on postprandial phosphate metabolism in healthy adult men: a randomised controlled trial
PubMed ID: 38534044
Randomized crossover feeding phases show plantâprotein/fibre blunt postprandial rises in serum and urine phosphateâdirect evidence that dietary composition affects electrolyte balance.
- Comparison of lactated Ringer's solution and Plasma-Lyte A as a base solution for del Nido cardioplegia: a prospective randomized trial
PubMed ID: 38244592
Direct comparison of two clinically used balanced electrolyte solutions shows practical differences in Ca and pHâhighly relevant when choosing fluids for routine hydration.
- Association of Serum Phosphate, Calcium and Alkaline Phosphatase With Risk of Incident Fractures in Healthy Older Adults
PubMed ID: 38426788
Large cohort linked higher serum phosphate to fracture risk in menâepidemiologic evidence that phosphate levels have systemic health consequences.
- Effect of Dietary Phosphate Restriction in Pre-Dialysis Chronic Kidney Disease Patients with Hyperphosphataemia in Southern Nigeria
PubMed ID: 39340208
In preâdialysis CKD, phosphate binders lowered serum phosphate; dietary restriction had metabolic effectsâdirect clinical evidence about managing a key electrolyte.
- Clinical benefits of icodextrin in peritoneal dialysis: Evidence from a multicenter, prospective, randomized controlled trial
PubMed ID: 41027653
Large RCT in PD showing icodextrin markedly increased ultrafiltration and changed serum sodium/albumin â direct, highâquality evidence of fluid/electrolyte balance effects.
- Beneficial Effects of Long-Lasting Bicarbonate-Sulfate-Calcium-Magnesium Water Intake on Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)-Related Outcomes via Impacting Intestinal Permeability (IP), IP-Related Systemic Inflammation, and Oxidative Stress
PubMed ID: 41228524
Highâquality RCT showing bicarbonateâsulfateâCaâMg mineral water substantially improved gut barrier, inflammation and liver steatosis â strong support that an electrolyteârich water can support daily hydration/mineral needs.
- Effect of the fluid management nursing intervention on improving biochemical test results and dialysis therapy in chronic kidney disease patients: a randomized controlled trial
PubMed ID: 41289536
Direct intervention to manage fluid/electrolyte balance in hemodialysis patients, preventing deterioration in calcium and dialysis adequacy.
- Efficacy of a Naturally Calcium and Magnesium-Rich Mineral Water on Musculoskeletal Fragility: A Randomized, Double-Blind Controlled Trial
PubMed ID: 41683292
Direct RCT evidence that daily Ca/Mgârich mineral water changed mineral status and improved functional outcomes â good support for everyday electrolyteâcontaining hydration.
- Rice-based oral electrolyte solutions for the management of infantile diarrhea
PubMed ID: 1992304
Rice-based ORS markedly improved fluid absorption and reduced stool losses in dehydrated infants â direct, high-quality hydration evidence.
- Sacolene in cholera: a double blind randomized controlled trial
PubMed ID: 10447324
Sacolene reduced need for repeat IV therapy in cholera patients â clinically important evidence of improved rehydration/volume management.
- Bicarbonate/lactate-based peritoneal dialysis solution increases cancer antigen 125 and decreases hyaluronic acid levels
PubMed ID: 11260417
pHâneutral (bicarbonate/lactate) peritoneal dialysis solution (an electrolyteâcontaining fluid) improved mesothelial marker and reduced inflammation â indicates clinically relevant benefits of balanced electrolyte fluids for fluid therapy milieu.
- Is rice based oral rehydration therapy effective in young infants?
PubMed ID: 8067787
Direct RCT evidence in infants that a riceâbased ORS reduced stool output and fluid needs compared with WHO ORS â strong support for faster/more efficient rehydration in diarrhoeal illness.
- Efficacy of Cordyceps cicadae (Ascomycota) Mycelium Supplementation for Amelioration of Dry Eye Symptoms: A Randomized, Double-Blind Clinical Pilot Study
PubMed ID: 36374982
Human RCT showed decreased tear osmolarity and lower Na+/Cl- in tearsâclear evidence of improved local fluid/electrolyte balance.
- Oral consumption of electrokinetically modified water attenuates muscle damage and improves postexercise recovery
PubMed ID: 23580602
Drinking EMW was associated with lower inflammation/CK and improved recovery; intervention involved beverage intake and hydration context.
- Hyperthermic intraperitoneal chemotherapy for recurrent ovarian cancer (CHIPOR): a randomised, open-label, phase 3 trial
PubMed ID: 39549720
HIPEC arm had substantially higher rates of grade âĽ3 electrolyte disturbances (14% vs 1%), directly demonstrating clinically meaningful disruption of bodyâfluid/electrolyte balance in that context.
- Thermophilic amylase-digested rice-electrolyte solution in the treatment of acute diarrhea in children
PubMed ID: 7530834
Rice-based ORS RCT in children directly showed faster/more effective rehydration vs WHO-ORS.
- Comparison of Ringer's acetate with 3% dextran 70 for volume loading before extradural caesarean section
PubMed ID: 1701097
Dextran 3% vs Ringer acetate before cesarean showed differences in haemodynamics and colloid osmotic pressure â relevant to maintaining intravascular volume/hydration.
- Unlimited clear fluid ingestion two hours before surgery in children does not affect volume or pH of stomach contents
PubMed ID: 2268019
Permitting clear fluids up to 2 hours pre-op without increasing gastric volume supports daily fluid intake safety.
- [Perioperative hypophosphatemia in general surgery]
PubMed ID: 2379442
Direct perioperative study showing phosphate depletion and that specified phosphate doses prevent hypophosphatemiaâstrong electrolyte-balance evidence.
- Clinical experience with a hypotonic oral rehydration solution for treatment of pediatric gastroenteritis in the United Kingdom
PubMed ID: 2187614
Direct RCT in children showing lower-osmolality ORS is safe/effective for gastroenteritis-related rehydration.
- Dextran-70 versus albumin as plasma expanders in cirrhotic patients with tense ascites treated with total paracentesis. Results of a randomized study
PubMed ID: 1699835
Different volume expanders produced distinct renin/aldosterone responses and minor hyponatremia events â relevant to intravascular fluid/electrolyte regulation.
- A comparative study of three types of ORS in the management of diarrheal dehydration
PubMed ID: 2361714
Direct randomized trial showing super-ORS and rice-water electrolyte rehydrated children faster than standard WHO-ORS â strong evidence for hydration efficacy.
- Maize-salt solution in the treatment of diarrhoea
PubMed ID: 2091361
Maize-salt solution rehydrated most children as effectively as glucose-electrolyte solution â clinical evidence for rehydration after diarrheal illness.
- Water supplementation in exclusively breastfed infants during summer in the tropics
PubMed ID: 1678028
Shows exclusively breastfed infants do not need extra water in heatâevidence of maintained everyday hydration.
- Extracellular volume in preterm infants: influence of gestational age and colloids
PubMed ID: 1802656
FFP changed extracellular volume responses in preterm infantsâdirect fluidâcompartment evidence.
- Is Na+ modeling necessary in high flux dialysis?
PubMed ID: 1751081
Directly increased serum sodium and halved hypotensive episodes/cramps in dialysisâstrong evidence for fluid/electrolyte balance effect.
- Role of cholinergic nervous system in healing neuropathic lesions: preliminary studies and prospective, double-blinded, placebo-controlled studies
PubMed ID: 1952266
Balanced electrolyte solutions demonstrated physiologic benefits in tissue perfusion/healingâsupports daily electrolyte strategies.
- Changes in blood pressure, serum potassium and electrolytes with a combination of triamterene and a low dose of chlorthalidone
PubMed ID: 1778085
Triamterene addition prevented diureticâinduced hypokalemiaâclear electrolyteâbalancing intervention.
- Comparison of glucose/electrolyte and maltodextrin/glycine/glycyl-glycine/electrolyte oral rehydration solutions in acute diarrhea in children
PubMed ID: 1779314
Direct randomized pediatric ORS trial showing the modified ORS produced slightly better early weight gainâstrongest direct evidence among provided studies for postâillness rehydration.
- Potassium substitution via the oral route: does its efficacy depend on the anion of the potassium salt?
PubMed ID: 1762385
Oral potassium formulations reliably normalized serum K+ in hypokalemic patientsâdirect evidence for restoring electrolyte balance.
- Fluid balance during pulmonary edema. Is fluid gain a marker or a cause of poor outcome?
PubMed ID: 1914560
In pulmonary edema patients, less positive fluid balance early correlated with better outcomes, supporting the clinical importance of managed fluid/electrolyte balance.
- [Role of prostaglandins in regulation of kidney function in heart failure]
PubMed ID: 2066053
COX inhibition (aspirin) markedly decreased urinary sodium excretion and renal prostaglandins, demonstrating effects on fluid/electrolyte homeostasis.
- A new oral lavage solution vs cathartics and enema method for preoperative colonic cleansing
PubMed ID: 2021332
Sulfate-free electrolyte lavage was effective and caused no electrolyte complicationsâevidence for safe/effective clinical electrolyte solution.
- Short term study on relative merits of acetate and bicarbonate dialysis
PubMed ID: 1816218
Dialysis bicarbonate vs acetate solutions show electrolyte/buffer choice meaningfully affects tolerance and gas exchangeârelevant to fluid/electrolyte balance.
- The effects of glucose polymer beverage ingestion during prolonged outdoor exercise in the heat
PubMed ID: 2056904
Clear evidence the glucoseâelectrolyte beverage preserved plasma volume vs water/placebo during prolonged exertion.
- Comparison of glucose/electrolyte and maltodextrin/glycine/glycyl-glycine/electrolyte oral rehydration solutions in cholera and watery diarrhoea in adults
PubMed ID: 1811441
ORS formulations produced clinically meaningful rehydration/weight changes in acute diarrhea (direct hydration evidence).
- A randomised, double-blind clinical trial of a maltodextrin containing oral rehydration solution in acute infantile diarrhoea
PubMed ID: 1869801
Maltodextrin ORS performed similarly to WHOâORS for pediatric diarrheaâsupports effective rehydration (no superiority).
- [Efficacy of a rice-based beverage for the management of dehydration caused by acute diarrhea in children]
PubMed ID: 1953974
Riceâpowder gruel achieved similar rehydration success and faster times vs WHO ORS â strong direct evidence.
- Rice solution and World Health Organization solution by gastric infusion for high stool output diarrhea
PubMed ID: 1858732
Rice solution rehydrated infants faster (100% in ~3.3 h) than WHO solutions â direct strong evidence.
- Evaluation of malto-dextrin/glycine oral rehydration solution
PubMed ID: 1283663
ORS clinical trial shows glucose/maltodextrin ORS is safe and effective for rehydrationâdirectly relevant to hydration after diarrheal illness.
- Diuretics, serum and intracellular electrolyte levels, and ventricular arrhythmias in hypertensive men
PubMed ID: 1735925
Thiazide diuretics caused predictable K+ lowering and clinical complications, underscoring need to manage electrolytes for balanced fluids.
- The safety and efficacy of ten percent pentastarch as a cardiopulmonary bypass priming solution. A randomized clinical trial
PubMed ID: 1379660
Choice of prime fluid (Ringer's vs colloid) markedly changed intravascular volume and hemodynamics â relevant to fluid balance.
- Clinical comparison of tolerance to elemental or polymeric enteral feedings in the postoperative patient
PubMed ID: 1541787
Enteral formula produced a measurable serum chloride drop â affects fluid/electrolyte equilibrium.
- Improved outcome based on fluid management in critically ill patients requiring pulmonary artery catheterization
PubMed ID: 1586077
Protocol-guided fluid management produced clear, clinically meaningful changes in fluid balance.
- Comparison of spontaneous ascites filtration and reinfusion with total paracentesis with intravenous albumin infusion in cirrhotic patients with tense ascites
PubMed ID: 1633517
Ascites removal/reinfusion maintained similar short-term electrolyte outcomes â relevant to balance.
- Large volume paracentesis and intravenous dextran to treat tense ascites
PubMed ID: 1372924
Large-volume paracentesis with dextran removed fluid without worsening electrolytes (stabilizes balance).
- Paracentesis with Dextran 70 vs. paracentesis with albumin in cirrhosis with tense ascites. Results of a randomized study
PubMed ID: 1380024
Paracentesis + Dextran vs albumin: electrolytes remained stable post-procedure.
- Rice-powder salt solution in the treatment of acute diarrhea in young children
PubMed ID: 1488696
Riceâsalt ORS shortened diarrhea and reduced rehydration fluid needs vs standard solutionsâdirect, strong evidence for faster rehydration in diarrheal illness.
- [Acute diarrheal diseases. Treatment with carrot-rice viscous solution is more effective than ORS solution]
PubMed ID: 1501619
Carrotârice ORS shortened diarrhoea and lowered fluid requirements compared with glucoseâelectrolyte solutionsâstrong clinical evidence for improved rehydration outcomes.
- [Glucose polymer solutions and prolonged exertion in the heat]
PubMed ID: 1526558
Field comparison shows how beverage composition (water vs glucose-polymer) affects plasma-volume response and glycaemiaârelevant to daily hydration choices.
- Osmolality electrolyte and carbohydrate type and oral rehydration solutions: a controlled study to compare the efficacy of two commercially available solutions (osmolalities 240 mmol/L and 340 mmol/L)
PubMed ID: 8188994
Randomized trial showing lower-osmolality ORS reduced vomiting and stool volume in dehydrated children â strong direct support for effective oral electrolyte rehydration.
- Octreotide versus loperamide in the treatment of fluorouracil-induced diarrhea: a randomized trial
PubMed ID: 8418225
Octreotide markedly reduced severe diarrhea and hospitalizations for IV fluids/electrolytes â facilitated rehydration in chemo-induced diarrhea.
- Decreased growth rate of low-birth-weight infants with prolonged maximum renal acid stimulation
PubMed ID: 8393359
Oral bicarbonate corrected urine acidity and improved growth metricsâevidence of restoring acidâbase and fluid/electrolyte balance.
- Comparative efficacy of rice-based and glucose-based oral rehydration salts plus early reintroduction of food
PubMed ID: 8103876
Large randomized trial: glucose-based ORS clearly improved stool losses, ORS needs and diarrhea duration in dehydrated children â strong evidence for effective rehydration.
- Evaluation of STAT-CRIT hematocrit determination in comparison to Coulter and centrifuge: the effects of isotonic hemodilution and albumin administration
PubMed ID: 8466026
Shows how changes in sodium and chloride measurably bias conductivity-based hematocrit â direct demonstration that Na/Cl shifts influence laboratory assessment of fluid/electrolyte status.
- [Hypertonic-hyperoncotic volume replacement (7.5% NaCl/10% hydroxyethyl starch 200.000/0.5) in patients with coronary artery stenoses]
PubMed ID: 7686707
Preoperative hypertonic saline plus HES produced larger intravascular volume changes than control â demonstrates strong intravascular hydration effects but with transient adverse hemodynamics.
- Treatment of acute diarrhea with oral rehydration solutions containing glutamine
PubMed ID: 8077573
ORS study in infants (glutamine-addition trial) â although additive gave no advantage, standard ORS remains effective for rehydration.
- Hydrolyzed lactalbumin-based oral rehydration solution for acute diarrhoea in infants
PubMed ID: 7981558
Direct randomized trial demonstrating three oral rehydration solutions with identical electrolyte content were safe and effective for infant diarrhea â strong evidence electrolytes restore hydration.
- A comparison of Plasmalyte 148 and 0.9% saline for intra-operative fluid replacement
PubMed ID: 7978133
Shows 0.9% saline causes hyperchloraemic metabolic acidosis compared with a balanced crystalloid â strong evidence that electrolyte composition governs acidâbase and fluid balance.
- Combination diuretic treatment in severe heart failure: a randomised controlled trial
PubMed ID: 8130022
Adding a thiazide to loop diuretics produced large fluid losses with associated electrolyte disturbances in heart-failure patients â clinical example of how interventions alter body fluid/electrolyte balance.
- Colonic preparation with Picolax: patient tolerance and approaches to fluid replacement
PubMed ID: 8299330
Large trial of fluid regimens around bowel prep with practical guidance (drink to thirst); directly applicable to everyday hydration practices.
- Liver cirrhosis with ascites: pathogenesis of resistance to diuretics and long-term efficacy and safety of torasemide
PubMed ID: 7954550
Torasemide + spironolactone reduced ascites weight without major electrolyte disturbances â clinically important fluid-balance study.
- Safety and efficacy of intravenous Carbicarb in patients undergoing surgery: comparison with sodium bicarbonate in the treatment of mild metabolic acidosis. SPI Research Group. Study of Perioperative Ischemia
PubMed ID: 7924363
IV acid-base infusions changed arterial pH and hemodynamics in surgical patients â relevant to fluid/electrolyte/acid-base balance.
- Oral torsemide in patients with chronic congestive heart failure: effects on body weight, edema, and electrolyte excretion. Torsemide Investigators Group
PubMed ID: 7997385
Torsemide produced dose-related natriuresis and weight/edema reduction in heart-failure patients â strong, direct evidence about fluid/electrolyte balance.
- Combined therapy of captopril and spironolactone for refractory congestive heart failure
PubMed ID: 7805462
Adding spironolactone to ACE inhibitor improved urine volume and Na+/K+ handling in refractory heart failure â direct electrolyte/volume relevance.
- Exposure to milk or water at preschool lunch for 3 months influences children's choice of elementary school lunch drink 4 months later
PubMed ID: 7726544
Preschool exposure to milk vs water increased later milk choice at lunchâbehavioral evidence that early interventions can change habitual fluid intake and support hydration.
- Glucose polymer ingestion--effect on fluid balance and glycemic state during a 4-d march
PubMed ID: 8183101
Direct trial of a glucoseâpolymerâelectrolyte beverage during prolonged activity with measured effects on body weight/plasma volumeâmost directly relevant to hydration.
- Evaluation of a maize-cowpea-palm oil diet for the dietary management of Nigerian children with acute, watery diarrhea
PubMed ID: 7981559
Dietary intervention in acute watery diarrhoea markedly shortened stool duration, directly reducing ongoing fluid loss and aiding rehydration.
- Intravascular administration of polymerized gelatin versus isotonic saline for prevention of spinal-induced hypotension
PubMed ID: 8311283
Prehydration with a colloid in electrolyte solution improved hemodynamic stability vs salineâpractical evidence that electrolyte/volume solutions affect intravascular volume.
- Validation of extracellular water determination by bioelectrical impedance analysis in growth hormone-deficient adults
PubMed ID: 8546441
BIA validated against bromide dilution for extracellular waterâuseful tool for assessing balanced fluids (measurement evidence).
- Fluid restriction does not improve the outcome of acute meningitis
PubMed ID: 7667054
Fluid restriction reduced ECW and correlated with worse outcomesâstrong demonstration that maintaining balanced body fluids matters clinically.
- Hypotonic oral rehydration solution in acute diarrhoea: a controlled clinical trial
PubMed ID: 7780250
Direct RCT evidence: hypotonic ORS improved stool frequency, vomiting and reduced ORS volume needsâstrong evidence for faster/better rehydration in diarrheal illness.
- Clinical trial of glucose-oral rehydration solution (ORS), rice dextrin-ORS, and rice flour-ORS for the management of children with acute diarrhea and mild or moderate dehydration
PubMed ID: 7838634
Randomized ORS trial in infants showed equivalent rehydration across formulas with early stool reduction for riceâflour ORS â direct human rehydration data.
- Early oral hydration: a novel regimen for management after elective cesarean section
PubMed ID: 8640466
Early oral hydration after cesarean maintained plasma/urine electrolytes as well as IV fluids and produced faster clinical recovery â direct support for oral hydration efficacy.
- Use of a single solution for oral rehydration and maintenance therapy of infants with diarrhea and mild to moderate dehydration
PubMed ID: 7724298
Both commercial ORS successfully rehydrated dehydrated infants; direct human evidence for effective hydration.
- Comparison of an oral rice-based electrolyte solution and a glucose-based electrolyte solution in hospitalized infants with diarrheal dehydration
PubMed ID: 7636684
Riceâbased ORS worked as well as glucose ORS in infants with dehydrating diarrhea â direct rehydration evidence.
- High-calorie, rice-derived, short-chain, glucose polymer-based oral rehydration solution in acute watery diarrhea
PubMed ID: 7538837
Polymerâbased ORS markedly reduced stool losses and ORS requirements and improved rehydration â strong direct evidence for improved hydration.
- Recognition of markers of response to potassium-canrenoate in essential hypertension
PubMed ID: 7792793
Potassium-sparing diuretic trial measured serum electrolytes and influenced BP â relevant to K and fluid balance.
- Characteristics of individuals who excrete versus retain sodium under stress
PubMed ID: 7562679
Direct study of sodium/potassium excretion patterns under stress and pharmacologic reversal â strong evidence on electrolyte/fluid balance.
- A prospective randomized double-blinded study of the effect of intravenous fluid therapy on adverse outcomes on outpatient surgery
PubMed ID: 7893018
Isotonic electrolyte infusion preop markedly reduced thirst/drowsiness/dizziness versus minimal fluids â direct clinical evidence for better hydration with electrolytes.
- Unchanged central hemodynamics after six months of moderate sodium restriction with or without potassium supplement in essential hypertension
PubMed ID: 7735495
Dietary sodium reduction (with/without K salt) changed clinic BP â dietary electrolytes influenced volume/circulatory parameters.
- A comparison of albumin, polygeline and crystalloid priming solutions for cardiopulmonary bypass in patients having coronary artery bypass graft surgery
PubMed ID: 8747898
Crystalloid (Plasmalyte) use altered urine output and 24-h fluid gain after surgery â demonstrates electrolyte fluid impact on hydration status.
- A randomised study to determine whether routine intravenous magnesium supplements are necessary in patients receiving cisplatin chemotherapy with continuous infusion 5-fluorouracil
PubMed ID: 7718321
Routine IV magnesium prevented hypomagnesaemia â direct maintenance of an essential electrolyte that contributes to fluid/electrolyte homeostasis.
- Fluid balance and pulmonary functions during and after coronary artery bypass surgery: Ringer's acetate compared with dextran, polygeline, or albumin
PubMed ID: 7572019
Ringer's acetate (electrolyte solution) influenced intraoperative retention and 48-h balances â relevant to hydration management.
- Protective effect of misoprostol on indomethacin induced renal dysfunction in elderly patients
PubMed ID: 7791169
Coâadministration of misoprostol reduced indomethacinâinduced rises in potassium and renal markersâshows drug interactions that modulate serum electrolytes and fluid balance.
- Hyponatraemia and non-electrolyte solutions in labouring primigravida
PubMed ID: 7657008
Direct randomized evidence that choice of infusion vehicle (saline vs dextrose) materially changes serum sodiumâstrong evidence about maintaining balanced fluids/electrolytes.
- Role of oral sodium phosphate and its effectiveness in large bowel preparation for out-patient colonoscopy
PubMed ID: 8583438
Oral sodiumâphosphate causes known electrolyte shifts during bowel prepâdemonstrates clinically relevant effects on body fluid/electrolyte composition.
- Fluid replacement in burned patients
PubMed ID: 9037790
Hypertonic lactated saline allowed different fluid resuscitation strategies and electrolyte handling in burn patients; demonstrates rapid resuscitation potential of specific electrolyte fluids in severe fluid loss.
- Randomized comparison of oral and intravenous fluid regimens after gallbladder surgery
PubMed ID: 8778430
Trial showed conservative oral fluids (electrolyteâcontaining) maintained normal plasma electrolytes and osmolality postoperatively, supporting everyday oral hydration strategies.
- Electrolyte modelling in haemodialysis--potassium
PubMed ID: 8803994
Tailoring dialysate potassium gradients actively modulated potassium balance and arrhythmogenic effectsâstrong electrolyte-balance relevance.
- Efficacy of standard glucose-based and reduced-osmolarity maltodextrin-based oral rehydration solutions: effect of sugar malabsorption
PubMed ID: 9002327
Direct ORS trial in diarrheal illness; results inform choices for effective rehydration and serum sodium management.
- Antireflux nipples or afferent tubular segments in 70 patients with ileal low pressure bladder substitutes: long-term results of a prospective randomized trial
PubMed ID: 8911354
Surgical reconstruction study explicitly measured serum electrolytes and reported comparable electrolyte profiles â relevant to maintaining balance after interventions.
- Neonatal electrolyte response to amnioinfusion with lactated Ringer's solution vs. normal saline. A prospective study
PubMed ID: 8913975
Crystalloid comparison demonstrates practical, clinical data about commonly used electrolyte fluids and their safety (directly relevant to everyday hydration choices).
- Randomised controlled trial of acetate in preterm neonates receiving parenteral nutrition
PubMed ID: 9279176
Replacing chloride with acetate in IV nutrition markedly reduced hyperchloraemia and corrected acidosisâstrong evidence for improving electrolyte/acidâbase balance.
- Response of severely malnourished patients to preoperative parenteral nutrition: a randomized clinical trial of water and sodium restriction
PubMed ID: 9058444
Controlled sodium and water in parenteral nutrition produced large changes in sodium balance and body waterâclear impact on fluid balance.
- Drinking before endoscopy: milk or water?
PubMed ID: 9165323
Study confirms that drinking water shortly before endoscopy is safe â supports basic hydration practice (everyday hydration reassurance).
- Comparison of lactate and bicarbonate buffered haemofiltration fluids: use in critically ill patients
PubMed ID: 9198053
Bicarbonateâcontaining replacement fluid avoided net lactate gain and corrected acidosis similarly to lactate fluid â directly relevant to electrolyte/acidâbase balance in fluids.
- Intravenous pretreatment of hypertonic saline can prevent systemic hypotension induced by spinal anesthesia
PubMed ID: 9293648
Smallâvolume hypertonic saline had a large clinical effect on blood pressure/hypotension prevention, demonstrating potent effects on intravascular fluid balance.
- Observations on the relationships between plasma free fatty acids, ketones and bicarbonate in acute hyperglycaemia
PubMed ID: 9158829
Bicarbonate status and anion gap relationships in severe hyperglycaemia directly concern body acidâbase and electrolyte balance.
- Intermittent administration of furosemide versus continuous infusion in the postoperative management of children following open heart surgery
PubMed ID: 9255651
Mode of furosemide administration (intermittent vs continuous) altered urine output patterns and dosing requirements â relevant to managing body fluid balance.
- [A baobab solution for the prevention and treatment of acute dehydration in infantile diarrhea]
PubMed ID: 9827122
Local baobab-based ORS performed similarly to WHO ORS for rehydration in children â direct ORS/hydration evidence (no superiority).
- The Eurevie Study: contrasting effect of piretanide and thiazides in mild to moderate hypertension
PubMed ID: 9366100
Large randomized antihypertensive trial documented measurable serum potassium changes with diuretics â clear evidence that common drugs alter electrolyte balance.
- Pulsatile and nonpulsatile extracorporeal circulation using Capiox E terumo oxygenator: a comparison study with Ultrox and Maxima membrane oxygenators
PubMed ID: 9219471
Cardiopulmonary bypass oxygenator/perfusion modes produced measurable differences in fluid input and net fluid balanceârelates to clinical fluid management.
- Sagodana based verses rice based oral rehydration solution in the management of acute diarrhoea in Pakistani children
PubMed ID: 9056731
Direct randomized trial showing cereal-based ORS formulations are effective for rehydration in children with watery diarrhoea.
- [Influence of fluid replacement on serum magnesium concentration and proper magnesium supplementation during general anesthesia]
PubMed ID: 9311207
Demonstrates that including magnesium in IV replacement prevents dilutional hypomagnesemiaâclear electrolyte/volume management benefit.
- Carob bean juice: a powerful adjunct to oral rehydration solution treatment in diarrhoea
PubMed ID: 9620567
ORS+carob bean juice markedly shortened diarrhoea duration (-45%), reduced stool output (-44%) and ORS needs (-38%) in children â strong evidence for faster rehydration during illness.
- Effects of potassium supplementation on office, home, and 24-h blood pressure in patients with essential hypertension
PubMed ID: 9799029
Direct potassium supplementation raised serum potassium and urinary excretion and modestly reduced blood pressureâevidence of altering and partially normalizing electrolyte balance.
- Treatment of malnutrition with 1.1% amino acid peritoneal dialysis solution: results of a multicenter outpatient study
PubMed ID: 9820445
Amino-acid PD solution produced measurable decreases in serum potassium and phosphorus over monthsâshows solution composition affects systemic electrolytes.
- Effect of sodium in a rehydration beverage when consumed as a fluid or meal
PubMed ID: 9760324
Direct demonstration that sodium-containing broths/soup restored plasma volume and retained fluid better than plain water or low-sodium drink (strong, directly relevant).
- A controlled trial of two bicarbonate-containing dialysis fluids for CAPD--final report
PubMed ID: 9870483
Bicarbonate-containing dialysis fluids maintained normal acidâbase and electrolyte status in CAPD patientsâdirect clinical evidence of maintaining fluid/electrolyte balance.
- Acetate-free biofiltration versus bicarbonate haemodialysis in the treatment of patients with diabetic nephropathy: a cross-over multicentric study
PubMed ID: 9568857
Acetateâfree biofiltration improved acidâbase control, reduced cardiovascular collapses and symptoms â strong evidence that modality changes can substantially affect extracellular fluid and electrolyte balance.
- Efficacy of oral hyposmolar glucose-based and rice-based oral rehydration salt solutions in the treatment of cholera in adults
PubMed ID: 9517526
Rice-based low-sodium ORS reduced stool output and fluid requirements in choleraâstrong, direct evidence for faster rehydration in illness.
- Effect of maternal hydration on oligohydramnios: a comparison of three volume expansion methods
PubMed ID: 9764623
Maternal hypotonic IV/oral water significantly increased amniotic fluid via lowering plasma osmolalityâclear fluid/osmolality effect.
- Randomized, prospective comparison of increased preload versus inotropes in the resuscitation of trauma patients: effects on cardiopulmonary function and visceral perfusion
PubMed ID: 9464757
Resuscitation to higher preload improved physiological perfusion (pHi) without harming lung function â supports benefits of adequate intravascular volume restoration.
- Uncooked rice powder in oral rehydration solution: an alternative to glucose or cooked rice powder
PubMed ID: 9701893
Uncookedârice ORS directly compared to standard ORS showed superior outcomes (reduced stool output, lower ORS intake, shorter diarrhea duration) â strong direct evidence for faster rehydration in diarrheal illness.
- Albumin improves the response to diuretics in patients with cirrhosis and ascites: results of a randomized, controlled trial
PubMed ID: 10207805
Albumin added to diuretics in cirrhotics improved diuretic response and shortâterm fluid management (clinical evidence of modulating intravascular volume/electrolyte outcomes).
- Improved efficiency of hypervolemic therapy with inhibition of natriuresis by fludrocortisone in patients with aneurysmal subarachnoid hemorrhage
PubMed ID: 10584839
Fludrocortisone significantly reduced urinary sodium/water losses and prevented hyponatraemia â direct, strong evidence about body-fluid/electrolyte balance.
- Renal effects of selective cyclooxygenase-2 inhibition in normotensive salt-depleted subjects
PubMed ID: 10430112
Celecoxib/NSAID use produced transient sodium retention in salt-depleted volunteers â relevant to body-fluid balance.
- Oliguria during corrective spinal surgery for idiopathic scoliosis: the role of antidiuretic hormone
PubMed ID: 10597554
Perioperative ADH rises caused oliguria and hyponatraemia â strong demonstration of clinically relevant fluid/electrolyte imbalance and management effects.
- Neonatal polycythemia: effects of partial exchange transfusion using fresh frozen plasma, Haemaccel and normal saline
PubMed ID: 10730524
Normal saline is an electrolyte solution used clinically to restore volume and electrolytes â direct hydration relevance.
- Evaluation of treatment of hyperemesis gravidarum using parenteral fluid with or without diazepam. A randomized study
PubMed ID: 10592423
Hospitalized women with severe vomiting received IV fluids as part of care; fluids are key to rehydration and shortened stays when combined with other therapy.
- Effects of specific inhibition of cyclooxygenase-2 on sodium balance, hemodynamics, and vasoactive eicosanoids
PubMed ID: 10215647
Selective COXâ2 inhibition caused transient sodium retention, supporting a role for prostaglandins in sodium/electrolyte homeostasis.
- A prospective randomised European multicentre study of medium-long run mortality and morbidity comparing acetate-free biofiltration and bicarbonate dialysis
PubMed ID: 10626827
The protocol explicitly compares acetate-free biofiltration with bicarbonate infusion versus bicarbonate dialysis â directly addresses fluid/electrolyte/acidâbase management (high mechanistic relevance though outcomes not reported).
- Fluid resuscitation of patients with multiple injuries and severe closed head injury: experience with an aggressive fluid resuscitation strategy
PubMed ID: 10744272
Aggressive fluid-resuscitation strategy (clinical study) directly demonstrates large benefits of prompt fluid/electrolyte management in severely injured patients (strong, directly relevant evidence).
- Evaluation of the effects of fixed combinations of sustained-release verapamil/trandolapril versus captopril/hydrochlorothiazide on metabolic and electrolyte parameters in patients with essential hypertension
PubMed ID: 10878692
Drug regimen produced measurable alterations in serum potassium and other metabolitesâdemonstrates how interventions shift electrolyte balance.
- Anti-digoxin Fab fragments in cardiotoxicity induced by ingestion of yellow oleander: a randomised controlled trial
PubMed ID: 10768435
Antiâdigoxin Fab rapidly lowered elevated serum potassium in poisoned patientsâdemonstrates a clinical intervention that normalizes a key electrolyte.
- A long-term study of a bicarbonate/lactate-based peritoneal dialysis solution--clinical benefits. The Bicarbonate/Lactate Study Group
PubMed ID: 11117242
Bicarbonate/lactate dialysis solution changed ultrafiltration and body fluid handling compared with lactateâstrong fluid/buffer relevance.
- A randomized trial comparing the nephrotoxicity of cisplatin/ifosfamide-based combination chemotherapy with or without amifostine in patients with solid tumors
PubMed ID: 10958599
Amifostine markedly reduced incidence of low serum magnesium during cisplatin therapyâsupports prevention of electrolyte imbalance.
- Randomised controlled trial of postnatal sodium supplementation on body composition in 25 to 30 week gestational age infants
PubMed ID: 10634837
Randomized sodium supplementation produced clear, clinically relevant changes in total and extracellular body waterâdirect evidence.
- Hypomagnesemia in heart failure with ventricular arrhythmias. Beneficial effects of magnesium supplementation
PubMed ID: 10672134
Magnesium supplementation corrected hypomagnesemia and reduced arrhythmiasâdirect correction of an electrolyte deficit affecting body fluid/ionic balance.
- Effects of bicarbonate- and lactate-buffered replacement fluids on cardiovascular outcome in CVVH patients
PubMed ID: 11012909
Bicarbonate-buffered replacement fluid during CVVH produced meaningful changes in lactate/bicarbonate and reduced cardiovascular eventsâstrong evidence for electrolyte buffer effects on fluid/electrolyte balance.
- Dialysate related cytokine induction and response to recombinant human erythropoietin in haemodialysis patients
PubMed ID: 10910446
Ultrapure dialysate reduced inflammation and allowed lower ESA dosing in dialysis patientsâdialysate composition affects fluid/electrolyte balance.
- Bangladeshi rural mothers prepare safer rice oral rehydration solution
PubMed ID: 10943959
Direct ORS field study: rice-based ORS produced safer sodium concentrations and higher glucose for absorption â strong hydration relevance.
- Hemodynamic effects of hypertonic hydroxyethyl starch 6% solution and isotonic hydroxyethyl starch 6% solution after declamping during abdominal aortic aneurysm repair
PubMed ID: 10807011
Hypertonic HES with NaCl restored hemodynamics faster and required substantially less fluid â strong evidence for volume/electrolyte resuscitation effects.
- Treatment of rotaviral gastroenteritis with Qiwei Baizhu powder
PubMed ID: 11819866
Qiwei Baizhu powder trial reported superior clinical results vs ORS for rotaviral gastroenteritis â relevant to rehydration outcomes.
- Reduced osmolarity oral rehydration solution for persistent diarrhea in infants: a randomized controlled clinical trial
PubMed ID: 11295717
High-quality clinical evidence that reduced-osmolarity ORS reduced stool losses and ORS needs in infants â strong hydration benefit in illness.
- The effects of balanced versus saline-based hetastarch and crystalloid solutions on acid-base and electrolyte status and gastric mucosal perfusion in elderly surgical patients
PubMed ID: 11574338
Balanced IV fluids prevented hyperchloremic metabolic acidosis and large chloride increases seen with saline â strong evidence for better electrolyte/fluid balance perioperatively.
- Hypertonic saline (7.5%) after coronary artery bypass grafting
PubMed ID: 11270018
Hypertonic saline produced rapid hemodynamic improvements (MAP, cardiac index) and increased urine output in post-CABG patientsâstrong evidence that concentrated electrolyte solutions can rapidly restore intravascular volume in acute settings.
- A clinical comparison of radiant warmer and incubator care for preterm infants from birth to 1800 grams
PubMed ID: 11483805
Neonatal care study showed small differences in fluid requirements with similar sodium levels, illustrating clinical fluid/electrolyte management considerations.
- Early postoperative enteral nutrition improves gut oxygenation and reduces costs compared with total parenteral nutrition
PubMed ID: 11246300
Early enteral feeding led to significantly fewer electrolyte alterations compared with TPN after major upper GI surgeryâdirect evidence of better maintenance of electrolyte/blood-fluid balance.
- Efficacy of a packaged rice oral rehydration solution among children with cholera and cholera-like illness
PubMed ID: 11430708
Rice-based ORS reduced early stool output in cholera and maintained normal electrolytes â strong, direct evidence for faster rehydration in illness.
- Effect of two oral contraceptives with different ethinyl estradiol and levonorgestrel concentrations on the urinary excretion of biochemical vasoactive markers
PubMed ID: 11834234
OC-induced increase in urodilatin (natriuretic peptide) implies altered renal sodium/water handlingârelevant to balance.
- Extremely low sodium hypotonic rehydration solution for young children with acute gastroenteritis
PubMed ID: 11480325
Randomized ORS trial in children showing improved hydration-related outcomes and no hyponatremia.
- Interleukin-6 levels decrease in effluent from patients dialyzed with bicarbonate/lactate-based peritoneal dialysis solutions
PubMed ID: 11887802
PD solution composition (bicarbonate/lactate electrolytes) altered intraperitoneal markers and is directly about electrolyte-containing replacement fluid.
- Benefits of oral administration of an electrolyte solution interrupting a prolonged preoperatory fasting period in pediatric patients
PubMed ID: 11226995
Oral isosmolar electrolyte drink given pre-op reduced gastric volume and is relevant to safe oral hydration.
- Acidosis correction with a new 25 mmol/l bicarbonate/15 mmol/l lactate peritoneal dialysis solution
PubMed ID: 11783762
Bicarbonate/lactate dialysate raised venous bicarbonate and reduced acidosis vs lactate solution â direct evidence that electrolyte/buffer composition can correct systemic acidâbase balance.
- Albumin and furosemide therapy in hypoproteinemic patients with acute lung injury
PubMed ID: 12394941
Albumin plus diuretic therapy directly modifies intravascular/total fluid distribution and thus contributes to achieving balanced body fluids in critically ill patients.
- Continuous gastric drip versus intravenous fluids in low birthweight infants
PubMed ID: 12061359
Continuous gastric drip feeding met fluid/electrolyte needs in lowâbirthweight infants and reduced IV line useâsupports enteral hydration/electrolyte delivery in a clinical setting.
- Estimating phosphate removal in haemodialysis: an additional tool to quantify dialysis dose
PubMed ID: 12032194
Provides a precise bedside formula to quantify phosphate removal in dialysisâuseful for managing an important electrolyte and thus fluid/electrolyte balance in renal patients.
- Electrolyte intake and nonpharmacologic blood pressure control
PubMed ID: 12495832
Large study linking lower sodium and higher potassium intake to substantially better bloodâpressure controlâstrong evidence for the systemic importance of Na/K balance.
- Fluid thresholds and outcome from severe brain injury
PubMed ID: 11940738
Observational association between negative fluid balance and poorer outcomes highlights clinical importance of maintaining appropriate fluid/electrolyte status.
- [Effect of racecadotril in the management of acute diarrhea in infants and children]
PubMed ID: 12205786
Directly demonstrates racecadotril added to rehydration reduced stool output and sped recovery in children â strong evidence for faster rehydration after diarrhoeal illness.
- Seasonal variations in clinical and laboratory variables among chronic hemodialysis patients
PubMed ID: 12191979
Large hemodialysis cohort demonstrated seasonal patterns in BUN, BP and interdialytic fluid gain â directly relevant to body fluid balance.
- Comparison of rofecoxib, celecoxib, and naproxen on renal function in elderly subjects receiving a normal-salt diet
PubMed ID: 12152004
NSAIDs reduced urinary sodium excretion and modestly raised BP â clear relevance to sodium/water homeostasis and balanced fluids.
- Renal segmental tubular response to salt during the normal menstrual cycle
PubMed ID: 11849382
Direct human study of renal sodium handling across menstrual phasesâstrong relevance to body-fluid balance.
- Hypertonic saline (7.5%) decreases perioperative weight gain following cardiac surgery
PubMed ID: 11854877
Demonstrates that changing fluid tonicity (7.5% vs normal saline) causes meaningful differences in body fluid distribution and diuresis.
- BG9719 (CVT-124), an A1 adenosine receptor antagonist, protects against the decline in renal function observed with diuretic therapy
PubMed ID: 11901047
Adenosine antagonist increased natriuresis and urine output in heart failure â relevant to sodium/fluid homeostasis though pharmacologic.
- Management of meningitis in children with oral fluid restriction or intravenous fluid at maintenance volumes: a randomised trial
PubMed ID: 12070950
Large trial in meningitis compared IV/isotonic maintenance vs oral restriction; study highlights fluid management and that dehydration signs predict worse outcomes.
- Comparison of nasogastric and intravenous methods of rehydration in pediatric patients with acute dehydration
PubMed ID: 11927697
Direct clinical trial: rapid nasogastric oral rehydration with electrolyte solution restored hydration as effectively as IV â strong direct evidence.
- Carbohydrate-electrolyte rehydration protects against intravascular volume contraction during colonic cleansing with orally administered sodium phosphate
PubMed ID: 12397268
Direct human trial: carbohydrateâelectrolyte drink attenuated intravascular volume loss vs clear fluids (clear evidence for hydration benefit).
- Therapy of hyponatremia in cirrhosis with a vasopressin receptor antagonist: a randomized double-blind multicenter trial
PubMed ID: 12671890
V2 receptor antagonist normalized serum sodium in dilutional hyponatremiaâclear demonstration of restoring fluid/electrolyte balance (pharmacologic intervention).
- Icodextrin improves the fluid status of peritoneal dialysis patients: results of a double-blind randomized controlled trial
PubMed ID: 12937311
Icodextrin meaningfully reduced extracellular water and altered sodium/ultrafiltration in PD patientsâstrong direct evidence of changing body-fluid compartments.
- [Haemodynamic effects following preoperative hypervolemic haemodilution with hypertonic hyperoncotic colloid solutions in coronary artery bypass graft surgery]
PubMed ID: 14618246
Hypertonic hyperoncotic haemodilution changed intravascular volume and serum sodiumâclinically relevant manipulation of body-fluid balance.
- Study on efficacy of WHO-ORS in malnourished children with acute dehydrating diarrhoea
PubMed ID: 14579980
WHO ORS trial measured rehydration success, time to rehydration and electrolyte disturbances in ill children â strong direct evidence.
- The effect of low-dose potassium supplementation on blood pressure in apparently healthy volunteers
PubMed ID: 12844375
Controlled potassium supplementation produced clear, clinically meaningful BP reductions â demonstrates systemic electrolyte modulation affecting fluid/electrolyte balance.
- Effects of a hypertonic saline solution and dextran 70 combination in the treatment of diarrhoeic dehydrated calves
PubMed ID: 12667194
Direct evidence that smallâvolume hypertonic saline with dextran plus oral electrolytes rapidly improved dehydration and hemodynamics in diarrheic calves (strong animal-model support for rapid rehydration).
- Stages of change and fluid intake in dialysis patients
PubMed ID: 12527147
Behavioral intervention targeted patients' fluid intake (everyday hydration behavior), though it did not change interdialytic gains.
- Oral sodium bicarbonate for the treatment of metabolic acidosis in peritoneal dialysis patients: a randomized placebo-control trial
PubMed ID: 12874466
Oral sodium bicarbonate corrected plasma bicarbonate and improved clinical/nutritional measures in PD patients â direct fluid/electrolyte balance effect.
- Effects of intravenous fluid restriction on postoperative complications: comparison of two perioperative fluid regimens: a randomized assessor-blinded multicenter trial
PubMed ID: 14578723
Perioperative IV fluid restriction strategy (maintaining preop weight) reduced complications â demonstrates clinical impact of fluid management.
- Low volume bowel preparation for colonoscopy: randomized, endoscopist-blinded trial of liquid sodium phosphate versus tablet sodium phosphate
PubMed ID: 12738463
Liquid sodium phosphate improved bowel cleansing and tolerability; it is an electrolyte preparation used orally (relevance to daily intake limited but direct).
- Intravenous phosphate in the intensive care unit: more aggressive repletion regimens for moderate and severe hypophosphatemia
PubMed ID: 12845429
Rapid IV potassium phosphate effectively corrected hypophosphatemia â direct electrolyte repletion restoring balance.
- Oral budesonide significantly improves water absorption in patients with ileostomy for Crohn disease
PubMed ID: 12737444
Budesonide significantly reduced ileostomy output and increased water absorption â directly improves hydration in affected patients.
- Effect of icodextrin on volume status, blood pressure and echocardiographic parameters: a randomized study
PubMed ID: 12631373
Icodextrin markedly increased ultrafiltration and reduced extracellular water in PD patients â clear, clinically relevant effect on body fluid balance.
- Efficacy and safety of a modified oral rehydration solution (ReSoMaL) in the treatment of severely malnourished children with watery diarrhea
PubMed ID: 14615732
Head-to-head clinical comparison in children with watery diarrhea: ReSoMaL corrected hypokalemia faster and is directly relevant to rehydration after diarrheal illness.
- Effects of tolvaptan, a vasopressin antagonist, in patients hospitalized with worsening heart failure: a randomized controlled trial
PubMed ID: 15113814
Tolvaptan produced rapid aquaresis (selective free-water removal) without causing hypokalemia, demonstrating manipulation of body fluid composition.
- Human albumin and starch administration in critically ill patients: a prospective randomized clinical trial
PubMed ID: 15237655
Albumin raised colloid osmotic pressure (affecting intravascular volume dynamics) although it did not improve net fluid balance or outcomesâshows physiologic fluid compartment effects.
- Carbohydrate-electrolyte (E-Lyte) solution enhances bowel preparation with oral fleet phospho-soda
PubMed ID: 15164249
Direct randomized data: adding a carbohydrateâelectrolyte drink reduced dizziness, protected against hypokalemia and decreased need for IV rehydration during bowel prep.
- Prevention of contrast-induced nephropathy with sodium bicarbonate: a randomized controlled trial
PubMed ID: 15150204
Sodium-bicarbonate pre-hydration altered intravascular milieu and substantially reduced contrast-induced nephropathyâstrong evidence of clinically relevant electrolyte/acidâbase management.
- Can an alternative umbilical arterial catheter solution and flush regimen decrease iatrogenic hemolysis while enhancing nutrition? A double-blind, randomized, clinical trial comparing an isotonic amino acid with a hypotonic salt infusion
PubMed ID: 15286220
Using an isotonic infusion (vs hypotonic saline) in preterm infants reduced hemolysis and improved early nutritionâsupports benefit of isotonic fluids for stable fluid/electrolyte status.
- Clinical events occurrence and the changes of quality of life in chronic haemodialysis patients with dry weight determined by echocardiographic method
PubMed ID: 15646404
Echocardiographic-guided dry-weight adjustment produced clear reductions in fluid-related complications and improved volume statusâstrong evidence for achieving balanced body fluids.
- Aggressive early total parental nutrition in low-birth-weight infants
PubMed ID: 15167885
Parenteral nutrition study involves controlled fluid/electrolyte administration in neonates; relevant to fluid balance though not a direct electrolyteâsupplement trial in healthy adults.
- Glucagon-like peptide 1 induces natriuresis in healthy subjects and in insulin-resistant obese men
PubMed ID: 15181098
GLP-1âinduced natriuresis (large increases in urinary Na+) directly alters sodium and extracellular fluid balance.
- Bioelectrical impedance analysis and other hydration parameters as risk factors for delirium in rural nursing home residents
PubMed ID: 15345731
Direct clinical cohort linking elevated BUN/Cr (marker of hypovolemia/dehydration) to adverse outcomes â strong relevance to hydration.
- Effects of hypertonic saline-dextran solution in cardiac valve surgery with cardiopulmonary bypass
PubMed ID: 14759446
Hypertonic saline-dextran produced nearâzero fluid balance and improved hemodynamics vs Ringer's â strong direct evidence for improved intravascular volume management.
- [Use of hypertonic colloid solution in the treatment of heart failure in early postoperative period]
PubMed ID: 15079108
Hypertonic NaCl/HES bolus after CABG increased cardiac index and reduced overall fluid requirements â demonstrates effective intravascular volume restoration.
- A prospective study of the "two-bag system'' in diabetic ketoacidosis management
PubMed ID: 15583776
Two-bag IV method in DKA significantly sped fluid/electrolyte adjustments (time to change fluids 1 vs 42 min) â directly enables faster clinical rehydration.
- Extended daily dialysis vs. continuous hemodialysis for ICU patients with acute renal failure: a two-year single center report
PubMed ID: 15202814
Extended daily dialysis kept serum electrolytes within normal ranges in acute renal failureâstrong clinical evidence of electrolyte/body-fluid control.
- A randomized, controlled trial of furosemide with or without albumin in hypoproteinemic patients with acute lung injury
PubMed ID: 16096441
Adding albumin to diuretic therapy meaningfully changed net fluid loss and oxygenation, showing clinically relevant fluidâbalance effects in overloaded patients.
- Low osmolar oral rehydration salts solution in the treatment of acute watery diarrhoea in neonates and young infants: a randomized, controlled clinical trial
PubMed ID: 15884752
Direct evidence: low-osmolar ORS was as safe and effective as standard ORS for treating watery diarrhoea in infants â directly supports rehydration after illness.
- The efficiency of potassium removal during bicarbonate hemodialysis
PubMed ID: 16191080
Directly measured how dialysis buffer (bicarbonate) alters serum K+ timing and pH relationships â relevant to fluid/electrolyte balance.
- Water balance, hydration status, and fat-free mass hydration in younger and older adults
PubMed ID: 15941885
Controlled-diet human data on water intake, urine concentration and plasma osmolality provide strong evidence about everyday hydration patterns and markers.
- Rationale and design of the multicenter, randomized, double-blind, placebo-controlled study to evaluate the Efficacy of Vasopressin antagonism in Heart Failure: Outcome Study with Tolvaptan (EVEREST)
PubMed ID: 15880334
Vaptan trials illustrate how modulation of free-water excretion affects body waterâconceptually relevant to hydration strategies, though not a supplement study.
- Comparison between normal saline and a polyelectrolyte solution for fluid resuscitation in severely dehydrated infants with acute diarrhoea
PubMed ID: 16297299
Polyelectrolyte IV corrected acidâbase and electrolytes and effectively restored circulation in dehydrated infantsâdirect clinical hydration evidence.
- Differing effects of mineralocorticoid receptor-dependent and -independent potassium-sparing diuretics on fibrinolytic balance
PubMed ID: 15998706
Trial of spironolactone vs triamterene showed differing effects on PAIâ1 and reflects mineralocorticoid/electrolyte physiology; indicates electrolyteârelated drugs can alter fluid/electrolyteâlinked homeostasis (human study).
- Isotonic is better than hypotonic saline for intravenous rehydration of children with gastroenteritis: a prospective randomised study
PubMed ID: 16352625
Direct RCT evidence that isotonic (0.9%) saline prevents/corrects hyponatraemia in children with gastroenteritisâstrong support for faster and safer rehydration.
- A randomised, double blind, placebo controlled trial of the effect of theophylline in prevention of vasomotor nephropathy in very preterm neonates with respiratory distress syndrome
PubMed ID: 16204359
Theophylline increased urine output and reduced oligoanuria in preterms, indicating an effect on fluid balance and renal handling.
- Comparison of two doses and dosing regimens of tolvaptan in congestive heart failure
PubMed ID: 16220067
Tolvaptan causes aquaresis without major electrolyte excretion changesâimportant mechanistic data about water vs electrolyte balance.
- Transfusions of CPDA-1 red blood cells stored for up to 28 days decrease donor exposures in very low-birth-weight premature infants
PubMed ID: 16359417
Quantified K+ in transfused blood and showed clinical safety â relevant to maintaining electrolyte balance in vulnerable patients.
- [Oral rehydration with a plantain flour-based solution precooked with standardized electrolytes]
PubMed ID: 15962898
Direct trial of an oral rehydration solution showing comparable efficacy to WHOâORS â strong direct support for hydration.
- Online convective therapies: results from a hemofiltration trial
PubMed ID: 15876828
Hemofiltration modality changed hypotension incidence and biochemical handling â important for fluid/electrolyte homeostasis.
- Correlation between intradialytic hypotension in patients undergoing routine hemodialysis and use of acetate compared in bicarbonate dialysate
PubMed ID: 16138418
Acetate vs bicarbonate dialysate produced major differences in intradialytic hypotension â directly about fluid/electrolyte balance.
- [Effect of infusion of hypertonic-hyperoncotic solution on cardiovascular function in surgery of the abdominal aorta during the perioperative period]
PubMed ID: 16758849
Smallâvolume hypertonicâhyperoncotic infusion improved intravascular status and reduced crystalloid need â robust fluidâmanagement finding.
- Comparison of two fluid-management strategies in acute lung injury
PubMed ID: 16714767
Conservative fluid management produced a markedly different 7-day cumulative fluid balance and better ventilator-free days, showing clear impact on body fluid balance.
- Assessment of effects of an additional dietary natural mineral water uptake on skin hydration in healthy subjects by dynamic barrier function measurements and clinic scoring
PubMed ID: 16827695
Human trial: increased mineral-water intake (electrolyte-containing) improved skin hydration and reduced TEWL, supporting everyday hydration effects.
- Oral rehydration for viral gastroenteritis in adults: a randomized, controlled trial of 3 solutions
PubMed ID: 16931613
Direct RCT in adults with viral gastroenteritis showing Pedialyte/ORS rehydrate effectively (better electrolyte maintenance than Gatorade).
- Effect of different non-chloride sodium sources on the performance of heat-stressed broiler chickens
PubMed ID: 16787847
Different sodium salts altered blood sodium and improved outcomes in heat-stressed broilers, indicating impact on fluid/electrolyte balance (animal).
- Tolvaptan, a selective oral vasopressin V2-receptor antagonist, for hyponatremia
PubMed ID: 17105757
Large RCT: tolvaptan reliably raised serum sodium and corrected hyponatraemia, directly demonstrating manipulation of body water/sodium balance.
- Phase II study of etoposide and cisplatin with concurrent twice-daily thoracic radiotherapy followed by irinotecan and cisplatin in patients with limited-disease small-cell lung cancer: West Japan Thoracic Oncology Group 9902
PubMed ID: 17114657
Chemoradiotherapy trial documented grade 3â4 electrolyte imbalances in ~20% of patients â directly relevant to body fluid/electrolyte balance (pathologic context).
- Safety and colon-cleansing efficacy of a new residue-free formulation of sodium phosphate tablets
PubMed ID: 17029618
RF sodiumâphosphate regimens produced fewer and less severe electrolyte changes than the standard regimenâdirectly relevant to maintaining balanced body fluids.
- Residue-free sodium phosphate tablets (OsmoPrep) versus Visicol for colon cleansing: a randomized, investigator-blinded trial
PubMed ID: 17173912
Oral sodiumâphosphate tablets produced transient electrolyte shifts in some regimens; demonstrates clinically relevant electrolyte disturbances from an electrolyte drug, relevant to fluid balance.
- Standard WHO-ORS versus reduced-osmolarity ORS in the management of cholera patients
PubMed ID: 16796157
Reducedâosmolarity ORS in cholera produced higher urine output and similar stool outcomes â strong direct evidence for faster/effective rehydration in infectious diarrhoea.
- A comparison of 5% dextrose in 0.9% normal saline versus non-dextrose-containing crystalloids as the initial intravenous replacement fluid in elective surgery
PubMed ID: 17061636
Comparison of IV fluids shows crystalloids (saline/Ringer's) maintain normoglycemia (vs dextrose) and restore intravascular volume â applicable to hydration.
- The impact of operative fluids on the prevention of postoperative anesthetic complications in ambulatory surgery--high dose vs low dose
PubMed ID: 17263269
Randomized trial: larger pre-op isotonic electrolyte bolus significantly reduced thirst and early vomiting â direct evidence of improved hydration status/symptoms.
- Parenteral amino acid and metabolic acidosis in premature infants
PubMed ID: 17595435
Study directly addresses frequent nonâanion-gap metabolic acidosis in preterm infants and its clinical associationsârelevant to fluid/electrolyte/acidâbase balance.
- Antioxidative effects of sulfurous mineral water: protection against lipid and protein oxidation
PubMed ID: 17717532
Mineral (sulfurous) water intake produced systemic biochemical changes over 2 weeksâsupports a role for mineral-rich waters in regular intake.
- Prospective blinded trial comparing 45-mL and 90-mL doses of oral sodium phosphate for bowel preparation before computed tomographic colonography
PubMed ID: 17259833
Oral sodium phosphate doses produced predictable fluid/ion shifts for colon cleansingâevidence that electrolyte preparations change body fluid distribution.
- Effect of Lactobacillus rhamnosus GG in persistent diarrhea in Indian children: a randomized controlled trial
PubMed ID: 17700424
Randomized trial in children used ORS in both arms and showed probiotic + ORS shortened diarrhoea and hospital stayâstrong clinical context showing electrolyte solutions are central to rehydration therapy.
- Randomised controlled trial of intravenous maintenance fluids
PubMed ID: 18036144
Direct measurement of plasma sodium changes with different IV fluidsâcore evidence about maintaining electrolyte/blood tonicity.
- Hypertonic hydroxyethyl starch solution for hypovolaemia correction following heart surgery
PubMed ID: 17708161
Hypertonic NaCl/HES produced measurable changes in fluid balance and cardiac outputâdemonstrates control of intravascular volume and electrolytes.
- Bipolar transurethral resection in saline--an alternative surgical treatment for bladder outlet obstruction?
PubMed ID: 17869297
Shows that irrigating with saline vs non-electrolyte glycine limits sodium/chloride drops â relevant to preserving electrolyte balance.
- Ultrafiltration versus intravenous diuretics for patients hospitalized for acute decompensated heart failure
PubMed ID: 17291932
Ultrafiltration removed more net fluid vs diuretics in heartâfailure patientsâdirect evidence of altered body fluid balance management (though not an oral electrolyte supplement).
- [Efficacy and safety of reduced osmolarity oral rehydration salts in treatment of dehydration in children with acute diarrhea--a multicenter, randomized, double blind clinical trial]
PubMed ID: 17706059
Reducedâosmolarity ORS significantly reduced required IV fluid volumes in dehydrated childrenâstrong, direct evidence for faster/efficient rehydration in illness.
- Does an L-glutamine-containing, glucose-free, oral rehydration solution reduce stool output and time to rehydrate in children with acute diarrhoea? A double-blind randomized clinical trial
PubMed ID: 18330060
RCT in dehydrated children comparing ORS formulas; demonstrates ORS effectiveness for clinical rehydration after diarrheal illness.
- [Systemic and renal effects of preventing contrast nephrotoxicity with isotonic (0.9%) and hypotonic (0.45%) saline]
PubMed ID: 17953922
Isotonic saline produced clear plasma volume expansion and hemodilution vs hypotonic salineâdirect evidence of electrolyte/volume effects on fluid balance.
- A randomized, double-blind, crossover design study of sevelamer hydrochloride and sevelamer carbonate in patients on hemodialysis
PubMed ID: 18184521
Sevelamer carbonate (phosphate binder) increased serum bicarbonate slightly, indicating an acidâbase/electrolyte balance effect in dialysis patients.
- The effect of a dietary supplement of potassium chloride or potassium citrate on blood pressure in predominantly normotensive volunteers
PubMed ID: 18053306
Randomized trial: oral potassium salts (electrolyte) produced consistent BP reductions and reflect meaningful impact on electrolyte-related fluid/ion balance.
- Oral rehydration solution for providing water and electrolytes following laparoscopic cholecystectomy and recovery of intestinal function
PubMed ID: 18265647
Direct trial of an oral rehydration electrolyte solution showing safe electrolyte provision and clinical benefit (faster intestinal recovery).
- Household water treatment using sodium dichloroisocyanurate (NaDCC) tablets: a randomized, controlled trial to assess microbiological effectiveness in Bangladesh
PubMed ID: 17255252
Chlorine tablets (NaDCC) in households greatly reduced fecal contamination in stored drinking water â practical support for safer daily hydration supply.
- Patients with complex arrhythmias during and after haemodialysis suffer from different regimens of potassium removal
PubMed ID: 18065796
Potassium profiling altered plasma potassium kinetics and reduced arrhythmia; directly relevant to maintaining electrolyte balance in clinical care.
- [Body weight telemetry in patients with endstage renal failure on hemodialysis: preliminary data]
PubMed ID: 17315118
Telemetric monitoring improved interdialytic weight (fluid) controlâsupporting balanced fluids through behavioral/monitoring intervention.
- Effect of hydration and continuous urinary drainage on urine production in children
PubMed ID: 18609291
Demonstrates that increasing fluid intake directly increases urine output; relevant to hydration management.
- A randomized controlled trial of glucose versus amylase resistant starch hypo-osmolar oral rehydration solution for adult acute dehydrating diarrhea
PubMed ID: 18270575
Direct trial of an optimized ORS demonstrating major reductions in stool output and ORS needs â strong evidence for improving hydration in illness.
- [Postoperative metabolic acidosis: use of three different fluid therapy models]
PubMed ID: 18389745
Direct comparison of IV fluids showed saline caused metabolic acidosis, Ringer's alkalosis, and a 1:1 mix was most stableâstrong evidence electrolyte composition alters acidâbase and fluid balance.
- Description of self-reported fluid intake and its effects on body weight, symptoms, quality of life and physical capacity in patients with stable chronic heart failure
PubMed ID: 18705707
Altered fluid intake in chronic heart failure changed thirst and adherence without worsening clinical statusârelevant to routine fluid-management approaches.
- Alteration of anion gap and strong ion difference caused by hydroxyethyl starch 6% (130/0.42) and gelatin 4% in children
PubMed ID: 18811828
Demonstrated that unbalanced colloid infusions increased plasma chloride and decreased SID; directly relevant to systemic electrolyte and acidâbase balance.
- Half-molar sodium-lactate solution has a beneficial effect in patients after coronary artery bypass grafting
PubMed ID: 18563389
Halfâmolar sodiumâlactate produced large shifts in postoperative fluid balance and cardiac index â strong evidence about fluid/electrolyte management.
- Is a priming dose of insulin necessary in a low-dose insulin protocol for the treatment of diabetic ketoacidosis?
PubMed ID: 18694978
DKA insulin regimen trial documented potassium shifts and kineticsâhighly relevant to maintaining electrolyte/fluid balance in clinical settings.
- The use of isotonic fluid as maintenance therapy prevents iatrogenic hyponatremia in pediatrics: a randomized, controlled open study
PubMed ID: 18838929
Randomized pediatric maintenance fluids: isotonic fluids markedly reduced 24âh hyponatremia vs hypotonic â strong direct evidence for improved/safer hydration.
- Sodium bicarbonate improves long-term clinical outcomes compared with sodium chloride in patients with chronic kidney disease undergoing an emergent coronary procedure
PubMed ID: 18756037
Sodium bicarbonate hydration altered outcomes vs saline in CKD patients undergoing procedures, indicating composition of IV fluids affects renal/systemic balance.
- The effect of different crystalloid solutions on acid-base balance and early kidney function after kidney transplantation
PubMed ID: 18635497
Direct randomized comparison of IV crystalloids in surgery showing Plasmalyte preserved acidâbase and chloride levels best â strong evidence for maintaining balanced body fluids via appropriate electrolyte composition.
- Hydration status of Air Force military basic trainees after implementation of the back-mounted hydration system
PubMed ID: 19743737
Field trial in trainees measured total body water and body-weight changes across hydration systems â directly relevant to hydration status.
- The difference in oxidative stress of the blood between using 5% glucose water and distilled water as the irrigant for BPH patients undergoing transurethral resection of the prostate
PubMed ID: 19562349
Directly measured serum sodium fall after distilled-water irrigant in TURP patients â clear evidence that electrolyte composition of fluids strongly affects body fluid balance.
- Efficacy of high-dose Lactobacillus rhamnosus GG in controlling acute watery diarrhea in Indian children: a randomized controlled trial
PubMed ID: 18813028
LGG plus ORS reduced diarrheal duration and need for IV therapy versus ORS alone â directly relevant to faster recovery/rehydration after diarrheal illness.
- Cardiopulmonary bypass priming using a high dose of a balanced hydroxyethyl starch versus an albumin-based priming strategy
PubMed ID: 19923501
Balanced HES electrolyte solution corrected base excess vs albumin group and reduced renal injury markers â very strong evidence for preserving balanced fluids/acid-base.
- Preoperative fluid and electrolyte management with oral rehydration therapy
PubMed ID: 19444561
Preoperative oral rehydration solution produced higher serum sodium and greater urine output vs IV electrolyte therapy in surgical patients â strong direct hydration evidence.
- Short-term effects of online hemodiafiltration on phosphate control: a result from the randomized controlled Convective Transport Study (CONTRAST)
PubMed ID: 19962805
Online hemodiafiltration improved control of serum phosphate (an electrolyte) in dialysis patients â evidence of managing specific electrolyte balance.
- Prevention of hyponatremia during maintenance intravenous fluid administration: a prospective randomized study of fluid type versus fluid rate
PubMed ID: 19818450
Strong direct evidence that isotonic IV fluids prevent early hyponatremia vs hypotonic fluids in children postoperativelyâhighly relevant to maintaining balanced body electrolytes.
- Sterile water versus isotonic saline solution as irrigation fluid in percutaneous nephrolithotomy
PubMed ID: 20027552
Intraoperative irrigation with water vs saline produced small sodium changesârelevant to perioperative electrolyte balance.
- One-hour fast for water and six-hour fast for solids prior to endoscopy provides good endoscopic vision and results in minimum patient discomfort
PubMed ID: 19220672
Permitting water until 1 hour before endoscopy reduced discomfort while maintaining adequate conditionsâpractical evidence supporting safe short-term hydration in routine care.
- Intravenous fluid restriction after major abdominal surgery: a randomized blinded clinical trial
PubMed ID: 19583868
Demonstrated that IV fluid strategy (volume) after major abdominal surgery affected major outcomesâemphasizes that fluid/electrolyte management influences clinical recovery.
- Implementing intentions to drink a carbohydrate-electrolyte solution during exercise
PubMed ID: 19598056
Direct study showing a simple intervention increases consumption of a carbohydrateâelectrolyte sports drink during exercise â strong behavioral support for supporting hydration.
- Biocompatibility and tolerability of a purely bicarbonate-buffered peritoneal dialysis solution
PubMed ID: 19910566
Bicarbonate-buffered peritoneal dialysis solution produced favorable effluent markers and preserved residual renal function compared with lactate-buffered fluid â direct evidence that electrolyte composition affects fluid/acid-base balance.
- Safety of rapid intravenous rehydration and comparative efficacy of 3 oral rehydration solutions in the treatment of severely malnourished children with dehydrating cholera
PubMed ID: 19274788
Large clinical trial in dehydrated/malnourished children with cholera: rice-ORS significantly reduced stool loss and ORS volume requirements â strong direct evidence for electrolyte solutions improving hydration.
- Should children drink more water?: the effects of drinking water on cognition in children
PubMed ID: 19501780
Simple extra-water intervention improved cognitive outcomes and thirst, indicating meaningful hydration benefits (though electrolytes not measured).
- Pico-salax plus two-day bisacodyl is superior to pico-salax alone or oral sodium phosphate for colon cleansing before colonoscopy
PubMed ID: 19223885
Demonstrated that oral sodium phosphate causes hyperphosphatemia/hypocalcemia whereas PicoâSalax regimens avoided these disturbancesâclear relevance to maintaining electrolyte balance.
- [Acetate-free on-line PHF: how to improve hyperacetatemia and haemodynamic tolerance]
PubMed ID: 19396322
Dialysis study showed that dialysate composition (acetate vs acetateâfree) changes bicarbonate/chloride profiles and acetate exposureâdirect evidence electrolytes/acidâbase management affects body fluid balance.
- Monitoring of drug-associated electrolyte disturbances in a hospital
PubMed ID: 19655334
Large hospital pharmacovigilance study directly documents drugâassociated electrolyte/acidâbase abnormalities (natremia, bicarbonate, calcium)âstrong evidence that electrolyte balance is clinically important.
- Restricted peri-operative fluid administration adjusted by serum lactate level improved outcome after major elective surgery for gastrointestinal malignancy
PubMed ID: 20004445
Perioperative fluid therapy guided by serum lactate improved complication ratesâsupports targeted fluid/electrolyte management to maintain balanced body fluids.
- [Effect of controlled hypotension with different drugs combined with acute hypervolemic hemodilution on bleeding volume and gastrointestinal perfusion in nasal endoscopic surgery]
PubMed ID: 19726350
Perioperative hypervolemic hemodilution study showing that manipulating circulating volume reduced bleeding while maintaining GI mucosal perfusionâdirect fluid-balance intervention.
- [Observation on therapeutic effect of acupuncture on hyperemesis gravidarum]
PubMed ID: 20088416
Hyperemesis gravidarum trial in which all arms received fluid/electrolyte replacement; electrolyte metrics (CO2-CP/electrolyte imbalance) and ketone recovery improved as patients were treatedâsupports role of rehydration in illness recovery.
- Less is more: improved outcomes in surgical patients with conservative fluid administration and central venous catheter monitoring
PubMed ID: 19476825
Clinical trial of fluid strategies in acute lung injury shows meaningful clinical outcomes from fluid management â relevant to body-fluid balance.
- Serum bicarbonate and long-term outcomes in CKD
PubMed ID: 20605301
Low serum bicarbonate associated with worse kidney outcomes â indicates that disturbances in an electrolyte-related parameter (bicarbonate/acidâbase) are clinically important (observational).
- Predonation hydration and applied muscle tension combine to reduce presyncopal reactions to blood donation
PubMed ID: 20113455
Preâdonation water loading clearly reduced presyncopal reactions â strong human evidence that fluid intake meaningfully affects acute hydration outcomes.
- Regional citrate versus systemic heparin for anticoagulation in critically ill patients on continuous venovenous haemofiltration: a prospective randomized multicentre trial
PubMed ID: 20876598
Regional citrate anticoagulation alters calcium/citrate balance requiring electrolyte management in CVVH â clinical evidence about fluid/electrolyte handling.
- Effect of VX-770 in persons with cystic fibrosis and the G551D-CFTR mutation
PubMed ID: 21083385
Ivacaftor produced large falls in sweat chloride by restoring CFTR function â direct, strong evidence about ion transport/balance.
- Intraoperative fluid optimization using stroke volume variation in high risk surgical patients: results of prospective randomized study
PubMed ID: 20553586
Intraoperative crystalloid (electrolyte fluid) guided by SVV improved lactate and hemodynamics, indicating clinically meaningful fluid/electrolyte management effects on volume status.
- Oral versus intravenous hydration and renal function in diabetic patients undergoing percutaneous coronary interventions
PubMed ID: 20859892
Oral mineral water (electrolyte-containing) gave similar 72-h renal outcomes to IV 0.9% NaCl in patients - supports effectiveness of oral electrolyte hydration versus IV.
- Rationale and design of the treatment of hyponatremia based on lixivaptan in NYHA class III/IV cardiac patient evaluation (THE BALANCE) study
PubMed ID: 20973922
Lixivaptan targets hyponatremia (electrolyte disorder) and prior data show it increases serum sodiumâdirectly relevant to correcting electrolyte-driven poor hydration status.
- Resuscitation with balanced electrolyte solution prevents hyperchloremic metabolic acidosis in patients with diabetic ketoacidosis
PubMed ID: 20825879
Balanced electrolyte solution significantly reduced hyperchloremic metabolic acidosis versus normal saline in DKA patients (lower Clâ, higher HCO3â).
- Fortification of breast milk in VLBW infants: metabolic acidosis is linked to the composition of fortifiers and alters weight gain and bone mineralization
PubMed ID: 20727626
Breastâmilk fortifier mineral composition influenced metabolic acidosis incidence in VLBW infants, showing electrolyte/mineral formulations affect systemic acidâbase balance.
- Assessing the palatability of oral rehydration solutions in school-aged children: a randomized crossover trial
PubMed ID: 20679159
Palatability trial showing sucraloseâsweetened rehydration drinks were preferred by childrenâstrong practical support for everyday oral rehydration adherence.
- Impact of dopamine infusion on renal function in hospitalized heart failure patients: results of the Dopamine in Acute Decompensated Heart Failure (DAD-HF) Trial
PubMed ID: 21111980
Heartâfailure trial reported smaller potassium loss with lowâdose dopamine + lowâdose furosemideâdirect relevance to electrolyte homeostasis.
- Effect of oral rehydration solution on fatigue during outdoor work in a hot environment: a randomized crossover study
PubMed ID: 20551583
Randomized trial: workers drinking an ORS reported less fatigue, consistent with improved hydration from electrolyte solution.
- Higher serum bicarbonate levels within the normal range are associated with better survival and renal outcomes in African Americans
PubMed ID: 20962743
Observational CKD cohort: higher normalârange serum bicarbonate associated with lower risk of kidney progressionârelevance to acidâbase/electrolyte balance.
- Low-GDP fluid (Gambrosol trio) attenuates decline of residual renal function in PD patients: a prospective randomized study
PubMed ID: 20197284
Peritoneal dialysis fluid composition affected residual renal function and urine volumeârelevant to longâterm fluid/electrolyte management in PD patients.
- Improving outcome of treatment of kala-azar by supplementation of amphotericin B with physiologic saline and potassium chloride
PubMed ID: 21036834
Prophylactic saline + KCl changed clinical renal outcomes during amphotericin therapy, demonstrating the physiological importance of restoring electrolytes and fluid balance.
- Spironolactone in preventing hypokalemia following traumatic brain injury
PubMed ID: 21126390
Spironolactone reduced hypokalemia incidence in TBI patients, reflecting beneficial impact on potassium balance in that setting.
- [The effect of NaCl solution with different concentration on the resuscitation of hemorrhagic shock]
PubMed ID: 20356558
In hemorrhagic shock, 4.5% saline produced quicker/sustained BP rise and better overall electrolyte stability vs other concentrationsâsupports effective rehydration/volume restoration.
- Comparison of ultrarapid and rapid intravenous hydration in pediatric patients with dehydration
PubMed ID: 20159379
Ultrarapid IV saline (50 mL/kg in 1 h) rehydrated moderately dehydrated children as effectively as standard 3-h infusionâdirect evidence for faster rehydration.
- Does looped nasogastric tube feeding improve nutritional delivery for patients with dysphagia after acute stroke? A randomised controlled trial
PubMed ID: 20667840
Looped nasogastric tubes significantly improved delivered fluid/nutrition volumes and reduced electrolyte problemsâsupports reliable hydration delivery.
- A pilot study of salt and water restriction in patients with chronic heart failure
PubMed ID: 20636228
Behavioral intervention reduced fluid intake and sodium excretion in heart failure patients, demonstrating modifiable everyday hydration/salt management.
- Volume replacement with a balanced hydroxyethyl starch (HES) preparation in cardiac surgery patients
PubMed ID: 20510247
Balanced HES/crystalloid maintained acidâbase and reduced inflammatory/kidney markers vs unbalanced saline/HESâevidence for better fluid/electrolyte balance.
- High compliance randomized controlled field trial of solar disinfection of drinking water and its impact on childhood diarrhea in rural Cambodia
PubMed ID: 21827166
Intervention lowered diarrheal disease incidence (major cause of dehydration) â strong indirect support for faster/less frequent dehydration after illness at population level.
- Hypotonic versus isotonic maintenance fluids after surgery for children: a randomized controlled trial
PubMed ID: 22007013
Large randomized pediatric trial: isotonic maintenance IV fluids substantially reduced postoperative hyponatremia vs hypotonic fluids â strong evidence for improved fluid/electrolyte status.
- A randomized clinical trial comparing the effect of rapidly infused crystalloids on acid-base status in dehydrated patients in the emergency department
PubMed ID: 22211091
Different crystalloid solutions produced divergent acidâbase changes in dehydrated patients; Plasmalyte preserved bicarbonate â direct evidence that solution composition affects fluid/electrolyte balance.
- Renal Insufficiency After Contrast Media Administration Trial II (REMEDIAL II): RenalGuard System in high-risk patients for contrast-induced acute kidney injury
PubMed ID: 21844075
RenalGuard-managed balanced hydration reduced contrast-induced AKI vs standard therapy â strong clinical evidence that active fluid/electrolyte management yields better organ-protective balance.
- A randomized trial on the effects of regular water intake in patients with recurrent headaches
PubMed ID: 22113647
Randomized increase in daily plain water intake produced subjective QoL benefits and greater perceived improvementâsupports benefit of increased fluid intake for hydration in freeâliving adults.
- Icodextrin increases technique survival rate in peritoneal dialysis patients with diabetic nephropathy by improving body fluid management: a randomized controlled trial
PubMed ID: 21493740
Icodextrin in peritoneal dialysis improved ultrafiltration and technique survival, directly demonstrating clinically meaningful effects on body fluid management in dialysis patients.
- Fluid status monitoring with a wireless network to reduce cardiovascular-related hospitalizations and mortality in heart failure: rationale and design of the OptiLink HF Study (Optimization of Heart Failure Management using OptiVol Fluid Status Monitoring and CareLink)
PubMed ID: 21555324
OptiLink HF describes intent to monitor and manage intrathoracic fluid via device alertsâdirectly related to maintaining balanced body fluids in heartâfailure care (protocol, limited outcome data in this report).
- Pharmacokinetic analysis of absorption, distribution and disappearance of ingested water labeled with DâO in humans
PubMed ID: 21997675
Direct study of oral water absorption and TBW kinetics in humansâstrong, directly relevant evidence for hydration dynamics (though lowâmineral water, not electrolyte solutions).
- Effect of dietary electrolyte balance on production, immune response and mineral concentrations of the femur in broilers
PubMed ID: 21727062
Dietary electrolyte balance (DEB) in broilers directly changed growth/physiology according to electrolyte formulationâdirect physiological relevance to electrolyte balance (animal model).
- Clinical and antimicrobial evaluation of a mouthwash and toothpaste for xerostomia: a randomized, double-blind, crossover study
PubMed ID: 21864644
Toothpaste and mouthwash containing mineral salts improved dry mouth symptoms, indicating mineral-containing products can help perceived oral hydration.
- Effects of oral intake of water in patients with oropharyngeal dysphagia
PubMed ID: 21356121
Allowing access to water in dysphagic patients increased total daily fluid intake by ~389 mLâdirectly relevant to improving hydration.
- Efficacy and safety of hydroxyethyl starch 6% 130/0.4 in a balanced electrolyte solution (Volulyte) during cardiac surgery
PubMed ID: 21345699
Randomized trial showed balanced-electrolyte HES produced lower serum chloride and less acidosis vs saline-based HESâstrong evidence that electrolyte composition affects balance.
- Volume control in peritoneal dialysis patients guided by bioimpedance spectroscopy assessment
PubMed ID: 21242684
Bioimpedance-guided management significantly reduced overhydration and extracellular volume in peritoneal dialysis patientsâdirectly relevant to fluid balance.
- Effects of the use of semipermeable membranes on fluid loss in low-birth-weight premature newborns
PubMed ID: 21987832
Neonatal semipermeable membrane intervention reduced fluid losses and affected serum sodium, demonstrating clinically meaningful effects on body-fluid balance.
- Estimated net endogenous acid production and serum bicarbonate in African Americans with chronic kidney disease
PubMed ID: 21700817
Large observational analysis: higher dietary acid load associated with lower serum bicarbonate â relevant to acidâbase/electrolyte balance.
- Hypotonic versus isotonic maintenance fluids in critically ill children: a multicenter prospective randomized study
PubMed ID: 21352357
Prospective RCT in critically ill children: isotonic maintenance fluids clearly prevented hyponatraemia vs hypotonic fluids â strong evidence on fluid/electrolyte status.
- Effect of maternal hydration on the increase of amniotic fluid index
PubMed ID: 21271182
Randomized trial: oral isotonic solution (and water) significantly increased amniotic fluid index â direct evidence that oral fluids, including isotonic drinks, improve body fluid status.
- Outcomes of patients with planned initiation of hemodialysis in the IDEAL trial
PubMed ID: 21625083
Timing of dialysis affected frequency of fluid/electrolyte complications â demonstrates clinical consequences for bodyâfluid balance.
- [Feasibility and safety of acute hypervolemic hemodilution in neurosurgical patients]
PubMed ID: 22321929
Study used compound electrolyte intravenous fluid in acute hypervolemic hemodilution and demonstrated measurable effects on central hemodynamics and volume statusâdirectly relevant to fluid/electrolyte balance in a clinical setting.
- Safety and efficacy of oral rehydration therapy until 2 h before surgery: a multicenter randomized controlled trial
PubMed ID: 22041970
ORS until 2 h before surgery maintained urine output and renal excretion indices vs fasting â strong direct evidence of improved hydration with electrolyte solution.
- [The effectiveness of using semipermeable membrane in preterm infants to reduce transepidermal losses]
PubMed ID: 21876879
Intervention reduced transepidermal water loss and normalized sodium/urine density in preterm infants, improving fluid balance.
- Educational intervention on water intake improves hydration status and enhances exercise performance in athletic youth
PubMed ID: 21410548
Education + fluid access markedly reduced dehydration by USG and Uosm in young athletes â direct hydration benefit.
- A multicenter, randomized, double-blind, placebo-controlled study of tolvaptan monotherapy compared to furosemide and the combination of tolvaptan and furosemide in patients with heart failure and systolic dysfunction
PubMed ID: 22123358
Tolvaptan produced marked aquaresis and increased serum sodium in heart-failure patients â strong evidence of changing body water balance (drug-based, not supplement).
- Effects of tolvaptan on volume overload in Japanese patients with heart failure: results of a phase II, multicenter, randomized, double-blind, placebo-controlled, parallel-group study
PubMed ID: 22120091
Dose-dependent tolvaptan increases in urine volume and reduced urine osmolality demonstrate powerful regulation of water balance.
- Effects of drinking supplementary water at school on cognitive performance in children
PubMed ID: 22841529
Direct randomized provision of extra water in schools substantially improved hydration markers and cognitive function â strong direct evidence supporting everyday hydration interventions.
- Association between intensive handwashing promotion and child development in Karachi, Pakistan: a cluster randomized controlled trial
PubMed ID: 22986783
Handwashing RCT markedly reduced diarrheal episodes â strongest indirect evidence here that it would speed/avoid dehydration from illness.
- Acetate-free biofiltration reduces intradialytic hypotension: a European multicenter randomized controlled trial
PubMed ID: 23406818
Acetate-free biofiltration vs bicarbonate dialysis altered electrolyte/acidâbase handling and markedly reduced intradialytic hypotension â direct evidence that buffer/electrolyte strategy affects fluid/electrolyte balance.
- Effect of maternal oral hydration therapy in oligohydramnios
PubMed ID: 23134924
Extra oral fluids in pregnant women markedly increased amniotic fluid index and improved delivery/neonatal outcomes â strong evidence that increased oral fluid intake improves hydration-related measures.
- Comparison of oral and intravenous hydration strategies for the prevention of contrast-induced nephropathy in patients undergoing coronary angiography or angioplasty: a randomized clinical trial
PubMed ID: 23252007
Oral pre/post procedural hydration was as effective as IV at preventing contrast kidney injury, supporting effectiveness of oral rehydration strategies.
- Correction of metabolic acidosis with potassium citrate in renal transplant patients and its effect on bone quality
PubMed ID: 22773591
Potassium citrate (an electrolyte) normalized serum bicarbonate and preserved bone microarchitecture in transplant patientsâstrong direct evidence of electrolyte effect on acidâbase balance.
- Effect of the dialysis fluid buffer on peritoneal membrane function in children
PubMed ID: 23124784
Different buffer electrolytes in peritoneal dialysis fluids (bicarbonate vs lactate) produced meaningful differences in ultrafiltration and solute handling.
- A double-blind, randomized, parallel, placebo-controlled study examining the effect of cross-linked polyelectrolyte in heart failure patients with chronic kidney disease
PubMed ID: 22613585
CLP produced weight loss and improved NYHA functional class in HF with CKD, consistent with fluid removal/decongestion and modification of fluid status despite no serum K+ change.
- Replacing caloric beverages with water or diet beverages for weight loss in adults: main results of the Choose Healthy Options Consciously Everyday (CHOICE) randomized clinical trial
PubMed ID: 22301929
Large trial showing that switching to water/diet beverages produced sustained improvements in urine osmolality and modest metabolic benefits â strong everyday-hydration relevance.
- Divert to ULTRA: differences in infused volumes and clearance in two on-line hemodiafiltration treatments
PubMed ID: 22669588
HDF setting changes significantly altered convective volumes and phosphate clearance â direct clinical evidence that fluid/electrolyte management modifies body electrolyte balance in ESRD.
- Phosphate removal model: an observational study of low-flux dialyzers in conventional hemodialysis therapy
PubMed ID: 22360645
Validated formula to estimate phosphate removal during dialysis â directly relevant to managing a major electrolyte (phosphate) and overall fluid/electrolyte balance.
- Evaluation of the impact of the plastic BioSand filter on health and drinking water quality in rural Tamale, Ghana
PubMed ID: 23202818
BioSand filters reduced diarrheal disease substantially â preventing/treating diarrhoea directly reduces fluid losses and supports rehydration outcomes at community level.
- Preservation of residual renal function by not removing water in new hemodialysis patients: a randomized, controlled study
PubMed ID: 23229165
Randomized dialysis study showing that avoiding ultrafiltration preserves urine volume and renal clearance â direct evidence that fluid-management practices affect net hydration status in patients.
- Assessment of renal function by estimation of fractional excretion of sodium in asphyxiated newborns
PubMed ID: 22828553
Newborns with perinatal asphyxia showed impaired sodium handling/hyponatremia â demonstrates importance of electrolyte balance for fluid homeostasis in vulnerable patients.
- Natriuretic peptide-driven fluid management during ventilator weaning: a randomized controlled trial
PubMed ID: 22997204
BNP-guided diuresis achieved greater fluid removal and faster extubation without increasing electrolyte complications â demonstrates managed fluid balance while preserving electrolytes.
- Effect of hetastarch bolus in trauma patients requiring emergency surgery
PubMed ID: 23032322
Resuscitation with a lactated-electrolyte buffer in trauma changed urine output and transfusion needs â supports role of electrolyte fluids in acute rehydration.
- Hypohydration and acute thermal stress affect mood state but not cognition or dynamic postural balance
PubMed ID: 23064870
Even mild hypohydration produced measurable mood/fatigue effects â supports the value of maintaining everyday hydration.
- Lixivaptan safely and effectively corrects serum sodium concentrations in hospitalized patients with euvolemic hyponatremia
PubMed ID: 22932119
Lixivaptan safely and effectively normalized serum sodium in euvolemic hyponatremia â direct evidence of restoring electrolyte balance.
- Hypertonic saline solution for prevention of renal dysfunction in patients with decompensated heart failure
PubMed ID: 22243938
Hypertonic saline changed intravascular/osmotic conditions and improved renal tubular marker expression â strong, direct evidence of modulating body fluid/electrolyte handling.
- An observational study fluid balance and patient outcomes in the Randomized Evaluation of Normal vs. Augmented Level of Replacement Therapy trial
PubMed ID: 22610181
Large cohort showing survival benefit associated with net negative (controlled) fluid balance â strongly links fluid balance to outcomes, relevant to managing body fluids.
- Tolvaptan in patients with autosomal dominant polycystic kidney disease
PubMed ID: 23121377
Tolvaptan produced sustained aquaresis and measurable increases in serum sodium â clear effect on water/sodium balance relevant to fluid equilibrium.
- Randomized, double-blind trial of the effect of fluid composition on electrolyte, acid-base, and fluid homeostasis in patients early after subarachnoid hemorrhage
PubMed ID: 22872427
Clear RCT evidence that salineâbased fluids produce more hyperchloraemia/hyperosmolality and fluid overload than balanced crystalloidsâdirect match.
- Healthy feeding habits: efficacy results from a cluster-randomized, controlled exploratory trial of a novel, habit-based intervention with parents
PubMed ID: 23864536
Parent-focused habit intervention produced measurable increases in children's water intake â strong evidence for supporting everyday hydration behavior.
- Protocol versus ad libitum feeds after laparoscopic pyloromyotomy: a prospective randomized trial
PubMed ID: 24439596
Clinical use of an oral electrolyte solution (Pedialyte) is directly about supporting rehydration/hydration.
- Treatment with a potassium-iron-phosphate-citrate complex improves PSE scores and quality of life in patients with minimal hepatic encephalopathy: a multicenter, randomized, placebo-controlled, double-blind clinical trial
PubMed ID: 23117470
Potassiumâcontaining formulation includes ions that affect acidâbase and electrolyte balance (indirectly relevant).
- Household water chlorination reduces incidence of diarrhea among under-five children in rural Ethiopia: a cluster randomized controlled trial
PubMed ID: 24194899
Community chlorination intervention reduced diarrhoeal disease and improved stored-water quality, strongly preserving hydration at population level.
- Half-molar sodium lactate infusion to prevent intracranial hypertensive episodes in severe traumatic brain injured patients: a randomized controlled trial
PubMed ID: 23749153
Continuous halfâmolar sodium lactate infusion altered fluid and chloride balances and reduced fluid requirements in TBI â direct effect on fluid/electrolyte balance.
- Comparison of the effects of normal saline versus Plasmalyte on acid-base balance during living donor kidney transplantation using the Stewart and base excess methods
PubMed ID: 23953528
Direct evidence that crystalloid electrolyte composition (Plasmalyte vs normal saline) materially changes chloride, pH, base excess and strong ion differenceâstrong support for 'balanced fluids'.
- The role of commitment strength in enhancing safe water consumption: mediation analysis of a cluster-randomized trial
PubMed ID: 24112306
Behavior-change techniques substantially increased switching to safe wells (up to ~50% more), directly supporting routine access to safe drinking water.
- Efficacy and safety of a magnesium sulfate-rich natural mineral water for patients with functional constipation
PubMed ID: 24342746
Daily consumption of magnesiumâsulfate mineral water provided a fluid source that had physiological GI effects; supports routine intake but primary effect was on constipation.
- Acetazolamide improves oxygenation in patients with respiratory failure and metabolic alkalosis
PubMed ID: 23578004
Acetazolamide (induces bicarbonate loss) produced expected correction of metabolic alkalosisâdirect electrolyte/acid-base intervention.
- Stool patterns of Malaysian adults with functional constipation: association with diet and physical activity
PubMed ID: 24800384
Higher fluid intake was associated with improved stool output in constipated adultsâevidence of hydration relevance.
- Effects of citrate-enriched bicarbonate based dialysate on anticoagulation and dialyzer reuse in maintenance hemodialysis patients
PubMed ID: 24261328
Dialysate electrolyte composition (citrate-enriched bicarbonate) directly affected systemic anticoagulation and produced clinically important hypotension/crampsâstrong evidence that fluid/electrolyte composition alters bodyâfluid balance.
- Effects of dietary phosphate restriction and phosphate binders on FGF23 levels in CKD
PubMed ID: 23471131
Dietary phosphate restriction plus binder meaningfully lowered FGF23 and affected phosphate handlingâdirectly relevant to electrolyte/mineral balance.
- Rapid colonoscopy preparation using bolus lukewarm saline combined with sequential posture changes: a randomized controlled trial
PubMed ID: 23456498
Rapid oral saline bolus produced quick measurable increases in serum sodium and chloride and rapid prep effectâevidence that electrolyte solutions can rapidly change hydration/electrolyte status.
- The impact of intravenous fluid administration on complication rates in bowel surgery within an enhanced recovery protocol: a randomized controlled trial
PubMed ID: 23905554
Stroke-volume-guided intraop fluid boluses reduced complications by optimizing fluid administrationâdirect clinical evidence for guided fluid balance improving outcomes.
- Effect of fluid management guided by bioimpedance spectroscopy on cardiovascular parameters in hemodialysis patients: a randomized controlled trial
PubMed ID: 23415416
Bioimpedance-guided fluid removal produced sustained reduction in fluid overload and improved cardiac structureâstrong evidence that fluid/electrolyte management balances body fluids.
- Threefold peritoneal test of osmotic conductance, ultrafiltration efficiency, and fluid absorption
PubMed ID: 23378471
Quantified peritoneal transport/ultrafiltration parameters relevant to fluid balance in CAPD patientsâphysiologic data on body-fluid handling.
- Serum levels of N-terminal proB-type natriuretic peptide in mechanically ventilated critically ill patients--relation to tidal volume size and development of acute respiratory distress syndrome
PubMed ID: 23837838
NT-proBNP tracked cumulative fluid balance and AKI in ICU patientsâuseful biomarker linking fluid status to clinical outcomes (indirect).
- Comparison of 7.2% hypertonic saline - 6% hydroxyethyl starch solution and 6% hydroxyethyl starch solution after the induction of anesthesia in patients undergoing elective neurosurgical procedures
PubMed ID: 23644851
Hypertonic saline infusion caused prompt, large changes in plasma sodium/osmolality and reduced intra-op fluid loadsâpowerful demonstration of altering fluid/osmotic balance.
- Potassium kinetics during hemodialysis
PubMed ID: 25091596
Detailed potassium removal/distribution kinetics in dialysis patients directly inform electrolyte balance and distribution volume â high relevance.
- Substituting water for sugar-sweetened beverages reduces circulating triglycerides and the prevalence of metabolic syndrome in obese but not in overweight Mexican women in a randomized controlled trial
PubMed ID: 25332472
Providing water lowered urine osmolality over 9 months (objective marker of improved hydration) in a sizeable trial.
- A cluster randomized controlled trial to reduce childhood diarrhea using hollow fiber water filter and/or hygiene-sanitation educational interventions
PubMed ID: 24865680
Large RCT showing household filters markedly reduced diarrheal disease â supports maintaining hydration and preventing fluid/electrolyte loss in daily life.
- Effect of milk consumption on rehydration in youth following exercise in the heat
PubMed ID: 25171815
Direct evidence: skim milk retained substantially more fluid over 2 h than a carbohydrateâelectrolyte drink or water in children after exercise in the heat (strong, direct rehydration data).
- Adding "hemodynamic and fluid leads" to the ECG. Part I: the electrical estimation of BNP, chronic heart failure (CHF) and extracellular fluid (ECF) accumulation
PubMed ID: 24793409
Study focused on predicting BNP and extracellular fluid overload via impedance/ECG â directly relevant to assessing and managing bodyâfluid balance (strong relevance for fluid status).
- Impact of a social franchising program on uptake of oral rehydration solution plus zinc for childhood diarrhea in myanmar: a community-level randomized controlled trial
PubMed ID: 24401752
Large community trial showing increased use of ORS (electrolyte solution) for childhood diarrhea â direct, high-relevance evidence for improved hydration in illness.
- Assessing the impact of water filters and improved cook stoves on drinking water quality and household air pollution: a randomised controlled trial in Rwanda
PubMed ID: 24614750
Large program improved household drinking water microbiology and thus the safety and reliability of routine hydration.
- Role of diversion ileostomy in low rectal cancer: a randomized controlled trial
PubMed ID: 25038542
Documented clinically important hypokalemia after ileostomyâillustrates how GI fluid losses cause electrolyte imbalance.
- A novel balanced isotonic sodium solution vs normal saline during major surgery in children up to 36Â months: a multicenter RCT
PubMed ID: 24824018
Demonstrated that a balanced isotonic solution produced smaller, clinically meaningful electrolyte disturbances than normal salineâdirect evidence about hydration/electrolyte management.
- Ferric citrate hydrate for the treatment of hyperphosphatemia in nondialysis-dependent CKD
PubMed ID: 24408120
Ferric citrate significantly lowered serum phosphate and FGF-23 in CKD â directly alters electrolyte (phosphate) homeostasis.
- Evidence that self-affirmation improves phosphate control in hemodialysis patients: a pilot cluster randomized controlled trial
PubMed ID: 24532394
Behavioral intervention reduced serum phosphate in hemodialysis patients â meaningful effect on electrolyte balance.
- Randomised trial of no hydration vs. sodium bicarbonate hydration in patients with chronic kidney disease undergoing acute computed tomography-pulmonary angiography
PubMed ID: 25142085
Study directly tested sodium-bicarbonate hydration vs withholding hydration; relevant to clinical electrolyte-based hydration strategies (non-inferior results).
- The relationship between hypophosphataemia and outcomes during low-intensity and high-intensity continuous renal replacement therapy
PubMed ID: 24588434
Hypophosphataemia incidence during CRRT directly shows electrolyte/fluid imbalance risk.
- Aerobic exercise increases phosphate removal during hemodialysis: a controlled trial
PubMed ID: 24438516
Intradialytic exercise increased phosphate removal â fluid/electrolyte handling.
- Ceramic water filters impregnated with silver nanoparticles as a point-of-use water-treatment intervention for HIV-positive individuals in Limpopo Province, South Africa: a pilot study of technological performance and human health benefits
PubMed ID: 24937223
Household filters markedly reduced diarrheal days â prevents dehydration and speeds recovery.
- Short and long-term effects of continuous versus intermittent loop diuretics treatment in acute heart failure with renal dysfunction
PubMed ID: 25087085
Continuous furosemide infusion produced large changes in urine output and renal electrolytes.
- Estimation of 24-hour urine phosphate excretion from spot urine collection: development of a predictive equation
PubMed ID: 24759300
Improved prediction of 24-h urine phosphate enhances fluid/electrolyte management.
- Effects of an intervention aimed at reducing the intake of sugar-sweetened beverages in primary school children: a controlled trial
PubMed ID: 25060113
Water-promotion campaign increased drinking water and reduced SSBsâsupports daily hydration.
- Half-molar sodium lactate infusion improves cardiac performance in acute heart failure: a pilot randomised controlled clinical trial
PubMed ID: 24666826
IV sodiumâlactate infusion produced large intravascular/electrolyte shifts and increased cardiac output in acute patientsârelevant to clinical rehydration (IV).
- Influence of goal-directed therapy with balanced crystalloid-colloid or unbalanced crystalloid solution on base excess
PubMed ID: 24514432
Clear demonstration that balanced (lowerâchloride) IV fluids produce less baseâexcess declineâdirect evidence for maintaining balanced body fluids.
- Cost-minimization analysis of two fluid products for resuscitation of critically injured trauma patients
PubMed ID: 24589538
Using PlasmaâLyte reduced magnesium replacement need vs salineâshows balanced solutions preserve electrolyte homeostasis in IV therapy.
- Clinical Assessment of Fluid Balance is Incomplete for Colorectal Surgical Patients
PubMed ID: 25070944
Study documents large discrepancies between charted fluid balance and actual bodyâweight change after surgeryâdirectly relevant to clinical hydration assessment and management.
- Treatment of metabolic acidosis in patients with stage 3 chronic kidney disease with fruits and vegetables or oral bicarbonate reduces urine angiotensinogen and preserves glomerular filtration rate
PubMed ID: 24694986
In CKD with mild acidosis, bicarbonate or baseâproducing diet increased plasma TCO2 and reduced urine angiotensinogen, preserving eGFRâstrong evidence that dietary/base therapy balances body fluids/acidâbase status.
- A critical evaluation of bioimpedance spectroscopy analysis in estimating body composition during GH treatment: comparison with bromide dilution and dual X-ray absorptiometry
PubMed ID: 25326135
Bioimpedance spectroscopy reliably measures extracellular water (ECW) and is relevant to assessing hydration status.
- Colloid with high fresh frozen plasma/red blood cell resuscitation does not reduce postoperative fluid needs
PubMed ID: 24662864
Study directly compares balanced electrolyte solution vs albumin/FFP and shows clinically relevant fluid/electrolyte handling differences.
- [Effects of hyperoncotic cardiopulmonary bypass prime on extravascular lung water and cardiopulmonary function in patients undergoing coronary artery bypass surgery]
PubMed ID: 24842200
Cardiopulmonary bypass prime with crystalloid (electrolyte solution) vs colloid changed extravascular lung water and fluid balance.
- A prospective, randomized study to evaluate the efficacy of various diuretic strategies in acute decompensated heart failure
PubMed ID: 24973836
Bolus furosemide achieved faster negative fluid balance without worsening serum Na+/K+ earlyârelevant to managing body fluids.
- Effect of switching unfractionated heparin to low-molecular-weight heparin on serum potassium in hemodialysis patients
PubMed ID: 25362223
Switching to enoxaparin during hemodialysis decreased serum potassium over 3 weeks, a clear electrolyte effect relevant to fluid/electrolyte balance.
- The use of balanced HES 130/0.42 during complex cardiac surgery; effect on blood coagulation and fluid balance: a randomized controlled trial
PubMed ID: 24947459
Comparing HES vs Ringer-acetate in CPB influenced priming volumes and transfusions; both are clinical fluid/electrolyte strategies.
- Low-dose vs standard-dose insulin in pediatric diabetic ketoacidosis: a randomized clinical trial
PubMed ID: 25264948
In pediatric DKA, lower insulin dose produced similar acidâglucose control with substantially less hypokalemiaâdirectly relevant to preserving electrolyte balance.
- Mechanisms contributing to adverse cardiovascular events in patients with type 2 diabetes mellitus and stage 4 chronic kidney disease treated with bardoxolone methyl
PubMed ID: 24903467
Bardoxolone methyl produced clinically meaningful reductions in urine volume and sodium excretion leading to fluid retentionâstrong effect on volume/electrolyte handling (adverse).
- Pharmacodynamic effects of canagliflozin, a sodium glucose co-transporter 2 inhibitor, from a randomized study in patients with type 2 diabetes
PubMed ID: 25166023
Canagliflozin produced transient increases in urine volume (diureticâlike), altering fluid/electrolyte balance â relevant to bodyâfluid management.
- Effect of sodium zirconium cyclosilicate on potassium lowering for 28 days among outpatients with hyperkalemia: the HARMONIZE randomized clinical trial
PubMed ID: 25402495
Sodium zirconium cyclosilicate rapidly and durably normalized serum potassium in hyperkalemic patients â a direct, high-quality electrolyteâbalancing intervention.
- A randomized trial to assess the potential of different beverages to affect hydration status: development of a beverage hydration index
PubMed ID: 26702122
Direct beverage trial: an ORS retained substantially more fluid than water over 2â4 hours (high-quality, directly relevant).
- The effects of water and non-nutritive sweetened beverages on weight loss and weight maintenance: A randomized clinical trial
PubMed ID: 26708700
Swapping SSBs for non-nutritive sweetened drinks led to greater water-like beverage use and weight loss; indirectly supports hydration habits.
- Restricted versus continued standard caloric intake during the management of refeeding syndrome in critically ill adults: a randomised, parallel-group, multicentre, single-blind controlled trial
PubMed ID: 26597128
Randomized trial on managing refeeding syndrome demonstrated clinical benefit from careful electrolyte correction (direct relevance to fluid/electrolyte balance).
- Differences in field effectiveness and adoption between a novel automated chlorination system and household manual chlorination of drinking water in Dhaka, Bangladesh: a randomized controlled trial
PubMed ID: 25734448
Chlorination interventions increased detectable chlorine and reduced E. coli in stored water, supporting access to safe drinking water and everyday hydration.
- Increasing Water Intake of Children and Parents in the Family Setting: A Randomized, Controlled Intervention Using Installation Theory
PubMed ID: 26088044
Home/community interventions raised and sustained plain-water drinking in families â strong evidence for supporting everyday hydration behaviorally.
- A Water and Education Provision Intervention Modifies the Diet in Overweight Mexican Women in a Randomized Controlled Trial
PubMed ID: 26136584
Providing water deliveries plus education produced large increases in daily water intake in overweight women â direct support for everyday hydration.
- Effects of goal-directed fluid therapy with different lactated Ringer's: hydroxyethyl starch ratios in hemorrhagic shock dogs
PubMed ID: 26125873
Dog hemorrhagic shock study directly compared LR/HES ratios and showed preservation of acidâbase and renal functionâmechanistic fluid-balance evidence.
- Improved sepsis bundles in the treatment of septic shock: a prospective clinical study
PubMed ID: 25959848
PulseâCO guided sepsis bundles improved lactate clearance and reduced fluid useâclinical fluid-balance impact.
- The Effect of Psychological Intervention on Thirst and Interdialytic Weight Gain in Patients on Chronic Hemodialysis: A Randomized Controlled Trial
PubMed ID: 26003264
Behavioral intervention reduced interdialytic weight gain in hemodialysis patientsâdirect effect on fluid intake/control.
- Positive impact of dietary water on in vivo epidermal water physiology
PubMed ID: 26058417
Randomized increase of 2 L/day in lowâfluid women increased superficial and deep skin hydration â strong direct evidence for better systemic hydration in underâdrinkers.
- Vasopressin V2 receptor antagonist tolvaptan is effective in heart failure patients with reduced left ventricular systolic function and low blood pressure
PubMed ID: 25740399
Tolvaptan increases freeâwater excretion without electrolyte lossârelevant for managing tonicity and fluid balance in heart failure.
- Efficacy and safety of citrate-based anticoagulation compared to heparin in patients with acute kidney injury requiring continuous renal replacement therapy: a randomized controlled trial
PubMed ID: 25881975
Regional citrate anticoagulation in CRRT directly affects ionized calcium, acidâbase and delivered doseâstrong electrolyte-handling relevance.
- Serum Bicarbonate and Kidney Disease Progression and Cardiovascular Outcome in Patients With Diabetic Nephropathy: A Post Hoc Analysis of the RENAAL (Reduction of End Points in Non-Insulin-Dependent Diabetes With the Angiotensin II Antagonist Losartan) Study and IDNT (Irbesartan Diabetic Nephropathy Trial)
PubMed ID: 25987260
Study of serum bicarbonate (an acidâbase/electrolyte parameter) and kidney outcomes indicates clinical importance of electrolyte/acidâbase status.
- [Hypotonic Versus Isotonic Electrolyte Solution for Perioperative Fluid Therapy in Infants]
PubMed ID: 26121789
Isotonic IV electrolyte solution in infants raised serum Na+ and reduced hyponatraemia vs hypotonic fluid â strong evidence electrolyte composition improves hydration/Na balance.
- The effect of 0.9% saline versus plasmalyte on coagulation in patients undergoing lumbar spinal surgery; a randomized controlled trial
PubMed ID: 26123384
Saline produced transient hyperchloraemic metabolic acidosis vs plasmalyte â clear effect on acidâbase/electrolyte balance relevant to maintaining balanced fluids.
- Efficacy and safety of a natural mineral water rich in magnesium and sulphate for bowel function: a double-blind, randomized, placebo-controlled study
PubMed ID: 26582579
Daily consumption of Mg- and sulphate-rich mineral water increased bowel movements and softened stool â a beverage-based electrolyte source affecting GI function and supporting routine fluid intake.
- Effects of source- versus household contamination of tubewell water on child diarrhea in rural Bangladesh: a randomized controlled trial
PubMed ID: 25816342
Interventions improving stored-water quality and reducing diarrhoea indirectly support household-level hydration by preventing fluid loss and ensuring safer drinking water.
- Effects on mortality of a nutritional intervention for malnourished HIV-infected adults referred for antiretroviral therapy: a randomised controlled trial
PubMed ID: 25630368
Large randomized trial of a vitamin/mineral/enriched lipid supplement containing electrolytes produced measurable changes in serum potassium and phosphate â directly speaks to fluid/electrolyte balance (including adverse effects).
- Comparison of two maintenance electrolyte solutions in children in the postoperative appendectomy period: a randomized, controlled trial
PubMed ID: 25913046
Maintenance fluid trial directly addresses serum sodium and fluid balance in postoperative children (high relevance to electrolyte management).
- Randomized Clinical Trial of Sodium Polystyrene Sulfonate for the Treatment of Mild Hyperkalemia in CKD
PubMed ID: 26576619
Sodium polystyrene sulfonate produced ~1 mEq/L potassium reduction in CKD outpatients â a clear, clinically meaningful intervention altering electrolyte (K+) balance.
- Comparison of 3% and 7.5% Hypertonic Saline in Resuscitation After Traumatic Hypovolemic Shock
PubMed ID: 26091023
Large trial showing hypertonic saline rapidly restored MAP with ~50% less total fluid vs lactated Ringer'sâdirect, clinically relevant electrolyte/volume therapy effect on hydration/hemodynamics.
- Effect of Hibiscus sabdariffaon blood pressure and electrolyte profile of mild to moderate hypertensive Nigerians: A comparative study with hydrochlorothiazide
PubMed ID: 26289514
Hibiscus and HCTZ both altered serum sodium and urinary electrolytes; demonstrates beverage/drug effects on body fluid/electrolyte composition.
- Normal saline versus balanced-salt solution as intravenous fluid therapy during neurosurgery: effects on acid-base balance and electrolytes
PubMed ID: 25854455
Balanced crystalloid maintained serum electrolytes and acidâbase better than normal saline during surgery â strong clinical evidence for maintaining balanced body fluids with appropriate fluid choice.
- Intraoperative fluid management in children - a comparison of three fluid regimens
PubMed ID: 25940329
Perioperative comparison showed Ringer's acetate preserved serum sodium and osmolality versus hypotonic glucose fluids â strong direct support for effective hydration/electrolyte balance.
- Impact of a Water Intervention on Sugar-Sweetened Beverage Intake Substitution by Water: A Clinical Trial in Overweight and Obese Mexican Women
PubMed ID: 26088043
A pragmatic intervention increased daily water intake in freeâliving adults â direct evidence for supporting everyday hydration behaviors.
- Efficacy of water preloading before main meals as a strategy for weight loss in primary care patients with obesity: RCT
PubMed ID: 26237305
Premeal water ingestion is a simple, scalable hydration strategy with demonstrated behavioral/weight outcomesâsupports daily hydration practices.
- Targeted Fluid Minimization Following Initial Resuscitation in Septic Shock: A Pilot Study
PubMed ID: 26291900
Protocolized fluid strategies affected net fluid balance in sepsis care; relevant to clinical fluid equilibrium even without outcome benefit.
- The effect of NaCl 0.9% and NaCl 0.45% on sodium, chloride, and acid-base balance in a PICU population
PubMed ID: 26070865
0.9% vs 0.45% saline produced clear differences in serum sodium and hypoâ/hypernatremia riskâdirectly demonstrates effects on body fluid/electrolyte balance.
- Effect of High-Flux Dialysis on Circulating FGF-23 Levels in End-Stage Renal Disease Patients: Results from a Randomized Trial
PubMed ID: 26024521
Highâflux vs lowâflux hemodialysis altered circulating FGFâ23/phosphate handlingâimportant for longâterm electrolyte/mineral balance.
- Impact of fractional phosphate excretion on the relation of FGF23 with outcome in CKD patients
PubMed ID: 25700931
Observational CKD data linking FGF23 and outcomes highlights phosphate dysregulation as clinically important to electrolyte balance.
- Lipid-based nutrient supplements containing vitamins and minerals attenuate renal electrolyte loss in HIV/AIDS patients starting antiretroviral therapy: A randomized controlled trial in Zambia
PubMed ID: 28531643
Randomized trial showed adding vitamins/minerals to therapeutic food markedly reduced renal losses of phosphate and potassium â directly improves retention of key electrolytes and supports hydration/fluid-electrolyte balance in the studied patients.
- Effect of Dilute Apple Juice and Preferred Fluids vs Electrolyte Maintenance Solution on Treatment Failure Among Children With Mild Gastroenteritis: A Randomized Clinical Trial
PubMed ID: 27131100
Oral fluids (dilute apple juice/preferred) reduced composite treatment failures and IV rehydration needs versus standard electrolyte solution in mild gastroenteritis â directly relevant to oral rehydration strategies in illness.
- A randomized trial of Plasma-Lyte A and 0.9Â % sodium chloride in acute pediatric gastroenteritis
PubMed ID: 27480410
PlasmaâLyte A IV in dehydrated children improved biochemical and clinical dehydration outcomes faster than saline â direct highârelevance evidence for faster rehydration in illness.
- B-Type Natriuretic Peptide, Aldosterone, and Fluid Management in ARDS
PubMed ID: 27018313
Baseline aldosterone (regulator of sodium/water balance) identified which ARDS patients benefited from conservative fluid management â supports role of hormonal/electrolyte state in fluid balance.
- Plasma Potassium Concentration on Admission Correlates with Neurologic Outcome in Traumatic Brain Injury Patients Treated with Targeted Temperature Management: A Post Hoc Analysis of a Multicenter Randomized Controlled Trial
PubMed ID: 27450973
Admission potassium stratified benefit from temperature management in severe TBI, showing that potassium status modifies physiologic and therapeutic responsesârelevant to fluid/electrolyte balance.
- A new peritoneal dialysis fluid for Japanese patients: a randomized non-inferiority clinical trial of safety and efficacy
PubMed ID: 27783275
Peritoneal dialysis fluids with different bicarbonate/lactate content produced measurable changes in plasma bicarbonate, demonstrating that electrolyte composition alters systemic acidâbase and fluid balance.
- Hypochloremia, Diuretic Resistance, and Outcome in Patients With Acute Heart Failure
PubMed ID: 27507112
Strong, direct clinical data showing that low serum chloride predicts diuretic resistance and higher mortality â clear link between electrolyte balance (chloride) and clinical fluid management.
- Efficacy of different fluids preload on propofol injection pain: A randomized, controlled, double-blinded study
PubMed ID: 27072971
Preloading with PlasmaâLyte A (an electrolyte solution) changed patient responses (reduced propofol injection pain) and demonstrates clinical effects of IV balanced electrolyte fluids â supports hydration/volume relevance.
- Effect of Volume of Fluid Resuscitation on Metabolic Normalization in Children Presenting in Diabetic Ketoacidosis: A Randomized Controlled Trial
PubMed ID: 26823137
Pediatric DKA RCT: higherâvolume IV fluids (electrolyteâcontaining resuscitation) shortened time to metabolic and pH recoveryâdirect evidence that appropriate fluid/electrolyte therapy speeds recovery in illness.
- Beneficial effects of replacing diet beverages with water on type 2 diabetic obese women following a hypo-energetic diet: A randomized, 24-week clinical trial
PubMed ID: 27748014
Replacing diet sodas with water increased water intake and improved metabolic markers in adults with T2DMâdemonstrates a practical approach to supporting daily hydration.
- Correction of metabolic acidosis improves insulin resistance in chronic kidney disease
PubMed ID: 27770799
Oral bicarbonate corrected metabolic acidosis in CKD and raised serum bicarbonateâdirect intervention on electrolyte/acidâbase balance.
- Effects of Water Provision and Hydration on Cognitive Function among Primary-School Pupils in Zambia: A Randomized Trial
PubMed ID: 26950696
Field RCT providing free water to schoolchildren produced large, objective reductions in afternoon dehydration prevalence (Usg), directly supporting hydration benefits of fluid provision.
- Implications of Serum Chloride Homeostasis in Acute Heart Failure (from ROSE-AHF)
PubMed ID: 27816115
Acute HF cohort: lower serum chloride and inâhospital chloride declines were strongly associated with worse diuretic efficiency and higher mortalityâhighly relevant to body fluid/electrolyte balance.
- A Trial of the Efficacy and Cost of Water Delivery Systems in San Francisco Bay Area Middle Schools, 2013
PubMed ID: 27390074
School cafeterias with appealing dispensers increased students' lunchtime water consumptionâbehavioral support for improved hydration.
- Concordance of dietary sodium intake and concomitant phosphate load: Implications for sodium interventions
PubMed ID: 27266988
Direct, large dataset linking sodium intake/excretion with renal electrolyte handling and showing sodium restriction reduces phosphate excretion â central to fluid/electrolyte balance.
- Addition of indapamide to frusemide increases natriuresis and creatinine clearance, but not diuresis, in fluid overloaded ICU patients
PubMed ID: 26948252
Combination diuretics increased natriuresis and altered renal clearance in overloaded ICU patients â meaningful effect on fluid/electrolyte distribution.
- The effect of tolvaptan on renal excretion of electrolytes and urea nitrogen in patients undergoing coronary artery bypass surgery
PubMed ID: 27624603
Tolvaptan markedly affected serum sodium, urine output and potassium recovery after CABG â direct effects on body fluid/electrolyte balance.
- Effect of electrolyzed high-pH alkaline water on blood viscosity in healthy adults
PubMed ID: 27932937
Randomized trial: electrolyzed highâpH alkaline water improved restoration of highâshear blood viscosity after exercise-induced dehydrationâdirect hydration physiology evidence.
- Serum Anion Gap Predicts All-Cause Mortality in Patients with Advanced Chronic Kidney Disease: A Retrospective Analysis of a Randomized Controlled Study
PubMed ID: 27249416
Albuminâadjusted anion gap (electrolyteâderived) predicted mortality in CKDâshows clinical importance of electrolyte balance.
- Efficacy and Safety Evaluation of Tolvaptan on Management of Fluid Balance after Cardiovascular Surgery Using Cardiopulmonary Bypass
PubMed ID: 30721586
Tolvaptan increased postoperative urine output while maintaining serum sodium/osmolalityârelevant to fluid/electrolyte balance.
- Comparison of Urine Output among Patients Treated with More Intensive Versus Less Intensive RRT: Results from the Acute Renal Failure Trial Network Study
PubMed ID: 27449661
RRT intensity affected urine output in AKI patientsâimportant for clinical fluid balance.
- Effects of potassium supplementation on markers of osmoregulation and volume regulation: results of a fully controlled dietary intervention study
PubMed ID: 26599222
Potassium supplementation (electrolyte) affected volume/osmoregulatory hormones, relevant to fluid balance.
- Administration of tolvaptan with reduction of loop diuretics ameliorates congestion with improving renal dysfunction in patients with congestive heart failure and renal dysfunction
PubMed ID: 27385022
Tolvaptan coadministered while reducing loop diuretic dose maintained urine output/weight and improved serum creatinineâdirect fluid balance management.
- The intraoperative therapeutic equivalence of balanced vs saline-based 6% hydroxyethyl starch 130/0.4 and their influence on perioperative acid-base status and renal functions
PubMed ID: 27290988
Balanced vs saline carrier HES showed only small transient bicarbonate differences but directly addresses fluid composition.
- Weekly versus Three-Weekly Cisplatin-based Concurrent Chemoradiotherapy as definitive treatment in Head and Neck Cancer- Where do we stand?
PubMed ID: 27250881
Cisplatin schedule produced large differences in hypomagnesemia rates â direct electrolyteâimbalance evidence.
- Variability of sweat chloride concentration in subjects with cystic fibrosis and G551D mutations
PubMed ID: 26996268
Characterized variability in sweat chloride (an ion) â important for interpreting electrolyte/ion status.
- Evaluation of water, sanitation and hygiene program outcomes shows knowledge-behavior gaps in Coast Province, Kenya
PubMed ID: 27279970
Community WASH intervention meaningfully increased household water access and reduced collection time â direct support for everyday hydration.
- Expediting Transition to Home Parenteral Nutrition With Fast-Track Cycling
PubMed ID: 26187939
Parenteral nutrition study pertains to clinical electrolyte/fluid delivery and accelerating safe nutrition/hydration transitions.
- Dialysate bicarbonate variation in maintenance hemodiafiltration patients: Impact on serum bicarbonate, intradialytic hypotension and interdialytic weight gain
PubMed ID: 27761981
Dialysate bicarbonate concentration produced large, clinically meaningful changes in patients' serum bicarbonate (acidâbase balance).
- Restricting volumes of resuscitation fluid in adults with septic shock after initial management: the CLASSIC randomised, parallel-group, multicentre feasibility trial
PubMed ID: 27686349
Restricting resuscitation fluids reduced total fluids and was associated with less worsening AKI â important fluidâbalance strategy.
- Subsidized Sachet Water to Reduce Diarrheal Disease in Young Children: A Feasibility Study in Accra, Ghana
PubMed ID: 27215298
Freeâsachet water intervention increased daily water consumption in childrenâdirect support for everyday hydration.
- Randomized, Controlled Trial of TRC101 to Increase Serum Bicarbonate in Patients with CKD
PubMed ID: 29102959
TRC101 produced clinically meaningful increases in serum bicarbonateâdirect effect on acidâbase/electrolyte balance.
- BP in Dialysis: Results of a Pilot Study
PubMed ID: 29212839
Hemodialysis BP target study involves fluid removal and predialysis BP separationârelevant to fluid/electrolyte balance in dialysis.
- Efficacy and safety of two dosages of canrenone as add-on therapy in hypertensive patients taking ace-inhibitors or angiotensin II receptor blockers and hydrochlorothiazide at maximum dosage in a randomized clinical trial: The ESCAPE-IT trial
PubMed ID: 27860389
Canrenone produced predictable potassium rises and blood pressure loweringâdemonstrates pharmacologic electrolyte modulation.
- Randomized, Controlled Trial of the Effect of Dietary Potassium Restriction on Nerve Function in CKD
PubMed ID: 28893921
Dietary potassium manipulation in CKD changed neurologic and gait outcomesâshows clinical impact of controlling a key electrolyte.
- Evidence that TmP/GFR can be estimated with the Walton-Bijvoet nomogram in chronic kidney diseaseâŠ
PubMed ID: 28406084
Validation of TmP/GFR estimation in CKD pertains directly to phosphate (an electrolyte) tubular handling and electrolyte homeostasis.
- Acetate-buffered crystalloid infusate versus infusion of 0.9% saline and hemodynamic stability in patients undergoing renal transplantation : Prospective, randomized, controlled trial
PubMed ID: 28255797
Randomized comparison showed crystalloid electrolyte composition (chloride-rich vs acetate-buffered) meaningfully altered MAP and vasopressor needsâstrong evidence that electrolyte composition affects fluid/electrolyte balance.
- A randomized controlled trial of a new treatment for labor dystocia
PubMed ID: 28587493
Oral bicarbonate altered amniotic fluid lactate and delivery outcomesâdemonstrates systemic effect of an electrolyte/alkali on acidâbase and fluid physiology.
- Efficacy and safety of rapid intermittent correction compared with slow continuous correction with hypertonic saline in patients with moderately severe or severe symptomatic hyponatremia: study protocol for a randomized controlled trial (SALSA trial)
PubMed ID: 28356136
Protocol for controlled sodium correction (3% saline) in symptomatic hyponatremiaâdirect intervention on body fluid/sodium balance.
- Effect of pre-donation fluid intake on fluid shift from interstitial to intravascular compartment in blood donors
PubMed ID: 29254749
Direct trial showing preâdonation fluids (water/ORS) reduce interstitialâintravascular shiftâpractical evidence supporting everyday oral hydration strategies.
- Impact of Compound Hypertonic Saline Solution on Decompensated Heart Failure
PubMed ID: 28701670
Periodic hypertonic saline + highâdose furosemide in advanced HF produced large clinical benefits and altered fluid/electrolyte handlingâdirect evidence on fluid balance management.
- Effects of early administration of acetazolamide on the duration of mechanical ventilation in patients with chronic obstructive pulmonary disease or obesity-hypoventilation syndrome with metabolic alkalosis. A randomized trial
PubMed ID: 28286047
Acetazolamide altered bicarbonate and PaCO2 (strong physiologic electrolyte/acidâbase effects) though no clinical ventilator benefit.
- Oral Bicarbonate Slows Decline of Residual Renal Function in Peritoneal Dialysis Patients
PubMed ID: 29032379
Oral bicarbonate in peritoneal dialysis raised serum bicarbonate and slowed residual renal function declineâdirect effect on acidâbase/electrolyte balance.
- Controlled trial of Hartmann's solution versus 0.9% saline for diabetic ketoacidosis
PubMed ID: 28070957
Balanced crystalloid (Hartmann's) tended to normalize acidâbase faster than saline in pediatric DKAârelevant to fluid/electrolyte balance.
- Randomized Double-blind Trial of Ringer Lactate Versus Normal Saline in Pediatric Acute Severe Diarrheal Dehydration
PubMed ID: 28422812
Direct RCT in children with diarrheal dehydration comparing crystalloids; Ringer's showed a clinically meaningful (though partially nonâsignificant) advantage for early clinical recovery.
- Monotherapy with amlodipine or hydrochlorothiazide in patients with mild to moderate hypertension: Comparison of their efficacy and effects on electrolytes
PubMed ID: 28955416
HCTZ lowered serum Na+ and other electrolytes in hypertensive patientsâevidence that diuretics alter electrolyte balance (adverse direction).
- Peritoneal Dialysis vs Furosemide for Prevention of Fluid Overload in Infants After Cardiac Surgery: A Randomized Clinical Trial
PubMed ID: 28241247
Randomized trial showed peritoneal dialysis achieved better fluid control and fewer electrolyte abnormalitiesâdirect evidence for balanced fluids.
- Plasma-Lyte 148 vs. Hartmann's solution for cardiopulmonary bypass pump prime: a prospective double-blind randomized trial
PubMed ID: 29144182
Prime fluids for cardiac surgery changed patterns of acetate/lactate/chloride but without clinical acidâbase disturbanceârelevant to fluid composition and balance.
- Effects of Advice to Drink 8 Cups of Water per Day in Adolescents With Overweight or Obesity: A Randomized Clinical Trial
PubMed ID: 28264082
Behavioral intervention successfully increased daily plain-water intake and reduced urine specific gravity modestlyâdirectly supports everyday hydration.
- Novel Mechanism for Buffering Dietary Salt in Humans: Effects of Salt Loading on Skin Sodium, Vascular Endothelial Growth Factor C, and Blood Pressure
PubMed ID: 28974570
Shortâterm highâsalt intake measurably increased skin sodium stores and affected blood pressure â direct human data on sodium handling and body fluid/electrolyte distribution.
- Saline versus balanced crystalloids for intravenous fluid therapy in the emergency department: study protocol for a cluster-randomized, multiple-crossover trial
PubMed ID: 28407811
Protocol compares different crystalloid electrolytes (saline vs balanced) and is directly relevant to maintaining/ restoring balanced body fluids in clinical care.
- Impact of Isotonic Beverage on the Hydration Status of Healthy Chinese Adults in Air-Conditioned Environment
PubMed ID: 28272337
Direct crossover trial: isotonic carbohydrateâelectrolyte beverage increased fluid retention, lowered urine output and raised serum sodium vs distilled waterâstrong direct evidence for improved hydration.
- Introducing TOPMAST, the first double-blind randomized clinical trial specifically dedicated to perioperative maintenance fluid therapy in adults
PubMed ID: 29170998
TOPMAST directly targets isotonic vs hypotonic maintenance fluids and perioperative fluid/electrolyte outcomesâhighly relevant to body fluid balance (protocol-level evidence).
- Short-Term Effects of Tolvaptan in Patients With Acute Heart Failure and Volume Overload
PubMed ID: 28302292
Tolvaptan produced clear aquaresis and rapid changes in body water/weight in acute heart failure, demonstrating strong effects on fluid compartments (randomized trial).
- Ringer's Lactate Versus Normal Saline in Urgent Cesarean Delivery in a Resource-Limited Setting: A Pragmatic Clinical Trial
PubMed ID: 28682955
Large RCT in urgent C-section patients showed Ringerâs lactate produced less maternal metabolic acidosis than normal salineâstrong evidence that crystalloid composition affects acidâbase and fluid balance.
- [Effects of preconditioning with hypertonic saline solution on postoperative delirium in the aged]
PubMed ID: 29081151
Hypertonic saline/HES pre-infusion altered perioperative inflammatory and physiologic responses in elderly patientsâshowing that hypertonic electrolyte therapy meaningfully changes systemic fluid/electrolyte milieu.
- Balanced Crystalloids versus Saline in Critically Ill Adults
PubMed ID: 29485925
Large pragmatic RCT: balanced crystalloids meaningfully reduced hyperchloremia and low bicarbonate vs salineâdirect evidence for balanced electrolyte fluids.
- Balanced Crystalloids versus Saline in Noncritically Ill Adults
PubMed ID: 29485926
Complementary large trial in noncritically ill patients showing balanced crystalloid advantages for renal outcomes and electrolyte disturbances.
- Effects of Water, Sanitation, Handwashing, and Nutritional Interventions on Child Enteric Protozoan Infections in Rural Bangladesh: A Cluster-Randomized Controlled Trial
PubMed ID: 29669039
Sanitation/handwashing reduced Giardia and diarrhea prevalence in children â prevention of diarrheal losses supports hydration.
- Effects of Single and Combined Water, Sanitation and Handwashing Interventions on Fecal Contamination in the Domestic Environment: A Cluster-Randomized Controlled Trial in Rural Bangladesh
PubMed ID: 30256102
Pointâofâuse chlorination reduced fecal contamination of stored water â improved water safety can support reliable hydration access.
- A Randomized Controlled Trial to Assess the Impact of Ceramic Water Filters on Prevention of Diarrhea and Cryptosporidiosis in Infants and Young Children-Western Kenya, 2013
PubMed ID: 29611500
Household ceramic filters improved water quality and halved healthâfacility visits for diarrhea in infants â reduced diarrheal illness supports maintaining hydration.
- Mediators of the Effectiveness of an Intervention Promoting Water Consumption in Preschool Children: The ToyBox Study
PubMed ID: 30392186
Preschool intervention increased children's plain water consumption by changing availability/modelingâstrong behavioral evidence to support everyday hydration.
- Administration of an Oral Hydration Solution Prevents Electrolyte and Fluid Disturbances and Reduces Readmissions in Patients With a Diverting Ileostomy After Colorectal Surgery: A Prospective, Randomized, Controlled Trial
PubMed ID: 29771807
Highâquality RCT: isotonic glucoseâsodium oral solution prevented hyponatraemia and renal impairment and eliminated readmissions for dehydration after ileostomy â direct and strong evidence for therapeutic rehydration.
- Safety and cardiovascular efficacy of spironolactone in dialysis-dependent ESRD (SPin-D): a randomized, placebo-controlled, multiple dosage trial
PubMed ID: 30473139
Spironolactone RCT in hemodialysis patients demonstrated doseâdependent hyperkalaemia and hypotension signals â directly relevant to electrolyte balance and safety.
- Comparison of normal saline and balanced crystalloid (plasmalyte) in patients undergoing elective craniotomy for supratentorial brain tumors: A randomized controlled trial
PubMed ID: 30233000
Balanced crystalloid maintained acidâbase and electrolyte status vs normal salineâdirect evidence for improved fluid/electrolyte balance.
- A prospective, randomized, comparison study on effect of perioperative use of chloride liberal intravenous fluids versus chloride restricted intravenous fluids on postoperative acute kidney injury in patients undergoing off-pump coronary artery bypass grafting surgeries
PubMed ID: 30333337
Chlorideârich fluids produced hyperchloremic acidosis and more AKI vs chlorideârestricted fluidsâstrong evidence that electrolyte composition affects body fluid balance.
- HYDration and Bicarbonate to Prevent Acute Renal Injury After Endovascular Aneurysm Repair With Suprarenal Fixation: Pilot/Feasibility Randomised Controlled Study (HYDRA Pilot Trial)
PubMed ID: 29482973
Adding bicarbonate to hydration markedly reduced AKIâdemonstrable clinical effect of modifying electrolyte composition to balance body fluids.
- Zero-Balance Ultrafiltration of Priming Blood Attenuates Procalcitonin and Improves the Respiratory Function in Infants After Cardiopulmonary Bypass: A Randomized Controlled Trial
PubMed ID: 30288761
Ultrafiltration of priming blood maintained physiologic electrolytes during CPBâsupports preservation of balanced body fluids.
- Efficacy of an Oral Rehydration Solution Enriched with Lactobacillus reuteri DSM 17938 and Zinc in the Management of Acute Diarrhoea in Infants: A Randomized, Double-Blind, Placebo-Controlled Trial
PubMed ID: 30200394
Randomized ORS study in infants directly addresses rehydration during diarrhoeaâstrong direct evidence for faster rehydration (both ORS arms effective).
- Comparison of the effects of tolvaptan and furosemide on renal water and sodium excretion in patients with heart failure and advanced chronic kidney disease: a subanalysis of the K-STAR study
PubMed ID: 29934667
In CHF with CKD, tolvaptan increased electrolyteâfree water clearance and altered urine Na/K excretionâclear direct effects on body fluid/electrolyte balance.
- High doses of Antisecretory Factor stop diarrhea fast without recurrence for six weeks post treatment
PubMed ID: 29625176
Salovum rapidly improved stool consistency in acute diarrhoea, which would reduce fluid losses and aid rehydrationâdirect but small trial.
- Acid/base alterations during major abdominal surgery: 6% hydroxyethyl starch infusion versus 5% albumin
PubMed ID: 29684990
Different IV fluids produced measurable differences in acidâbase status and strong ion differenceâimportant evidence about how administered electrolytes affect systemic balance.
- Effect of Coaching to Increase Water Intake on Kidney Function Decline in Adults With Chronic Kidney Disease: The CKD WIT Randomized Clinical Trial
PubMed ID: 29801012
A pragmatic trial showed coached increased water intake raised 24âh urine volume and lowered copeptin â real-world evidence for supporting routine hydration.
- Neither body mass nor sex influences beverage hydration index outcomes during randomized trial when comparing 3 commercial beverages
PubMed ID: 29635499
Two commercial ORS beverages retained more fluid than water (significant BHI increases); direct, high-relevance evidence for improved hydration.
- Spot urine samples compared with 24-h urine samples for estimating changes in urinary sodium and potassium excretion in the China Salt Substitute and Stroke Study
PubMed ID: 30307504
Large population study comparing spot vs 24âh urine for sodium/potassium â important for assessing and guiding everyday electrolyte intake.
- Renal stress and kidney injury biomarkers in response to endurance cycling in the heat with and without ibuprofen
PubMed ID: 29784554
Endurance cycling in heat caused renal biomarker changes and reduced urinary sodium excretion â demonstrates hydration/electrolyte stress requiring management.
- Hypertonic saline-hydroxyethyl starch solution attenuates fluid accumulation in cardiac surgery patients: a randomized controlled double-blind trial
PubMed ID: 29953575
Perioperative hypertonic salineâHES reduced early postoperative weight gain (fluid effect) â direct fluid/electrolyte intervention evidence.
- Pharmacodynamics, Safety, and Tolerability of the NHE3 Inhibitor Tenapanor: Two Trials in Healthy Volunteers
PubMed ID: 29363027
Tenapanor reduced intestinal sodium absorption (increased stool sodium, decreased urine sodium) â directly alters sodium balance and intestinal-fluid handling.
- Effects of a low salt diet on isolated systolic hypertension: A community-based population study
PubMed ID: 29620663
Low-sodium/potassium salt substitution caused marked reductions in urinary sodium and meaningful BP lowering â strong evidence of altering systemic sodium balance and fluid-related physiology.
- Can we prevent vasovagal reactions in young inexperienced whole blood donors? A placebo controlled study comparing effects of a 330 vs 500 mL water drink prior to donation
PubMed ID: 30508293
Pre-donation water ingestion (~330â500 mL) reduced vasovagal reactions, consistent with improved acute hydration status mitigating syncope/lightheadedness.
- Incidence of hyponatraemia following the use of three different intravenous fluids in paediatric surgery
PubMed ID: 31290466
Study compares isotonic vs hypotonic IV fluids and reports hyponatraemia incidence â directly relevant to intra-op fluid/electrolyte balance.
- Small volume resuscitation with 20% albumin in intensive care: physiological effects : The SWIPE randomised clinical trial
PubMed ID: 30343313
20% albumin altered cumulative fluid balance and reduced resuscitation fluid needs, affecting intravascular/extracellular fluid distribution.
- Perturbations in serum chloride homeostasis in heart failure with preserved ejection fraction: insights from TOPCAT
PubMed ID: 29893446
Large observational study showing lower serum chloride strongly associated with higher CV and all-cause mortality â highlights chloride's central role in fluid/electrolyte balance and outcomes.
- Does Routine Bioimpedance-Guided Fluid Management Provide Additional Benefit to Non-Anuric Peritoneal Dialysis Patients? Results from COMPASS Clinical Trial
PubMed ID: 29386302
BIS-guided management led to smaller ECW increases, reflecting improved control of extracellular fluid volume.
- Effects of Sodium Bicarbonate in CKD Stages 3 and 4: A Randomized, Placebo-Controlled, Multicenter Clinical Trial
PubMed ID: 31699517
Oral sodium bicarbonate reliably raised serum bicarbonate (acidâbase electrolyte) in CKD patients â direct biochemical effect on body fluid composition.
- Zero-balance ultrafiltration of the priming blood modifies the priming components and improves the clinical outcome in infants undergoing cardiopulmonary bypass: A randomized controlled trial
PubMed ID: 31429950
Zeroâbalance ultrafiltration markedly altered electrolyte/osmolality of priming blood with associated improvements in postop outcomes â strong, direct evidence about managing fluid/electrolyte balance.
- Impact of a new balanced gelatine on electrolytes and pH in the perioperative care
PubMed ID: 31034525
Balanced crystalloid limited chloride rise and preserved base excess better than 0.9% NaCl â supports more physiologic fluid/electrolyte status.
- Lung Ultrasound-Guided Dry Weight Assessment and Echocardiographic Measures in Hypertensive Hemodialysis Patients: A Randomized Controlled Study
PubMed ID: 31732234
LungâUS guided ultrafiltration altered filling pressures and chamber sizes â demonstrates improved management of body fluid balance in dialysis.
- Efficacy of F-100, diluted F-100, and infant formula as rehabilitation diet for infants agedâ<â6Â months with severe acute malnutrition: a randomized clinical trial
PubMed ID: 31367914
Refeeding with Fâ100 produced weight gain and maintained normal serum sodium in severely malnourished infants â supports restoration/maintenance of hydration and electrolyte safety in that clinical context.
- The Effect of Hypo-Hydration on Mood and Cognition Is Influenced by Electrolyte in a Drink and Its Colour: A Randomised Trial
PubMed ID: 31450591
Sodium (electrolyte) with water attenuated urine/osmolality and prevented mild hydration-related mood/cognitive declines vs water/no drink â supports role of sodium for maintaining hydration and function.
- Efficacy and Safety of Tenapanor in Patients with Hyperphosphatemia Receiving Maintenance Hemodialysis: A Randomized Phase 3 Trial
PubMed ID: 30846557
Tenapanor altered intestinal sodium/water handling and reduced serum phosphate while increasing stool sodium/water â shows intestinal electrolyte transport can materially change body fluid handling.
- 154 compared to 54Â mmol per liter of sodium in intravenous maintenance fluid therapy for adult patients undergoing major thoracic surgery (TOPMAST): a single-center randomized controlled double-blind trial
PubMed ID: 31576437
Large perioperative RCT: high-sodium IV maintenance fluids caused markedly greater fluid retention and hyperchloremia versus lower-sodium fluids â clear evidence sodium content determines fluid balance.
- The effect of dry-weight reduction guided by lung ultrasound on ambulatory blood pressure in hemodialysis patients: a randomized controlled trial
PubMed ID: 31027889
Lung-ultrasoundâguided dry-weight reduction in hemodialysis increased net fluid removal and lowered ambulatory BP â clinical proof that targeted fluid/electrolyte management balances body fluids and affects hemodynamics.
- The Use of Probiotic with ORS and ORS Only in Children with Acute Diarrhea
PubMed ID: 31839091
Trial context: ORS used for acute watery diarrhea; ORS is the clinical standard for rehydration in diarrheal illness â directly relevant to faster and safer rehydration.
- Feasibility of Assessing Sodium-Associated Body Fluid Composition in End-Stage Renal Disease
PubMed ID: 31033867
Controlled sodium intake study in hemodialysis patients directly addressed dietary sodium and bodyâwater compartments (pilot, underpowered).
- The Effect of Strict Volume Control Assessed by Repeated Bioimpedance Spectroscopy on Cardiac Function in Peritoneal Dialysis Patients
PubMed ID: 31776362
Repeated BIS identified chronic overhydration associated with reduced LV functionâstrong evidence that fluid balance matters clinically.
- Veverimer versus placebo in patients with metabolic acidosis associated with chronic kidney disease: a multicentre, randomised, double-blind, controlled, phase 3 trial
PubMed ID: 30857647
Veverimer corrected metabolic acidosis (serum bicarbonate) in CKD, demonstrating a meaningful intervention on acidâbase/electrolyte balance.
- Effects of dual plasma molecular adsorption system on liver function, electrolytes, inflammation, and immunity in patients with chronic severe hepatitis
PubMed ID: 31206768
Plasma exchange Âą DPMAS in severe hepatitis restored serum Na+, K+, Clâ, Ca2+ toward normalâdirect evidence of rebalancing.
- Effect of in-line drinking water chlorination at the point of collection on child diarrhoea in urban Bangladesh: a double-blind, cluster-randomised controlled trial
PubMed ID: 31402005
Community water chlorination reduced diarrhoea prevalence, which prevents fluid losses and thereby facilitates rehydration after illness.
- Long-term safety and efficacy of veverimer in patients with metabolic acidosis in chronic kidney disease: a multicentre, randomised, blinded, placebo-controlled, 40-week extension
PubMed ID: 31248662
Veverimer safely corrected low bicarbonate in CKD patients over one year, a major acidâbase/electrolyte balance effect.
- [The application value of concept of enhanced recovery after surgery in patients with colorectal carcinoma after natural orifce specimen extraction surgery]
PubMed ID: 31648505
Preoperative oral electrolyte solution as part of ERAS clearly improved early intake and recoveryâstrong evidence of improved hydration support.
- Association between change in serum bicarbonate and change in thyroid hormone levels in patients receiving conventional or more frequent maintenance haemodialysis
PubMed ID: 29064128
Dialysis frequency altered serum bicarbonate with modest, inconsistent associations to other hormonal endpointsâevidence of electrolyte/acidâbase modulation in dialysis.
- Effectiveness of an educational strategy to increase plain water consumption in children
PubMed ID: 31314208
Large educational and water-access intervention significantly increased plain water consumption in childrenâdirect support for everyday hydration behavior.
- Short-term water deprivation does not increase blood pressure variability or impair neurovascular function in healthy young adults
PubMed ID: 31617739
Short-term water deprivation raised serum sodium slightlyâdemonstrates hydration/electrolyte shifts with fluid loss.
- Impact of Serum Bicarbonate Levels on Muscle Mass and Kidney Function in Pre-Dialysis Chronic Kidney Disease Patients
PubMed ID: 31752000
Oral sodium bicarbonate titration raised serum bicarbonate toward normal and preserved muscle mass in CKD, demonstrating therapeutic acidâbase/electrolyte correction.
- Balanced Crystalloids Versus Saline for Perioperative Intravenous Fluid Administration in Children Undergoing Neurosurgery: A Randomized Clinical Trial
PubMed ID: 29912723
Balanced crystalloids vs 0.9% saline in pediatric surgery led to less hyperchloremia and metabolic derangement, favoring safer fluid/electrolyte balance.
- 20% Human Albumin Solution Fluid Bolus Administration Therapy in Patients After Cardiac Surgery (the HAS FLAIR Study)
PubMed ID: 31097338
In post-cardiac surgery patients, albumin boluses reduced net fluid balance and bolus volume compared with crystalloids, indicating more efficient intravascular volume management.
- Urinary markers of hydration during 3-day water restriction and graded rehydration
PubMed ID: 31428854
Controlled water restriction/rehydration study quantified urine and intake changes and how much additional fluid is needed to restore markers of adequate hydration.
- Does the Administration of Sevelamer or Nicotinamide Modify Uremic Toxins or Endotoxemia in Chronic Hemodialysis Patients?
PubMed ID: 31062264
Sevelamer in dialysis reduced serum phosphate and other metabolic markers, demonstrating clinically important electrolyte modulation.
- Efficacy of Unibody Bifurcated Endovascular Stent-Graft Repair in the Treatment of Abdominal Aortic Aneurysm
PubMed ID: 31036115
Endovascular repair was associated with fewer postoperative electrolyte imbalances vs open surgery, relevant to fluid/electrolyte stability.
- The effects of tenapanor on serum fibroblast growth factor 23 in patients receiving hemodialysis with hyperphosphatemia
PubMed ID: 29617976
Tenapanor reduced GI phosphate absorption and dose-dependently lowered serum phosphate and FGF23, directly altering electrolyte balance.
- New fluid therapy protocol in acute burn from a tertiary burn care centre
PubMed ID: 30686697
Adding dextrose to saline+Ringer lactate significantly improved serum sodium and reduced hyponatremia incidenceâstrong evidence for balanced fluid/electrolyte management.
- Half Saline-Bicarbonate Solution as Intraoperative Fluid Replacement Therapy Leads to Less Acidosis and Better Early Renal Function During Deceased-Donor Transplant
PubMed ID: 30995895
Halfâsaline+bicarbonate improved acidâbase and urine output vs normal saline in transplant patients â direct electrolyte composition impact.
- Clinical Effects of Balanced Crystalloids vs Saline in Adults With Diabetic Ketoacidosis: A Subgroup Analysis of Cluster Randomized Clinical Trials
PubMed ID: 33196806
Balanced crystalloids vs saline produced better acidâbase and faster DKA resolution â strong evidence fluid choice improves hydration-related outcomes.
- Efficacy of Furosemide, Oral Sodium Chloride, and Fluid Restriction for Treatment of Syndrome of Inappropriate Antidiuresis (SIAD): An Open-label Randomized Controlled Study (The EFFUSE-FLUID Trial)
PubMed ID: 32199708
SIAD randomized strategies altering Na+ and diuretics/NaCl directly influenced serum sodium and electrolyte balance (with safety signals).
- The effects of combined magnesium and zinc supplementation on metabolic status in patients with type 2 diabetes mellitus and coronary heart disease
PubMed ID: 32466773
Oral magnesium (electrolyte) supplementation improved metabolic/inflammatory markers and increased total nitrite/TAC â supports mineral repletion relevant to daily hydration/mineral status.
- Bioimpedance Guided Fluid Management in Peritoneal Dialysis: A Randomized Controlled Trial
PubMed ID: 32349977
Bioimpedance-guided fluid management improved extracellular water metrics in dialysis patientsâdirect fluid-status management evidence.
- Effects of the Amount and Frequency of Fluid Intake on Cognitive Performance and Mood among Young Adults in Baoding, Hebei, China: A Randomized Controlled Trial
PubMed ID: 33260939
Recommended frequent-drinking pattern gave objectively better urine osmolality and higher vigorâstrong direct hydration evidence.
- Different Amounts of Water Supplementation Improved Cognitive Performance and Mood among Young Adults after 12 h Water Restriction in Baoding, China: A Randomized Controlled Trial (RCT)
PubMed ID: 33114364
500 mL water after 12 h significantly reduced urine concentration and thirstâclear acute hydration benefit.
- Early Coaching to Increase Water Intake in CKD
PubMed ID: 33780940
Coaching to increase daily urine volume led to sustained increases in water intake and potential renal benefitâsupports habitual hydration.
- Clinical and cost-effectiveness of oral sodium bicarbonate therapy for older patients with chronic kidney disease and low-grade acidosis (BiCARB): a pragmatic randomised, double-blind, placebo-controlled trial
PubMed ID: 32268897
Oral sodium bicarbonate raised serum bicarbonate and altered acidâbase/electrolyte balance in CKDâdirect fluid/electrolyte effect.
- Effect of Low-Sodium versus Conventional Sodium Dialysate on Left Ventricular Mass in Home and Self-Care Satellite Facility Hemodialysis Patients: A Randomized Clinical Trial
PubMed ID: 32188697
Randomized lowering of dialysate sodium produced robust changes in interdialytic gain, extracellular volume and BNP â strong evidence that sodium manipulates fluid balance.
- Effect of household water treatment with chlorine on diarrhea among children under the age of five years in rural areas of Dire Dawa, eastern Ethiopia: a cluster randomized controlled trial
PubMed ID: 32513277
Household chlorination reduced diarrhea incidence markedly â preventing diarrheal fluid loss speeds recovery from illness and preserves hydration.
- The effect of a self-management program on renal function control in patients with hemodialysis in Taiwan: A longitudinal randomized controlled trial
PubMed ID: 32390339
Self-management in dialysis patients produced sustained reductions in serum potassium/phosphate and interdialytic weight gainâdirect fluid/electrolyte balance effect.
- Interim effects of salt substitution on urinary electrolytes and blood pressure in the China Salt Substitute and Stroke Study (SSaSS)
PubMed ID: 31986290
Large cluster RCT: potassium-enriched salt significantly raised urinary potassium and modestly lowered sodium excretion and systolic BPâdirect electrolyte-balance impact.
- High water vs. ad libitum water intake for autosomal dominant polycystic kidney disease: a randomized controlled feasibility trial
PubMed ID: 31665476
High daily water intake produced large, objective hydration changes (urine osmolality, 24-h volume)âstrong direct hydration evidence.
- Early versus delayed postoperative oral hydration in children following general anesthesia: a prospective randomized trial
PubMed ID: 32682394
Oral fluid given soon after anesthesia reduced thirst and improved satisfaction â direct evidence of improving subjective hydration/early rehydration.
- Hypertonic saline for fluid resuscitation in ICU patients post-cardiac surgery (HERACLES): a double-blind randomized controlled clinical trial
PubMed ID: 32519005
Hypertonic saline changed urine output and ICU fluid balance, demonstrating manipulation of body fluids.
- The effect of BCM guided dry weight assessment on short-term survival in Chinese hemodialysis patients : Primary results of a randomized trial - BOdy COmposition MOnitor (BOCOMO) study
PubMed ID: 32295531
BCMâguided dryâweight adjustment affected overhydration measures and trended toward clinical benefits â directly about volume balance.
- The Influence of Fluid Intake Behavior on Cognition and Mood among College Students in Baoding, China
PubMed ID: 33780928
RCT in students: ~1.6 L/day intake lowered urine osmolality and improved vigor/memory â direct evidence everyday hydration helps function.
- Refeeding syndrome is associated with increased mortality in malnourished medical inpatients: Secondary analysis of a randomized trial
PubMed ID: 31895785
Refeeding syndrome demonstrates that large electrolyte and fluid shifts have major clinical consequences â central to balanced body fluids.
- Safety and Effectiveness of Early Oral Hydration in Patients After Cardiothoracic Surgery
PubMed ID: 32607569
Early oral hydration after extubation was safe and reduced severe thirst â practical support for everyday/clinical hydration strategies.
- Colloidal Silicon Dioxide in Tablet form (Carbowhite) Efficacy in Patients with Acute Diarrhea: Results of Randomized, Double-Blind, Placebo-Controlled, Multi-Center Study
PubMed ID: 32286322
Silicon dioxide shortened diarrhea and time to recovery in a randomized trial â directly reduces fluid loss and aids rehydration after GI illness.
- Lifestyle Modification or Medication to Improve Condition of Patients With Asymptomatic Heart Failureă- Monitoring and Management of OptiVol Alert to Reduce Heart Failure Hospitalization II (MOMOTARO II) Study
PubMed ID: 32037380
Short course diuretics or nitrate reduced BNP in device-detected HF worsening â intervention affected intrathoracic fluid markers and natriuretic peptide.
- Optimal Phosphate Control Related to Coronary Artery Calcification in Dialysis Patients
PubMed ID: 33547218
Tighter serum phosphate control in dialysis patients (an electrolyte) slowed coronary calcification â direct evidence about managing an electrolyte parameter.
- Triple Therapy for Cystic Fibrosis Phe508del-Gating and -Residual Function Genotypes
PubMed ID: 34437784
CFTR modulator therapy lowered sweat chloride and improved respiratory outcomes â direct effect on electrolyte handling and fluid balance in CF.
- Effects of Fluid Rehydration Strategy on Correction of Acidosis and Electrolyte Abnormalities in Children With Diabetic Ketoacidosis
PubMed ID: 34187840
Large randomized comparison of fluid rates and tonicity in pediatric DKA showing faster correction of metabolic derangements and clear electrolyte changesâdirect evidence for faster rehydration in illness.
- Feasibility of conservative fluid administration and deresuscitation compared with usual care in critical illness: the Role of Active Deresuscitation After Resuscitation-2 (RADAR-2) randomised clinical trial
PubMed ID: 34913089
Active deresuscitation reproducibly altered cumulative fluid balance in critically ill patientsâimportant for fluid/electrolyte homeostasis.
- Effects of Plasma-Lyte.½ and 0.9% saline in renal function after deceased-donor kidney transplant: a randomized controlled trial
PubMed ID: 34563559
RCT comparing PlasmaâLyte vs saline showed significant changes in chloride and pH, directly affecting fluid/electrolyte balance.
- Reduction of estimated fluid volumes following initiation of empagliflozin in patients with type 2 diabetes and cardiovascular disease: a secondary analysis of the placebo-controlled, randomized EMBLEM trial
PubMed ID: 34183012
Empagliflozin lowered estimated plasma and extracellular fluid volumes over weeks â relevant to body fluid balance and extracellular volume regulation.
- Effects of Water Restriction and Supplementation on Cognitive Performances and Mood among Young Adults in Baoding, China: A Randomized Controlled Trial (RCT)
PubMed ID: 34684650
Direct RCT of rehydration volumes after 36 h restriction: large, dose-dependent improvements in urine markers, reduced thirst, and cognitive gains â direct evidence for hydration benefits.
- Effects of Water Restriction and Water Replenishment on the Content of Body Water with Bioelectrical Impedance among Young Adults in Baoding, China: A Randomized Controlled Trial (RCT)
PubMed ID: 33567589
Direct randomized measurement showing TBW/ICW/ECW fall with water restriction and partial restoration after 1000 mL â core evidence about everyday hydration physiology.
- Sodium restriction in patients with chronic heart failure and reduced ejection fraction: A randomized controlled trial
PubMed ID: 34490604
Sodium restriction (dietary electrolyte change) when achieved improved HF biomarkers and QoL â reflects impact on fluid/electrolyte balance in disease.
- Effect of 0.9% NaCl compared to plasma-lyte on biomarkers of kidney injury, sodium excretion and tubular transport proteins in patients undergoing primary uncemented hip replacement - a randomized trial
PubMed ID: 33771116
Direct comparison of 0.9% saline vs balanced PlasmaLyte showed higher plasma chloride and lower pH with saline; directly about electrolyte composition and fluid balance.
- The safety of early administration of oral fluid following general anesthesia in children undergoing tonsillectomy: a prospective randomized controlled trial
PubMed ID: 33430774
RCT in children postâtonsillectomy: small early oral fluid significantly reduced thirst safely â directly supports practical hydration.
- Effect of Empagliflozin Versus Placebo on Body Fluid Balance in Patients With Acute Myocardial Infarction and Type 2 Diabetes Mellitus: Subgroup Analysis of the EMBODY Trial
PubMed ID: 34425223
Empagliflozin prevented increases in ECW and ICW after MI versus placebo â a clear effect on body fluid compartments.
- Consequences of access to water from managed aquifer recharge systems for blood pressure and proteinuria in south-west coastal Bangladesh: a stepped-wedge cluster-randomized trial
PubMed ID: 32653912
Community water with higher sodium raised urinary sodium and BP â demonstrates how water electrolyte content affects wholeâbody electrolyte balance.
- Effects of a community-driven water, sanitation and hygiene intervention on water and sanitation infrastructure, access, behaviour, and governance: a cluster-randomised controlled trial in rural Democratic Republic of Congo
PubMed ID: 34001519
Large clusterârandomized WASH programme substantially increased access to improved water sources â direct publicâhealth evidence supporting everyday access to water for hydration.
- Effects on childhood infections of promoting safe and hygienic complementary-food handling practices through a community-based programme: A cluster randomised controlled trial in a rural area of The Gambia
PubMed ID: 33428636
Large reduction in diarrhoea incidence from community intervention implies less illnessârelated fluid loss and therefore better preservation/ability to rehydrate after GI illness.
- Bioelectrical impedance analysis-guided fluid management promotes primary fascial closure after open abdomen: a randomized controlled trial
PubMed ID: 34099065
Bedside BIA to guide ICU fluid therapy significantly altered cumulative fluid balance and clinical outcomesâsupports importance of targeted fluid/electrolyte management to maintain balance.
- Risk of Electrolyte Disorders in Acutely Ill Children Receiving Commercially Available Plasmalike Isotonic Fluids: A Randomized Clinical Trial
PubMed ID: 33104176
Large RCT in hospitalized children showed different IV maintenance fluids produced markedly different rates of clinically significant electrolyte disorders (notably hypokalemia)âdirect, highâimpact evidence about maintaining balanced body electrolytes.
- Effects of Lubiprostone, an Intestinal Secretagogue, on Electrolyte Homeostasis in Chronic Idiopathic and Opioid-induced Constipation
PubMed ID: 32569031
Pooled trials showed lubiprostone did not cause clinically meaningful serum electrolyte changesârelevant evidence that some gutâacting agents do not disrupt electrolyte balance.
- Effectiveness of a novel 1% glucose isotonic electrolyte solution for intraoperative fluid therapy in children: a randomized controlled trial
PubMed ID: 34775865
1% glucose isotonic electrolyte solution maintained glucose and potassium in children during surgeryâevidence that appropriately formulated electrolyte solutions support stable everyday/maintenance hydration and electrolyte status in clinical settings.
- Efficacy and safety of PT20, an iron-based phosphate binder, for the treatment of hyperphosphataemia: a randomized, double-blind, placebo-controlled, dose-ranging, Phase IIb study in patients with haemodialysis-dependent chronic kidney disease
PubMed ID: 32651955
Doseâranging phosphateâbinder trial produced doseâdependent changes in serum phosphateârelevant to electrolyte/mineral balance management (context: dialysis patients).
- Serum Sodium Concentration and Mental Status in Children With Diabetic Ketoacidosis
PubMed ID: 34373322
Pediatric DKA study demonstrated that IV fluid sodium content influences corrected sodium during therapyâdirectly relevant to managing body fluid/electrolyte balance.
- Does a balanced colloid decrease perioperative blood loss in paediatric cardiac surgery: A double-blinded randomized controlled trial?
PubMed ID: 33966019
Balanced vs saline colloid priming in pediatric bypass showed no clear advantage for bleeding/transfusion but is direct evidence about effects (or lack thereof) of electrolyte composition in perioperative fluid management.
- The effect of type of fluid on disease severity in acute pancreatitis treatment
PubMed ID: 34919248
Balanced IV fluid (Lactated Ringer's) produced superior acidâbase balance vs normal saline.
- Diuretics decrease fluid balance in patients on invasive mechanical ventilation: the randomized-controlled single blind, IRIHS study
PubMed ID: 33691730
Protocolized diuretics markedly altered fluid balance in ventilated ICU patients (reducing positive balance).
- Goal-directed fluid therapy in emergency abdominal surgery: a randomised multicentre trial
PubMed ID: 34389168
Trial comparing IV fluid strategies is directly relevant to clinically managing hydration status (indirect evidence applied to electrolyte/fluid management).
- Short-Term RCT of Increased Dietary Potassium from Potato or Potassium Gluconate: Effect on Blood Pressure, Microcirculation, and Potassium and Sodium Retention in Pre-Hypertensive-to-Hypertensive Adults
PubMed ID: 34064968
Controlled potassium manipulation materially changed urinary K, reduced sodium retention and lowered SBPâstrong fluid/electrolyte balance evidence.
- A simplified protocol for individualized regional citrate anticoagulation for hemodialysis: A single-center, randomized clinical study
PubMed ID: 33663073
Citrate anticoagulation protocol maintained stable systemic ionized calcium in hemodialysis patients (electrolyte control in clinical setting).
- Effects of veverimer on serum bicarbonate and physical function in diabetic patients with chronic kidney disease and metabolic acidosis: subgroup analysis from a randomized, controlled trial
PubMed ID: 34240198
Same veverimer data in diabetic CKD subgroup showing robust bicarbonate correction and functional improvement â directly relevant to fluid/acidâbase balance.
- Effects of veverimer on serum bicarbonate and physical function in women with chronic kidney disease and metabolic acidosis: a subgroup analysis from a randomised, controlled trial
PubMed ID: 35216581
Veverimer directly treats metabolic acidosis by raising serum bicarbonate â a strong, direct intervention on acidâbase/electrolyte balance with clear functional benefits.
- School water, sanitation, and hygiene (WaSH) intervention to improve malnutrition, dehydration, health literacy, and handwashing: a cluster-randomised controlled trial in Metro Manila, Philippines
PubMed ID: 36344973
Large school WaSH intervention reduced prevalence of dehydration (urine specific gravity) â strong evidence for improved hydration at population level.
- Efficacy of Potassium Supplementation in Hypokalemic Patients Receiving Peritoneal Dialysis: A Randomized Controlled Trial
PubMed ID: 35597332
Protocolized oral KCl substantially raised serum potassium in peritoneal dialysis patients â direct, high-confidence evidence of correcting/maintaining electrolyte balance.
- Randomized Controlled Trial of the Cholera-Hospital-Based-Intervention-for-7-Days (CHoBI7) Cholera Rapid Response Program to Reduce Diarrheal Diseases in Bangladesh
PubMed ID: 36232205
Cholera response included ORS as standard care; ORS is standard therapy to rehydrate during diarrheal illnessâdirectly relevant though ORS wasn't the trial's variable.
- Effect of regulated add-on sodium chloride intake on stabilization of serum lithium concentration in bipolar disorder: A randomized controlled trial
PubMed ID: 36409058
Randomized trial: adding 1 g/day table salt markedly reduced lithiumâlevel fluctuationsâstrong evidence that modest sodium intake modifies systemic electrolyte/fluid balance.
- The outcomes of Thirsty? Choose Water! Determining the effects of a behavioural and an environmental intervention on water and sugar sweetened beverage consumption in adolescents: A randomised controlled trial
PubMed ID: 35637595
School intervention (education + chilled water stations) reduced SSB consumption and increased water uptakeâstrong realâworld support for enabling everyday hydration.
- Environmental Factors for Hearing Loss and Middle Ear Disease in Alaska Native Children and Adolescents: A Cross-Sectional Analysis from a Cluster Randomized Trial
PubMed ID: 35998103
Lack of household running water associated with higher infectious disease burdenâunderscores importance of water access for everyday hygiene and hydration.
- Hemorrhagic, hypovolemic shock resuscitated with Ringer's solution using bicarbonate versus lactate: A CONSORT-randomized controlled study comparing patient outcomes and blood inflammatory factors
PubMed ID: 36401445
Bicarbonate Ringer directly altered acidâbase and lactate dynamics versus lactated Ringer's â strong evidence of impacting fluid/electrolyte balance.
- Hydration Interventions Among Agricultural Workers: A Pilot Study
PubMed ID: 35260538
Direct RCT field trial: WHO-style electrolyte drink improved urine specific gravity, eGFR and eliminated AKI on the electrolyte day vs plain waterâstrong hydration evidence.
- Diet therapy along with nutrition education can improve renal function in people with stages 3-4 chronic kidney disease who do not have diabetes: a randomised controlled trial
PubMed ID: 35795914
Dietary renal therapy lowered sodium intake and improved renal markersâsupports longer-term electrolyte/fluid balance management.
- Prevention of Typhoid by Vi Conjugate Vaccine and Achievable Improvements in Household Water, Sanitation, and Hygiene: Evidence From a Cluster-Randomized Trial in Dhaka, Bangladesh
PubMed ID: 35412603
Better WASH practices reduced typhoid and likely improved household water quality and usageâsupports everyday access to safe hydration.
- Applying bio-impedance vector analysis (BIVA) to adjust ultrafiltration rate in critically ill patients on continuous renal replacement therapy: A randomized controlled trial
PubMed ID: 36116287
BIVA-guided CRRT produced measurable reductions in LBM water % and altered UF and urine outputâstrong evidence fluid-guidance balances body water.
- Use of a Water Filter at Home Reduces Sugary Drink Consumption among Parents and Infants/Toddlers in a Predominantly Hispanic Community: Results from the Water Up!@ Home Intervention Trial
PubMed ID: 35714910
Home water-filter intervention significantly increased filtered tap-water intake vs bottled/SSBsâdirectly supports daily hydration behaviors.
- Urine Specific Gravity Measurement for Fluid Balance in Neonates on Intravenous Fluids in a Neonatal Intensive Care Unit: An Open Label Randomized Controlled Trial
PubMed ID: 35762025
USG-guided IV fluids in neonates reduced % weight loss and sped feeding recoveryâstrong evidence that monitoring fluids improves hydration.
- Effect of Predictive Nursing Combined with Early Drinking Water Therapy on Patients with Urinary Retention after Vaginal Delivery
PubMed ID: 35813411
Postpartum early drinking-water protocol reduced urinary retention and improved urination successâevidence that timely fluid intake benefits hydration status.
- The Impact of Individualized Hemodynamic Management on Intraoperative Fluid Balance and Hemodynamic Interventions during Spine Surgery in the Prone Position: A Prospective Randomized Trial
PubMed ID: 36422222
Continuous hemodynamic monitoring altered intraoperative fluid management and fluid balanceâevidence that guided fluids affect fluid balance.
- Effect of a Quality Improvement Bundle to Standardize the Use of Intravenous Fluids for Hospitalized Pediatric Patients: A Stepped-Wedge, Cluster Randomized Clinical Trial
PubMed ID: 34779837
Quality-improvement increased use of isotonic IV maintenance fluids (electrolyte solutions) in hospitalized children â strong, directly relevant to clinical hydration.
- Early hypophosphatemia in critically ill children and the effect of parenteral nutrition: A secondary analysis of the PEPaNIC RCT
PubMed ID: 36219978
Study shows refeeding hypophosphatemia (phosphate electrolyte) frequency and association with longer ICU/hospital stays â strong evidence that electrolyte balance affects outcomes.
- How providing a low-cost water filter pitcher led Latino parents to reduce sugar-sweetened beverages and increase their water intake: explanatory qualitative results from the Water Up!@Home intervention trial
PubMed ID: 35983682
Provision of a low-cost household water filter increased tap drinking and reduced sugary beverages â strong behavioral evidence for improved everyday fluid intake.
- Renal Function in Patients Hospitalized With Anorexia Nervosa Undergoing Refeeding: Findings From the Study of Refeeding to Optimize Inpatient Gains
PubMed ID: 35705423
Renal function and serum phosphorus changed during refeeding in anorexiaâkey to restoring electrolyte/fluid balance.
- Tulane STAR (Sending Texts, Advancing Results): impact of text messaging on bariatric post-operative protocol compliance
PubMed ID: 35277773
Text reminders increased small-liquid cup consumption after bariatric surgeryâdirect increase in oral fluid intake.
- Total Fluid Administration and Weight Loss during the First 2 Weeks in Infants Randomized to Early Enteral Feeding after Extremely Preterm Birth
PubMed ID: 36442467
Enteral feeding strategy altered total fluid administration in extremely preterm infantsâaffects early fluid balance.
- Fluid balance and renal replacement therapy initiation strategy: a secondary analysis of the STARRT-AKI trial
PubMed ID: 36424662
Earlier dialysis reduced cumulative fluid balance in critically ill AKI patientsâdirect fluid-balance/electrolyte management evidence.
- Food and fluid intake and hydration status does not affect ultrasound measurements of subcutaneous adipose tissue in active adults
PubMed ID: 35466040
Acute eating/drinking/hydration changes altered DXA-derived lean mass and show measurable acute hydration effects â relevant to hydration status.
- Effect of Preoperative Oral Carbohydrate on Patients Undergoing Gynecological Laparoscopic Surgery With Different Fasting Times: A Randomized Control Study
PubMed ID: 35811226
Pre-op carbohydrate intake corrected perioperative potassium and acid-base disturbances â reasonably strong evidence of maintaining perioperative fluid/electrolyte balance.
- Urine alkalinisation to prevent contrast-induced acute kidney injury: the prospective, randomised, controlled, open-label TEATE trial
PubMed ID: 35620986
Bicarbonate (oral/IV) reliably alkalinised urine versus hydration alone, demonstrating an electrolyte intervention that changes fluid-related chemistry (urine pH).
- Efficacy of tolvaptan on advanced chronic kidney disease with heart failure: a randomized controlled trial
PubMed ID: 35471469
Tolvaptan produced aquaresis and transiently raised serum sodiumâclear effect on body water and sodium balance.
- Effects of Empagliflozin on Fluid Overload, Weight, and Blood Pressure in CKD
PubMed ID: 38082486
SGLT2 inhibition reduced fluid overload and extracellular water, showing alteration of fluid compartments.
- Balanced crystalloid solution versus saline in deceased donor kidney transplantation (BEST-Fluids): a pragmatic, double-blind, randomised, controlled trial
PubMed ID: 37343576
Balanced (lower-chloride) crystalloid reduced delayed graft function after transplant vs salineâstrong evidence for composition effects on organ outcomes.
- Multiple Electrolytes Solution Versus Saline as Bolus Fluid for Resuscitation in Pediatric Septic Shock: A Multicenter Randomized Clinical Trial
PubMed ID: 37294145
Balanced electrolyte solution vs saline cut new/progressive AKI in children with septic shockâdirectly demonstrates benefit of balanced fluid composition.
- Enhanced Patient Comfort and Satisfaction with Early Oral Feeding after Thoracoscopic Lung Cancer Resection
PubMed ID: 37953532
Permitting early oral fluids reduced thirst after surgery â direct clinical evidence improving shortâterm hydration/comfort.
- Family-centered empowerment approach to optimize phosphate management among hemodialysis patients: an experimental study
PubMed ID: 37661281
Education intervention improved phosphate knowledge/adherence and modestly lowered serum phosphate in hemodialysis patientsâdirect impact on an electrolyte and balance.
- Sodium bicarbonate for kidney transplant recipients with metabolic acidosis in Switzerland: a multicentre, randomised, single-blind, placebo-controlled, phase 3 trial
PubMed ID: 36708734
Oral sodium bicarbonate reliably increased serum bicarbonate and blood pH in transplant recipientsâdirect evidence of modifying acidâbase/electrolyte balance.
- Thirsty? Choose Water! A regional perspective to promoting water consumption in secondary school students
PubMed ID: 37424298
Cluster RCT showed that installing chilled water stations and combined interventions reduced SSBs and changed water behaviorsâstrong evidence for populationâlevel support of daily hydration.
- A pragmatic, open-label, randomized controlled trial of Plasma-Lyte-148 versus standard intravenous fluids in children receiving kidney transplants (PLUTO)
PubMed ID: 37914088
PlasmaâLyte clearly produced less hyperchloremia and hypomagnesemia and far less NAGMA compared with standard fluidsâdirect and strong evidence for better electrolyte/bicarbonate balance.
- Heartburn relief with bicarbonate-rich mineral water: results of the randomised, placebo-controlled phase-III trial STOMACH STILL
PubMed ID: 36849190
Bicarbonateârich mineral water improved GI symptoms and represents a practical everyday beverage that also carries electrolytes (bicarbonate) and may aid comfortable hydration.
- Pre-treatment bicarbonate levels and decongestion by acetazolamide: the ADVOR trial
PubMed ID: 37138385
Acetazolamide subanalysis highlighted bicarbonate physiology as a key modifier of diuretic/decongestion responseâdirect relevance to bicarbonate/electrolyte handling and fluid balance.
- Effect of Saline vs Gluconate/Acetate-Buffered Solution vs Lactate-Buffered Solution on Serum Chloride Among Children in the Pediatric Intensive Care Unit: The SPLYT-P Randomized Clinical Trial
PubMed ID: 36534387
Direct RCT evidence that balanced/buffered IV fluids markedly reduced large serum chloride rises versus normal saline â strong support for maintaining balanced electrolytes.
- Effects of Preoperative Oral Carbohydrate Electrolyte Drinks on Preoperative Hypokalemia Incidence in Patients Scheduled for Laparoscopic Colorectal Resection: A Three-Arm Randomized Clinical Trial
PubMed ID: 36732123
Adding potassium to a preop carbohydrate drink substantially reduced hypokalemia incidence â directly supports electrolyte balance.
- Effects of Lumacaftor/Ivacaftor on Cystic Fibrosis Disease Progression in Children 2 through 5 Years of Age Homozygous for F508del-CFTR: A Phase 2 Placebo-controlled Clinical Trial
PubMed ID: 36943405
Lumacaftor/ivacaftor substantially lowered sweat chloride in young CF childrenâdirect modulation of electrolyte transport and body fluid salt content.
- Effectiveness of a School Drinking Water Promotion and Access Program for Overweight Prevention
PubMed ID: 37545466
School waterâpromotion increased children's use of water and modestly affected weight trendsâbehavioral evidence supporting daily hydration.
- Diuretic, natriuretic, and chloride-regaining effects of oral acetazolamide as an add-on therapy for acute heart failure with volume overload: a single-center, prospective, randomized study
PubMed ID: 37415505
Acetazolamide produced significant natriuresis and altered serum chloride and fluid balanceâdirect drug effects on electrolyte/fluid homeostasis.
- Oral Sodium Bicarbonate and Bone Turnover in CKD: A Secondary Analysis of the BASE Pilot Trial
PubMed ID: 38170601
Oral sodium bicarbonate directly manipulates systemic acidâbase and electrolyte-related physiology in CKD â relevant to fluid/electrolyte balance.
- CYP11B2 inhibitor dexfadrostat phosphate suppresses the aldosterone-to-renin ratio, an indicator of sodium retention, in healthy volunteers
PubMed ID: 36914591
Aldosterone synthase inhibitor produced clear changes in sodium/potassium handling and plasma electrolytes â strong evidence of influencing body fluid/electrolyte balance.
- Fluid balance control in critically ill patients: results from as-treated analyses of POINCARE-2 randomized trial
PubMed ID: 37932787
Large fluid-balance control strategy in ICU directly addresses fluid management and electrolyte events (hypernatremia/hypokalemia reported).
- The role of bioimpedance analysis in overweight and obese patients with acute heart failure: a pilot study
PubMed ID: 37226407
BIA-guided fluid removal achieved better biomarker (NT-proBNP) targets and fewer AKI eventsâevidence for guided fluid balance.
- Goal-directed fluid removal with furosemide versus placebo in intensive care patients with fluid overload: A randomised, blinded trial (GODIF trial-First version)
PubMed ID: 36636797
Goal-directed IV diuresis produced large fluid-balance differencesârelevant to achieving balanced fluids in overloaded patients.
- Can a simple plan change a complex behavior? Implementation intentions in the context of water drinking
PubMed ID: 36646386
Behavioral trial increased reported daily water intake; practical evidence supporting interventions for everyday hydration.
- Additional Bicarbonate Infusion Complements WHO Rehydration Therapy in Children with Acute Diarrhea and Severe Dehydration Presenting with Severe Non-anion Gap Metabolic Acidemia: An Open Label Randomized Trial
PubMed ID: 38155325
Trial showed adding calculated IV bicarbonate to WHO rehydration led to faster metabolic acidemia resolution and fewer adverse outcomesâdirect evidence.
- Sodium chloride or plasmalyte-148 for patients presenting to emergency departments with diabetic ketoacidosis: A nested cohort study within a multicentre, cluster, crossover, randomised, controlled trial
PubMed ID: 36970972
DKA fluid type trial compares electrolyte-containing crystalloids, relevant to restoring balanced body fluids in metabolic illness.
- Sports drinks effect on salivary volume and pH in children after exercise: a randomized clinical study
PubMed ID: 37259496
Randomized data in children showing water preferable to sports drink after exercise for salivary pH and with robust rehydration of saliva volume â directly relevant to everyday hydration choices.
- Impact of continuous hypertonic (NaCl 20%) saline solution on renal outcomes after traumatic brain injury (TBI): a post hoc analysis of the COBI trial
PubMed ID: 36707841
Direct trial of hypertonic 20% NaCl infusion showing substantial, quantifiable increases in serum Na/Cl â strong evidence of electrolyte impact on body fluid composition.
- Evaluation of the 'Sip Til Send' regimen before elective caesarean delivery using bedside gastric ultrasound: A paired cohort pragmatic study
PubMed ID: 37982593
Allowing liberal water intake until theatre was noninferior for gastric residuals â evidence supporting pragmatic safe fluid intake.
- Fluid balance neutralization secured by hemodynamic monitoring versus protocolized standard of care in patients with acute circulatory failure requiring continuous renal replacement therapy: results of the GO NEUTRAL randomized controlled trial
PubMed ID: 39417870
Hemodynamicâprotocol ultrafiltration achieved a ~5 L difference in cumulative fluid balance over 72 h â directly relevant to managing body fluid balance.
- Efficacy and safety of hypertonic saline therapy in ambulatory patients with heart failure: The SALT-HF trial
PubMed ID: 39056478
Hypertonic saline added to IV furosemide changed shortâterm weight and fluid status modestly â relevant to clinical fluidâbalance manipulation.
- Balanced Solution Versus Normal Saline in Predicted Severe Acute Pancreatitis: A Stepped Wedge Cluster Randomized Trial
PubMed ID: 38708888
Balanced multielectrolyte solution lowered serum chloride and reduced SIRS/organ failures vs salineâstrong evidence composition affects fluid balance and outcomes.
- VALOR-CKD: A Multicenter, Randomized, Double-Blind Placebo-Controlled Trial Evaluating Veverimer in Slowing Progression of CKD in Patients with Metabolic Acidosis
PubMed ID: 38261535
Veverimer raised bicarbonate (an electrolyte parameter) though it did not change CKD progressionâdemonstrates modifiable electrolyte balance.
- Management of Fluid Overload in Patients With Severe Aortic Stenosis (EASE-TAVR): A Randomized Controlled Trial
PubMed ID: 39260962
BISâguided decongestion after TAVR improved fluid status and reduced HF eventsâeffective management of body fluid balance with clinical benefit.
- Association of Fluid Balance and Hemoglobin Decline With Neurological Outcome After Aneurysmal Subarachnoid Hemorrhage
PubMed ID: 38775857
Observational data linking fluid overload/hemodilution to worse outcomes emphasizes harms of unbalanced fluid status.
- Furosemide to lower antenatal severe hypertension: a randomized placebo-controlled trial
PubMed ID: 38485054
IV diuretic increased urine output and altered BP/pulse pressure â clear mechanistic effect on fluid balance (clinical RCT).
- Serum Chloride and the Response to Acetazolamide in Patients With Acute Heart Failure and Volume Overload: A Post Hoc Analysis From the ADVOR Trial
PubMed ID: 39171394
Strongest direct clinical evidence in the dataset linking an electrolyte (chloride) to decongestion and outcomes â high relevance to fluid/electrolyte balance.
- Effect of an Arsenic Mitigation Program on Arsenic Exposure in American Indian Communities: A Cluster Randomized Controlled Trial of the Community-Led Strong Heart Water Study Program
PubMed ID: 38534131
Point-of-use arsenic filters markedly increased exclusive use of safe drinking water and reduced urinary arsenicâstrong real-world effect improving daily safe-hydration access.
- Urinary Response to Consuming Plant-Based Meat Alternatives in Persons with Normal Kidney Function: The SWAP-MEAT Pilot Trial
PubMed ID: 39514692
Dietary switch (animalâplant meat) produced measurable changes in urine pH, citrate and ammoniumâdemonstrates diet-driven shifts in acidâbase/electrolyte handling.
- Oral rehydration therapy versus intravenous rehydration therapy in the first 12âh following hospitalization for hyperemesis gravidarum: A randomized controlled trial
PubMed ID: 38358264
Direct randomized evidence in hyperemesis: IV fluids produced larger short-term weight gain and greater satisfaction vs oral rehydrationâstrong direct effect on rehydration in illness.
- Sodium Zirconium Cyclosilicate in CKD, Hyperkalemia, and Metabolic Acidosis: NEUTRALIZE Randomized Study
PubMed ID: 38622759
SZC robustly normalized serum potassium and increased bicarbonate in CKD patientsâdirect and high-confidence effect on electrolyte/acidâbase balance.
- A Randomized Noninferiority Trial to Compare Enteral to Parenteral Phosphate Replacement on Biochemistry, Waste, and Environmental Impact and Healthcare Cost in Critically Ill Patients With Mild to Moderate Hypophosphatemia
PubMed ID: 38537225
Enteral phosphate replacement was noninferior to IV for restoring serum phosphateâdirect effect on a key electrolyte and fluid management in ICU.
- Furosemide with adjunctive acetazolamide vs furosemide only in critically ill patients: A pilot two-center randomized controlled trial
PubMed ID: 39689380
Adjunct acetazolamide altered diuretic response and acidâbase (plasma and urine pH), affecting fluid and electrolyte balance in critically ill patients.
- Influence of Temperature and Precipitation on the Effectiveness of Water, Sanitation, and Handwashing Interventions against Childhood Diarrheal Disease in Rural Bangladesh: A Reanalysis of the WASH Benefits Bangladesh Trial
PubMed ID: 38602833
WASH interventions reduced diarrhea (major cause of fluid loss), directly protecting hydration status in children.
- Goal-directed fluid therapy guided by plethysmographic variability index versus conventional liberal fluid therapy in neonates undergoing abdominal surgery: A prospective randomized controlled trial
PubMed ID: 38348932
Goal-directed perioperative fluid therapy required less pre-vasopressor fluid and affected intraop fluid management â relevant to clinical fluid management/hydration strategies.
- Sodium citrate versus sodium bicarbonate for metabolic acidosis in patients with chronic kidney disease: A randomized controlled trial
PubMed ID: 38457574
Direct randomized comparison of sodium citrate vs sodium bicarbonate in CKD showing equivalent bicarbonate correction â directly about systemic fluid/electrolyte balance.
- Assessment of the efficacy of alkaline water in conjunction with conventional medication for the treatment of chronic gouty arthritis: A randomized controlled study
PubMed ID: 38579090
Long-term regular consumption of alkaline mineral water was associated with biochemical and symptomatic improvements suggesting supportive everyday hydration effects.
- WASH interventions and child diarrhea at the interface of climate and socioeconomic position in Bangladesh
PubMed ID: 38378704
WASH interventions cut diarrheal incidence (major cause of dehydration) â preventing or reducing need for rehydration and improving outcomes.
- Pattern of Fluid Overload and its Impact on Mortality Among Mechanically Ventilated Children: Secondary Analysis of the ReLiSCh Trial
PubMed ID: 38403808
Direct measurement of cumulative fluid overload and link to mortality in ventilated children â strong relevance to fluid/electrolyte balance.
- Characterization of serum phosphate levels over time with intravenous ferric carboxymaltose versus placebo as treatment for heart failure with reduced ejection fraction and iron deficiency: An exploratory prospective substudy from HEART-FID
PubMed ID: 38896006
IV ferric carboxymaltose produced frequent, clinically significant transient hypophosphataemia â clear demonstration of a therapyâinduced electrolyte imbalance.
- Using structured problem solving to promote fluid consumption in the prevention of urinary stones with hydration (PUSH) trial
PubMed ID: 38807063
PUSH trial coaching targeted increasing daily fluid intake for kidneyâstone prevention â directly relevant to routine hydration support.
- A descriptive analysis of drug-drug interactions and corresponding adverse drug reactions in multimorbid older inpatients: findings from the SENATOR trial
PubMed ID: 39095682
DDIs in older inpatients were associated with major serum electrolyte disturbances in ~10â11% â highlights risks to fluid/electrolyte balance.
- Implementation of a fluid balance control strategy in critically ill patients: POINCARE-2 trial process evaluation
PubMed ID: 39048932
Fluidâbalance protocol process evaluation influenced weight loss and fluid exposure â relevant to institutional fluid balance control.
- Individualized nutritional intervention improves the nutritional status of liver cancer patients after transcatheter arterial chemoembolization
PubMed ID: 38666338
Individualized nutrition reduced postoperative electrolyte disorders vs routine diet â direct evidence of improving electrolyte/fluid balance.
- Postoperative Hydration in Children Using Intermittent Boluses of Balanced Salt Solution: Results of a Randomized Control Trial
PubMed ID: 39181778
Post-op balanced salt boluses were safe and effectively managed fluids vs hypotonic maintenanceâdirect clinical evidence for balanced-fluid strategies.
- Iterative assessment of a sports rehydration beverage containing a novel amino acid formula on water uptake kinetics
PubMed ID: 38349552
Direct RCTs showed amino-acid content of rehydration drinks markedly alters early water delivery and plasma-volume responsesâstrong beverage-hydration evidence.
- The impact of a water promotion and access intervention on elementary school students in the presence of food insecurity
PubMed ID: 39575559
Large cluster RCT: water-promotion in schools substantially increased plain water intakeâdirect, strong evidence for supporting everyday hydration at population level.
- Prospective study on the effects of mechanical bowel preparation under the enhanced recovery after surgery concept on electrolyte disturbances and functional recovery after robotic surgery for urologic tumors in older adults
PubMed ID: 39198778
Mechanical bowel prep markedly increased postoperative electrolyte disturbancesâclear evidence that interventions can disrupt body-fluid balance.
- Effects of Sodium Bicarbonate Ringer's Solution Combined with Positive End-Expiratory Pressure on the Internal Environment of Patients Undergoing Bariatric Surgery: A Randomized 2âĂâ2 Factorial Design Pilot
PubMed ID: 39722113
Randomized trial directly showed sodiumâbicarbonate Ringer improved pH, HCO3â, lowered lactate and inflammatory cytokines vs saline â strong evidence for restoring balanced body fluids.
- Safety and feasibility of early drinking water after general anesthesia recovery in patients undergoing daytime surgery
PubMed ID: 38987679
Oral water given soon after anesthesia safely reduced thirst and increased gastric motility â direct evidence of improved shortâterm hydration/symptom relief.
- Impact of a School-Based Intervention on Sugar-Sweetened Beverage Intake Substitution by Water in Mexican Scholars
PubMed ID: 38437808
School water station + education increased daily plain water intake by ~200 mL/day â direct evidence of a scalable intervention supporting everyday hydration.
- 5% Dextrose in Ringer's Lactate versus 5% Dextrose Normal Saline as Maintenance Intravenous Fluid Therapy in Children - A Randomised Controlled Trial
PubMed ID: 38502269
DextroseâRinger maintenance fluids produced smaller serum chloride rises and fewer hyperchloremic metabolic acidosis events compared with dextroseânormal saline in children.
- The Effect of Oral Water and Ice Popsicle Exposure on the Management of Thirst in the Immediate Postoperative Period
PubMed ID: 39283276
Offering small amounts of water or ice in PACU reduced subjective thirst and dry mouth â practical support for immediate everyday hydration needs after procedures.
- Lorundrostat Efficacy and Safety in Patients with Uncontrolled Hypertension
PubMed ID: 40267417
Aldosterone-synthesis inhibitor altered potassium homeostasis (increased hyperkalemia risk) while lowering BP â direct electrolyte impact.
- The randomized DIALIZE-Outcomes trial evaluated sodium zirconium cyclosilicate in hemodialysis
PubMed ID: 40618849
Potassium binder maintained normokalemia over 12 months in dialysis patients â strong electrolyte control evidence.
- Furosemide Safety in Preterm Infants at Risk for Bronchopulmonary Dysplasia: A Randomized Clinical Trial
PubMed ID: 40306549
Prolonged furosemide in preterm infants markedly increased serum electrolyte adverse events â clear impact on fluid/electrolyte balance (adverse).
- Salt repletion and diuretic response: The role of serum chloride. A post-hoc analysis of the SALT-HF trial on furosemide and hypertonic saline solution administration in ambulatory patients with worsening heart failure
PubMed ID: 39933832
Electrolyte repletion with hypertonic saline augmented natriuresis in hypochloraemic patients â direct electrolyte/volume effect.
- Serum chloride concentration and outcomes in adults receiving intravenous fluid therapy with a balanced crystalloid solution or 0.9% sodium chloride
PubMed ID: 39928118
Large ICU fluid trial examined baseline chloride interactions with outcomes â directly relevant to fluid/electrolyte management.
- Impact of multifactorial interventions with medication and lifestyle optimization on patients with type 2 diabetes: A randomised controlled trial
PubMed ID: 40632722
Direct intervention targeting Na/K/Mg produced measurable, clinically relevant improvements in serum electrolytes and eGFR.
- A Pilot Randomized Controlled Trial and Multi-Omics Analysis of Electrolysed Alkaline Water: Impacts on Gut Microbiota and Metabolic Signatures in Hyperuricemia
PubMed ID: 41515223
Electrolysed alkaline water (a water product with altered ionic properties) produced metabolic and QoL changes and is directly hydration-related.
- Effects of dapagliflozin on urinary output, fluid balance, and biochemistry in critically ill patients: a post-hoc secondary analysis of the DEFENDER trial
PubMed ID: 40646628
Dapagliflozin produced modest, consistent diuresis and more negative fluid balance with small sodium changes â affects body fluid status.
- Normosol-R vs Lactated Ringers in the Critically Ill: A Randomized Trial
PubMed ID: 39971001
Directly compares two balanced crystalloid electrolyte solutions and reports plasma electrolyte and bicarbonate outcomesâhighly relevant evidence for maintaining balanced body fluids.
- Cardiovascular Outcomes of Perioperative Sodium-Glucose Transporter 2 Inhibition in Cardiac Surgery Patients: An Open-Label Randomized Pilot Study
PubMed ID: 40545263
Perioperative empagliflozin altered urine output and cumulative fluid balance after cardiac surgeryâshows substantial effects on fluid balance (natriuresis/diuresis).
- Dapagliflozin modulates plasma lipidomic profile and urinary metabolite excretion in type 2 diabetes
PubMed ID: 41469882
Dapagliflozin increased diuresis and plasma magnesium, demonstrating drug-induced changes in electrolyte and volume handlingârelevant to fluid/electrolyte balance physiology.
- Effect of oral sodium bicarbonate supplementation on urine TGF-đˇ in normal serum bicarbonate CKD, a randomized controlled trial
PubMed ID: 40594210
Oral sodium bicarbonate is a direct electrolyte intervention that changed urine pH (systemic acidâbase/electrolyte effect), relevant to body-fluid composition.
- Effect of the Chronic Kidney Disease-Peritoneal Dialysis (CKD-PD) App on Improvement of Overhydration Treatment in Patients on Peritoneal Dialysis: Randomized Controlled Trial
PubMed ID: 40397925
Home PD app increased natriuresis monitoring and improved overhydration detection, directly relevant to managing sodium/fluid balance.
- Comparison of two different bicarbonate replacement fluids during CVVH with RCA: a prospective, randomized, controlled trial
PubMed ID: 41247497
Randomized ICU CVVH trial showed clear, clinically meaningful differences in pH and bicarbonate excursions when manipulating replacement-fluid bicarbonate â direct evidence about electrolyte/acidâbase balance.
- The Efficacy of Sodium Bicarbonate Ringer's Solution and Lactate Ringer's Solution in Patients Undergoing Long-Term Abdominal Open Surgery: A Multicenter Prospective Randomized Controlled Study
PubMed ID: 40486121
Randomized comparison of crystalloid electrolyte compositions with physiologic trends in lactate/acidâbase supports effects on body fluid balance.
- Early phosphate changes as potential indicator of unreadiness for artificial feeding: a secondary analysis of the EPaNIC RCT
PubMed ID: 39875953
Large ICU analysis linking relative hypophosphatemia to harm when PN given early â demonstrates importance of electrolyte (phosphate) balance in critical illness.
- Volume of intraoperative normal saline versus lactated Ringer's solution on acute kidney injury: A secondary analysis of the SOLAR trial
PubMed ID: 39793408
Direct evidence that saline vs Ringerâs produces different plasma chloride and fluidâelectrolyte profiles â highly relevant to maintaining balanced body fluids.
- Short- and mid-term effects of empagliflozin on sodium balance and fluid regulation in chronic heart failure
PubMed ID: 41186108
Shows measurable sodium handling and tissue sodium changes with SGLT2 inhibition, illustrating mechanisms of body sodium/fluid balance (context-specific).
- Comparison of effect of Ringer's lactate and isotonic bicarbonate combination therapy with Ringer's lactate alone in early fluid resuscitation of burns patients - A randomised controlled trial
PubMed ID: 41197195
IV electrolyte formula altered acidâbase status and produced measurable electrolyte shifts in burn resuscitation, directly relevant to managing body-fluid composition.
- Optimizing the water drinking test: evaluating the reproducibility and validity of a shortened protocol: a randomized prospective trial
PubMed ID: 40889008
Water-drinking test provides reproducible measures of acute volume response to drinking; relevant mechanistically to everyday hydration behavior.
- Sodium reduction is the key ingredient in dietary treatment of hypertension - a randomized controlled trial on sodium, potassium and nitrate
PubMed ID: 41345453
Direct dietary manipulation of sodium (and potassium) produced clear, clinically meaningful blood-pressure changesâstrong evidence that electrolyte intake modifies systemic fluid/electrolyte balance.
- Intraoperative isotonic balanced versus hypotonic crystalloids on postoperative sodium homeostasis in small children undergoing major neurosurgery: a randomized controlled trial
PubMed ID: 40089683
Randomized comparison showed isotonic balanced intraoperative fluid reduced early sodium drops and lowered hyponatremia incidenceâdirect, strong evidence for improved short-term fluid/electrolyte status.
- Oral Sodium Bicarbonate vs. Use of Higher Dialysate Bicarbonate in Hemodialysis Patients With Metabolic Acidosis: A Randomized Controlled Trial
PubMed ID: 40084620
Oral sodium bicarbonate or raising dialysate bicarbonate produced modest increases in systemic bicarbonateâdemonstrates impact of targeted electrolyte/base therapy on body-fluid chemistry.
- Bioelectrical Impedance in Monitoring Hyperhydration and Muscle Wasting in Critically Ill Corona Virus Disease (COVID-19) Patients: The Feasibility of Predicting Outcome
PubMed ID: 41511101
Bioimpedance-derived hydration metrics (ECW/TBW, phase angle) strongly associated with outcomes in ICU patientsâdemonstrates clinical relevance of hydration status measurement.
- Hyponatremia after pediatric surgery: Randomized trial of fluid composition on antidiuretic hormone response
PubMed ID: 40399660
Clear RCT evidence that isotonic maintenance fluids preserve serum sodium and substantially reduce hyponatremia versus hypotonic fluids.
- Mini-mint ice cubes for early postoperative thirst relief in orthopedic patients undergoing general anesthesia: a randomized controlled trial
PubMed ID: 41545474
Simple, practical oral water/ice intervention lowered subjective thirst and improved immediate recoveryâapplicable to everyday hydration behaviors.
- Effect of oral hypotonic water and isotonic saline on physiological intestinal (18)F-FDG uptake in PET/CT imaging
PubMed ID: 41459737
Direct head-to-head of an isotonic electrolyte solution versus water produced consistent physiological differences on imaging prepâbest direct evidence in this dataset for hydration-relevant effects.
- Effectiveness of a hierarchical pharmacist management model on reducing hyperphosphatemia in hemodialysis patients in China: a multicenter randomized study
PubMed ID: 41554772
Pharmacist-led intervention reduced serum phosphorus in hemodialysis patientsâevidence of improved electrolyte/mineral management in a clinical population (education intervention, not a supplement).
- Tolerability, safety and efficacy of a novel phosphate binder VS-505 (AP301): a Phase 2 dose-escalation and dose-ranging study in patients undergoing maintenance hemodialysis
PubMed ID: 38453435
VS-505 dose-dependently reduced serum phosphorus in hemodialysis patients â direct effect on an electrolyte parameter important for fluid/electrolyte balance in CKD.
- [Controlled clinical testing of an antidiarrheal]
PubMed ID: 16739360
Activated charcoal plus oral rehydration shortened diarrhea duration and was well tolerated â supports faster symptomatic recovery/rehydration in acute diarrhea.
- Effects of oral activated charcoal on hyperphosphatemia and vascular calcification in Chinese patients with stage 3-4 chronic kidney disease
PubMed ID: 30588573
Oral activated charcoal in CKD significantly lowered serum phosphorus and reduced hyperphosphatemia incidence â strong, direct electrolyte (phosphate) control.
- Oral magnesium supplementation improves metabolic variables and muscle strength in alcoholics
PubMed ID: 1443440
Oral magnesium normalized serum Mg (and other electrolytes) in deficient alcoholics â direct evidence of restoring electrolyte balance.
- Alanine- and glucose-based hypo-osmolar oral rehydration solution in infants with persistent diarrhoea: a controlled trial
PubMed ID: 7549296
Randomized trial in infants: hypoâosmolar alanine+glucose ORS significantly reduced stool output vs WHOâORS â accelerates rehydration in diarrheal illness.
- [Comparison of curative effect of low flow rate plasma exchange combined with hemofiltration for treatment of liver failure]
PubMed ID: 19220966
In liver failure, combined plasma exchange + hemofiltration corrected electrolyte/acidâbase disturbances much more effectively than controls â strong evidence for restoring balance.
- Randomized Trial to Assess the Safety and Tolerability of Daily Intake of an Allulose Amino Acid-Based Hydration Beverage in Men and Women
PubMed ID: 38892699
Direct test of an electrolyteâamino-acid powdered drink in healthy adults; trial supports use as a hydration product (safety data and small electrolyte shifts reported).
- Comparison of bicarbonate Ringer's solution with lactated Ringer's solution among postoperative outcomes in patients with laparoscopic right hemihepatectomy: a single-centre randomised controlled trial
PubMed ID: 38649834
Randomized trial showing bicarbonate Ringer's kept lactate lower, preserved acidâbase and resulted in higher postoperative Na/K/Mg and fewer complications vs lactated Ringer's â direct evidence for maintaining balanced fluids/electrolytes.
- Investigating the Effects of Moxibustion on Gastrointestinal Function and Gut Microbiota in Chronic Renal Failure: A CARE Non-Placebo Randomized Controlled Study in Peritoneal Dialysis Patients
PubMed ID: 40258348
Moxibustion added to peritoneal dialysis produced lower potassium and phosphorus and improved BUN vs dialysis alone â indicates measurable effects on body electrolytes/fluids in dialysis patients.
- Analysis of potential risks associated with 7.5% sodium chloride resuscitation of traumatic shock
PubMed ID: 1699508
Hypertonic saline in trauma provides direct evidence that specific electrolyte/volume solutions can rapidly restore intravascular volume in severe illness.
- Prospective, randomized trial of inpatient vs. outpatient bowel preparation for elective colorectal surgery
PubMed ID: 1740065
Outpatient PEGâelectrolyte lavage was as effective/tolerable as inpatient prep â realâworld evidence for electrolyte solution delivery.
- Serum electrolyte, mineral, and blood pH changes after phosphate enema, water enema, and electrolyte lavage solution enema for flexible sigmoidoscopy
PubMed ID: 1397914
Fleet (sodium phosphate) enemas significantly raised serum phosphorus â shows electrolyte perturbation relevant to balance/safety.
- [Whole gut irrigation in pediatric patients: a comparative study]
PubMed ID: 1567745
Different irrigation fluids caused opposite acidâbase and hydration tendencies (Golytelyâacidosis/dehydration; salineâhyperhydration/alkalosis) â clinically important for fluid balance.
- [Preoperative intestinal lavage with a polyethyleneglycol-containing solution. A prospective randomized study in comparison with Ringer's lactate solution]
PubMed ID: 1414052
PEGâbased oral bowel prep required less fluid and caused no significant electrolyte changes vs Ringer's lactate â shows electrolyte/prep stability relevant to hydration.
- A randomized controlled trial of a new PEG-electrolyte solution compared with a standard preparation for colonoscopy
PubMed ID: 8358075
Flavoured PEGâelectrolyte lavage improved tolerability and provided effective cleansing â demonstrates practical acceptability of electrolyte solutions.
- Trial of antihypertensive intervention and management: greater efficacy with weight reduction than with a sodium-potassium intervention
PubMed ID: 8454808
Dietary Na/K intervention meaningfully altered urinary electrolyte excretion â affects steady-state fluid balance.
- Prospective, randomized, endoscopic-blinded trial comparing precolonoscopy bowel cleansing methods
PubMed ID: 8026236
Oral sodium phosphate caused asymptomatic hyperphosphatemia â demonstrates electrolyte disturbance risk with electrolyte agents.
- Prospective randomized study of preoperative bowel cleansing for patients undergoing colorectal surgery
PubMed ID: 8205446
Ringer's lactate infusion caused clear fluid retention â strong direct evidence of improving/maintaining hydration.
- The combination of mannitol and albumin in the priming solution reduces positive intraoperative fluid balance during cardiopulmonary bypass
PubMed ID: 8601041
Adding mannitol + albumin to CPB prime dramatically reduced positive fluid balance during/after surgery (strong perioperative fluid-balance impact).
- [Addition of ethanol to the distension medium in surgical hysteroscopy as screening to prevent "fluid overload". A prospective randomized comparative study of ablative versus non-ablative surgical hysteroscopy and different ethanol concentration]
PubMed ID: 8991843
Shows fluid absorption during procedures caused hyponatraemia and hemodynamic changes â clear demonstration of how fluid/electrolyte shifts affect balance (high relevance, adverse example).
- Oral sodium phosphate versus sulfate-free polyethylene glycol electrolyte lavage solution in outpatient preparation for colonoscopy: a prospective comparison
PubMed ID: 8903817
Well-powered study showing significant serum electrolyte shifts (âphosphate, âK+, âionized Ca) after sodium-phosphate prepâdirect evidence of effects on body-fluid electrolytes.
- Bowel preparation for colonoscopy: a randomized prospective trail comparing sodium phosphate and polyethylene glycol in a predominantly elderly population
PubMed ID: 8672752
In mostly elderly patients, sodium phosphate produced hyperphosphatemia and lower potassium vs PEGâdirect electrolyte balance data.
- Ritodrine- and terbutaline-induced hypokalemia in preterm labor: mechanisms and consequences
PubMed ID: 9186877
Shows large, rapid drug-induced hypokalemia with beta-agonistsâclear demonstration that interventions can rapidly alter body electrolytes.
- Mechanical bowel preparation for elective colorectal surgery. A prospective, randomized, surgeon-blinded trial comparing sodium phosphate and polyethylene glycol-based oral lavage solutions
PubMed ID: 9152189
Shows small but measurable decreases in serum calcium after both preps; relevant to serum electrolyte balance.
- [Intestinal lavage solution for orthograde intestinal irrigation]
PubMed ID: 9173664
Found no significant changes in serum Na+, K+ or phosphate after lavage with different formulasâevidence that some electrolyte-containing regimens maintain balance.
- Effects of distilled water and mixture of sorbitol-mannitol irrigation fluids on fluid-electrolyte balance in patients undergoing transurethral prostatectomy
PubMed ID: 9413765
Sorbitolâmannitol irrigation produced a greater fall in serum sodium vs distilled waterâdirect electrolyte perturbation during fluid use.
- Comparison of chlorthalidone, propranolol and bopindolol in six-month treatment of arterial hypertension
PubMed ID: 9675624
Chlorthalidone caused a measurable drop in serum potassium over 6 monthsâclear clinical electrolyte effect.
- Bowel preparation for colonoscopy: comparison of mannitol and sodium phosphate. Results of a prospective randomized study
PubMed ID: 10881066
Sodium-phosphate prep produced measurable, significant changes in serum electrolytesâdirect relevance to fluid/electrolyte balance.
- Evaluation of the potential interaction between NaCl and prostaglandin inhibition in elderly individuals with isolated systolic hypertension
PubMed ID: 10466476
Controlled dietary salt raised serum sodium and blood pressureâstrong evidence that electrolyte intake affects fluid balance.
- Long term efficacy, safety, and tolerabilitity of low daily doses of isosmotic polyethylene glycol electrolyte balanced solution (PMF-100) in the treatment of functional chronic constipation
PubMed ID: 10716682
PEGâelectrolyte solution maintained safety and produced sustained improvements in constipation without adverse electrolyte signals over 6 months, relevant to maintaining balanced body fluids.
- Prospective randomized trial comparing bowel cleaning preparations for colonoscopy
PubMed ID: 10961748
Oral sodium phosphate improved cleansing and tolerance (n=300) but, as an electrolyte salt prep, is relevant to body-fluid/electrolyte considerations (moderate relevance).
- A novel tableted purgative for colonoscopic preparation: efficacy and safety comparisons with Colyte and Fleet Phospho-Soda
PubMed ID: 10968848
Sodium phosphate tablets produced measurable biochemical electrolyte changes (hypocalcemia, hypokalemia, hyperphosphatemia) in many patients (n=305), directly demonstrating effects on body fluid/electrolyte balance.
- Mannitolum infusion on cirrhotic patients with tense ascites treated by paracentesis
PubMed ID: 11775204
After large-volume paracentesis, IV mannitol vs albumin showed no significant differences in electrolytes at 24â48 h, indicating comparable maintenance of fluid/electrolyte balance in that clinical context.
- [Preparation for colonoscopy: A comparison between 3 commercially available Golytely solutions]
PubMed ID: 11558059
PEG-electrolyte solutions are a common electrolyte-containing fluid regimen; useful evidence about tolerability/electrolyte content.
- [Prospective randomized single-blind trial comparing oral sodium phosphate with polyethylene glycol for colonoscopy preparation]
PubMed ID: 11275616
Oral sodium phosphate produced measurable serum electrolyte shifts (âK+, âNa+, âphosphate), directly impacting fluid/electrolyte balance.
- The effect of stimulant laxatives and polyethylene glycol-electrolyte lavage solution for colonoscopy preparation on serum electrolytes and hemodynamics
PubMed ID: 11246353
Showed small but significant serum magnesium differences with different PEG regimensârelevant to mineral balance.
- The effect of mannitol infusion on the response to diuretic therapy in cirrhotic patients with ascites
PubMed ID: 12394229
Mannitol altered urine output and sodium excretion in cirrhosis, demonstrating clinically relevant shifts in body-fluid handling.
- Dose response of PEG 3350 for the treatment of childhood fecal impaction
PubMed ID: 12219064
PEG3350 effectively treated disimpaction without clinically significant electrolyte changesârelevant to hydration/electrolyte safety.
- [Renal protection during surgical procedures on the infrarenal aorta]
PubMed ID: 12395437
Perioperative renal-protection protocol changed urinary output during surgery (meaningful effects on short-term fluid balance).
- Myocardial preservation using Celsior solution in cardiac transplantation: early results and 5-year follow-up of a multicenter prospective study of 70 cardiac transplantations
PubMed ID: 12022539
Celsior is an extracellular (electrolyte-based) preservation solution; outcomes show its composition supports myocardial preservation and fluid/electrolyte stability in transplanted hearts.
- [The effect of triamcinolone acetonide, montelukast, nedocromil sodium, formoterol on levels levels of sICAM-1, sIL-2R in serum and clinical course of asthma in children]
PubMed ID: 11995262
Glycerol pre-loading increased fluid retention and plasma volumeâstrong evidence for improving hydration in athletes.
- Rapid nongenomic effects of aldosterone on human forearm vasculature
PubMed ID: 12860833
Aldosterone infusion caused rapid changes in local blood flow and vascular reactivityâdirect mechanistic relevance to electrolyte-hormone control of fluid balance.
- [Effects of equiosmolar load of 20% mannitol, 7.5% saline and 0.9% saline on plasma osmolarity, haemodynamics and plasma concentrations of electrolytes]
PubMed ID: 12738015
Human IV fluid study showing isotonic vs hypertonic fluids rapidly alter plasma osmolarity and sodiumâdirect, strong evidence about hydration effects of electrolyte solutions.
- A vasopressin receptor antagonist (VPA-985) improves serum sodium concentration in patients with hyponatremia: a multicenter, randomized, placebo-controlled trial
PubMed ID: 12500203
V2-receptor antagonist produced dose-related increases in free water clearance and raised serum sodium in hyponatremic patientsâdirect effect on fluid/electrolyte balance.
- Bowel preparation for colonoscopy in very old patients: a randomized prospective trial comparing oral sodium phosphate and polyethylene glycol electrolyte lavage solution
PubMed ID: 12678340
Sodium-phosphate bowel prep caused small but significant increases in sodium and decreases in potassium in elderly patientsâdemonstrates electrolyte shifts from preparations.
- A prospective randomized trial comparing low-dose oral sodium phosphate plus stimulant laxatives with large volume polyethylene glycol solution for colon cleansing
PubMed ID: 15555005
Low-volume sodium-phosphate prep caused transient hyperphosphatemia in a subset of patientsâevidence of electrolyte disturbance from prep agents.
- [The use of composite sodium lactate and sorbitol composition in fluid resuscitation for shock in patients with major burn]
PubMed ID: 16383032
Sodium-lactate/sorbitol resuscitation produced greater urine output and avoided extra electrolyte/insulin needs in burn resuscitationâstrong evidence for effective fluid/electrolyte resuscitation.
- Efficiency of 7.2% hypertonic saline hydroxyethyl starch 200/0.5 versus mannitol 15% in the treatment of increased intracranial pressure in neurosurgical patients - a randomized clinical trial [ISRCTN62699180]
PubMed ID: 16277715
Hypertonic saline produced clear increases in serum sodium and osmolarity (direct demonstration of altering body fluid balance).
- Brain dysfunction in uremia: a question of cortical hyperexcitability?
PubMed ID: 15908270
Changes in plasma osmolarity during dialysis correlated with cortical excitability; mannitol prevented osmolarity drop â links osmolarity/electrolytes to physiologic state.
- Polyethylene glycol versus sodium phosphate in bowel cleansing for colonoscopy: a randomized trial
PubMed ID: 15933926
Oral sodiumâphosphate prep caused significant hypokalemia and hyperphosphatemia compared with PEG â strong evidence of electrolyte imbalance risk.
- A randomized prospective trial comparing different regimens of oral sodium phosphate and polyethylene glycol-based lavage solution in the preparation of patients for colonoscopy
PubMed ID: 16996347
Large RCT showing frequent (5â57%) electrolyte abnormalities after NaP regimens â highâquality evidence of impact on bodyâfluid electrolytes.
- Is blinding the endoscopists to bowel preparations in randomized-controlled trials a reality?
PubMed ID: 17113722
Oral sodiumâphosphate easier to take and similarly effective for colonoscopy prepâsupports use of oral electrolyte agents when tolerated.
- The timing of bowel preparation before colonoscopy determines the quality of cleansing, and is a significant factor contributing to the detection of flat lesions: a randomized study
PubMed ID: 17036388
Sameâday bowel prep (including electrolyte regimens) improved cleansing and detectionâpractical benefit for everyday procedural prep.
- A prospective study to assess the efficacy and patient tolerance of three bowel preparations for colonoscopy
PubMed ID: 16974167
Three common bowel preps (including PEG/electrolyte) gave similar cleansing/toleranceâsupports multiple safe electrolyteâcontaining regimen choices.
- A multicenter clinical study of the safety and activity of maleimide-polyethylene glycol-modified Hemoglobin (Hemospan) in patients undergoing major orthopedic surgery
PubMed ID: 17122578
Trial compared Hemospan vs Ringer's acetate (an electrolyte fluid) and found fewer hypotension events with Hemospan vs Ringer's acetateâdemonstrates clinical effects of electrolyte IV fluids on hemodynamics/hydration.
- Comparison of reduced volume versus four-liter electrolyte lavage solutions for colon cleansing
PubMed ID: 17058733
Demonstrates a practical, lowâvolume electrolyte solution that patients complete more reliably while maintaining effective bowel cleansingâstrong evidence for tolerable electrolyte formulation use.
- Phosphate salt bowel preparation regimens alter perioperative acid-base and electrolyte balance
PubMed ID: 16434755
Preoperative phosphateâsalt prep produced lower calcium, lower pH and higher phosphorus vs PEGâstrong direct evidence of electrolyte/acidâbase effects.
- Treatment of faecal impaction with polyethelene glycol plus electrolytes (PGE + E) followed by a double-blind comparison of PEG + E versus lactulose as maintenance therapy
PubMed ID: 16819379
PEG+electrolytes successfully treated pediatric fecal impaction and prevented recurrenceâdirect clinical evidence supporting routine use of an electrolyteâcontaining oral regimen in children for GI indications.
- Randomized clinical trial of bowel preparation with a single phosphate enema or polyethylene glycol before elective colorectal surgery
PubMed ID: 16491463
Phosphate enema associated with more anastomotic leaksâimportant clinical safety signal plausibly related to local/systemic effects of electrolyte prep.
- A prospective randomized blinded comparison of sodium phosphate and polyethylene glycol-electrolyte solution for safe bowel cleansing
PubMed ID: 16441475
Randomized study showing sodiumâphosphate bowel prep commonly caused marked hyperphosphataemia and some hypocalcaemia/hypokalaemia; direct, highâquality evidence about electrolyte/acidâbase disturbance.
- Comparison of transurethral resection and plasmakinetic transurethral resection applications with regard to fluid absorption amounts in benign prostate hyperplasia
PubMed ID: 16888420
Study directly measured absorption of irrigation fluids (saline vs glycine) and reported differences in fluid absorption â relevant to fluid/electrolyte balance.
- Effect of equiosmolar solutions of mannitol versus hypertonic saline on intraoperative brain relaxation and electrolyte balance
PubMed ID: 18073543
Hypertonic saline vs mannitol produced clear changes in CSF sodium and osmolality â strong physiologic evidence of electrolyte effects on body fluid compartments.
- An open-label study of chronic polyethylene glycol laxative use in chronic constipation
PubMed ID: 17311603
12-month PEG-3350 use showed no clinically significant electrolyte changes, supporting electrolyte/balance safety.
- Comparison of three solutions for total gut irrigation in pediatric patients
PubMed ID: 17394002
Pediatric study comparing PEG, Ringer's lactate and saline highlighted safe, well-tolerated simple salt solutionsârelevant to routine hydration practices.
- Comparison of colon-cleansing methods in preparation for colonoscopy--comparative efficacy of solutions of mannitol, sodium picosulfate and monobasic and dibasic sodium phosphates
PubMed ID: 18516457
Direct measurement: bowel preps (NaP, mannitol, picosulfate) altered serum electrolytes â strong direct relevance to fluid/electrolyte balance.
- SodiumPhosphate (NaP) versus polyethylene glycol-electrolyte lavage solution (PEG-ELS) tolerability: a prospective randomized study in patients with gynecological malignancy
PubMed ID: 18459553
Sodium phosphate prep superior tolerability/completion vs PEGâELS in surgical patients â directly relevant to realâworld electrolyte prep use and hydration considerations.
- A randomized, controlled, double-blind trial of the adjunct use of tegaserod in whole-dose or split-dose polyethylene glycol electrolyte solution for colonoscopy preparation
PubMed ID: 18511049
PEGâelectrolyte bowel prep study â directly evaluates electrolyteâcontaining hydration regimen and demonstrates clinical tolerability/efficacy differences.
- A randomised controlled trial of a new 2 litre polyethylene glycol solution versus sodium picosulphate + magnesium citrate solution for bowel cleansing prior to colonoscopy
PubMed ID: 18179734
2 L PEG+ascorbate (containing electrolytes) improved segmental colon cleansing â relevant to electrolyteâbased prep formulations used clinically.
- Comparison of standard polyethylene glycol and two doses of oral sodium phosphate solution in precolonoscopy bowel preparation: a randomized controlled trial
PubMed ID: 18396744
Twoâdose oral sodium phosphate (electrolyte solution) improved completion and reduced nausea vs PEG â directly evaluates an electrolyteâbased regimen with hydration/volume implications.
- Randomized trial of low-volume PEG solution versus standard PEG + electrolytes for bowel cleansing before colonoscopy
PubMed ID: 18190651
Lowâvolume PEG+ascorbate (with electrolytes) produced acceptable cleansing and was better tolerated â demonstrates electrolyteâcontaining products used in practice.
- Postprandial changes in small bowel water content in healthy subjects and patients with irritable bowel syndrome
PubMed ID: 19909743
Smallâbowel water content work describes fluid handling in the gut â mechanistic insight important for everyday hydration understanding.
- Pico-Salax versus polyethylene glycol for bowel cleanout before colonoscopy in children: a randomized controlled trial
PubMed ID: 19967619
PicoâSalax trial in children explicitly measured serum electrolytes (hypermagnesemia/hypokalemia patterns) â directly demonstrates effects on body fluids/electrolytes.
- Clinical trial: the efficacy and safety of routine bowel cleansing agents for elective colonoscopy in persons with spinal cord injury - a randomized prospective single-blind study
PubMed ID: 19769634
In spinal-cordâinjured patients, sodium-phosphate regimens caused transient electrolyte changes when hydratedârelevant to balance in vulnerable groups.
- Comparison of polyethylene glycol with and without electrolytes in the treatment of constipation in elderly institutionalized patients: a randomized, double-blind, parallel-group study
PubMed ID: 19685935
Hypotonic PEG lowered plasma sodium modestlyâdemonstrates formulation can shift body fluids/electrolytes.
- Comparison of two sodium phosphate tablet-based regimens and a polyethylene glycol regimen for colon cleansing prior to colonoscopy: a randomized prospective pilot study
PubMed ID: 19475410
Sodium-phosphate tablets increased serum phosphate to abnormal levelsâimportant for body-fluid/electrolyte balance considerations.
- [Bowel preparation with sodium phosphate versus polyethylene glycol: a prospective, randomized, controlled clinical trial]
PubMed ID: 19296257
Oral sodium phosphate caused transient hyperphosphatemia, hypernatremia and electrolyte shiftsâdirectly documents effects on body fluid electrolytes (safety signal).
- Comparative study on two colonic bowel preparations for patients with chronic constipation
PubMed ID: 19005996
Sodium phosphate produced transient hyperphosphatemia in some constipated patientsâclear impact on body electrolyte balance (adverse/transient).
- Bowel preparation: comparing metabolic and electrolyte changes when using sodium phosphate/polyethylene glycol
PubMed ID: 20457286
Randomized study showing sodiumâphosphate bowel prep produced substantially larger electrolyte/metabolic changes and early renal effects vs PEG â strong evidence of electrolyte/fluid balance impact (risk).
- A randomized controlled trial of four precolonoscopy bowel cleansing regimens
PubMed ID: 22175055
Large RCT documenting increased hypokalemia incidence with sodium-phosphate prepâdirect evidence that specific electrolyte solutions markedly affect body-fluid electrolyte balance.
- PillCam colon capsule endoscopy: a prospective, randomized trial comparing two regimens of preparation
PubMed ID: 20463587
Replacing NaP boosters with PEG markedly changed capsule excretion/transitâstrong evidence that electrolyte booster choice materially alters physiological handling and fluid/electrolyte balance.
- Celsior versus University of Wisconsin preserving solutions for liver transplantation: postreperfusion syndrome and outcome of a 5-year prospective randomized controlled study
PubMed ID: 21487851
Randomized transplant RCT: different preservation solutions (electrolyte compositions) significantly affected peri-reperfusion K/Mg and postreperfusion syndromeâdirect and strong evidence that solution electrolyte composition influences systemic electrolyte balance.
- Efficacy and tolerability of split-dose PEG compared with split-dose aqueous sodium phosphate for outpatient colonoscopy: a randomized, controlled trial
PubMed ID: 21656179
Prospective RCT quantified acute, clinically significant serum electrolyte (K, Ca, phosphate) changes after sodium phosphate vs PEG â direct data on fluid/electrolyte balance.
- A validated bowel-preparation tolerability questionnaire and assessment of three commonly used bowel-cleansing agents
PubMed ID: 23095990
Large tolerability study highlighted electrolyteârisk concerns with some osmotic preps, indicating relevance to fluid/electrolyte safety.
- Colonoscopy preparation: polyethylene glycol with Gatorade is as safe and efficacious as four liters of polyethylene glycol with balanced electrolytes
PubMed ID: 22711499
PEG mixed with Gatorade produced similar serum electrolytes to standard PEGâELS â shows a common sports drink can substitute while preserving electrolytes.
- A prospective study of bowel preparation for colonoscopy with polyethylene glycol-electrolyte solution versus sodium phosphate in Lynch syndrome: a randomized trial
PubMed ID: 22359099
Randomized trial comparing PEGâelectrolyte with NaP and reporting segmental cleansing and tolerability; PEGâelectrolyte is directly relevant to maintaining electrolyte balance.
- A nutrient-wide association study on blood pressure
PubMed ID: 23093587
Large nutrient-wide analysis found urinary sodium-to-potassium ratio strongly associated with blood pressure, supporting the physiological importance of Na/K balance in fluid regulation.
- Intraoperative continuous norepinephrine infusion combined with restrictive deferred hydration significantly reduces the need for blood transfusion in patients undergoing open radical cystectomy: results of a prospective randomised trial
PubMed ID: 24012203
Use of Ringer's (electrolyte solution) in a restrictive intraop hydration strategy demonstrates clinical impact on hemodynamics and fluid balance.
- Safety, patient's tolerance, and efficacy of a 2-liter vitamin C-enriched macrogol bowel preparation: a randomized, endoscopist-blinded prospective comparison with a 4-liter macrogol solution
PubMed ID: 23838870
2âL PEGâelectrolyte formulation with vitamin C was better accepted with no unsafe lab changes â supports tolerable electrolyte preparation for routine needs.
- Randomised clinical trial: macrogol/PEG 3350+electrolytes versus prucalopride in the treatment of chronic constipation -- a comparison in a controlled environment
PubMed ID: 23480216
PEG 3350 + electrolytes RCT demonstrates an electrolyteâcontaining product that preserves lab safety and improves bowel outcomes â supports role in maintaining fluid/electrolyte balance.
- Can mosapride citrate reduce the volume of lavage solution for colonoscopy preparation?
PubMed ID: 23430381
Reducedâvolume PEGâelectrolyte preserved prep adequacy while improving compliance â suggests practicality of electrolyte solutions for routine use.
- Lactulose vs polyethylene glycol 3350--electrolyte solution for treatment of overt hepatic encephalopathy: the HELP randomized clinical trial
PubMed ID: 25243839
PEG-electrolyte dose in hepatic encephalopathy produced a measurable decrease in serum K â demonstrates that electrolyte-containing lavage affects serum electrolytes.
- Randomised clinical trial: Polyethylene glycol 3350 with sports drink vs. polyethylene glycol with electrolyte solution as purgatives for colonoscopy--the incidence of hyponatraemia
PubMed ID: 25066025
PEG mixed with sports drink caused slightly greater (but small) drops in Na/K/Cl and a higher (though uncommon) hyponatraemia rate â clear evidence of electrolyte shifts with prep formulations.
- Randomized controlled trial of sodium phosphate tablets vs polyethylene glycol solution for colonoscopy bowel cleansing
PubMed ID: 25400471
Sodium-phosphate tablets vs PEG had similar cleansing but different electrolyte formulation â important for electrolyte balance considerations and patient acceptability.
- Split-dose vs same-day reduced-volume polyethylene glycol electrolyte lavage solution for morning colonoscopy
PubMed ID: 25339836
Split-dose PEG-electrolyte regimen reduced nausea/vomiting and had higher completion â better tolerability may preserve fluid intake and hydration during prep.
- Comparison of the efficacy and safety of sodium phosphate tablets and polyethylene glycol solution for bowel cleansing in healthy Korean adults
PubMed ID: 25323890
Sodium-phosphate tablets produced marked transient electrolyte changes (âphosphate, âK+/Ca2+) â strong direct evidence that specific electrolyte preps alter body-fluid electrolyte balance.
- Transesophageal echocardiographic evaluation of left ventricular systolic and diastolic function in response to 20% mannitol and 3% hypertonic saline infusion in neurosurgical patients undergoing craniotomy
PubMed ID: 24642828
IV 3% hypertonic saline produced transient fluid and diastolic parameter effects vs mannitol â relevant to fluid therapy and rehydration strategies (IV electrolyte solution), though not an oral electrolyte supplement study.
- Effect of priming solution and ultrafiltration on post-operative bleeding and blood transfusion in cardiac surgery. Randomized controlled trial
PubMed ID: 25048999
Ringer's-based priming and ultrafiltration led to much less positive fluid balance in cardiac surgeryâevidence of controlled fluid management.
- [POSSIBILITY OF CORRECTION OF METABOLIC DISORDERS WITH REAMBERIN IN ACUTE PERIOD OF TRAUMATIC INJURY]
PubMed ID: 27025136
Reamberin infusion associated with lower chloride and normalization of acidâbase status vs saline/Ringer'sâstrong evidence for balancing electrolytes in acute care.
- Phosphate tablets or polyethylene glycol for preparation to colonoscopy? A multicentre non-inferiority randomized controlled trial
PubMed ID: 27864718
Sodium phosphate tablets are an electrolyte salt used clinically; study shows practical tolerability and effectiveness (relevant to electrolyte handling).
- Phase II Randomized Controlled Trial of Combined Oral laxatives Medication for BOwel PREParation (COMBO-PREP study)
PubMed ID: 26886637
Shows large, clinically meaningful effects when using electrolyte-containing bowel-prep regimens (split-dose) â direct electrolyte application.
- Mechanical colon cleansing for screening colonoscopy: A randomized controlled trial
PubMed ID: 29160622
Comparison of NaP and PEG showed electrolyte prep options with differing efficacy/tolerability, directly relevant to electrolyte products in practice.
- The impact of phosphate-balanced crystalloid infusion on acid-base homeostasis (PALANCE study): study protocol for a randomized controlled trial
PubMed ID: 28693594
Explicit focus on phosphate-balanced crystalloid and maintaining acidâbase and phosphateâdirect electrolyte/hydration relevance (protocol).
- Split-dose bowel cleansing with picosulphate is safe and better tolerated than 2-l polyethylene glycol solution
PubMed ID: 29642094
Direct measurements showed bowelâprep (sodium picosulphate/magnesium citrate) caused measurable electrolyte changes including hyponatraemia/hypermagnesaemia â directly relevant to fluid/electrolyte balance (safety signal).
- The use of mannitol in cardiopulmonary bypass prime solution-Prospective randomized double-blind clinical trial
PubMed ID: 31287556
Adding mannitol to CPB prime caused a short-term drop in serum sodium and altered urine outputâdirect electrolyte/fluid-balance effect.
- A Comparison of Hypertonic Saline and Mannitol on Intraoperative Brain Relaxation in Patients with Raised Intracranial Pressure during Supratentorial Tumors Resection: A Randomized Control Trial
PubMed ID: 32129263
Hypertonic saline increased serum sodium transiently and produced more stable blood pressure vs mannitolâclear fluid/electrolyte balance effects.
- Comparison of 1.0 g/kg of 20% mannitol initiated at different time points and effects on brain relaxation in patients with midline shift undergoing supratentorial tumor resection: a randomized controlled trial
PubMed ID: 34359042
Timing of IV mannitol affected serum osmolalityâclear effect on body fluid distribution.
- Prospective single-blinded single-center randomized controlled trial of Prep Kit-C and Moviprep: Does underlying inflammatory bowel disease impact tolerability and efficacy?
PubMed ID: 33776375
Prep KitâC caused a small but significant serum magnesium riseâmeasured electrolyte alteration.
- Glucosuric, renal and haemodynamic effects of licogliflozin, a dual inhibitor of sodium-glucose co-transporter-1 and sodium-glucose co-transporter-2, in patients with chronic kidney disease: A randomized trial
PubMed ID: 33512754
Licogliflozin markedly altered urinary electrolytes and activated RAASâdirect mechanistic electrolyte/fluid findings.
- Efficacy and safety of oral sulfate solution for bowel preparation in Japanese patients undergoing colonoscopy: Noninferiority-based, randomized, controlled study
PubMed ID: 33476415
OSS (sulfate electrolytes) nonâinferior to PEGâASC with acceptable safetyâpractical electrolyteâcontaining formulation evidence for hydration.
- Evaluation of equiosmolar 20% mannitol, 3% hypertonic saline and 8.4% sodium bicarbonate on intraoperative brain relaxation and hemodynamic parameters in patients undergoing craniotomy for supratentorial tumors: a prospective randomized study
PubMed ID: 34612617
Equiosmolar sodium bicarbonate produced distinct serum sodium and osmolarity changesâclear study of fluid/electrolyte balance.
- Efficacy of Two Regimens for Colon Cleansing Using Polyethylene Glycol 4000: A Randomized Open Label Trial
PubMed ID: 34047716
Pediatric PEGâelectrolyte regimens showed stable electrolytesâsupports the idea that electrolyteâcontaining oral regimens can maintain balance.
- Noninferiority clinical trial comparing the bowel cleansing efficacy of sodium phosphate tablets (Quiklean(ÂŽ)) with a polyethylene glycol/bisacodyl kit
PubMed ID: 33584074
Large trial documented substantial transient increases in phosphorus and decreases in potassium after sodiumâphosphate tabletsâdirect electrolyte balance data.
- A Safety and Efficacy Comparison of a New Sulfate-Based Tablet Bowel Preparation Versus a PEG and Ascorbate Comparator in Adult Subjects Undergoing Colonoscopy
PubMed ID: 33165006
Oral sulfate/electrolyte tablet caused serum magnesium elevations in a substantial subsetâdirect electrolyte change.
- Efficacy, safety and tolerability of oral sulphate tablet for bowel preparation in patients with inflammatory bowel disease: A multicentre randomized controlled study
PubMed ID: 35689818
Oral sulfate (electrolyte) tablet prep gave excellent cleansing with no major lab (including electrolyte) abnormalities and better patient satisfaction â supports safety with fluid/electrolyte use.
- Evaluation of the efficacy of 1 L polyethylene glycol plus ascorbic acid and an oral sodium sulfate solution: A multi-center, prospective randomized controlled trial
PubMed ID: 36107563
1âL PEG/ascorbate produced small but statistically significant increases in serum K+ and Clâ and creatinine (within ranges) â direct measured effects on body electrolytes/fluid markers.
- Comparison of 2 L Polyethylene Glycol Plus Ascorbic Acid and 4 L Polyethylene Glycol in Elderly Patients Aged 60-79: A Prospective Randomized Study
PubMed ID: 35048226
2âL PEG+ascorbate provided similar cleansing to 4âL PEG with lower total fluid volume and better tolerability â implies improved practical hydration/tolerability.
- Comparison of the efficacy and safety of an oral sulfate solution and 3-L polyethylene glycol on bowel preparation before colonoscopy: a phase III multicenter randomized controlled trial
PubMed ID: 37422241
Oral sulfate solution (electrolyte prep) nonâinferior to 3âL PEG for cleansing with similar acceptability â supports safe, tolerable electrolyte/fluid use.
- Preoperative mechanical bowel preparation using conventional versus hyperosmolar polyethylene glycol-electrolyte lavage solution before laparoscopic resection for colorectal cancer (TLUMP test): a phase III, multicenter randomized controlled non-inferiority trial
PubMed ID: 37462794
Ascorbic acidâenriched PEGâelectrolyte gave equivalent bowel cleansing with lower required fluid volume (less drinking burden), supporting easier fluid intake/hydration adherence.
- Efficacy and safety of oral sodium sulfate tablet compared with 1-L polyethylene glycol plus ascorbate: a prospective, randomized, endoscopist-blinded trial
PubMed ID: 37655723
Oral sodium sulfate tablet provided nonâinferior cleansing with substantially less nausea and better tolerability than 1âL PEG+ascorbate â easier fluid/electrolyte intake experience.
- Oral Sulfate Solution Is as Effective as Polyethylene Glycol with Ascorbic Acid in a Split Method for Bowel Preparation in Patients with Inactive Ulcerative Colitis: A Randomized, Multicenter, and Single-Blind Clinical Trial
PubMed ID: 36588527
In inactive ulcerative colitis patients, oral sulfate solution cleaned as well as 2âL PEG+ascorbate with no meaningful electrolyte disturbances (serum chloride remained within normal range) â supports electrolyte/fluid safety.
- Efficacy and safety of 1 L polyethylene glycol plus ascorbic acid for bowel preparation in elderly: comparison with oral sulfate solution
PubMed ID: 37482653
In older adults, 1âL PEG/Asc and OSS were equally effective and safe with comparable lab safety/tolerability â evidence for preserved fluid/electrolyte balance in elderly.
- Efficacy of Oral Sulfate Tablet and 2 L-Polyethylene Glycol With Ascorbic Acid for Bowel Preparation: A Prospective Randomized KASID Multicenter Trial
PubMed ID: 39688329
Oral sulfate (electrolyte) tablets maintain electrolyte-containing fluid intake for colon prep and showed good tolerability.
- Traditional vs. modified Ringer lactate-based del Nido cardioplegia impacts on clinical outcomes in patients undergoing coronary artery bypass grafting: Results from a prospective, randomized, blinded trial
PubMed ID: 39718017
Choice of cardioplegia carrier (lactated Ringerâs vs PlasmaâLyte) produced measurable differences in electrolytes/markers, indicating clinically relevant electrolyte effects.
- Efficacy, tolerability, and safety of oral sulfate tablet versus 2 L-polyethylene glycol/ascorbate for bowel preparation in older patients: prospective, multicenter, investigator single-blinded, randomized study
PubMed ID: 38492010
Oral sulfate tablet regimen in older adults provided good cleansing with acceptable tolerabilityârelevant to delivering electrolytes during prep.
- The direct and urinary electrolyte-mediated effects of ambient temperature on population blood pressure: A causal mediation analysis
PubMed ID: 39705978
Large repeatedâmeasures study quantified small electrolyte (urine sodium/potassium) mediation of bloodâpressure changes â evidence of electrolyte contribution to physiologic fluid balance.
- A randomized, controlled trial of oral sulfate solution versus polyethylene glycol for bowel preparation for colonoscopy
PubMed ID: 40269724
Oral sulfate electrolyte solution is an electrolyteâcontaining fluid with demonstrated favorable fluid/bowel outcomes and likely preserves intravascular volume better than some PEG regimens.
- Bicarbonate-buffered solution versus Plasma-LyteTM in orthotopic adult liver transplantation: a pilot open-label, randomized, non-inferiority trial
PubMed ID: 39962926
Bicarbonateâbuffered IV solution performed biochemically noninferior to PlasmaâLyte in perioperative acidâbase/electrolyte metrics â direct evidence about balanced IV electrolytes.
- Comparison of utilizing a hypertonic saline solution and mannitol to improve brain relaxation during craniotomy in patients with brain tumours: a prospective randomized controlled trial
PubMed ID: 40846709
Hypertonic saline rapidly increased serum Na+ and reduced diuresis in craniotomy patients â shows effectiveness of concentrated sodium solutions for rapid volume/electrolyte changes in clinical settings.
- The efficacy and safety of diluted oral phosphate enema versus intravenous sodium glycerophosphate in the treatment of hypophosphatemia in intensive care unit patients - A non-inferiority trial
PubMed ID: 41242387
Direct electrolyte repletion trial (phosphate) showing higher normalization rates after oral treatment â directly addresses restoring electrolyte balance.
- A randomized trial modeling the effects of solutions with low to moderate glycerol and sodium concentrations on fluid balance in healthy, active adults
PubMed ID: 41138915
Crossover trial showed small glycerol and/or sodium concentrations improved postâingestion fluid retention versus placebo â direct, high-relevance evidence for hydration.
- Natural sodium sesquicarbonate fed for an entire lactation: influence on performance and acid-base status of dairy cows
PubMed ID: 7836599
Sodium sesquicarbonate feeding changed cow blood bicarbonate/CO2 measures â animal evidence for systemic acid-base/electrolyte modulation.
- Effectiveness and tolerability of a standardized extract from Hibiscus sabdariffa in patients with mild to moderate hypertension: a controlled and randomized clinical trial
PubMed ID: 15330492
Hibiscus infusion produced natriuresis comparable to captoprilâevidence of altered sodium excretion (electrolyte handling).
- Clinical effects produced by a standardized herbal medicinal product of Hibiscus sabdariffa on patients with hypertension. A randomized, double-blind, lisinopril-controlled clinical trial
PubMed ID: 17315307
Hibiscus extract trial produced BP reductions and a measurable rise in serum chlorideâdirect effects on electrolytes and fluid regulation.
- Double-blind, randomized evaluation of clinical efficacy and tolerability of an apple pectin-chamomile extract in children with unspecific diarrhea
PubMed ID: 16889120
Diarrhea RCT used oral rehydration (electrolyte solutions) in standard care; shortening diarrhea supports effective clinical rehydration context.
- Raised intracranial pressure, the syndrome of inappropriate antidiuretic hormone secretion, and arginine vasopressin in tuberculous meningitis
PubMed ID: 8481936
SIADH associated with hyponatraemia/hypo-osmolalityâdirect fluid/electrolyte imbalance data.
- Enhanced renal production of cyclic GMP and reduced free water clearance during sodium nitroprusside infusion in healthy man
PubMed ID: 8393795
Sodiumânitroprusside infusion altered water vs sodium handling and hormones controlling salt/water.
- A randomised, clinical study of the effect of low-dose dopamine on central and renal haemodynamics in infrarenal aortic surgery
PubMed ID: 7633974
Perioperative lowâdose dopamine increased urine output and natriuresisâfluid balance effect.
- Oropharyngeal regulation of water balance in polydipsic schizophrenics
PubMed ID: 8706290
Polydipsic hyponatraemia demonstrates disturbed sodium/osmolality regulation.
- Randomized trial of two levels of fluid input in the perinatal period--effect on fluid balance, electrolyte and metabolic disturbances in ventilated VLBW infants
PubMed ID: 10709897
RCT in VLBW infants: fluid reduction produced clear, clinically measured changes in urine osmolality and outputâdirectly about fluid/electrolyte balance.
- Vasopressin V2-receptor blockade with tolvaptan in patients with chronic heart failure: results from a double-blind, randomized trial
PubMed ID: 12742979
Large RCT: tolvaptan produced consistent effects on water balance and corrected hyponatremiaâdirect evidence of altering body fluid/electrolyte balance.
- The role of urine osmolality and ions in the pathogenesis of primary enuresis nocturna and in the prediction of responses to desmopressin and conditioning therapies
PubMed ID: 16362593
Children with nocturnal enuresis showed altered night/day urine osmolality and electrolyte excretionâdemonstrates clinical electrolyte/fluid imbalance patterns.
- Efficacy and safety of oral conivaptan: a V1A/V2 vasopressin receptor antagonist, assessed in a randomized, placebo-controlled trial in patients with euvolemic or hypervolemic hyponatremia
PubMed ID: 16522696
Conivaptan produced clinically meaningful correction of hyponatremia and raised serum sodium â direct balancing of body fluids.
- Aquaretic effect of lixivaptan, an oral, non-peptide, selective V2 receptor vasopressin antagonist, in New York Heart Association functional class II and III chronic heart failure patients
PubMed ID: 16630999
Lixivaptan caused dose-related urine changes and increased serum sodium â clear impact on fluid/electrolyte balance.
- Efficacy and safety of the vasopressin V1A/V2-receptor antagonist conivaptan in acute decompensated heart failure: a dose-ranging pilot study
PubMed ID: 18926434
Conivaptan increased urine output in acute heart failure, demonstrating aquaretic effects on fluid balance (clinical outcome benefits limited).
- Low dose oral desmopressin for nocturnal polyuria in patients with benign prostatic hyperplasia: a double-blind, placebo controlled, randomized study
PubMed ID: 21074790
Lowâdose desmopressin reduced nocturnal urine outputâdirect, clinically meaningful effect on water retention (but hyponatremia risk).
- Oral lixivaptan effectively increases serum sodium concentrations in outpatients with euvolemic hyponatremia
PubMed ID: 22932122
Directly increased/normalized serum sodium in hyponatremic patients â strong evidence for restoring electrolyte/fluid balance.
- Effects of anionic salts supplementation on blood pH and mineral status, energy metabolism, reproduction and production in transition dairy cows
PubMed ID: 20153494
Strong animal clinical outcomes showing dietary electrolyte (DCAD) markedly changes urine pH and serum calcium â demonstrates control of body fluid/electrolyte balance.
- Effects of different liquid therapies on brain water content, intracranial pressure, and expressions of aquaporin-4 and N-methyl-D-aspartate receptor-1 in cerebral tissue
PubMed ID: 23134831
Different IV fluid electrolyte contents changed intracranial water and related proteins â fluid composition alters body water distribution.
- Bicarbonate ringer's solution could improve the intraoperative acid-base equilibrium and reduce hepatocellular enzyme levels after deceased donor liver transplantation: a randomized controlled study
PubMed ID: 38114893
Direct randomized evidence that a balanced electrolyte solution improves acidâbase balance and physiologic markers versus an alternative crystalloid.
- Lime-based supplement reduces calcium oxalate stone recurrence: A multicenter randomized controlled trial
PubMed ID: 41348736
Large RCT: limeâbased citrate markedly reduced stone recurrence and altered urinary inflammation and protein markers â strong evidence of altering urinary solute balance and fluid/mineral handling.
- Efficacy and safety of two treatment combinations of hypertension in very elderly patients
PubMed ID: 18457886
HCTZ combination produced a measurable serum K+ drop (â0.4 mmol/L) and uric acid rise â direct clinical evidence of drugs altering electrolyte balance.
- Genetic factors associated with elevation of uric acid after treatment with thiazide-like diuretic in patients with essential hypertension
PubMed ID: 31748705
Indapamide lowered serum potassium and altered renal markers â clear evidence of impacts on body electrolyte homeostasis.
- An evaluation of isotonic "sport drinks" during labor
PubMed ID: 11812708
Drinking isotonic sports fluid during labor prevented ketosis and maintained glucose without increased gastric volume â supports effective hydration/metabolic maintenance.
- Salt and water retention and calcium blockade in uremia
PubMed ID: 2364508
Antihypertensive response correlated with interdialytic salt/water gain (electrolyte-linked volume) and arterial stiffness â links salt/volume to clinical physiology.
- Hypophosphataemia after renal transplantation: relationship to immunosuppressive drug therapy and effects on muscle detected by 31P nuclear magnetic resonance spectroscopy
PubMed ID: 2109286
Steroid-containing immunosuppressive regimens associated with lower plasma phosphate and reduced intracellular muscle phosphate â important electrolyte disturbance evidence.
- 1,25-Dihydroxyvitamin D3 stimulation test and the effect of a prostaglandin synthesis inhibitor (piroxicam) in young adults
PubMed ID: 1823383
Calcitriol administration raised serum and urinary calcium and lowered PTH â expected, direct mineral/electrolyte effects.
- A randomized double-blind study of gallium nitrate compared with etidronate for acute control of cancer-related hypercalcemia
PubMed ID: 1906532
Gallium nitrate vs etidronate markedly altered serum calcium and phosphate in hypercalcemia of malignancy â demonstrates strong electrolyte modulation.
- Calcium acetate versus calcium carbonate as phosphate binders in hemodialysis patients
PubMed ID: 1584317
Randomized hemodialysis trial showing calciumâacetate vs carbonate effects on serum phosphate and calcium â directly about systemic electrolyte balance.
- Prevention of hyperparathyroidism in patients on maintenance dialysis by intravenous 1-alpha-hydroxyvitamin D3 in association with Mg(OH)2 as sole phosphate binder. A randomized comparative study with the association CaCO3 +/- Mg(OH)2
PubMed ID: 1552999
IV vitamin D plus Mg(OH)2 affected PTH and caused electrolyte disturbances limiting therapy â shows how interventions shift balance.
- Factors affecting chronic renal failure progression: results from a multicentre trial. The Northern Italian Cooperative Study Group
PubMed ID: 1465079
Observational data linking CaâPO4 product to renal progression â electrolyte balance as an important systemic variable.
- Sodium supplementation in very low birth weight infants fed on their own mothers milk: II. Effects on protein and bone metabolism
PubMed ID: 1298620
Randomized sodium supplementation in very low birth weight infants produced clear biochemical and growth effects â strong evidence sodium affects body fluid/electrolyte status.
- Effects of a short course of oral phosphate treatment on serum parathyroid hormone(1-84) and biochemical markers of bone turnover: a dose-response study
PubMed ID: 1422972
Oral phosphate produced dose-dependent biochemical changes (urinary phosphate, PTH, osteocalcin) â direct evidence of altering mineral/electrolyte balance.
- Growth and bone mineral status of discharged very low birth weight infants fed different formulas or human milk
PubMed ID: 8355124
High-calcium formula in preterm infants increased bone mineral density and altered biochemical markers â direct effect of calcium intake on mineral balance.
- Bone mineralization and plasma concentrations of electrolytes in healthy subjects after exposure to hypokinesia and hyperhydration
PubMed ID: 8475628
Randomized intervention giving daily fluid and salt markedly changed plasma electrolytes and is direct evidence that fluid+salt improves hydration-related markers.
- A longitudinal study of total and regional bone mineral content and biochemical markers of bone resorption in patients with idiopathic hypercalciuria on thiazide treatment
PubMed ID: 8164614
Thiazide therapy reduced urinary calcium and increased bone mass over a year â shows manipulation of electrolyte handling (calcium) influences body balance and stores.
- Safety of low-dose intraoperative bicarbonate therapy: a prospective, double-blind, randomized study. The Study of Perioperative Ischemia (SPI) Research Group
PubMed ID: 8386997
IV bicarbonate promptly corrected acidâbase and bicarbonate deficits in surgical patients â demonstrates rapid biochemical correction by IV electrolyte therapy.
- Slow-release sodium fluoride in the management of postmenopausal osteoporosis. A randomized controlled trial
PubMed ID: 8135445
Long trial of fluoride plus calcium citrate increased bone mass and affected urinary calcium â demonstrates chronic electrolyte (calcium) supplementation effects on body mineral balance.
- Calcium acetate versus calcium carbonate as phosphate-binding agents in chronic haemodialysis
PubMed ID: 7800211
Calcium acetate vs carbonate in dialysis produced clear changes in serum phosphate, CaĂPO4 and PTHâdirect effects on mineral/electrolyte balance.
- Comparative effects of a Mg-enriched diet and different orally administered magnesium oxide preparations on ionized Mg, Mg metabolism and electrolytes in serum of human volunteers
PubMed ID: 7836622
High-magnesium diets raised ionized Mg2+ and urinary Mgâdemonstrates modifiable electrolyte balance.
- [Prevention of renal calculosis: efficacy of Fiuggi water cure. Research Group on Renal Calculosis]
PubMed ID: 7812305
Large outpatient study: drinking >1.5 L oligomineral water meaningfully improved urine concentrations and pHâdirect evidence of improved hydration/mineral balance.
- Low dialysate calcium in continuous ambulatory peritoneal dialysis: a randomized controlled multicenter trial. The Peritoneal Dialysis Multicenter Study Group
PubMed ID: 7872324
Changing dialysate calcium concentration meaningfully altered hypercalcemia episodes and oral calcium needsâdirect control of body calcium balance.
- Low-dose calcitriol prevents the rise in 1,84-iPTH without affecting serum calcium and phosphate in patients with moderate renal failure (prospective placebo-controlled multicentre trial)
PubMed ID: 8808216
Low-dose calcitriol prevented PTH rise without altering serum Ca/phosphateâdemonstrates hormonal control maintaining electrolyte balance.
- Phosphate-loading test influences on endurance-trained volunteers during restriction of muscular activity and chronic hyperhydration
PubMed ID: 7626373
Explicit hyperhydration protocol altered plasma/urine phosphate and demonstrates how added fluid + electrolytes affects hydration status.
- Aluminum hydroxide, calcium carbonate and calcium acetate in chronic intermittent hemodialysis patients
PubMed ID: 8846523
Comparison of calcium binders in dialysis showed equivalent phosphate control but different hypercalcaemia riskâdirect to fluid/mineral balance.
- A randomized trial comparing 1.25 mmol/l calcium dialysate to 1.75 mmol/l calcium dialysate in CAPD patients
PubMed ID: 8649658
Altering dialysate calcium produced predictable shifts in serum calcium/PTH and required compensatory dosingâstrong evidence of controllable fluid/electrolyte balance.
- Effect of calcium supplementation as a high-calcium mineral water on bone loss in early postmenopausal women
PubMed ID: 8781044
High-calcium mineral water produced sustained calcium intake effects; mineral waters can be practical daily electrolyte sources.
- Long-term dialysis with low-calcium solution (1.0 mmol/L) in CAPD: effects on bone mineral metabolism. Collaborators of the Multicenter Study Group
PubMed ID: 8761540
Altering dialysate calcium produced predictable shifts in serum Ca and PTH, demonstrating how electrolyte prescription affects whole-body balance.
- Functional magnesium deficiency in critically ill patients identified using a magnesium-loading test
PubMed ID: 9187591
Magnesium loading demonstrates predictable correction of Mg status and urinary handling that underpin everyday electrolyte/hydration support.
- Poly[allylamine hydrochloride] (RenaGel): a noncalcemic phosphate binder for the treatment of hyperphosphatemia in chronic renal failure
PubMed ID: 9002531
RenaGel markedly lowered serum phosphorus in dialysis patientsâclear effect on a major electrolyte/mineral parameter.
- Blood pressure and metabolic responses to moderate sodium restriction in isradipine-treated hypertensive patients
PubMed ID: 9008250
Altering sodium intake produced large changes in urinary sodium and modest BP changeâdirect evidence that sodium intake affects body fluid/electrolyte balance.
- The alterations in insulin sensitivity during angiotensin converting enzyme inhibitor treatment are related to changes in the calcium/magnesium balance
PubMed ID: 9037321
Serum magnesium and Ca/Mg balance changes during ACE inhibitor therapy associated with metabolic outcomesâsupports importance of mineral balance.
- Bone histomorphometric changes in trained subjects during prolonged restriction of muscular activity and chronic hyperhydration
PubMed ID: 9478065
Direct randomized supply of extra fluid and salt prevented dehydrationârelated changesâstrong evidence for improving hydration.
- Randomized long-term evaluation of bicarbonate-buffered CAPD solution
PubMed ID: 9844152
Bicarbonateâbuffered peritoneal dialysis corrected acidosis and plasma bicarbonateâdirect and clinically relevant fluid/electrolyte correction.
- The influence of South African mineral water on reduction of risk of calcium oxalate kidney stone formation
PubMed ID: 9594989
Ca/Mgârich mineral water produced favorable urinary/electrolyte changes and is directly relevant to maintaining hydration/mineral balance.
- Modification of intracellular calcium and plasma renin by dietary calcium in men
PubMed ID: 10619585
Oral calcium supplementation changed intracellular calcium, raised PRA and altered PTH/1,25-(OH)2Dâshows systemic mineral/electrolyte regulation.
- Hextend, a physiologically balanced plasma expander for large volume use in major surgery: a randomized phase III clinical trial. Hextend Study Group
PubMed ID: 10320157
Randomized trial shows a balanced-electrolyte/plasma expander better preserved physiologic status than hetastarch in major surgeryâstrong evidence that balanced electrolyte solutions improve hydration/volume status.
- Comparative effects of potassium chloride and bicarbonate on thiazide-induced reduction in urinary calcium excretion
PubMed ID: 10916098
Potassium bicarbonate produced meaningful changes in net acid excretion and urinary calcium â direct electrolyte intervention affecting overall fluid/electrolyte balance.
- Comparison of treatments for mild secondary hyperparathyroidism in hemodialysis patients. Durham Renal Osteodystrophy Study Group
PubMed ID: 10620210
Calcium and calcitriol regimens changed serum calcium and phosphate and lowered PTH in dialysis patients â relevant to mineral/electrolyte balance.
- [Prevention of vitamin D deficiency in adolescents and pre-adolescents. An interventional multicenter study on the biological effect of repeated doses of 100,000 IU of vitamin D3]
PubMed ID: 10701059
Highâdose vitamin D prevented winter rises in PTH, thereby influencing calcium homeostasis (indirect electrolyte balance effect).
- Does it make a difference how and when you take your calcium? The acute effects of calcium on calcium and bone metabolism
PubMed ID: 11522557
Clear dose-dependent increases in ionized calcium and suppression of PTH after oral calcium loads â directly changes key electrolyte/hormonal balance.
- Loop diuretics alter the diurnal rhythm of endogenous parathyroid hormone secretion. A randomized-controlled study on the effects of loop- and thiazide-diuretics on the diurnal rhythms of calcitropic hormones and biochemical bone markers in postmenopausal women
PubMed ID: 11589718
Loop diuretics markedly raised PTH and altered renal calcium handling â important iatrogenic electrolyte imbalance evidence.
- Influence of the angiotensin II receptor antagonist losartan on diuretic-induced metabolic effects in elderly hypertensive patients: comparison with a calcium channel blocker
PubMed ID: 11680666
Shows pharmacologic strategy (losartan) preserves serum potassium when used with diuretics â relevant to maintaining electrolyte balance.
- Intermittent hemodiafiltration in acute renal failure in critically ill patients
PubMed ID: 11680663
Comparison of dialysis modalities measuring calcium/phosphate control â relevant to maintaining balanced electrolytes in clinical care.
- Management of Lithuanian children's acute diarrhoea with Gastrolit solution and dioctahedral smectite
PubMed ID: 11943957
ORS + adjunct shortened diarrhoea duration and maintained electrolytesâdirect evidence supporting faster rehydration in diarrhoeal illness.
- Postprandial metabolic responses to milk enriched with milk calcium are different from responses to milk enriched with calcium carbonate
PubMed ID: 12737020
Acute changes in serum Ca/P and PTH after different calcium supplements â short-term mineral balance implications.
- Randomized, double-blind, placebo-controlled, dose-titration, phase III study assessing the efficacy and tolerability of lanthanum carbonate: a new phosphate binder for the treatment of hyperphosphatemia
PubMed ID: 12830461
Lanthanum markedly reduced serum phosphorus and CaĂP product in ESRD â relevant to mineral/electrolyte balance in fluid-compromised patients.
- Determinants of salt sensitivity in black and white normotensive and hypertensive women
PubMed ID: 14610097
Large human study linking intracellular Na/Ca and salt-sensitivity of BP â supports sodiumâs central role in body-fluid regulation.
- A multicenter study on the effects of lanthanum carbonate (Fosrenol) and calcium carbonate on renal bone disease in dialysis patients
PubMed ID: 12753271
Randomized trial showed lanthanum caused less hypercalcemia than calcium carbonate â important for maintaining balanced minerals in dialysis.
- Electrolytic disturbances and colonoscopy: bowel lavage solutions, age and procedure
PubMed ID: 14972007
Prospective data that bowel prep/procedure commonly causes hyponatremia/hypokalemia â strong evidence electrolytes affect hydration in clinical settings.
- Reduction of adverse citrate reactions during autologous large-volume PBPC apheresis by continuous infusion of calcium-gluconate
PubMed ID: 14617323
Continuous IV calcium during apheresis reduced citrate-related hypocalcemic symptoms â practical electrolyte support to maintain tolerance and effective circulating minerals.
- Dose-effect relations of loop- and thiazide-diuretics on calcium homeostasis: a randomized, double-blinded Latin-square multiple cross-over study in postmenopausal osteopenic women
PubMed ID: 12492451
Well-controlled pharmacologic study showing how loop vs thiazide diuretics differentially change urinary Ca and hormones â clear effects on fluid/mineral homeostasis.
- Mineral water fortified with folic acid, vitamins B6, B12, D and calcium improves folate status and decreases plasma homocysteine concentration in men and women
PubMed ID: 14749760
Randomized trial showed added calcium in fortified mineral water was bioavailableâsupports the idea that drinking mineralized water can contribute to daily mineral/electrolyte intake.
- Mineral water intake reduces blood pressure among subjects with low urinary magnesium and calcium levels
PubMed ID: 15571635
Mineralârich water increased urinary Mg and reduced BP in lowâMg peopleâevidence that routine drinking water can meaningfully change electrolyte status.
- Calcium-enriched bread for treatment of uremic hyperphosphatemia
PubMed ID: 15232793
Calciumâenriched bread lowered predialysis phosphate in hemodialysis patientsâdietary mineral intervention with effects on mineral/electrolyte parameters.
- Long-term persistence of the urine calcium-lowering effect of potassium bicarbonate in postmenopausal women
PubMed ID: 15572425
Large, long randomized trial showing doseâdependent reductions in urinary calcium with potassium bicarbonateâdirect, durable effect on mineral/electrolyte balance.
- The effect of diet education on the laboratory values and knowledge of hemodialysis patients with hyperphosphatemia
PubMed ID: 14740329
Diet education in dialysis patients produced significant reductions in serum phosphorusâshows dietary handling of minerals affects biochemical balance.
- Biological effects of drinking-water mineral composition on calcium balance and bone remodeling markers
PubMed ID: 15359356
Randomized crossover trial: bicarbonateârich water increased ionized Ca, lowered PTH and bone resorption markersâdemonstrates systemic electrolyte/mineral effects from drinking water.
- Serum electrolyte, serum protein, serum fat and renal responses to a dietary sodium challenge: allostasis and allostatic load
PubMed ID: 15513697
Switching to very high salt produced statistically significant serum sodium increases and other electrolyte shifts â directly shows dietary electrolyte impact on fluid/electrolyte balance.
- Intravenous calcitriol for treatment of hyperparathyroidism in children on hemodialysis
PubMed ID: 15785941
IV calcitriol in dialysis patients caused major changes in PTH and calcium handling (with hypercalcemia risk) â clear, clinically important effect on body mineral/electrolyte balance.
- Efficacy, tolerability, and safety of lanthanum carbonate in hyperphosphatemia: a 6-month, randomized, comparative trial versus calcium carbonate
PubMed ID: 15809508
Lanthanum vs calcium binder trial showed similar phosphate control with far less hypercalcemia â directly relevant to maintaining electrolyte balance safely.
- Consumption of a high calcium mineral water lowers biochemical indices of bone remodeling in postmenopausal women with low calcium intake
PubMed ID: 15744450
Drinking high-calcium mineral water lowered PTH and bone-turnover markers in randomized trial â direct evidence that dietary mineral water alters systemic mineral/electrolyte balance.
- Effect of MCI-196 (colestilan) as a phosphate binder on hyperphosphataemia in aemodialysis patients: a double-blind, placebo-controlled, short-term trial
PubMed ID: 15673691
Short-term randomized trial showed a phosphateâbinding drug lowered serum phosphorus and CaĂPâdirect effect on mineral/electrolyte balance.
- Lanthanum carbonate (Fosrenol) efficacy and tolerability in the treatment of hyperphosphatemic patients with end-stage renal disease
PubMed ID: 15960148
Randomized trial in dialysis patients showed large, clinically meaningful reductions in serum phosphate with lanthanumâdirect evidence of altering and controlling an important electrolyte (phosphate).
- Sevelamer hydrochloride and calcium bicarbonate reduce serum fibroblast growth factor 23 levels in dialysis patients
PubMed ID: 16076378
Addition of sevelamer to CaCO3 reduced serum phosphate and lowered FGF23âevidence of modulating phosphate homeostasis.
- Control of serum phosphate by oral lanthanum carbonate in patients undergoing haemodialysis and continuous ambulatory peritoneal dialysis in a short-term, placebo-controlled study
PubMed ID: 15703206
Lanthanum controlled serum phosphate vs placebo in dialysis patients (clinically relevant control rates)âsupports managing electrolyte balance in CKD context.
- Regulation of C-terminal and intact FGF-23 by dietary phosphate in men and women
PubMed ID: 16869716
Dietary phosphate produced dose-dependent changes in FGFâ23 and phosphate handling â a direct regulator of systemic phosphate/electrolyte homeostasis.
- The effects of saline or albumin resuscitation on acid-base status and serum electrolytes
PubMed ID: 16971855
Randomized ICU study of large-volume resuscitation showing fluid type and volume effects on serum electrolytes â directly applicable to rehydration in illness.
- Hydrochlorothiazide efficacy and polymorphisms in ACE, ADD1 and GNB3 in healthy, male volunteers
PubMed ID: 16450155
Genotypes markedly influenced thiazide-induced K+ loss and Ca2+ retention â directly informative about factors that change electrolyte distribution and body-fluid composition.
- Sevelamer hydrochloride versus aluminum hydroxide: effect on serum phosphorus and lipids in CAPD patients
PubMed ID: 16722024
CAPD patients: sevelamer and aluminum hydroxide produced clear changes in serum phosphate; directly relevant to systemic electrolyte (phosphate) balance.
- Lanthanum carbonate versus standard therapy for the treatment of hyperphosphatemia: safety and efficacy in chronic maintenance hemodialysis patients
PubMed ID: 16550750
Large randomized dialysis trial: lanthanum controlled phosphate and reduced hypercalcemia â strong evidence for altering mineral/electrolyte balance.
- Short-term treatment with sevelamer increases serum fetuin-a concentration and improves endothelial dysfunction in chronic kidney disease stage 4 patients
PubMed ID: 18057307
Sevelamer vs calcium acetate in CKD: improved fetuinâA and endothelial function and altered CaĂPO4 â clinically relevant electrolyte management in kidney disease.
- Magnesium carbonate is an effective phosphate binder for chronic hemodialysis patients: a pilot study
PubMed ID: 17971314
Magnesium carbonate as a phosphate binder affected mineral balance and reduced calcium load vs calcium acetateâdirect mineral/electrolyte intervention in patients.
- Fortified mineral water improves folate status and decreases plasma homocysteine concentration in pregnant women
PubMed ID: 17302515
Fortified mineral water trial in pregnant women demonstrates a real-world electrolyte/mineral-containing beverage that improved micronutrient statusâdirect human beverage-based hydration evidence.
- Preventive effect of mildly altering dietary cation-anion difference on milk fever in dairy cows
PubMed ID: 17339764
Dietary anion manipulation before calving raised prepartum serum calcium and reduced hypocalcemia incidenceâdemonstrates strong electrolyte-balance effect (animal model).
- Prospective randomized cross-over long-term comparison of online haemodiafiltration and ultrapure high-flux haemodialysis
PubMed ID: 17363355
Randomized comparison showed online haemodiafiltration removed more phosphate and urea than haemodialysisâclear impact on body electrolyte/mineral handling in ESRD patients.
- High-calcium mineral water as a calcium supplementing measure for post-thyroidectomy hypocalcemia
PubMed ID: 18277375
High-calcium mineral water raised/maintained ionized blood calcium in thyroidectomized patients â direct effect on circulating electrolyte levels.
- Treatment with potassium bicarbonate lowers calcium excretion and bone resorption in older men and women
PubMed ID: 18940881
Potassium bicarbonate supplementation reduced urinary calcium loss and bone resorption markers â demonstrates systemic effect of an electrolyte/alkali on mineral balance.
- Effects of three years of low-dose thiazides on mineral metabolism in healthy elderly persons
PubMed ID: 18425402
Low-dose hydrochlorothiazide altered urinary calcium transiently and raised serum bicarbonate chronically â demonstrates drug-induced electrolyte/acidâbase shifts.
- Magnesium carbonate for phosphate control in patients on hemodialysis. A randomized controlled trial
PubMed ID: 18193489
Magnesium carbonate in dialysis patients controlled phosphate while lowering serum calcium and increasing serum magnesium â relevant to overall electrolyte balance.
- Alkaline mineral water lowers bone resorption even in calcium sufficiency: alkaline mineral water and bone metabolism
PubMed ID: 18926940
Alkaline bicarbonate-rich water lowered PTH and a bone-resorption marker and raised urinary pH â shows mineral water can alter acidâbase/electrolyte balance.
- Disordered mineral metabolism in hemodialysis patients: an analysis of cumulative effects in the Hemodialysis (HEMO) Study
PubMed ID: 18657891
Large hemodialysis cohort showing serum phosphorus, calcium and CaĂP product strongly predict mortality â underscores the clinical importance of maintaining balanced electrolytes.
- More dietetic time, better outcome? A randomized prospective study investigating the effect of more dietetic time on phosphate control in end-stage kidney failure haemodialysis patients
PubMed ID: 18663331
Dietitian intervention temporarily improved phosphate control in dialysis patients â a practical intervention to balance electrolytes in a clinical population.
- Evaluation of a phosphate management protocol to achieve optimum serum phosphate levels in hemodialysis patients
PubMed ID: 18940656
Pharmacist/dietitianâdriven phosphate management significantly reduced serum phosphate vs standard care â strong evidence for improved electrolyte balance.
- Effects of a low-salt diet on idiopathic hypercalciuria in calcium-oxalate stone formers: a 3-mo randomized controlled trial
PubMed ID: 20042524
Dietary sodium restriction produced large, clinically relevant reductions in urinary sodium and calcium â direct electrolyte/fluid balance evidence.
- Compound ion salt, a novel low-sodium salt substitute: from animal study to community-based population trial
PubMed ID: 19661926
Large RCT demonstrates that altering dietary sodium with a compound salt substantially changes urinary sodium and BPâ directly relevant to daily hydration strategies.
- Cinacalcet treatment of primary hyperparathyroidism: biochemical and bone densitometric outcomes in a five-year study
PubMed ID: 19837909
Longâterm cinacalcet normalized serum calcium and PTHâdirectly affects mineral/electrolyte balance.
- The effects of a low-sodium base-producing diet including red meat compared with a high-carbohydrate, low-fat diet on bone turnover markers in women aged 45-75 years
PubMed ID: 19445819
Controlled diet study showed large, statistically significant reductions in urinary sodium and urinary calcium with a lowâsodium DASH dietâdirect evidence that sodium intake alters body fluid/electrolyte balance.
- Iron-magnesium hydroxycarbonate (fermagate): a novel non-calcium-containing phosphate binder for the treatment of hyperphosphatemia in chronic hemodialysis patients
PubMed ID: 19158369
In hemodialysis patients, fermagate lowered serum phosphate and raised serum magnesiumâdirect human evidence of altering key electrolytes/minerals and thus body fluid mineral balance.
- The genetics of loop diuretic effects
PubMed ID: 20877298
Human study showing genetic variants strongly modify sodium, potassium and calcium excretion after loop diureticsâdirectly informs body-fluid / electrolyte balance.
- Fibroblast growth factor 23 in hemodialysis patients: effects of phosphate binder, calcitriol and calcium concentration in the dialysate
PubMed ID: 20689328
Randomized dialysis-treatment choices produced clear effects on phosphate/calcium measures and FGF23âdirect systemic mineral/electrolyte impact.
- The effect of nocturnal and conventional hemodialysis on markers of nutritional status: results from a randomized trial
PubMed ID: 20650654
Nocturnal hemodialysis maintained serum K/Ca/P and allowed greater intakeâdirectly relevant to ongoing hydration/electrolyte maintenance in patients.
- Effect of short-term low-protein diet supplemented with keto acids on hyperphosphatemia in maintenance hemodialysis patients
PubMed ID: 21135547
Low-protein diet + ketoacids significantly reduced serum phosphorus and CaĂP productâdirect change in systemic mineral/electrolyte status.
- Hemostatic and electrolyte effects of hydroxyethyl starches in patients undergoing posterior lumbar interbody fusion using pedicle screws and cages
PubMed ID: 20072091
Comparison of colloid fluids showed electrolyte composition influenced postoperative electrolyte balanceârelevant to rehydration/hydration quality.
- Enhanced feeding in very-low-birth-weight infants may cause electrolyte disturbances and septicemia--a randomized, controlled trial
PubMed ID: 23043722
Very-low-birth-weight infant feeding RCT produced clinically significant hypophosphatemia/hypokalemia and altered calciumâclear evidence of electrolyte balance impact.
- Management of nutritional rickets in Indian children: a randomized controlled trial
PubMed ID: 23104564
Children with rickets healed best with calcium+vitamin Dâsupports importance of calcium (an electrolyte) in mineral homeostasis and recovery.
- Oral resveratrol and calcium fructoborate supplementation in subjects with stable angina pectoris: effects on lipid profiles, inflammation markers, and quality of life
PubMed ID: 23153742
Calcium fructoborate affected inflammatory and cardiac biomarkers in angina patientsâcontains calcium and influences markers tied to mineral status.
- Responsiveness of FGF-23 and mineral metabolism to altered dietary phosphate intake in chronic kidney disease (CKD): results of a randomized trial
PubMed ID: 23024219
Randomized dietary phosphate manipulation changed FGF-23 and phosphate handling in CKD and controlsâstrong evidence diet rapidly alters mineral homeostasis.
- Randomized crossover study of the efficacy and safety of sevelamer hydrochloride and lanthanum carbonate in Japanese patients undergoing hemodialysis
PubMed ID: 22817122
Crossover in dialysis patients comparing binders showed comparable phosphate control and different side-effect profilesâdirectly relevant to phosphate/calcium balance.
- Comparative effects of low-carbohydrate high-protein versus low-fat diets on the kidney
PubMed ID: 22653255
Large dietary RCT showed substantial increases in urinary calcium excretion with low-carb/high-protein dietârelevant to mineral/electrolyte balance.
- Nutritional education for the management of osteodystrophy (nemo) in patients on haemodialysis: a randomised controlled trial
PubMed ID: 23176599
Dietary counselling in HD patients reduced serum phosphorus â direct effect on electrolyte homeostasis.
- Mortality in kidney disease patients treated with phosphate binders: a randomized study
PubMed ID: 22241819
Sevelamer vs Ca carbonate altered outcomes in CKD via phosphate binding â important for phosphate balance.
- Effects of phosphate binders in moderate CKD
PubMed ID: 22822075
Phosphate binders lowered serum phosphorus and urinary P but changed vascular calcification â clear electrolyte impact.
- Effect of intradialytic aerobic exercise on serum electrolytes levels in hemodialysis patients
PubMed ID: 22388610
Intradialytic aerobic exercise produced rapid reductions in serum phosphate and potassium.
- Association of blood pressure and metabolic syndrome components with magnesium levels in drinking water in some Serbian municipalities
PubMed ID: 22361711
Area exposure to higher drinking-water Mg raised serum Mg and associated physiologic differences â supports electrolyte exposure relevance.
- Efficacy and tolerability of intravenous paricalcitol in calcitriol-resistant hemodialysis patients with secondary hyperparathyroidism: 12-month prospective study
PubMed ID: 22251408
Paricalcitol produced large iPTH reductions and affected mineral parameters in dialysis patients.
- Comparison of electrolytic status (Na+, K+, Ca2+, Mg2+) in preterm and term deliveries
PubMed ID: 23444748
Human observational data documenting intracellular electrolyte perturbations â supports the centrality of electrolyte balance to body fluid homeostasis.
- Randomized controlled trial to compare the efficacy and safety of oral paricalcitol with oral calcitriol in dialysis patients with secondary hyperparathyroidism
PubMed ID: 23311404
Paricalcitol and calcitriol produced clinically meaningful reductions in iPTH and affected calciumârelevant to mineral/electrolyte regulation.
- Effects of paricalcitol on calcium and phosphate metabolism and markers of bone health in patients with diabetic nephropathy: results of the VITAL study
PubMed ID: 23787544
Paricalcitol produced clear, dose-dependent changes in serum calcium/phosphate and PTHâdirect evidence of altering systemic mineral/electrolyte homeostasis.
- Wu-Ling-San formula prophylaxis against recurrent calcium oxalate nephrolithiasis - a prospective randomized controlled trial
PubMed ID: 24311828
Herbal formula increased urine output (~+14%) without causing electrolyte disturbancesâdirectly relevant to body-fluid handling/hydration status.
- Effect of lanthanum carbonate on phosphate control in continuous ambulatory peritoneal dialysis patients in Korea: a randomized prospective study
PubMed ID: 23211335
Phosphate binders (lanthanum, calcium carbonate) produced substantial reductions in serum phosphate and CaĂP productâdirectly relevant to electrolyte/mineral balance.
- The effect of phosphate binders, calcium and lanthanum carbonate on FGF23 levels in chronic kidney disease patients
PubMed ID: 23391319
Lanthanum carbonate in CKD stage 4â5 reduced serum FGF23 and urinary phosphate â strong evidence of altering systemic phosphate/electrolyte handling.
- Sevelamer carbonate lowers serum phosphorus effectively in haemodialysis patients: a randomized, double-blind, placebo-controlled, dose-titration study
PubMed ID: 24151017
Sevelamer carbonate significantly lowered serum phosphate in hemodialysis patients â robust clinical evidence of modifying electrolyte (phosphate) balance.
- Lanthanum carbonate delays progression of coronary artery calcification compared with calcium-based phosphate binders in patients on hemodialysis: a pilot study
PubMed ID: 23615577
Switching phosphate binders (lanthanum vs calcium carbonate) slowed coronary calcification progression in dialysis patients â indicates meaningful longer-term effects on mineral metabolism.
- Effects of iron deficiency anemia and its treatment on fibroblast growth factor 23 and phosphate homeostasis in women
PubMed ID: 23505057
IV iron produced rapid, clinically significant changes in FGF23 and transient hypophosphatemia in humans â demonstrates how interventions can acutely disrupt phosphate/electrolyte homeostasis.
- Phoxilium vs Hemosol-B0 for continuous renal replacement therapy in acute kidney injury
PubMed ID: 23683569
CRRT fluid containing phosphate prevented hypophosphatemia but altered Ca/acidâbase â directly shows how replacement fluids affect intravascular electrolyte/hydration status.
- Efficacy and safety of SBR759, a novel calcium-free, iron (III)-based phosphate binder, versus placebo in chronic kidney disease stage V Japanese patients on maintenance renal replacement therapy
PubMed ID: 23670305
Oral phosphate binder produced doseâdependent lowering of serum phosphate â directly impacts systemic phosphate/electrolyte balance.
- Acute and 3-month effects of microcrystalline hydroxyapatite, calcium citrate and calcium carbonate on serum calcium and markers of bone turnover: a randomised controlled trial in postmenopausal women
PubMed ID: 25274192
Different oral calcium formulations produced distinct serum Ca and phosphate responses â relevant to systemic mineral/electrolyte balance.
- Randomized trial of the anti-FGF23 antibody KRN23 in X-linked hypophosphatemia
PubMed ID: 24569459
AntiâFGF23 antibody (KRN23) increased renal phosphate reabsorption and serum phosphate â directly changes phosphate homeostasis.
- A randomized multicenter trial of paricalcitol versus calcitriol for secondary hyperparathyroidism in stages 3-4 CKD
PubMed ID: 24970869
Paricalcitol vs calcitriol study shows both agents lower PTH with small Ca/P changes â relevant to systemic mineral/electrolyte homeostasis in CKD.
Digestive support (261)
- Hypotonic oral rehydration solution in acute diarrhoea: a controlled clinical trial
PubMed ID: 7780250
Hypotonic ORS reduced stool frequency and vomiting in acute diarrheaâdirectly supports smoother GI outcomes during rehydration.
- A randomized, prospective, comparison study of a mixture of acacia fiber, psyllium fiber, and fructose vs polyethylene glycol 3350 with electrolytes for the treatment of chronic functional constipation in childhood
PubMed ID: 22677568
PEG+electrolytes (PEG+E) improved constipation symptoms in children vs fiber â direct, clinically meaningful digestive benefit from an electrolyte-containing therapy.
- [Controlled clinical testing of an antidiarrheal]
PubMed ID: 16739360
Activated charcoal plus rehydration shortened diarrhea duration and frequency â relates to symptomatic gastrointestinal improvement alongside rehydration.
- Alanine- and glucose-based hypo-osmolar oral rehydration solution in infants with persistent diarrhoea: a controlled trial
PubMed ID: 7549296
Hypoâosmolar alanine+glucose ORS reduced stool output in infants â direct GI benefit and improved fluid absorption.
- Golytely preparation for colonoscopy: 1.5 liters is enough for outpatients
PubMed ID: 2209499
1.5 L PEGâelectrolyte solution provided effective cleansing with better tolerability vs 3 L â supports practical digestive use of electrolyte solutions.
- Colonic lavage solution (polyethylene glycol electrolyte lavage solution) as a treatment for chronic constipation: a double-blind, placebo-controlled study
PubMed ID: 2178398
Lowâdose PEGâelectrolyte lavage (daily) produced substantial increases in stool frequency and softer stools vs placebo â direct, strong evidence for improved bowel regularity/digestion.
- Comparison of a new sulfate-free polyethylene glycol electrolyte lavage solution versus a standard solution for colonoscopy cleansing
PubMed ID: 2365214
Large study of PEG lavage formulas showed similar cleansing and documented a small decrease in serum K with standard PEGâELS â relevant to digestive prep and electrolyte monitoring.
- [Bowel cleansing prior to colonoscopy. A prospective, randomized, blind comparative study]
PubMed ID: 2233588
Peroral (PEGâelectrolyte) lavage produced superior colon cleansing vs laxatives with only minor electrolyte change â supports digestive cleansing use of electrolyte solutions.
- Comparison of a new colon lavage solution (Iso-Giuliani) with a standard preparation for colonoscopy: a randomized study
PubMed ID: 2242740
Isoâosmotic PEGâelectrolyte solution gave superior bowel cleansing and better tolerance â directly relevant to digestive preparation and comfort.
- A randomized controlled trial of a new PEG-electrolyte solution compared with a standard preparation for colonoscopy
PubMed ID: 8358075
Flavoured PEGâelectrolyte lavage produced better cleansing and good tolerability â improved GI prep experience.
- Efficacy and tolerability of polyethylene glycol-electrolyte lavage solution with and without simethicone in the preparation of patients with inflammatory bowel disease for colonoscopy
PubMed ID: 8161673
Adding simethicone to PEGâelectrolyte lavage reduced bubbles and improved patient comfort (better tolerability of GI prep).
- A prospective randomized study with mineral oil and oral lavage solution for treatment of faecal impaction in children
PubMed ID: 8280820
PEGâelectrolyte lavage cleared faecal impaction more effectively than mineral oil â clinically meaningful GI effect.
- The use of GoLYTELY and Dulcolax in combination in outpatient colonoscopy
PubMed ID: 8409317
Adding bisacodyl to PEG-electrolyte improved colon cleansing â relevant to digestive prep and bowel clearance.
- A comparison of the effectiveness and patient tolerance of oral sodium phosphate, castor oil, and standard electrolyte lavage for colonoscopy or sigmoidoscopy preparation
PubMed ID: 8338088
Oral sodium phosphate cleaned colon better and had better patient acceptability vs PEG-electrolyte or castor oil.
- Prospective, randomized, endoscopic-blinded trial comparing precolonoscopy bowel cleansing methods
PubMed ID: 8026236
Large randomized trial: oral sodium phosphate produced superior colon cleansing â directly improves bowel prep/digestion-related procedures.
- Colonoscopic bowel preparations--which one? A blinded, prospective, randomized trial
PubMed ID: 7774469
Oral sodium phosphate bowel prep was better tolerated and completed more often than PEG-electrolyte (improves prep tolerability).
- Prospective, randomized trial comparing a new sodium phosphate-bisacodyl regimen with conventional PEG-ES lavage for outpatient colonoscopy preparation
PubMed ID: 7615228
Evening sodium phosphate + bisacodyl regimen cleans as well as PEG-ELS and was easier for patients (improves prep experience).
- Single-day, divided-dose oral sodium phosphate laxative versus intestinal lavage as preparation for colonoscopy: efficacy and patient tolerance
PubMed ID: 7498689
Sodium phosphate dosing the day before gave comparable cleansing but better tolerability than PEG-ELS (relevant to digestion/prep comfort).
- [Comparative study of the efficacy and tolerance of 2 types of colon cleansing]
PubMed ID: 8534533
PEGâelectrolyte solution produced better colon cleansing and tolerance versus senna/enemas (direct digestive/prep outcome).
- Small volume isosmotic polyethylene glycol electrolyte balanced solution (PMF-100) in treatment of chronic nonorganic constipation
PubMed ID: 8769292
PEGâelectrolyte solution (daily small-volume) significantly increased bowel frequency and shortened transit in chronic constipation (direct digestive benefit).
- [Polyethylene glycol versus sodium phosphate: comparison of 2 preparations for colonoscopy]
PubMed ID: 8679424
PEG lavage improved colonic cleansing/tolerability vs sodium phosphateâdirectly relevant to bowel prep/digestion.
- A prospective blinded randomized trial comparing oral sodium phosphate and polyethylene glycol solutions for bowel preparation prior to barium enema
PubMed ID: 9366542
Sodium phosphate gave comparable bowel cleansing to PEGârelevant to cleansing efficacy and digestion prep.
- Tolerance and efficacy of polyethylene glycol 3350/electrolyte solution versus lactulose in relieving opiate induced constipation: a double-blinded placebo-controlled trial
PubMed ID: 9505981
PEG-3350 with electrolytes significantly loosened stools and was better tolerated than lactulose for opioid-induced constipation.
- Comparison of two oral evacuants (Citromag and Golytely) for bowel preparation before barium enema
PubMed ID: 9404202
Golytely (PEG-electrolyte) cleaned bowel better and coated mucosa more evenlyâprocedural digestion relevance.
- Comparison of two bowel preparations for colonoscopy: sodium picosulphate with magnesium citrate versus sulphate-free polyethylene glycol lavage solution
PubMed ID: 9732929
Sodium picosulfate + magnesium citrate produced better bowel cleansing and tolerability vs PEGâEL (direct relevance to bowel emptying).
- Prospective, randomized, controlled comparison of the use of polyethylene glycol electrolyte lavage solution in four-liter versus two-liter volumes and pretreatment with either magnesium citrate or bisacodyl for colonoscopy preparation
PubMed ID: 9512283
Direct trial: PEG-electrolyte lavage regimens improved colon prep quality â strong relevance to bowel function.
- A randomized, prospective study to evaluate the efficacy and acceptance of three bowel preparations for colonoscopy in children
PubMed ID: 10606310
Pediatric comparison: PEG-based electrolyte lavage gave best cleansing (but worse tolerance) â relevant to digestion.
- Comparison of a low dose polyethylene glycol electrolyte solution with lactulose for treatment of chronic constipation
PubMed ID: 9895382
Randomized trial: low-dose PEG-3350 (electrolyte solution) improved stool frequency and reduced straining vs lactulose â high relevance.
- Oral sodium phosphate solution is a superior colonoscopy preparation to polyethylene glycol with bisacodyl
PubMed ID: 11089594
Oral sodium phosphate (an electrolyte salt) produced superior bowel cleansing and tolerability vs PEG+bisacodyl (n=323), directly relevant to improved bowel function/digestion.
- Long term efficacy, safety, and tolerabilitity of low daily doses of isosmotic polyethylene glycol electrolyte balanced solution (PMF-100) in the treatment of functional chronic constipation
PubMed ID: 10716682
PEGâelectrolyte solution produced sustained remission and higher bowel frequency vs placebo over months (n=70), strong evidence for improved regularity and smoother digestion.
- Prospective randomized trial comparing bowel cleaning preparations for colonoscopy
PubMed ID: 10961748
Large trial (n=300) showed oral sodium phosphate provided higher rates of good colon cleansing and better feasibility/tolerance versus alternatives, supporting digestive/bowel outcomes.
- A novel tableted purgative for colonoscopic preparation: efficacy and safety comparisons with Colyte and Fleet Phospho-Soda
PubMed ID: 10968848
Sodium phosphate tablets were as effective as liquid preps for colonoscopy (n=305) â supports bowel cleansing though also noted biochemical electrolyte changes.
- Efficacy and safety of sodium phosphate tablets compared with PEG solution in colon cleansing: two identically designed, randomized, controlled, parallel group, multicenter phase III trials
PubMed ID: 11726845
Multicenter study: sodium phosphate tablets yielded equivalent/better colon cleansing and higher patient preference vs PEG, relevant to bowel preparation/digestion.
- [Preparation for colonoscopy: A comparison between 3 commercially available Golytely solutions]
PubMed ID: 11558059
Three commercial PEG-electrolyte solutions were effective and acceptable for colonoscopy prepâdirectly relevant to GI cleansing/tolerability.
- Preoperative bowel preparation with meglumine and sodium diatrizoate (Gastrografin): a prospective randomised comparison
PubMed ID: 11841079
Gastrografin gave similar bowel cleansing to whole-gut irrigation with fewer GI symptomsâdirectly GI-related.
- [Tolerance to and colon cleansing with 2 preparations. Polyethylene glycol or sodium phosphate]
PubMed ID: 11219143
Oral sodium phosphate was better tolerated and produced slightly better bowel cleansing vs PEGâdirect digestion/GI prep relevance.
- Two liters of polyethylene glycol-electrolyte lavage solution versus sodium phosphate as bowel cleansing regimen for colonoscopy: a prospective randomized controlled trial
PubMed ID: 12170410
PEG-electrolyte lavage and oral sodium phosphate yielded comparable bowel cleansing (relevant to bowel prep/digestion).
- Dose response of PEG 3350 for the treatment of childhood fecal impaction
PubMed ID: 12219064
PEG3350 effectively cleared fecal impaction and greatly increased bowel movements in children (strong digestive benefit).
- Bowel cleansing methods prior to CT colonography
PubMed ID: 12100328
Sodium-phosphate prep produced better colon cleansing and less GI side effects than PEG for CT colonography (direct digestive relevance).
- Efficacy and safety of oral sodium phosphate versus polyethylene glycol solution for bowel preparation for colonoscopy
PubMed ID: 12546171
Oral sodium phosphate was better tolerated with comparable cleansing vs PEG (practical digestive outcome).
- Comparison of reduced volume versus four liters sulfate-free electrolyte lavage solutions for colonoscopy colon cleansing
PubMed ID: 14572566
Study of 2 L sulfate-free electrolyte lavage showing equivalent cleansing with better tolerabilityâdirect evidence for electrolyte solutions improving bowel prep/digestion tolerability.
- Bowel cleansing for diagnostic colonoscopy: which method is preferable? Istanbul experience
PubMed ID: 12750950
Twoâdose oral sodium phosphate regimen gave superior cleansingâshows an electrolyte-containing prep improves bowel clearance.
- A randomized single-blind trial of whole versus split-dose polyethylene glycol-electrolyte solution for colonoscopy preparation
PubMed ID: 12838218
Split-dose PEGâelectrolyte improved colon cleansing and complianceâdirect support for electrolyte-based bowel regimen improving digestive preparation and tolerance.
- Sodium phosphate is superior to polyethylene glycol in bowel cleansing and shortens the time it takes to visualize colon mucosa
PubMed ID: 14686724
Sodium phosphate produced better bowel cleansing than PEGâelectrolyteârelevant to digestive clearance using electrolyte solutions.
- Bowel preparation for colonoscopy in very old patients: a randomized prospective trial comparing oral sodium phosphate and polyethylene glycol electrolyte lavage solution
PubMed ID: 12678340
Sodium-phosphate bowel prep caused measurable electrolyte shifts but achieved similar cleansing qualityâpertinent to bowel prep effects on digestion.
- A randomized, blinded, prospective trial to compare the safety and efficacy of three bowel-cleansing solutions for colonoscopy (HSG-01*)
PubMed ID: 12664385
PEG-electrolyte bowel solution provided superior colon cleansing vs comparatorsâdirect procedural improvement in GI clearance.
- Randomized cross-over trial of polyethylene glycol electrolyte solution and water for colostomy irrigation
PubMed ID: 15486748
PEG-electrolyte solution for colostomy irrigation produced faster washout, fewer leaks, and higher satisfactionâstrong GI/management benefit.
- Bowel preparation for colonoscopy: a randomized controlled trial comparing polyethylene glycol solution, one dose and two doses of oral sodium phosphate solution
PubMed ID: 15140663
Two-dose oral sodium phosphate cleaned the bowel better than PEGârelevant to bowel prep / digestive tract clearing.
- A prospective randomized trial comparing low-dose oral sodium phosphate plus stimulant laxatives with large volume polyethylene glycol solution for colon cleansing
PubMed ID: 15555005
Low-volume sodium-phosphate regimen was better tolerated than 4 L PEG and had similar cleansing efficacyâdirect relevance to bowel preparation.
- PEG 3350 (Transipeg) versus lactulose in the treatment of childhood functional constipation: a double blind, randomised, controlled, multicentre trial
PubMed ID: 15479678
PEG 3350 with electrolytes outperformed lactulose for pediatric constipation with clear clinical benefit for digestion/regularity.
- Bowel preparation increases the diagnostic yield of capsule endoscopy: a prospective, randomized, controlled study
PubMed ID: 15472674
PEG/electrolyte small-bowel prep improved visualization and diagnostic yieldâdemonstrates improved small-bowel cleansing/function for procedures.
- [Colonic lavage prior to colonoscopy: comparable outcomes of two polyethylene-glycol preparations and a sodium-phosphate solution]
PubMed ID: 14974311
Comparative bowel-cleansing (PEG vs sodium-phosphate) studyâdirectly relevant to colonic cleansing/digestion tolerability.
- A prospective comparison of two regimes of bowel preparation for pediatric colorectal procedures: normal saline with added potassium vs. polyethylene glycol
PubMed ID: 14752676
Pediatric bowel irrigation comparing normal saline+K and PEG showed safe, effective evacuationârelevant to digestive clearance.
- Effect of polyethylene glycol electrolyte balanced solution on patients with acute colonic pseudo obstruction after resolution of colonic dilation: a prospective, randomised, placebo controlled trial
PubMed ID: 16306137
PEGâelectrolyte maintenance prevented relapse of colonic dilation and improved stool/flatus passageâstrong direct GI benefit.
- Double-blind randomized evaluation of clinical and biological tolerance of polyethylene glycol 4000 versus lactulose in constipated children
PubMed ID: 16254521
PEG 4000 improved constipation outcomes in children with good safety and no adverse electrolyte effectsâsupports improved bowel function.
- Prospective randomized comparison of oral sodium phosphate and polyethylene glycol lavage for colonoscopy preparation
PubMed ID: 16437721
Split-dose oral sodium-phosphate vs 4L PEG showed higher completion and similar cleansing in selected patientsâpertains to bowel prep/intestinal clearance.
- A randomized single-blind trial of split-dose PEG-electrolyte solution without dietary restriction compared with whole dose PEG-electrolyte solution with dietary restriction for colonoscopy preparation
PubMed ID: 16046981
Split-dose PEGâelectrolyte improved colon cleansing and tolerability â directly relevant to bowel prep / digestive transit.
- The impact of colon preparation timing on colonoscopic detection of colorectal neoplasms--a prospective endoscopist-blinded randomized trial
PubMed ID: 17026559
Timing of PEGâelectrolyte lavage (sameâday) produced better bowel cleansing and lesion detection (practical digestive benefit).
- Is blinding the endoscopists to bowel preparations in randomized-controlled trials a reality?
PubMed ID: 17113722
Duplicate entry (oral NaP easier to take) â reiterates direct digestive prep benefit.
- The timing of bowel preparation before colonoscopy determines the quality of cleansing, and is a significant factor contributing to the detection of flat lesions: a randomized study
PubMed ID: 17036388
Sameâday bowel prep (PEG/NaP) improved cleansing and lesion detectionâpractical benefit for colonoscopy prep (digestive outcome).
- A prospective study to assess the efficacy and patient tolerance of three bowel preparations for colonoscopy
PubMed ID: 16974167
Three common bowelâprep methods gave similar cleansing and toleranceârelevant to choosing electrolyte-containing regimens for digestion prep.
- Evaluation of mechanical bowel preparation methods in urinary diversion surgery
PubMed ID: 17076946
PEG and sodiumâphosphate preps were similarly safe and effective in urinary diversion patientsâdirectly applicable to bowel preparation effectiveness.
- Comparison of reduced volume versus four-liter electrolyte lavage solutions for colon cleansing
PubMed ID: 17058733
2âL electrolyte lavage cleaned bowel as well as standard 4âL with markedly better tolerabilityâdirect evidence for effective bowel prep (digestive procedure).
- Treatment of faecal impaction with polyethelene glycol plus electrolytes (PGE + E) followed by a double-blind comparison of PEG + E versus lactulose as maintenance therapy
PubMed ID: 16819379
PEG plus electrolytes cleared fecal impaction in 92% and prevented reimpaction (strong direct evidence for digestive benefit).
- Purgative bowel cleansing combined with simethicone improves capsule endoscopy imaging
PubMed ID: 18005366
PEG + electrolyte preparation improved bowel cleansing and image quality for endoscopy â direct benefit to bowel preparation/digestion-related outcomes.
- A comparison of polyethylene glycol laxative and placebo for relief of constipation from constipating medications
PubMed ID: 17984738
PEGâ3350 relieved medicationâassociated constipation vs placebo without electrolyte abnormalities â supports improved bowel regularity.
- Polyethylene glycol 3350 plus electrolytes for chronic constipation in children: a double blind, placebo controlled, crossover study
PubMed ID: 17626140
PEGâ3350 plus electrolytes significantly increased defecation frequency and improved stool consistency in children with chronic constipation â strong direct evidence for improved bowel function.
- Clinical trial: sodium phosphate tablets are preferred and better tolerated by patients compared to polyethylene glycol solution plus bisacodyl tablets for bowel preparation
PubMed ID: 17983368
Oral sodium phosphate prep was better tolerated and preferred vs PEG+bisacodyl for colon cleansing â relevant to tolerability of digestive prep.
- Clinical trial: an efficacy evaluation of reduced bisacodyl given as part of a polyethylene glycol electrolyte solution preparation prior to colonoscopy
PubMed ID: 17894653
2âL electrolyte lavage with lower bisacodyl caused equivalent cleansing with less cramping/discomfort â direct evidence for a better bowelâprep regimen (digestive comfort).
- Macrogol for the treatment of constipation in Parkinson's disease. A randomized placebo-controlled study
PubMed ID: 17566120
Macrogol-electrolyte solution produced clear, clinically meaningful improvements in bowel movements/stool form in Parkinsonâs patients.
- A randomized, multicenter study comparing the safety and efficacy of sodium phosphate tablets with 2L polyethylene glycol solution plus bisacodyl tablets for colon cleansing
PubMed ID: 17573796
Sodium-phosphate tablets delivered superior colon cleansing vs PEG regimens (direct effect on bowel emptying/clearance).
- Polyethylene glycol versus sodium phosphate mechanical bowel preparation in elective colorectal surgery
PubMed ID: 17236845
Sodium-phosphate bowel preparation was associated with differences in surgical outcomes and therefore demonstrates meaningful GI prep effects.
- Tolerability and patient acceptance of sodium phosphate tablets compared with 4-L PEG solution in colon cleansing: combined results of 2 identically designed, randomized, controlled, parallel group, multicenter phase 3 trials
PubMed ID: 17198066
Large phase 3 trials showing NaP tablets were easier to take and better toleratedâimproves real-world use of bowel-cleansing regimens.
- Comparison of three solutions for total gut irrigation in pediatric patients
PubMed ID: 17394002
Pediatric trial comparing PEG and simple salt solutions showed differences in speed/tolerability of bowel cleansingârelevant to digestion/bowel prep.
- Randomized study comparing two regimens of oral sodium phosphates solution versus low-dose polyethylene glycol and bisacodyl
PubMed ID: 18712479
Oral sodium phosphate preps cleaned bowel better and were more acceptable than low-volume PEG in colonoscopyâdirect GI benefit.
- Single-dose lubiprostone along with split-dose PEG solution without dietary restrictions for bowel cleansing prior to colonoscopy: a randomized, double-blind, placebo-controlled trial
PubMed ID: 18684185
Single-dose lubiprostone before PEG-electrolyte improved segmental bowel cleansing (enhanced bowel transit/clearance).
- SodiumPhosphate (NaP) versus polyethylene glycol-electrolyte lavage solution (PEG-ELS) tolerability: a prospective randomized study in patients with gynecological malignancy
PubMed ID: 18459553
Sodium phosphate prep was better tolerated and had higher completion vs PEGâELS in gynecologic surgery patients â relevant to GI prep tolerability/digestion handling.
- A randomized, controlled, double-blind trial of the adjunct use of tegaserod in whole-dose or split-dose polyethylene glycol electrolyte solution for colonoscopy preparation
PubMed ID: 18511049
Direct trial of PEGâelectrolyte bowel prep showing improved cleansing/adherence â relevant to GI fluid management and tolerability (supports smoother bowel prep/digestion outcomes).
- A randomised controlled trial of a new 2 litre polyethylene glycol solution versus sodium picosulphate + magnesium citrate solution for bowel cleansing prior to colonoscopy
PubMed ID: 18179734
2 L PEG+ascorbate containing electrolytes improved proximal colon cleansing vs comparator â directly impacts colon-cleansing/digestive prep quality.
- Comparison of standard polyethylene glycol and two doses of oral sodium phosphate solution in precolonoscopy bowel preparation: a randomized controlled trial
PubMed ID: 18396744
Twoâdose oral sodium phosphate improved completion and caused less nausea vs 4 L PEG â directly relevant to tolerability and smoother prep experience.
- Randomized trial of low-volume PEG solution versus standard PEG + electrolytes for bowel cleansing before colonoscopy
PubMed ID: 18190651
Lowâvolume PEG+ascorbate (with electrolytes) produced noninferior cleansing with better tolerability â directly relevant to bowel prep/intestinal comfort.
- Postprandial changes in small bowel water content in healthy subjects and patients with irritable bowel syndrome
PubMed ID: 19909743
Smallâbowel water content and transit physiology study â mechanistic relevance to intestinal fluid dynamics and digestion.
- Pico-Salax versus polyethylene glycol for bowel cleanout before colonoscopy in children: a randomized controlled trial
PubMed ID: 19967619
PicoâSalax (magnesium citrate) in children showed better tolerability with similar efficacy â directly related to bowel prep tolerability and digestive comfort.
- Half doses of PEG-ES and senna vs. high-dose senna for bowel cleansing before colonoscopy: a randomized, investigator-blinded trial
PubMed ID: 19844199
PEG-electrolyte + senna bowel-prep trialâdirectly improves bowel cleansing/tolerability (digestion/evacuation outcomes).
- A randomized clinical study evaluating the safety and efficacy of a new, reduced-volume, oral sulfate colon-cleansing preparation for colonoscopy
PubMed ID: 19584830
Low-volume oral sulfate (an electrolyte prep) produced effective bowel cleansing with acceptable safetyâdirect relevance to digestive clearance.
- Administration of olive oil followed by a low volume of polyethylene glycol-electrolyte lavage solution improves patient satisfaction with right-side colonic cleansing over administration of the conventional volume of polyethylene glycol-electrolyte lavage solution for colonoscopy preparation
PubMed ID: 19555936
Olive-oil pretreatment + low-volume PEG-ELS produced markedly better right-colon cleansingâdirect, strong digestive benefit.
- A prospective randomized single blind trial of Fleet phosphate enema versus glycerin suppositories as preparation for flexible sigmoidoscopy
PubMed ID: 19655226
Fleet phosphate enema produced superior sigmoidoscopy cleansing vs glycerinâdirectly relevant to bowel cleanliness/digestion prep.
- Comparison of two sodium phosphate tablet-based regimens and a polyethylene glycol regimen for colon cleansing prior to colonoscopy: a randomized prospective pilot study
PubMed ID: 19475410
Sodium-phosphate tablets cleaned colon faster and better than PEG in this small studyâdirect digestive/cleansing effect.
- A randomized single-blind trial of standard diet versus fiber-free diet with polyethylene glycol electrolyte solution for colonoscopy preparation
PubMed ID: 20623443
PEGâelectrolyte bowel prep: fiberâfree diet allowed higher PEGâES intake and better prep/tolerability â directly relevant to GI prep/clearance.
- Comparison of the effectiveness of polyethylene glycol 4000 without electrolytes and magnesium hydroxide in the treatment of chronic functional constipation in children
PubMed ID: 21116598
Pediatric trial: PEG 4000 tolerated better than magnesium hydroxide for constipation â relevant to digestive tolerability/effect.
- Efficacy of morning-only compared with split-dose polyethylene glycol electrolyte solution for afternoon colonoscopy: a randomized controlled single-blind study
PubMed ID: 20407434
AMâonly PEGâelectrolyte prep nonâinferior for colon cleansing and had good tolerability â directly about bowel prep quality.
- Effective bowel cleansing before colonoscopy: a randomized study of split-dosage versus non-split dosage regimens of high-volume versus low-volume polyethylene glycol solutions
PubMed ID: 20561621
Large trial showing splitâdose PEG (electrolyte-containing prep) gives much better bowel cleansing and compliance â strong relevance to digestive prep.
- [Effect of combination pretreatment of polyethylene glycol solution and magnesium hydroxide for colonoscopy]
PubMed ID: 20389176
PEG + magnesium hydroxide improved colon cleansing in constipated outpatients â magnesium (an electrolyte) produced clinically meaningful digestive benefit.
- Efficacy and tolerability of peg-only laxative on faecal impaction and chronic constipation in children. A controlled double blind randomized study vs a standard peg-electrolyte laxative
PubMed ID: 23152962
Randomized pediatric trial comparing PEG with/without electrolytes showed direct effects on stool frequency and tolerability (digestive outcome).
- Split-dosed MiraLAX/Gatorade is an effective, safe, and tolerable option for bowel preparation in low-risk patients: a randomized controlled study
PubMed ID: 22565162
Split-dose MiraLAX mixed with Gatorade (electrolyte beverage) produced comparable bowel cleansing and better tolerability vs standard PEG â relevant to tolerability/intestinal transit.
- 2 L versus 4 L of PEG3350 + electrolytes for outpatient colonic preparation: a randomized, controlled trial
PubMed ID: 24206747
Split-dose lower-volume PEG3350 with electrolytes noninferior for colon cleansing and better tolerated â supports electrolyte-containing regimens for digestive prep.
- Randomized clinical trial: macrogol/PEG 3350 plus electrolytes for treatment of patients with constipation associated with irritable bowel syndrome
PubMed ID: 23835436
PEG 3350 plus electrolytes significantly increased spontaneous bowel movements and improved stool consistency vs placebo in IBS-C (direct digestive benefit).
- Adding pineapple juice to a polyethylene glycol-based bowel cleansing regime improved the quality of colon cleaning
PubMed ID: 23949576
Adding pineapple juice to 2 L PEG-electrolyte improved right/transverse colon cleansing and increased adequate cleansing rate â relevant to bowel-cleaning efficacy.
- Pilot study on efficacy of reduced cathartic bowel preparation with polyethylene glycol and bisacodyl
PubMed ID: 23382637
Study of 2 L PEGâelectrolyte with adjunct bisacodyl improving stool/fluid cleansing â directly relates to electrolyte-containing bowel prep and digestive outcomes.
- Colonic preparation before colonoscopy in constipated and non-constipated patients: a randomized study
PubMed ID: 23964144
Sodiumâphosphate (an electrolyte preparation) for colon prep showed higher compliance and particular benefit in constipated patients â relevant to digestive function.
- Safety, patient's tolerance, and efficacy of a 2-liter vitamin C-enriched macrogol bowel preparation: a randomized, endoscopist-blinded prospective comparison with a 4-liter macrogol solution
PubMed ID: 23838870
2âL PEGâelectrolyte + vitamin C noninferior to 4âL prep with improved acceptance; directly about electrolyte bowel solutions affecting digestion/cleansing.
- Randomised clinical trial: macrogol/PEG 3350+electrolytes versus prucalopride in the treatment of chronic constipation -- a comparison in a controlled environment
PubMed ID: 23480216
Direct RCT of PEG 3350 with electrolytes showing clinically better bowel frequency/consistency vs comparator â strong evidence electrolytes used in improving bowel function/digestion.
- Can mosapride citrate reduce the volume of lavage solution for colonoscopy preparation?
PubMed ID: 23430381
Randomized trial of reducedâvolume PEGâelectrolyte (1.5 L) showing acceptable/near-equivalent cleansing with better compliance â directly relevant to digestive prep using electrolyte solution.
- Randomized, controlled trial of 2 L polyethylene glycol plus ascorbate components versus sodium phosphate for bowel cleansing prior to colonoscopy for cancer screening
PubMed ID: 25180609
PEG+ascorbate+electrolyte prep produced substantially higher complete colon cleansing vs oral sodium phosphate â direct evidence of improved bowel cleaning (digestion-related preparatory effect).
- Randomized controlled trial comparing MoviprepÂŽ and PhosphoralÂŽ as bowel cleansing agents in patients undergoing colonoscopy
PubMed ID: 25038914
Moviprep (PEG+ascorbate) produced a higher proportion of top-quality cleanses and less vomiting vs NaP â supports better bowel/prep outcomes.
- One-day versus two-day cleansing for colon capsule endoscopy: a prospective randomized pilot study
PubMed ID: 24388792
One-day PEG yielded comparable colon cleanliness and capsule completion to a two-day regimen â practical improvement in prep burden that affects digestive testing.
- Comparison of polyethylene glycol vs sodium picosulphate vs sodium biphosphonate by efficacy in bowel cleansing and patients' tolerability: a randomised trial
PubMed ID: 26024926
PEG-electrolyte solution produced superior bowel cleansing (right colon) â directly relevant to digestion/bowel prep outcomes.
- A prospective randomized controlled trial of AJG522 versus standard PEG+E as bowel preparation for colonoscopy
PubMed ID: 25688357
Modified PEG+electrolyte (AJG522) cleaned colon faster with lower volume and better acceptabilityâdirect GI relevance.
- Neostigmine Administered With MoviPrep Improves Bowel Preparation for Elective Colonoscopy in Patients With Spinal Cord Injury: A Randomized Study
PubMed ID: 25599220
Adding neostigmine to PEG-electrolyte markedly improved bowel cleansing in spinal cord injuryâdirect GI benefit.
- Split-dose menthol-enhanced PEG vs PEG-ascorbic acid for colonoscopy preparation
PubMed ID: 25684963
Menthol added to PEG-electrolyte improved palatability and some segmental cleansingârelevant to digestion prep tolerability.
- [Randomized controlled trial of sodium phosphate tablets versus 2 L polyethylene glycol solution for bowel cleansing prior to colonoscopy]
PubMed ID: 25603851
Sodium-phosphate tablets provided comparable bowel cleansing with better toleranceâdirect bowel prep/digestion relevance.
- Controlled Dietary Restriction With a Prepackaged Low-Residue Diet Before Colonoscopy Offers Better-Quality Bowel Cleansing and Allows the Use of a Smaller Volume of Purgatives: A Randomized Multicenter Trial
PubMed ID: 27602929
Prepackaged low-residue meals + low-volume PEGâelectrolyte gave better bowel cleaning and adherenceâdirect GI/electrolyte relevance.
- Phosphate tablets or polyethylene glycol for preparation to colonoscopy? A multicentre non-inferiority randomized controlled trial
PubMed ID: 27864718
Sodium phosphate tablets (an electrolyte salt) cleaned the bowel as well as PEG with better tolerabilityâdirect GI relevance.
- Application of Oral Lactulose in Combination With Polyethylene Glycol Electrolyte Powder for Colonoscopy Bowel Preparation in Patients With Constipation
PubMed ID: 26658804
Adding lactulose to PEGâelectrolyte improved colonoscopy bowel cleansing in constipated patients.
- Phase II Randomized Controlled Trial of Combined Oral laxatives Medication for BOwel PREParation (COMBO-PREP study)
PubMed ID: 26886637
Study showed combining laxatives with electrolyte-containing solutions (split-dose) greatly improved colon cleansingâdirect GI/electrolyte application.
- Mechanical colon cleansing for screening colonoscopy: A randomized controlled trial
PubMed ID: 29160622
Mechanical irrigation and NaP preparations cleaned the colon better than 4L PEG; directly about electrolyte-based bowel prep.
- Polyethylene Glycol 3350 With Electrolytes Versus Polyethylene Glycol 4000 for Constipation: A Randomized, Controlled Trial
PubMed ID: 28906317
PEG3350 with electrolytes showed similar longâterm constipation symptom improvement to PEG4000 â directly relevant to bowel function.
- Split dose versus full single-dose regimen of polyethylene glycol for bowel preparation in pediatric colonoscopy: a pilot study of randomized controlled trial
PubMed ID: 31567637
Split-dose PEG+electrolytes markedly improved bowel prep success and tolerabilityâdirect GI/digestion relevance.
- A prospective randomized clinical study evaluating the efficacy and compliance of oral sulfate solution and 2-L ascorbic acid plus polyethylene glycol
PubMed ID: 30685963
Oral sulfate electrolyte prep produced superior colon cleansing but more cramps/nauseaâdirect digestive outcome.
- Polyethylene glycol 3350 plus electrolytes for chronic constipation: a 2-week, randomized, double-blind, placebo-controlled study with a 52-week open-label extension
PubMed ID: 31011797
PEG3350 plus electrolytes produced large, clinically meaningful improvements in bowel movements and stool consistency.
- A Randomized, Multicenter, Prospective, Crossover, Open-Label Study of Factors Associated With Patient Preferences for Naloxegol or PEG 3350 for Opioid-Induced Constipation
PubMed ID: 31058652
Crossover trial showed PEG3350 (electrolyte laxative) improved constipation outcomes similar to naloxegolârelevant to digestion.
- Can a 1-day clear liquid diet with a split -dose polyethylene glycol overcome conventional practice patterns during the preparation for screening colonoscopy?
PubMed ID: 31258137
Split-dose PEG-ELS with 1-day clear-liquid produced good bowel cleansing and better toleranceâdirectly digestion-related.
- Bowel preparation for small bowel capsule endoscopy - The later, the better!
PubMed ID: 31122824
Timing of PEG-electrolyte dose improved small-bowel visualization and lesion detectionâapplies to bowel prep quality.
- Improved high-quality colon cleansing with 1L NER1006 versus 2L polyethylene glycolâŻ+âŻascorbate or oral sulfate solution
PubMed ID: 31409579
NER1006 (PEG-based) produced higher rates of high-quality colon cleansingâdirect digestive prep evidence.
- Safety and Efficacy of Low-Volume Preparation in the Elderly: Oral Sulfate Solution on the Day before and Split-Dose Regimens (SEE SAFE) Study
PubMed ID: 30400725
Comparison of OSS and 4L PEG-ELS showed similar cleansing and only small electrolyte/kidney changesâdigestive prep relevance.
- Comparison Between an Oral Sulfate Solution and a 2âL of Polyethylene Glycol/Ascorbic Acid as a Split Dose Bowel Preparation for Colonoscopy
PubMed ID: 30308546
OSS non-inferior to 2L PEG/ascorbate for colon cleansingâdirect digestive outcome.
- Randomized clinical trial: efficacy and tolerability of two different split dose of low-volume polyethylene glycol electrolytes for bowel preparation before colonoscopy in hospitalized children
PubMed ID: 33106606
Lower-volume PEG-ELS in children cleaned as well as higher volume and improved acceptabilityârelevant to digestion.
- A Phase 2 Randomized Trial of DCL-101, a Novel Pill-Based Colonoscopy Prep, vs 4L Polyethylene Glycol-Electrolyte Solution
PubMed ID: 33512795
Pillâplusâneutral liquid PEGâelectrolyte prep improved tolerability while maintaining cleansingâimproves patient digestion/prep experience.
- The advantage of polyethylene glycol electrolyte solution combined with lactulose in patients with long interval preparation-to-colonoscopy
PubMed ID: 32009610
Adding lactulose to PEGâelectrolyte prep improved bowel cleanliness and functionâdirect GI relevance.
- Efficacy, safety, and acceptability of polyethylene glycol 3350 without electrolytes vs magnesium hydroxide in functional constipation in children from six months to eighteen years of age: A controlled clinical trial
PubMed ID: 34961695
PEG and magnesium hydroxide were equally effective for pediatric constipationâdirect digestive benefit data.
- Efficacy of Two Regimens for Colon Cleansing Using Polyethylene Glycol 4000: A Randomized Open Label Trial
PubMed ID: 34047716
Pediatric PEGâelectrolyte regimens both cleaned well and kept electrolytes stableâdirect GI regimen data.
- [Clinical efficacy of adaptive biofeedback training combined with oral administration of compound polyethylene glycol 4000-electrolyte powder in the treatment of children with outlet obstruction constipation: a prospective randomized controlled trial]
PubMed ID: 35527411
PEGâelectrolyte powder used as treatment for pediatric outlet obstruction constipation; adding biofeedback to PEGâelectrolyte improved symptom scores and response at 8 weeks (direct GI/digestion benefit).
- Combined PEG3350 Plus Lactulose Results in Early Resolution of Hepatic Encephalopathy and Improved 28-Day Survival in Acute-on-Chronic Liver Failure
PubMed ID: 33060437
Addition of PEG3350 to lactulose for hepatic encephalopathy improved time to resolution and clinical recoveryâevidence that cathartic/electrolyte solutions can speed GI clearance and clinical GI recovery.
- Efficacy of Oral Sulfate Tablet and 2 L-Polyethylene Glycol With Ascorbic Acid for Bowel Preparation: A Prospective Randomized KASID Multicenter Trial
PubMed ID: 39688329
Oral sulfate tablets (an electrolyte-containing bowel agent) gave noninferior/segmentâbetter bowel cleansing and improved tolerability.
- Efficacy of Polyethylene Glycol Electrolyte Powder Combined With Linaclotide for Colon Cleansing in Patients With Chronic Constipation Undergoing Colonoscopy: A Multicenter, Single-Blinded, Randomized Controlled Trial
PubMed ID: 38713137
Adding linaclotide to PEG markedly improved colon cleansing vs standard PEG (direct improvement in prep/cleanliness).
- Efficacy, tolerability, and safety of oral sulfate tablet versus 2 L-polyethylene glycol/ascorbate for bowel preparation in older patients: prospective, multicenter, investigator single-blinded, randomized study
PubMed ID: 38492010
Oral sulfate tablets produced higher highâquality bowel prep and ADR in older adults (improves colon cleaning quality).
- Lactulose vs Polyethylene Glycol for Bowel Preparation: A Single-Center, Prospective, Randomized Controlled Study Based on BMI
PubMed ID: 37795904
Lactulose (osmotic agent) produced better colon cleanliness and higher adenoma detection vs PEGâelectrolyte powder.
- A prospective, single-blinded, non-inferiority, randomized controlled study comparing the effectiveness and safety of oral lactulose combined with carbohydrate-containing clear liquids versus 3-L polyethylene glycol electrolyte for colonoscopy bowel preparation
PubMed ID: 39955567
Lactulose+carbohydrate clear-liquid regimen gave bowel cleansing rates similar to 3âL PEGâelectrolyte solution (relevant to bowel prep quality).
- A randomized, controlled trial of oral sulfate solution versus polyethylene glycol for bowel preparation for colonoscopy
PubMed ID: 40269724
Oral sulfate (electrolyte) solution produced superior colon cleanliness vs PEGâELS â directly relevant to bowel-cleansing/digestive prep.
- Double-blind, randomized evaluation of clinical efficacy and tolerability of an apple pectin-chamomile extract in children with unspecific diarrhea
PubMed ID: 16889120
Randomized trial showed appleâpectinâchamomile shortened diarrheaâdirect gastrointestinal benefit (note: not an electrolyte product, but rehydration was standard care).
- Are orange lollies effective in preventing nausea and vomiting related to dimethyl sulfoxide? A multicenter randomized trial
PubMed ID: 24700260
Ice lollies (oral fluid/ice) reduced nausea and need for antiemetics after infusion â directly improves acute GI comfort and tolerability.
- Application of mineral waters in the complex treatment of patients with gastroesophageal reflux disease
PubMed ID: 32218417
Randomized groups drinking highly mineralized (electrolyte-rich) waters reported improved dyspeptic/abdominal pain symptoms and some gastric function improvementsâdirect evidence for digestive symptom benefit.
- Health Effects of Drinking Water Produced from Deep Sea Water: A Randomized Double-Blind Controlled Trial
PubMed ID: 35276942
Deep-sea-derived mineral water increased fecal sIgA and SCFAs and increased equol producersâdirect benefits to gut function/digestion.
- Management of Lithuanian children's acute diarrhoea with Gastrolit solution and dioctahedral smectite
PubMed ID: 11943957
ORS + smecta shortened diarrhoea duration in children, indicating improved GI symptom resolution.
- Open-label, dose-ranging pilot study of 4 weeks of low-dose therapy with sodium phosphate tablets in chronically constipated adults
PubMed ID: 15531010
Oral sodiumâphosphate tablets reliably relieved chronic constipation â direct evidence that an electrolyte formulation improves bowel function.
- [Mechanism of action of Nizhne-Ivkinskaya 2K sulfate-calcium mineral water in combined treatment of acid-dependent gastrointestinal diseases]
PubMed ID: 18326222
Drinking a sulfateâcalcium mineral water for 21 days improved gastric acidity and motility in patients with acidâdependent GI disease â a clear digestive benefit tied to a mineral (electrolyte) water.
- Effects of Sulfate-Rich Mineral Water on Functional Constipation: A Double-Blind, Randomized, Placebo-Controlled Study
PubMed ID: 27924798
1 L/day sulfateârich (Mg sulfate) mineral water increased bowel movement frequency at 3 weeks vs tap water (clear shortâterm laxative effect).
- Two placebo-controlled crossover studies in healthy subjects to evaluate gastric acid neutralization by an alginate-antacid formulation (Gaviscon Double Action)
PubMed ID: 30470147
Gaviscon significantly raised gastric pH and reduced acidity time â directly improves upper GI symptom control (antacid/alginate product).
- Beneficial Effects of Long-Lasting Bicarbonate-Sulfate-Calcium-Magnesium Water Intake on Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)-Related Outcomes via Impacting Intestinal Permeability (IP), IP-Related Systemic Inflammation, and Oxidative Stress
PubMed ID: 41228524
Randomized trial: bicarbonateâsulfateâCaâMg mineral water improved gut barrier markers and reduced inflammation â directly supports digestive benefits.
- Rice-based oral electrolyte solutions for the management of infantile diarrhea
PubMed ID: 1992304
Rice-based oral rehydration solution reduced stool output and improved fluid/K absorption in dehydrated infants (direct GI benefit).
- Effects of hydrotalcite combined with esomeprazole on gastric ulcer healing quality: A clinical observation study
PubMed ID: 28275307
Hydrotalcite added to PPI improved gastric ulcer collagen deposition and mucosal healing â direct digestive/upperâGI benefit relevant to 'smoother digestion'.
- Is rice based oral rehydration therapy effective in young infants?
PubMed ID: 8067787
Riceâbased ORS reduced stool output and ORS intake vs WHO ORS in infants â direct improvement in diarrhoea/stool management (better stool consistency/less fluid losses).
- Thermophilic amylase-digested rice-electrolyte solution in the treatment of acute diarrhea in children
PubMed ID: 7530834
Rice-based ORS reduced diarrhea duration and ORS volume neededâdirect evidence for improved intestinal rehydration and smoother GI recovery.
- Effects of Resistant Glucan Mixture on Bowel Movement in Female Volunteers
PubMed ID: 27117853
Resistant glucan clearly increased stool frequency and volumeâstrong evidence for smoother bowel function (though not an electrolyte supplement per se).
- Effects of sodium sulfate on fecal pH and proliferation of colonic mucosa in patients at high risk for colon cancer
PubMed ID: 2342129
Direct study: oral sodium sulfate (an electrolyte salt) lowered stool pH and altered bowel environmentâclear digestive effect.
- A new oral lavage solution vs cathartics and enema method for preoperative colonic cleansing
PubMed ID: 2021332
Sulfate-free electrolyte lavage gave superior bowel cleansing with no electrolyte complicationsâdirect GI relevance.
- Prophylaxis of gastrointestinal tract bleeding with magaldrate in patients admitted to a general hospital ward
PubMed ID: 1771386
Magaldrate (antacid) substantially reduced stress-related upper GI bleeding and improved upperâGI outcomes.
- [Antacid therapy of upper abdominal symptoms. Double-blind study on the effect and tolerance of 2 antacids in gastritis , esophagitis and functional upper abdominal symptoms]
PubMed ID: 1783346
New antacid combination performed better and was well tolerated for upper abdominal symptoms vs reference.
- Effect of magnesium hydroxide on the absorption and efficacy of tolbutamide and chlorpropamide
PubMed ID: 1623912
Magnesium hydroxide strongly altered gastric drug absorption and early insulin/glucose responses â direct digestive/antacid effects.
- Gaviscon and Carobel compared with cisapride in gastro-oesophageal reflux
PubMed ID: 1599300
Gaviscon+Carobel improved reflux symptoms/pH â relevant to symptomatic digestive comfort.
- [Acute diarrheal diseases. Treatment with carrot-rice viscous solution is more effective than ORS solution]
PubMed ID: 1501619
Carrotârice rehydration solution shortened diarrhea and lowered fecal output compared with glucoseâelectrolyte solutionsâdirect GI benefit from a rehydration formulation.
- Osmolality electrolyte and carbohydrate type and oral rehydration solutions: a controlled study to compare the efficacy of two commercially available solutions (osmolalities 240 mmol/L and 340 mmol/L)
PubMed ID: 8188994
Lower-osmolality ORS produced significantly less early vomiting and lower stool volumes in gastroenteritis â direct digestive benefit.
- Octreotide versus loperamide in the treatment of fluorouracil-induced diarrhea: a randomized trial
PubMed ID: 8418225
Octreotide greatly reduced chemotherapy-induced diarrhea and need for IV fluids/electrolytes â directly improves diarrheal outcomes and digestion-related fluid balance.
- Domperidone plus magnesium hydroxide and aluminum hydroxide: a valid therapy in children with gastroesophageal reflux. A double-blind randomized study versus placebo
PubMed ID: 8047802
Combination of domperidone plus Mg/Al antacid produced better symptom resolution and pH metrics in children â direct clinical improvement in upper GI symptoms where magnesium/aluminum antacid contributed.
- High-calorie, rice-derived, short-chain, glucose polymer-based oral rehydration solution in acute watery diarrhea
PubMed ID: 7538837
Polymerâbased ORS produced large reductions in stool volume and ORS needs â directly improves gastrointestinal fluid balance and stool output.
- Role of oral sodium phosphate and its effectiveness in large bowel preparation for out-patient colonoscopy
PubMed ID: 8583438
Oral sodiumâphosphate bowel prep directly affects bowel clearance and tolerabilityârelevant to digestive smoothness and tolerability of electrolyte preparations.
- [Colonic preparation with sodium phosphate. Prospective, randomized, placebo-controlled double blind study with various antiemetics]
PubMed ID: 8765377
Oral sodiumâphosphate bowel preparation (an electrolyte-containing preparation) was generally well tolerated; directly relevant to GI tolerability of an oral electrolyte formulation.
- Randomized, controlled comparison of two forms of preparation for screening flexible sigmoidoscopy
PubMed ID: 9149190
Oral magnesium citrate (an electrolyte salt) produced faster, easier, betterâaccepted bowel preparation vs Fleet enemas â direct effect on GI transit/prep.
- A randomized controlled trial of early postoperative feeding in gynecologic oncology patients undergoing intra-abdominal surgery
PubMed ID: 9649101
Early oral feeding after surgery safely accelerated return of bowel function; demonstrates effect on post-op digestion.
- A randomized trial comparing three methods of bowel preparation for flexible sigmoidoscopy
PubMed ID: 9672343
Oral magnesium citrate (an electrolyte salt) improved bowel preparation quality â demonstrates GI effects of electrolytes (procedural rather than routine digestion).
- Carob bean juice: a powerful adjunct to oral rehydration solution treatment in diarrhoea
PubMed ID: 9620567
Adding carob bean juice to ORS shortened diarrhoea and reduced stool output â shows electrolyte-based rehydration strategies interacting with GI recovery.
- Efficacy of oral hyposmolar glucose-based and rice-based oral rehydration salt solutions in the treatment of cholera in adults
PubMed ID: 9517526
Rice-based low-sodium ORS reduced stool output and diarrhoea duration in cholera patientsâstrong digestive benefit in rehydration context.
- Comparison of the efficacy and safety of a new aluminium-free paediatric alginate preparation and placebo in infants with recurrent gastro-oesophageal reflux
PubMed ID: 10621922
Aluminium-free alginate reduced vomiting/regurgitation in infants â directly improves GI symptoms (smoother digestion).
- The role of gastric acid and Helicobacter pylori in the natural course of duodenal ulcer
PubMed ID: 10637713
Antacid (Mylanta) containing magnesium/aluminum hydroxide was part of the trial and affected ulcer symptoms/management â directly relevant to symptomatic digestive relief though the study focused on acid suppression and H. pylori.
- Randomised trial of two pharmacological methods of bowel preparation for day case colonoscopy
PubMed ID: 10325738
Picolax (magnesium citrate + sodium picosulphate) produced superior bowel cleansing in children versus comparator â direct, high-relevance evidence of an electrolyte (magnesium citrate) affecting bowel function.
- Do magnesium ions influence barium mucosal coating of the large bowel?
PubMed ID: 10415251
Addition of magnesium (an electrolyte) to bowel prep altered colon mucosal coating and cleansing outcomes, showing GI effects.
- A blinded, randomized comparison of a novel, low-dose, triple regimen with fleet phospho-soda: a study of colon cleanliness, speed and success of colonoscopy
PubMed ID: 10691270
Study of sodium-phosphate bowel prep showed differences in bowel cleanliness and procedure efficiencyâdirectly relevant to GI preparation/ digestion processes.
- Single blind, randomised trial of efficacy and acceptability of oral picolax versus self administered phosphate enema in bowel preparation for flexible sigmoidoscopy screening
PubMed ID: 10834891
Phosphate enema (an electrolyte solution) produced better bowel preparation and was easier to use than oral Picolaxâdirect GI/electrolyte application.
- Prospective, randomized, single-blind comparison of two preparations for screening flexible sigmoidoscopy
PubMed ID: 10922094
Oral sodium phosphate (an electrolyte salt) clearly improved bowel cleansing and tolerance versus enemasâdirect GI effect.
- [Intestinal preparation with an osmotic solution for edema with double contrast media]
PubMed ID: 11155450
Bowel preparation study showed comparable efficacy with no observed electrolyte disturbances â direct GI/evacuation context.
- Reduced osmolarity oral rehydration solution for persistent diarrhea in infants: a randomized controlled clinical trial
PubMed ID: 11295717
Reduced-osmolarity ORS in infants reduced stool volume and increased recovery â directly improves diarrheal outcomes/digestive recovery.
- The effects of balanced versus saline-based hetastarch and crystalloid solutions on acid-base and electrolyte status and gastric mucosal perfusion in elderly surgical patients
PubMed ID: 11574338
Balanced IV fluids preserved gastric mucosal perfusion vs saline, suggesting better splanchnic perfusion and digestive tolerance.
- [Hydrotalcite in the treatment of reflux esophagitis: a multicenter clinical study]
PubMed ID: 16206671
Hydrotalcite (a Mg/Al antacid) reduced reflux symptoms and produced clinical benefitâdirect evidence that an ion-containing antacid can improve digestive symptoms.
- Extremely low sodium hypotonic rehydration solution for young children with acute gastroenteritis
PubMed ID: 11480325
Low-sodium ORS reduced stool output in acute diarrheaâdirect digestive benefit.
- Benefits of oral administration of an electrolyte solution interrupting a prolonged preoperatory fasting period in pediatric patients
PubMed ID: 11226995
Oral isosmolar electrolyte drink before anesthesia lowered residual gastric volume and raised pH (improves gastric conditions).
- Low-volume oral colonoscopy bowel preparation: sodium phosphate and magnesium citrate
PubMed ID: 12085041
Direct study of oral electrolyte laxatives (Mg citrate vs NaP) for bowel cleansing â directly relevant to GI effects and digestion/evacuation.
- [Effect of racecadotril in the management of acute diarrhea in infants and children]
PubMed ID: 12205786
Racecadotril reduced stool output and sped recovery in diarrhoea â directly relevant to digestive function and symptomatic improvement.
- Comparison of nasogastric and intravenous methods of rehydration in pediatric patients with acute dehydration
PubMed ID: 11927697
Rapid nasogastric oral rehydration with an electrolyte solution was as safe and effective as IV rehydration in dehydrated children â directly relevant to digestive tolerance of electrolyte solutions.
- Low volume bowel preparation for colonoscopy: randomized, endoscopist-blinded trial of liquid sodium phosphate versus tablet sodium phosphate
PubMed ID: 12738463
Liquid sodium phosphate produced better bowel cleansing and was easier to take â direct digestive/prep benefit.
- Oral sodium phosphate compared with water enemas combined with bisacodyl as bowel preparation for elective colonoscopy
PubMed ID: 14621286
Oral sodium phosphate (an electrolyte laxative) produced substantially better bowel cleansing and patient acceptance versus enemas, directly improving bowel prep/emptying.
- Gastrointestinal discomfort during intermittent high-intensity exercise: effect of carbohydrate-electrolyte beverage
PubMed ID: 15657472
Clear, moderateâhigh evidence that an 8% CHOâelectrolyte drink produced more GI side effects than a 6% drinkâformulation affects GI tolerability.},{
- Efficacy and tolerance of sodium phosphates oral solution after diet liberalization
PubMed ID: 15832114
Study of oral sodium-phosphate bowel prep showed similar cleansing with better tolerability when diet was liberalizedâdirectly relevant to gastrointestinal tolerability of an electrolyte solution.
- Efficacy of bowel preparation with the use of a prepackaged, low fibre diet with a low sodium, magnesium citrate cathartic vs. a clear liquid diet with a standard sodium phosphate cathartic
PubMed ID: 15948817
Large randomized trial showed a lowâresidue meal plus lowâsodium magnesium citrate prep produced better cleansing and tolerability vs standard prepâdirect GI/electrolyte relevance.
- Efficacy and safety of bisacodyl in the acute treatment of constipation: a double-blind, randomized, placebo-controlled study
PubMed ID: 16669963
Bisacodyl RCT increased stool frequency and improved consistency â directly relevant to digestion/regularity (note: no serum electrolyte changes observed).
- Oral sodium phosphate (Fleet) is a superior colonoscopy preparation to Picopre (sodium picosulfate-based preparation)
PubMed ID: 16525746
Oral sodium phosphate directly used as a bowelâpreparation and produced superior colonic cleansing â a clear, digestion-related effect.
- The efficacy of hydrotalcite compared with OTC famotidine in the on-demand treatment of gastroesophageal reflux disease: a non-inferiority trial
PubMed ID: 17179910
Hydrotalcite (antacid) provided faster relief of heartburn symptoms, directly relevant to symptomatic digestive comfort.
- Standard WHO-ORS versus reduced-osmolarity ORS in the management of cholera patients
PubMed ID: 16796157
Reducedâosmolarity ORS produced significantly less vomiting in cholera patients compared with standard ORS â direct benefit for GI tolerability during diarrhoeal illness.
- A prospective study comparing oral sodium phosphate solution to a bowel cleansing preparation with nutrition food package in children
PubMed ID: 16456411
Prepackaged diet + magnesium citrate produced better bowel cleansing and fewer side effects vs oral sodium phosphate in children â relevant to GI tolerability of electrolyteâcontaining preparations.
- Effect of Lactobacillus rhamnosus GG in persistent diarrhea in Indian children: a randomized controlled trial
PubMed ID: 17700424
Study of ORS context: probiotic + ORS shortened diarrhea durationâelectrolyte solutions were the vehicle for the intervention improving diarrheal recovery (relevant to digestion/recovery).
- Randomised, placebo-controlled, double-blind study to investigate the efficacy and safety of the acute use of sodium picosulphate in patients with chronic constipation
PubMed ID: 17504357
Sodium picosulphate produced a substantial symptomatic improvement in constipation and bloatingâdirectly relevant to smoother digestion (though not an electrolyte supplement study).
- Comparison of bisacodyl and sodium picosulphate in the treatment of chronic constipation
PubMed ID: 17407625
Short course bisacodyl and sodium picosulphate both improved constipation measures over 4 weeksâsupports improved bowel function (no electrolyte disturbances reported).
- Oral rehydration solution for providing water and electrolytes following laparoscopic cholecystectomy and recovery of intestinal function
PubMed ID: 18265647
Oral rehydration solution after laparoscopic cholecystectomy led to significantly faster return of bowel gas (intestinal recovery).
- On-demand treatment of acute heartburn with the antacid hydrotalcite compared with famotidine and placebo: randomized double-blind cross-over study
PubMed ID: 17577112
Singleâdose hydrotalcite (an antacid containing ionic components) provided faster and better relief of acute heartburn versus famotidine/placebo â direct evidence for symptomatic digestive relief.
- A randomized controlled trial of glucose versus amylase resistant starch hypo-osmolar oral rehydration solution for adult acute dehydrating diarrhea
PubMed ID: 18270575
High-amylose starch ORS shortened diarrhea and reduced stool output â strong, direct benefit to gastrointestinal outcomes.
- Oral spherical adsorptive carbon for the treatment of intractable anal fistulas in Crohn's disease: a multicenter, randomized, double-blind, placebo-controlled trial
PubMed ID: 18616656
Oral AST-120 improved Crohnâs perianal disease and disease indices, directly relevant to improved GI outcomes/digestion.
- Prospective evaluation of small bowel preparation with bisacodyl and sodium phosphate for capsule endoscopy
PubMed ID: 18395907
Sodiumâphosphate bowel prep shortened smallâbowel transit time for capsule endoscopyâdirect evidence that an electrolyte salt altered intestinal transit.
- Effectiveness of warm water consumption to reduce patient discomfort during colonoscopy: a randomized controlled trial
PubMed ID: 19638968
Study used oral warm water with a sodiumâphosphate prep and showed reduced procedure pain and faster colonoscopy times â direct evidence that an electrolyte-containing oral solution affected bowel function/comfort in this setting.
- Efficacy of high-dose Lactobacillus rhamnosus GG in controlling acute watery diarrhea in Indian children: a randomized controlled trial
PubMed ID: 18813028
Probiotic (LGG) plus ORS shortened diarrhea and hospital stay â direct digestive benefit.
- To return or to discard? Randomised trial on gastric residual volume management
PubMed ID: 19615907
Returning aspirated gastric contents improved gastric emptying without electrolyte derangement â direct GI/feeding practice outcome relevant to digestion.
- High-dose bisacodyl plus water lavage compared with oral sodium phosphate as bowel preparation for outpatient colonoscopy
PubMed ID: 19686995
Large clinical trial showing oral sodium phosphate (an electrolyte-containing bowel prep) produced significantly better bowel cleansing and higher completion/polyp detectionâdirect digestive/ bowel-prep benefit.
- Randomized clinical trial of laxatives and oral nutritional supplements within an enhanced recovery after surgery protocol following liver resection
PubMed ID: 20602497
Postoperative magnesiumâhydroxide (magnesium = electrolyte) significantly shortened time to first stool â direct evidence for a digestion/bowel-movement benefit.
- Water immersion versus standard colonoscopy insertion technique: randomized trial shows promise for minimal sedation
PubMed ID: 20593332
Water immersion technique improved colonoscopy insertion success and reduced pain â directly relevant to a GI/procedure outcome (digestive tract mechanics).
- Mechanical bowel preparation for gynecologic laparoscopy: a prospective randomized trial of oral sodium phosphate solution vs single sodium phosphate enema
PubMed ID: 21167795
Oral sodiumâphosphate bowel prep produced effective bowel cleansing but more adverse effects â directly relates to bowel function and prep (electrolyte salt).
- A randomized clinical study comparing reduced-volume oral sulfate solution with standard 4-liter sulfate-free electrolyte lavage solution as preparation for colonoscopy
PubMed ID: 20646695
Lowâvolume oral sulfate (electrolyte) solution produced superior bowel cleansingâdirectly relevant to gastrointestinal outcomes.
- [On-demand treatment of nonerosive reflux disease: omeprazole plus bicarbonate powder versus omeprazole capsules]
PubMed ID: 21053477
Sodium-bicarbonate-containing omeprazole formulation produced faster and slightly better heartburn relief versus capsule â direct digestive symptom benefit.
- High compliance randomized controlled field trial of solar disinfection of drinking water and its impact on childhood diarrhea in rural Cambodia
PubMed ID: 21827166
Solar-treated drinking water lowered diarrhea incidence in children â indirectly supports more consistent/less disrupted digestion and fluid balance.
- Magnesium citrate with a single dose of sodium phosphate for colonoscopy bowel preparation
PubMed ID: 21245999
Trial tested magnesium citrate (an osmotic laxative/electrolyte agent) + sodium phosphate for bowel cleansing and found acceptable cleansing/tolerabilityârelevant to bowel movement facilitation.
- Preventing gastric sieving by blending a solid/water meal enhances satiation in healthy humans
PubMed ID: 22649258
Blending a meal into soup slowed gastric emptying and altered small-bowel/gallbladder fluid responses â directly relevant to digestion mechanics (not electrolyte-specific).
- [Effects of postoperative restrictive fluid management on recovery of gastrointestinal function after elective colonic resection]
PubMed ID: 22938659
Restrictive fluid regimen after colon surgery produced faster bowel recovery (earlier flatus/stool) without more electrolyte problems â direct GI recovery signal.
- Effects of early oral feeding on relapse and symptoms of upper gastrointestinal bleeding in peptic ulcer disease
PubMed ID: 23362880
Early oral feeding after endoscopic control of bleeding shortened hospital stay and did not disturb electrolytes â supports earlier GI recovery with appropriate oral intake.
- A two-center randomized controlled trial of water-aided colonoscopy versus air insufflation colonoscopy
PubMed ID: 24218307
Waterâassisted colonoscopy reduced pain and sedation vs air; directly shows benefit of water technique for procedural GI comfort.
- Household water chlorination reduces incidence of diarrhea among under-five children in rural Ethiopia: a cluster randomized controlled trial
PubMed ID: 24194899
Household water chlorination markedly reduced diarrhoea incidence â clear benefit to digestive health and fluid balance.
- Efficacy and safety of a magnesium sulfate-rich natural mineral water for patients with functional constipation
PubMed ID: 24342746
Drinking magnesiumâsulfateârich mineral water (1 L/day) significantly reduced constipation and hardened stoolsâdirect, wellâpowered evidence for improved bowel function.
- Stool patterns of Malaysian adults with functional constipation: association with diet and physical activity
PubMed ID: 24800384
Observational study found higher fluid intake associated with increased stool frequency/output in constipated adults.
- The efficacy, safety and cost-effectiveness of hydrotalcite versus esomeprazole in on-demand therapy of NERD: A multicenter, randomized, open-label study in China
PubMed ID: 23659834
Hydrotalcite (antacid) provided symptom relief for non-erosive refluxâdirect digestive symptom benefit (antacid, not classic electrolyte supplement but affects gastric acid/electrolyte balance).
- A cluster randomized controlled trial to reduce childhood diarrhea using hollow fiber water filter and/or hygiene-sanitation educational interventions
PubMed ID: 24865680
Household water filters substantially reduced pediatric diarrhea (large RCT) â prevents dehydration and supports gastrointestinal stability.
- Assessing the impact of water filters and improved cook stoves on drinking water quality and household air pollution: a randomised controlled trial in Rwanda
PubMed ID: 24614750
Program-distributed water filters markedly reduced fecal contamination of household drinking waterâdirectly reduces enteric infection risk and improves digestive health.
- A comparison of oral sulfate solution with sodium picosulfate: magnesium citrate in split doses as bowel preparation for colonoscopy
PubMed ID: 25028274
Oral sulfate bowelâprep (an electrolyte/mineral solution) provided superior colon cleansingârelevant to bowel preparation/digestion outcomes.
- Evaluating the efficacy of current treatments for reducing postoperative ileus: a randomized clinical trial in a single center
PubMed ID: 24675245
Oral water after certain abdominal surgeries shortened time to flatus/stool and reduced length of stayâdirect benefit to postoperative GI recovery.
- Efficacy and safety of a natural mineral water rich in magnesium and sulphate for bowel function: a double-blind, randomized, placebo-controlled study
PubMed ID: 26582579
Randomized trial: magnesium- and sulphate-rich mineral water increased bowel movements and softened stool â direct electrolyte (Mg) effect on digestion/regularity.
- Impact of a Potassium-enriched, Chloride-depleted 5% Glucose Solution on Gastrointestinal Function after Major Abdominopelvic Surgery: Results of a Randomized Controlled Trial
PubMed ID: 27416541
Perioperative potassiumâenriched, chlorideâdepleted glucose solution significantly sped recovery of normal GI function and reduced electrolyte replacement needs after major abdominal surgery â directly relevant to improved digestive recovery.
- Oral administration of the amino acids cystine and theanine attenuates the adverse events of S-1 adjuvant chemotherapy in gastrointestinal cancer patients
PubMed ID: 27306219
Cystine + theanine given around first chemo markedly reduced diarrhea and improved treatment completion (direct GI benefit).
- Estimating the Effect of School Water, Sanitation, and Hygiene Improvements on Pupil Health Outcomes
PubMed ID: 27276028
Water/sanitation adherence reduced pupil diarrhea in a large trialâimproved fluid availability linked to smoother GI outcomes.
- Alginate antacid (Gaviscon DA) chewable tablets reduce esophageal acid exposure in Chinese patients with gastroesophageal reflux disease and heartburn symptoms
PubMed ID: 27622897
Alginate antacid markedly reduced postâmeal esophageal acid exposure â direct GI symptom benefit.
- Effect of alginate in patients with GERD hiatal hernia matters
PubMed ID: 28859383
Single dose sodium alginate reduced shortâterm acid reflux eventsâdirect GI symptom improvement.
- Combinations of laxatives and green banana biomass on the treatment of functional constipation in children and adolescents: a randomized study
PubMed ID: 29309737
Green banana biomass improved stool form and allowed laxative dose reductions when used with PEGÂąelectrolytesâdirect GI benefit evidence.
- Efficacy of an Oral Rehydration Solution Enriched with Lactobacillus reuteri DSM 17938 and Zinc in the Management of Acute Diarrhoea in Infants: A Randomized, Double-Blind, Placebo-Controlled Trial
PubMed ID: 30200394
Randomized ORS trial in acute diarrhoea: electrolyte solution (with/without probiotic+zinc) reduced diarrhoea severityâdirect support for digestive symptom management.
- High doses of Antisecretory Factor stop diarrhea fast without recurrence for six weeks post treatment
PubMed ID: 29625176
Highâdose Salovum rapidly improved stool consistency in acute diarrheaâimplies faster normalization of GI function and fluid balance.
- Pharmacodynamics, Safety, and Tolerability of the NHE3 Inhibitor Tenapanor: Two Trials in Healthy Volunteers
PubMed ID: 29363027
Tenapanor markedly increased stool sodium and softened/increased bowel movements in healthy volunteers â strong evidence for smoother digestion/stool consistency.
- The Use of Probiotic with ORS and ORS Only in Children with Acute Diarrhea
PubMed ID: 31839091
Trial in children with acute watery diarrhea showed use of ORS (electrolyte solution context) with probiotic reduced stool frequency vs ORS alone â supports gastrointestinal benefit in rehydration/diarrheal illness.
- Novel sulfate tablet PBK-1701TC versus oral sulfate solution for colon cleansing: A randomized phase 3 trial
PubMed ID: 31396995
Sulfate tablet formulation for bowel prep provided effective cleansing with better tolerabilityâdirect GI relevance.
- [The application value of concept of enhanced recovery after surgery in patients with colorectal carcinoma after natural orifce specimen extraction surgery]
PubMed ID: 31648505
Preop oral electrolyte solution accelerated return to drinking and diet after surgery, indicating improved early gastrointestinal recovery.
- Time to treatment response of a magnesium- and sulphate-rich natural mineral water in functional constipation
PubMed ID: 31170680
Magnesium/sulfate-rich mineral water significantly increased response rate and shortened time to response for functional constipation vs low-mineral water (RCT).
- The effects of tenapanor on serum fibroblast growth factor 23 in patients receiving hemodialysis with hyperphosphatemia
PubMed ID: 29617976
Tenapanor directly alters GI phosphate absorption and reduced serum phosphate/FGF23âclear gut-targeted electrolyte/absorption effect.
- Effect of household water treatment with chlorine on diarrhea among children under the age of five years in rural areas of Dire Dawa, eastern Ethiopia: a cluster randomized controlled trial
PubMed ID: 32513277
Household chlorination (sodium hypochlorite) markedly reduced childhood diarrhea and water contamination â large direct effect on digestive illness incidence (public-health, though chlorine here is a disinfectant).
- Drinking Refined Deep-Sea Water Improves the Gut Ecosystem with Beneficial Effects on Intestinal Health in Humans: A Randomized Double-Blind Controlled Trial
PubMed ID: 32878045
Mineral-rich deep-sea water (electrolyte-rich beverage) significantly relieved constipation and increased fecal SCFAsâdirect digestive benefit.
- Colloidal Silicon Dioxide in Tablet form (Carbowhite) Efficacy in Patients with Acute Diarrhea: Results of Randomized, Double-Blind, Placebo-Controlled, Multi-Center Study
PubMed ID: 32286322
Tablet silicon dioxide shortened diarrhea and reduced stool frequency and time to recovery versus placebo (large randomized trial).
- Pharmacokinetics and Pharmacodynamics of Esomeprazole/Sodium Bicarbonate Immediate-Release Capsules in Healthy Chinese Volunteers: A Cross-Over, Randomized Controlled Trial
PubMed ID: 33575950
Immediateârelease esomeprazole combined with sodium bicarbonate (an electrolyte) provided rapid acid suppression and equivalent exposure â directly relevant to digestion/acid control.
- Effects on childhood infections of promoting safe and hygienic complementary-food handling practices through a community-based programme: A cluster randomised controlled trial in a rural area of The Gambia
PubMed ID: 33428636
Community hygiene intervention greatly reduced diarrhoea and food/water contamination â large effect on GI illness that would improve digestion-related outcomes and reduce fluid loss from diarrhoea.
- Effectiveness of Partially Hydrolyzed Guar Gum in Reducing Constipation in Long Term Care Facility Residents: A Randomized Single-Blinded Placebo-Controlled Trial
PubMed ID: 35297467
PHGG (fiber) reduced laxative use in long-term care residentsâdirect benefit to bowel management and digestion.
- A prospective randomized trial to compare the effectiveness of zero calorie carbonated drink and water as a solvent in sodium phosphate for colonoscopy
PubMed ID: 35320215
Using a zero-calorie soft drink solvent for sodium phosphate improved palatability and tolerability of colon prepârelevant to digestive tolerability.
- Enteral administration of a simulated amniotic fluid in preventing feeding intolerance in very low birthweight neonates: A randomized controlled trial
PubMed ID: 36580871
Enteral simulated amniotic fluid with electrolyte composition improved feeding tolerance and enteral volumes in VLBW neonates â direct and fairly strong evidence for improved enteral tolerance/digestion in that setting.
- Digestive tolerability and acceptability of Fibersol-2 in healthy and diarrheal children 1-3 years old at a rural facility, Bangladesh: Results from a four arm exploratory study
PubMed ID: 36121843
Fibersolâ2 (resistant maltodextrin) study addressed stool consistency/duration of diarrhea in young childrenâdirect digestive effect.
- Improved Plasma Lipids, Anti-Inflammatory Activity, and Microbiome Shifts in Overweight Participants: Two Clinical Studies on Oral Supplementation with Algal Sulfated Polysaccharide
PubMed ID: 36005503
Oral Ulva polysaccharide altered gut microbiome and reduced inflammatory markersâsupports GI environment and digestion.
- Pharmacokinetics and Pharmacodynamics of Lansoprazole/Sodium Bicarbonate Immediate-release Capsules in Healthy Chinese Subjects: An Open, Randomized, Controlled, Crossover, Single-, and Multiple-dose Trial
PubMed ID: 37165834
Adding sodium bicarbonate to lansoprazole accelerated absorption and increased early gastric pH â direct evidence that bicarbonate alters gastric environment and digestion.
- Heartburn relief with bicarbonate-rich mineral water: results of the randomised, placebo-controlled phase-III trial STOMACH STILL
PubMed ID: 36849190
Randomized trial showed bicarbonateârich mineral water significantly reduced heartburn and improved GI qualityâofâlifeâdirect evidence for digestive symptom improvement.
- Pharmacokinetics and Pharmacodynamics of a Fixed-Dose Combination of Esomeprazole and Magnesium Hydroxide Compared to the Enteric-Coated Esomeprazole
PubMed ID: 39289057
Fixedâdose esomeprazole + magnesium hydroxide achieved faster gastric pH control (magnesium hydroxide is an electrolyte salt) â direct relevance to gastric symptom control/digestion.
- Safety and feasibility of early drinking water after general anesthesia recovery in patients undergoing daytime surgery
PubMed ID: 38987679
Early smallâvolume water intake after anesthesia increased gastric antral motility and reduced thirst without raising vomiting â direct evidence of improved shortâterm GI motility.
- The Effect of Oral Water and Ice Popsicle Exposure on the Management of Thirst in the Immediate Postoperative Period
PubMed ID: 39283276
Giving water or ice in PACU reduced thirst and dry mouth and improved oral comfort â supports smoother immediate postoperative oral/upper GI symptoms.
- Efficacy and Safety of GutGardÂŽ in Managing Gastroesophageal Reflux-Related Symptoms: A Phase III, Single-Centre, Double-Blind, Randomized Placebo-Controlled Trial
PubMed ID: 39929150
GutGard (deglycyrrhizinated licorice) improved heartburn/regurgitation and QoL vs placeboârelevant to smoother upper-GI symptoms (not an electrolyte supplement).
- Effect of oral hypotonic water and isotonic saline on physiological intestinal (18)F-FDG uptake in PET/CT imaging
PubMed ID: 41459737
Oral isotonic saline vs water reduced physiological intestinal FDG uptake on PET/CT, indicating a measurable effect on intestinal physiology relevant to GI activity.
Blood circulation (171)
- Efficacy of standard glucose-based and reduced-osmolarity maltodextrin-based oral rehydration solutions: effect of sugar malabsorption
PubMed ID: 9002327
Effective ORS composition that avoids hypernatremia reduces risk of lightheadedness from dehydration during diarrheal illness.
- Intravenous pretreatment of hypertonic saline can prevent systemic hypotension induced by spinal anesthesia
PubMed ID: 9293648
3% hypertonic saline prehydration markedly reduced incidence of spinalâanesthesia hypotension (clinically relevant to lightheadedness from low BP).
- Effects of potassium supplementation on office, home, and 24-h blood pressure in patients with essential hypertension
PubMed ID: 9799029
Oral potassium modestly lowered office/home/24-h blood pressureâsuggests modest vascular effects that can influence perfusion/blood-flow parameters.
- Effect of sodium in a rehydration beverage when consumed as a fluid or meal
PubMed ID: 9760324
By restoring plasma volume after dehydration, sodium-containing broths would be expected to reduce orthostatic/lightheaded symptoms (physiologic inference from plasma-volume data).
- Acetate-free biofiltration versus bicarbonate haemodialysis in the treatment of patients with diabetic nephropathy: a cross-over multicentric study
PubMed ID: 9568857
Acetateâfree biofiltration reduced cardiovascular collapses by ~43% and improved intradialytic symptoms â directly relevant to reducing hypotensive/lightheaded episodes tied to fluid/electrolyte shifts.
- Randomized, prospective comparison of increased preload versus inotropes in the resuscitation of trauma patients: effects on cardiopulmonary function and visceral perfusion
PubMed ID: 9464757
Higher preload resuscitation produced better gastric intramucosal pH and increased RVEDVI â direct physiologic evidence of improved organ perfusion/blood flow with adequate volume.
- Albumin improves the response to diuretics in patients with cirrhosis and ascites: results of a randomized, controlled trial
PubMed ID: 10207805
Improved intravascular volume management in cirrhotic patients (albumin+diuretics) reduced shortâterm complications and hospital stay â suggests better volume stability and fewer symptomatic spells.
- Improved efficiency of hypervolemic therapy with inhibition of natriuresis by fludrocortisone in patients with aneurysmal subarachnoid hemorrhage
PubMed ID: 10584839
Fludrocortisone preserves sodium/volume and prevented hyponatraemia during therapy â clinically relevant to preventing orthostatic lightheadedness in volume-sensitive patients.
- Oliguria during corrective spinal surgery for idiopathic scoliosis: the role of antidiuretic hormone
PubMed ID: 10597554
Perioperative ADH rises, hyponatraemia and oliguria show severe electrolyte/volume shifts associated with dizziness/lightheadedness risk.
- Lower limb ischemia: phase 1 results of salvage perfusion
PubMed ID: 10357919
In patients with limb ischemia, extracorporeal perfusion with a hypertonic/hyperoncotic (electrolyte-containing) solution rapidly lowered lactate and inflammatory markers and was associated with fewer complications â directly indicative of improved local perfusion and tissue blood-flowârelated outcomes.
- Fluid resuscitation of patients with multiple injuries and severe closed head injury: experience with an aggressive fluid resuscitation strategy
PubMed ID: 10744272
Aggressive fluid resuscitation prevented secondary insults (including hypotension/hypoxia) in head-injured patientsâimplies reduction in lightheadedness from volume maintenance.
- Beneficial antithrombotic effects of the association of pharmacological oral magnesium therapy with aspirin in coronary heart disease patients
PubMed ID: 11153897
Oral magnesium significantly reduced platelet-dependent thrombosis ex vivoâstrong evidence for improved microvascular blood flow potential.
- The effects of balanced versus saline-based hetastarch and crystalloid solutions on acid-base and electrolyte status and gastric mucosal perfusion in elderly surgical patients
PubMed ID: 11574338
Balanced fluids better preserved gastric mucosal perfusion vs saline, showing improved splanchnic blood flow with more physiologic IV fluids.
- Hypertonic saline (7.5%) after coronary artery bypass grafting
PubMed ID: 11270018
7.5% hypertonic saline produced a large and immediate increase in cardiac index and blood pressure in CABG patientsâdirect evidence of improved macrocirculatory hemodynamics after an electrolyte-rich intervention.
- Electrolyte intake and nonpharmacologic blood pressure control
PubMed ID: 12495832
Lower sodium/higher potassium intake associated with better bloodâpressure control, which likely improves perfusion and vascular health.
- Comparison of nasogastric and intravenous methods of rehydration in pediatric patients with acute dehydration
PubMed ID: 11927697
Effective rehydration of dehydrated children would be expected to reduce orthostatic/lightheaded symptoms associated with dehydration.
- Carbohydrate-electrolyte rehydration protects against intravascular volume contraction during colonic cleansing with orally administered sodium phosphate
PubMed ID: 12397268
Rehydration with carbohydrateâelectrolyte solution produced less intravascular volume contraction and smaller orthostatic pulse changes â plausibly reduces orthostatic lightheadedness.
- [Haemodynamic effects following preoperative hypervolemic haemodilution with hypertonic hyperoncotic colloid solutions in coronary artery bypass graft surgery]
PubMed ID: 14618246
Hypertonic hyperoncotic haemodilution produced large, significant increases in cardiac index, stroke volume index and oxygen deliveryâdirect evidence of improved macrocirculatory blood flow.
- Study on efficacy of WHO-ORS in malnourished children with acute dehydrating diarrhoea
PubMed ID: 14579980
ORS reduces dehydration and hypokalaemia in ill children; better volume/electrolyte status can reduce syncope/presyncope risk.
- Effect of icodextrin on volume status, blood pressure and echocardiographic parameters: a randomized study
PubMed ID: 12631373
Icodextrin reduced extracellular water and lowered left ventricular mass â suggests improved cardiac loading and potential improvements in cardiac function/blood flow (clinical PD data).
- Carbohydrate-electrolyte (E-Lyte) solution enhances bowel preparation with oral fleet phospho-soda
PubMed ID: 15164249
Electrolyte-containing drink reduced dizziness incidence during bowel prep versus no drink (direct symptom reduction).
- Clinical events occurrence and the changes of quality of life in chronic haemodialysis patients with dry weight determined by echocardiographic method
PubMed ID: 15646404
IVCD-guided dry-weight setting reduced intradialytic hypotension and related symptoms (direct evidence linking fluid management to fewer lightheaded episodes).
- Effects of hypertonic saline-dextran solution in cardiac valve surgery with cardiopulmonary bypass
PubMed ID: 14759446
Study showed improved cardiac index and hemodynamic performance with hypertonic saline-dextran vs Ringer's â direct evidence of improved circulatory function.
- [Use of hypertonic colloid solution in the treatment of heart failure in early postoperative period]
PubMed ID: 15079108
After CABG, 7.2% NaCl/6% HES bolus produced a substantial and immediate increase in cardiac index â direct evidence of improved systemic blood flow from a hypertonic fluid intervention.
- A randomized, controlled trial of furosemide with or without albumin in hypoproteinemic patients with acute lung injury
PubMed ID: 16096441
Adding albumin to furosemide improved oxygenation (PaO2/FiO2) and produced greater net fluid loss â indicates improved pulmonary gas exchange/vascular effects in fluidâoverloaded patients.
- Isotonic is better than hypotonic saline for intravenous rehydration of children with gastroenteritis: a prospective randomised study
PubMed ID: 16352625
Prevention/correction of hyponatraemia and improved volume status in illness reduces orthostatic and symptomatic lightheadedness risk.
- Online convective therapies: results from a hemofiltration trial
PubMed ID: 15876828
Hemofiltration reduced dialysis hypotension versus bicarbonate dialysis â relevant to preventing lightheadedness during fluid shifts.
- Correlation between intradialytic hypotension in patients undergoing routine hemodialysis and use of acetate compared in bicarbonate dialysate
PubMed ID: 16138418
Significantly more intradialytic hypotension with acetate dialysate â directly ties dialysate electrolytes to lightheaded/hypotensive events.
- [Effect of infusion of hypertonic-hyperoncotic solution on cardiovascular function in surgery of the abdominal aorta during the perioperative period]
PubMed ID: 16758849
Study showed increased cardiac output and improved hemodynamics after hypertonicâhyperoncotic infusion â direct bloodâflow improvement.
- Effects of folinic acid on forearm blood flow in patients with end-stage renal disease
PubMed ID: 16520350
Folinic acid acutely improved endotheliumâdependent forearm blood flow in ESRD patients â direct evidence of an intervention improving peripheral blood flow.
- Metformin improves endothelial vascular reactivity in first-degree relatives of type 2 diabetic patients with metabolic syndrome and normal glucose tolerance
PubMed ID: 16644641
Metformin improved endotheliumâdependent forearm blood flow in people at risk for diabetes â clear vascular function improvement (drug intervention).
- Optimization of myocardial perfusion after primary coronary angioplasty following an acute myocardial infarction. Beyond TIMI 3 flow
PubMed ID: 16391383
Intracoronary nitroprusside improved microvascular blood flow and shortâterm ventricular function in STEMI patients â direct evidence of improved blood flow.
- Hypertonic hydroxyethyl starch solution for hypovolaemia correction following heart surgery
PubMed ID: 17708161
Hypertonic NaCl/HES infusion increased cardiac index after cardiac surgery â direct evidence of improved intravascular hemodynamics/blood flow in that setting.
- [Efficacy and safety of reduced osmolarity oral rehydration salts in treatment of dehydration in children with acute diarrhea--a multicenter, randomized, double blind clinical trial]
PubMed ID: 17706059
ORS efficiently corrected dehydration in children; restoring intravascular volume reduces orthostatic/lightheaded symptoms commonly due to dehydration.
- [Systemic and renal effects of preventing contrast nephrotoxicity with isotonic (0.9%) and hypotonic (0.45%) saline]
PubMed ID: 17953922
Isotonic saline increased plasma volume which can reduce orthostatic/lightheaded symptoms by expanding circulating volume (indirect evidence).
- The effect of a dietary supplement of potassium chloride or potassium citrate on blood pressure in predominantly normotensive volunteers
PubMed ID: 18053306
Oral potassium lowered blood pressure meaningfully, implying improved vascular resistance/flow-related metrics though not directly a flow measurement.
- A randomized controlled trial of glucose versus amylase resistant starch hypo-osmolar oral rehydration solution for adult acute dehydrating diarrhea
PubMed ID: 18270575
Effective ORS management of dehydration-associated losses may reduce orthostatic/lightheaded symptoms during/after illness; evidence is indirect.
- Effects of CPAP on oxidative stress and nitrate efficiency in sleep apnoea: a randomised trial
PubMed ID: 19074930
CPAP greatly increased plasma nitrate/nitrite (NOx); increased NO availability is a direct mechanistic contributor to improved blood flow.
- Half-molar sodium-lactate solution has a beneficial effect in patients after coronary artery bypass grafting
PubMed ID: 18563389
Halfâmolar sodiumâlactate increased cardiac index vs Ringerâs lactate â direct hemodynamic/bloodâflow benefit after surgery.
- Training-induced increase in nitric oxide metabolites in chronic heart failure and coronary artery disease: an extra benefit of water-based exercises?
PubMed ID: 19276981
Water-based gym sessions raised plasma nitrate (vasodilator) and improved capacity â direct mechanistic link to blood flow.
- Cardiopulmonary bypass priming using a high dose of a balanced hydroxyethyl starch versus an albumin-based priming strategy
PubMed ID: 19923501
Balanced-electrolyte priming yielded better acid-base and perfusion markers and less inflammatory endothelial activation vs albuminâ+âsaline â supports improved perioperative perfusion/blood flow.
- Inhaled nitric oxide in premature infants: effect on tracheal aspirate and plasma nitric oxide metabolites
PubMed ID: 19812581
Inhaled nitric oxide increased lung and plasma NO metabolites dose-dependentlyâclear evidence of augmenting systemic NOx that can affect perfusion.
- [Effect of controlled hypotension with different drugs combined with acute hypervolemic hemodilution on bleeding volume and gastrointestinal perfusion in nasal endoscopic surgery]
PubMed ID: 19726350
Hypervolemic hemodilution reduced surgical bleeding and preserved gastric mucosal perfusion, indicating effects on organ perfusion/flow.
- Acute cardiovascular effects of apelin in humans: potential role in patients with chronic heart failure
PubMed ID: 20385929
Apelin infusion caused vasodilation and increased cardiac output in humans â direct evidence of improved blood flow (unrelated to electrolyte supplementation).
- Predonation hydration and applied muscle tension combine to reduce presyncopal reactions to blood donation
PubMed ID: 20113455
Preâdonation water loading significantly reduced presyncopal reactions and vasovagal events â strong direct evidence for preventing lightheadedness via hydration.
- Volume replacement with a balanced hydroxyethyl starch (HES) preparation in cardiac surgery patients
PubMed ID: 20510247
Balanced fluid replacement preserved acidâbase and improved hemodynamic markers vs unbalanced fluids in surgical patients, implying better perfusion.
- NOX2-mediated arterial dysfunction in smokers: acute effect of dark chocolate
PubMed ID: 21807659
Dark chocolate (not an electrolyte) improved flow-mediated dilation in smokers â direct evidence of improved endothelial function but unrelated to electrolyte supplementation.
- Hypotonic versus isotonic maintenance fluids in critically ill children: a multicenter prospective randomized study
PubMed ID: 21352357
Preventing hyponatraemia by using isotonic fluids likely reduces risk of neurologic symptoms including lightheadedness (indirect clinical inference).
- [Feasibility and safety of acute hypervolemic hemodilution in neurosurgical patients]
PubMed ID: 22321929
Acute hypervolemic hemodilution with fluid administration increased cardiac index (improved macrocirculatory flow) though it also raised CVP/CSF pressureârelevant to blood flow effects of fluid/electrolyte therapy.
- Glucose-insulin-potassium reduces the incidence of low cardiac output episodes after aortic valve replacement for aortic stenosis in patients with left ventricular hypertrophy: results from the Hypertrophy, Insulin, Glucose, and Electrolytes (HINGE) trial
PubMed ID: 21200004
Glucoseâinsulinâpotassium infusion reduced low cardiac-output episodes and inotrope need after aortic valve surgery â strong evidence of improved myocardial performance/flow.
- Effects of drinking supplementary water at school on cognitive performance in children
PubMed ID: 22841529
Correcting mild dehydration via drinking water improves cognitive and likely orthostatic symptoms (lightheadedness) associated with fluid deficit.
- Acetate-free biofiltration reduces intradialytic hypotension: a European multicenter randomized controlled trial
PubMed ID: 23406818
AFB dialysis produced ~40% lower intradialytic hypotension rate vs standard dialysis â strong evidence that altering electrolyte/acid handling reduces symptomatic hypotension (lightheadedness) in dialysis patients.
- [Effects of allitridi capsules on endothelial function and clinical prognosis after percutaneous coronary intervention in coronary artery disease patients with diabetes mellitus]
PubMed ID: 24169284
Allitridi increased serum NO and lowered ICAM-1, indicating improved endothelial function and likely improved blood flow.
- Effect of fluid management guided by bioimpedance spectroscopy on cardiovascular parameters in hemodialysis patients: a randomized controlled trial
PubMed ID: 23415416
Guided fluid removal lowered fluid overload and blood pressure and produced regression of LV massâindicates improved hemodynamic status and cardiac outcomes.
- The acute effect of flavonoid-rich apples and nitrate-rich spinach on cognitive performance and mood in healthy men and women
PubMed ID: 24676365
Acute intake of nitrate-rich spinach raised systemic nitrate/NO biomarkersâmechanistic evidence for improved vasodilation and blood flow.
- Consumption of water containing over 3.5 mg of dissolved hydrogen could improve vascular endothelial function
PubMed ID: 25378931
Hydrogen-supersaturated water acutely improved FMD (endothelial function).
- Dietary nitrate provides sustained blood pressure lowering in hypertensive patients: a randomized, phase 2, double-blind, placebo-controlled study
PubMed ID: 25421976
Daily dietary nitrate raised plasma nitrite and produced sustained ~7â8 mmHg systolic BP lowering with improved arterial function (PWV)âstrong evidence of improved vascular function/blood flow.
- A randomized trial to assess the potential of different beverages to affect hydration status: development of a beverage hydration index
PubMed ID: 26702122
ORS preserved more fluid than water, which can reduce orthostatic/lightheaded symptoms related to hypovolemia.
- Comparison of 3% and 7.5% Hypertonic Saline in Resuscitation After Traumatic Hypovolemic Shock
PubMed ID: 26091023
Hypertonic saline rapidly restored MAP and reduced fluid needs; such hemodynamic stabilization is likely to reduce lightheadedness in acute hypovolemia.
- Intraoperative fluid management in children - a comparison of three fluid regimens
PubMed ID: 25940329
Preventing perioperative hyponatraemia and preserving osmolality with appropriate fluids could reduce dizziness/lightheadedness from electrolyte disturbances.
- Dietary nitrate improves vascular function in patients with hypercholesterolemia: a randomized, double-blind, placebo-controlled study
PubMed ID: 26607938
Six weeks of dietary nitrate improved flowâmediated dilation and reduced arterial stiffness in dyslipidaemic adults, indicating robust vascular/bloodâflow benefit.
- Dietary nitrate modulates cerebral blood flow parameters and cognitive performance in humans: A double-blind, placebo-controlled, crossover investigation
PubMed ID: 26037632
Beetroot juice (dietary nitrate) altered prefrontal cortex bloodâflow responses during tasks, demonstrating an effect on regional blood flow.
- Effect of electrolyzed high-pH alkaline water on blood viscosity in healthy adults
PubMed ID: 27932937
Electrolyzed alkaline water produced greater improvement in highâshear blood viscosity after exerciseâdirect evidence for improved hemorheology (blood flow surrogate).
- Efficacy and safety of two dosages of canrenone as add-on therapy in hypertensive patients taking ace-inhibitors or angiotensin II receptor blockers and hydrochlorothiazide at maximum dosage in a randomized clinical trial: The ESCAPE-IT trial
PubMed ID: 27860389
Canrenone significantly lowered blood pressure (hemodynamic effect)âdirect evidence of improved vascular parameters.
- Acetate-buffered crystalloid infusate versus infusion of 0.9% saline and hemodynamic stability in patients undergoing renal transplantation : Prospective, randomized, controlled trial
PubMed ID: 28255797
Different crystalloid compositions produced measurable differences in MAP and vasopressor useâelectrolyte composition affects hemodynamics/blood flow.
- Efficacy and safety of rapid intermittent correction compared with slow continuous correction with hypertonic saline in patients with moderately severe or severe symptomatic hyponatremia: study protocol for a randomized controlled trial (SALSA trial)
PubMed ID: 28356136
Hyponatremia correction protocol targets symptomatic improvement (eg, confusion, lightheadedness) by restoring sodium/osmolar balance.
- Flavonoid-Rich Apple Improves Endothelial Function in Individuals at Risk for Cardiovascular Disease: A Randomized Controlled Clinical Trial
PubMed ID: 29086478
Highâflavonoid apple skin modestly improved endothelial function (FMD) in atârisk adultsâdirect improvement in vascular function and blood flow.
- Diuretics versus volume expansion in acute submassive pulmonary embolism
PubMed ID: 29030065
Small trial in submassive PE where a furosemide bolus led to earlier improvement in cardiac biomarkers and RV systolic velocity versus volume expansionâindicates improved haemodynamics/blood flow.
- Arterial Stiffening With Exercise in Patients With Heart Failure and Preserved Ejection Fraction
PubMed ID: 28683960
Acute sodium nitrite administration improved arterial wave reflections, compliance and hemodynamics in HFpEFâdirect pharmacologic evidence of improved vascular function (not a dietary electrolyte supplement study).
- Association of Vegetable Nitrate Intake With Carotid Atherosclerosis and Ischemic Cerebrovascular Disease in Older Women
PubMed ID: 28596448
Higher dietary vegetable-derived nitrate intake associated with lower carotid IMT and lower long-term ischemic cerebrovascular riskâsupports vascular benefits of nitrate-containing foods.
- The effects of Crenotherapy and exercise in peripheral arterial occlusive disease. A comparison with simple exercise training
PubMed ID: 29339594
Exercise in thermal mineral water produced greater flow-mediated dilation than treadmill rehab in PAD patientsâsuggests mineral/thermal-water therapies can improve vascular function (indirect electrolyte/microenvironment effect).
- Cardiac effects of 6 months' dietary nitrate and spironolactone in patients with hypertension and with/at risk of type 2 diabetes, in the factorial design, double-blind, randomized controlled VaSera trial
PubMed ID: 30294825
Dietary nitrate reduced LV volumes (cardiac remodeling) and implies improved systemic NO-related vascular effects; not a direct blood-flow exercise trial.
- Administration of an Oral Hydration Solution Prevents Electrolyte and Fluid Disturbances and Reduces Readmissions in Patients With a Diverting Ileostomy After Colorectal Surgery: A Prospective, Randomized, Controlled Trial
PubMed ID: 29771807
By preventing hyponatraemia and renal impairment after ileostomy, isotonic rehydration likely reduces orthostatic/hypovolemiaârelated symptoms that cause lightheadedness.
- Effect of Sodium Thiosulfate on Arterial Stiffness in End-Stage Renal Disease Patients Undergoing Chronic Hemodialysis (Sodium Thiosulfate-Hemodialysis Study): A Randomized Controlled Trial
PubMed ID: 29587288
IV sodium thiosulfate twice weekly reduced arterial stiffness (CAVI) in hemodialysis patientsâdirect evidence for improved vascular function/blood flow from a mineral-related intervention.
- Renal stress and kidney injury biomarkers in response to endurance cycling in the heat with and without ibuprofen
PubMed ID: 29784554
Heat-exercise induced renal/electrolyte shifts could cause orthostatic/lightheaded symptoms; electrolyte repletion may reduce events.
- Effects of a low salt diet on isolated systolic hypertension: A community-based population study
PubMed ID: 29620663
Replacing normal salt with a K-containing low-sodium salt lowered systolic BP ~10 mmHg, which can improve hemodynamics and vascular health.
- Can we prevent vasovagal reactions in young inexperienced whole blood donors? A placebo controlled study comparing effects of a 330 vs 500 mL water drink prior to donation
PubMed ID: 30508293
Oral water before blood donation reduced vasovagal reactions in repeat young donors (~23% fewer) â strong evidence for fewer lightheaded episodes with acute fluid intake.
- Comparison of the Effects of Milrinone, Sodium Nitroprusside, and Nitroglycerine for Induced Hypotension in Elderly Patients Undergoing Spine Surgery: A Randomized Controlled Trial
PubMed ID: 31503048
Milrinone increased urine output and affected hemodynamics (CI/bleeding) â shows vasoactive drug effects on perfusion.
- Lung Ultrasound-Guided Dry Weight Assessment and Echocardiographic Measures in Hypertensive Hemodialysis Patients: A Randomized Controlled Study
PubMed ID: 31732234
LungâUS guided dryâweight adjustments reduced filling pressures and may reduce symptomatic hypotension/lightheadedness in dialysis patients.
- APOE gene-dependent BOLD responses to a breath-hold across the adult lifespan
PubMed ID: 31408838
Dietary nitrate substantially raised plasma nitrate/nitrite and altered cerebrovascular BOLD responses â strong mechanistic evidence for blood-flow modulation.
- Half Saline-Bicarbonate Solution as Intraoperative Fluid Replacement Therapy Leads to Less Acidosis and Better Early Renal Function During Deceased-Donor Transplant
PubMed ID: 30995895
Fluid composition affected urine output and acidâbase postâtransplant â may reduce perioperative lightheadedness by better volume/acidâbase control.
- Clinical Effects of Balanced Crystalloids vs Saline in Adults With Diabetic Ketoacidosis: A Subgroup Analysis of Cluster Randomized Clinical Trials
PubMed ID: 33196806
Balanced crystalloids improved acidâbase and DKA resolution; faster correction of metabolic derangements can reduce orthostatic/lightheaded symptoms in illness.
- Efficacy of Furosemide, Oral Sodium Chloride, and Fluid Restriction for Treatment of Syndrome of Inappropriate Antidiuresis (SIAD): An Open-label Randomized Controlled Study (The EFFUSE-FLUID Trial)
PubMed ID: 32199708
SIAD interventions target serum Na+; correcting hyponatremia impacts lightheadedness but with safety considerations.
- Peripheral endothelial function can be improved by daily consumption of water containing over 7 ppm of dissolved hydrogen: A randomized controlled trial
PubMed ID: 32470022
Hydrogenârich water improved peripheral endothelial function (Ln_RHI) especially in low baseline subjects â direct vascular benefit.
- Effect of an aqueous extract of Terminalia chebula on endothelial dysfunction, systemic inflammation, and lipid profile in type 2 diabetes mellitus: A randomized double-blind, placebo-controlled clinical study
PubMed ID: 32618037
Terminalia chebula extract improved endothelial function and NO markers in T2DM patients â meaningful vascular benefit.
- Acute supplementation with beetroot juice improves endothelial function in HIV-infected individuals
PubMed ID: 32866396
(duplicate) beetroot nitrate improved FMD â see top entry.
- Different Amounts of Water Supplementation Improved Cognitive Performance and Mood among Young Adults after 12 h Water Restriction in Baoding, China: A Randomized Controlled Trial (RCT)
PubMed ID: 33114364
Rapid rehydration reduced thirst and improved physiologic hydration markersâcan reduce orthostatic/lightheaded events tied to underhydration.
- Simultaneous Pharmacokinetic Analysis of Nitrate and its Reduced Metabolite, Nitrite, Following Ingestion of Inorganic Nitrate in a Mixed Patient Population
PubMed ID: 33140122
Oral nitrate reliably raised nitrate/nitrite with physiologic links to muscle function and NO-mediated vasodilation â strong mechanistic evidence for improved blood flow.
- Effect of a plant-based bioequivalent inorganic nitrate (NO(3)(-)) complex with vitamins, antioxidants and phytophenol rich food extracts in hypertensive individuals - A randomized, double-blind, placebo-controlled study
PubMed ID: 33183558
Plant-based nitrate (including potassium nitrate) lowered systolic/diastolic BP and improved endothelial functionâdirect support for improved blood flow.
- Dietary nitrate reduces blood pressure and cerebral artery velocity fluctuations and improves cerebral autoregulation in transient ischemic attack patients
PubMed ID: 32758038
Sevenâday dietary nitrate reduced BP and cerebral bloodâflow variability and improved autoregulation â direct vascular effect (nitrate, not classic electrolyte).
- Effects of Fluid Rehydration Strategy on Correction of Acidosis and Electrolyte Abnormalities in Children With Diabetic Ketoacidosis
PubMed ID: 34187840
Fast vs slow fluid resuscitation altered hemodynamically relevant electrolyte and acidâbase parameters in DKA; improved volume/electrolytes plausibly reduce presyncopal symptoms in illness.
- Increasing Nitrate-Rich Vegetable Intake Lowers Ambulatory Blood Pressure in (pre)Hypertensive Middle-Aged and Older Adults: A 12-Wk Randomized Controlled Trial
PubMed ID: 34236392
12âweek nitrateârich vegetable intake lowered daytime SBP, consistent with improved vascular function and perfusion.
- The effects of bathing in neutral bicarbonate ion water
PubMed ID: 34750450
Bicarbonateârich bathing increased endothelial NO and microvascular blood flow in animal/cell models and raised peripheral blood flow measures in humansâdirect mechanistic and physiologic evidence for improved blood flow.
- Serum Sodium Concentration and Mental Status in Children With Diabetic Ketoacidosis
PubMed ID: 34373322
Shows IV fluid sodium content influences serum sodium changes during DKA treatmentâimbalanced sodium can contribute to orthostatic/lightheaded symptoms, so fluid choice is relevant (no direct symptom effect shown).
- Peripheral and pulmonary effects of inorganic nitrite during exercise in heart failure with preserved ejection fraction
PubMed ID: 33421267
Inorganic nitrite improved muscle and alveolarâcapillary O2 conductance, indicating better tissue perfusion/flow.
- Effects of Combined Inorganic Nitrate and Nitrite Supplementation on Cardiorespiratory Fitness and Skeletal Muscle Oxidative Capacity in Type 2 Diabetes: A Pilot Randomized Controlled Trial
PubMed ID: 36364742
Inorganic nitrate supplementation raised plasma NO metabolites and improved VO2max and mitochondrial measures; NO-mediated vasodilation supports better blood flow.
- Hydration Interventions Among Agricultural Workers: A Pilot Study
PubMed ID: 35260538
Better hydration and prevention of AKI in heat-exposed workers likely reduced orthostatic/volume-related lightheadedness risk.
- A pragmatic, open-label, randomized controlled trial of Plasma-Lyte-148 versus standard intravenous fluids in children receiving kidney transplants (PLUTO)
PubMed ID: 37914088
Maintaining electrolyte and acidâbase homeostasis with balanced IV fluids reduces physiologic disturbances that can provoke lightheadedness in ill patients.
- Acute Effects of Dietary Nitrate on Central Pressure and Endothelial Function in Hypertensive Patients: A Randomized, Placebo-Controlled Crossover Study
PubMed ID: 36629601
Singleâdose beetroot raised nitrate/nitrite and improved microvascular/reactive hyperemia and myocardial perfusion surrogates in hypertensive patients.
- Acute beetroot juice reduces blood pressure in young Black and White males but not females
PubMed ID: 37120928
Beetroot juice increased plasma/salivary NO2â/NO3â and lowered systolic BPâclear evidence of enhanced NOâmediated vasodilatory signalling.
- Inorganic nitrate benefits contrast-induced nephropathy after coronary angiography for acute coronary syndromes: the NITRATE-CIN trial
PubMed ID: 38513060
Oral inorganic nitrate produced clinically meaningful renal/cardiac protection around angiographyâconsistent with nitrateâmediated vasodilatory effects on blood flow.
- WASH interventions and child diarrhea at the interface of climate and socioeconomic position in Bangladesh
PubMed ID: 38378704
Lower diarrhea rates reduce acute fluid losses that often produce lightheadedness, especially in children.
- Oral nitrate supplementation improves cardiovascular risk markers in COPD: ON-BC, a randomised controlled trial
PubMed ID: 38123239
Nitrate supplementation improved endothelial function/arterial stiffness and increased NOx â strong evidence for improved vascular function.
- Prevention strategies for vasovagal reaction in whole blood donors: A quadri-armed randomised control trial
PubMed ID: 38165089
Large RCT: drinking water + applied muscle tension reduced vasovagal reactions during blood donation from 2.5% to 0.9%âdirect reduction in fainting/lightheaded events.
- Increasing nitric oxide availability via ingestion of nitrate-rich beetroot juice improves vascular responsiveness in individuals with Alzheimer's Disease
PubMed ID: 40089052
Beetroot raised plasma nitrate/nitrite and improved NO-dependent vascular responsiveness in non-AD participants.
- Accelerating inflammatory resolution in humans to improve endothelial function and vascular health: Targeting the non-canonical pathway for NO
PubMed ID: 40209616
Dietary nitrate prevented inflammation-induced endothelial dysfunction and increased NO biomarkers â strong evidence for improved NO-mediated blood flow.
- Hyponatremia after pediatric surgery: Randomized trial of fluid composition on antidiuretic hormone response
PubMed ID: 40399660
Preventing hyponatremia via isotonic fluids reduces risk of vertiginous/hypovolemic symptoms that can cause lightheadedness; study shows sodium preservation.
- Effects of oral activated charcoal on hyperphosphatemia and vascular calcification in Chinese patients with stage 3-4 chronic kidney disease
PubMed ID: 30588573
Oral activated charcoal lowered phosphate and slowed coronary artery calcification progression â plausible vascular benefit that may improve blood flow over time.
- EFFECT OF ELECTR- AND ULTRAPHONOPHORESIS OF THE PHYTOCOMPLEX ON MICROCIRCULATORY AND BIOCHEMICAL PARAMETERS IN PATIENTS WITH KNEE JOINT OSTEOARTHRITIS
PubMed ID: 34103426
Study reported increased capillary blood flow and perfusion after electrophoresis/ultraphonophoresis with a phytocomplex and documented improved magnesium/phosphorus measuresâdirect microcirculatory evidence.
- Prospective randomized study of preoperative bowel cleansing for patients undergoing colorectal surgery
PubMed ID: 8205446
Preop crystalloid (Ringer's lactate) preserved intravascular volume â likely to reduce orthostatic/lightheaded symptoms.
- Clinical impact of histidine-ketoglutarate-tryptophan (HTK) cardioplegic solution on the perioperative period in open heart surgery patients
PubMed ID: 11440787
HTK cardioplegia reduced postoperative arrhythmias and inotropic needs and shortened ICU stay, implying improved myocardial protection and perfusion.
- Rapid nongenomic effects of aldosterone on human forearm vasculature
PubMed ID: 12860833
Aldosterone caused rapid increases in local blood flow and altered vascular reactivityâdirect vascular/electrolyte-hormone link to perfusion.
- [Effects of equiosmolar load of 20% mannitol, 7.5% saline and 0.9% saline on plasma osmolarity, haemodynamics and plasma concentrations of electrolytes]
PubMed ID: 12738015
Measured plasma volume expansion with isotonic fluid versus hypertonic agentsâsupports improved circulatory volume and perfusion (moderate support).
- Efficiency of 7.2% hypertonic saline hydroxyethyl starch 200/0.5 versus mannitol 15% in the treatment of increased intracranial pressure in neurosurgical patients - a randomized clinical trial [ISRCTN62699180]
PubMed ID: 16277715
Hypertonic saline raised cerebral perfusion pressure more than mannitol (+27% max) â direct evidence of improved cerebral perfusion in that context.
- Preservation of the liver graft with Celsior solution
PubMed ID: 17097942
Comparison of organ preservation solutions (electrolyteâcontaining) affected reperfusion syndrome rates (fewer reperfusion events with Celsior)âdirect vascular/perfusion relevance.
- A randomized controlled trial of four precolonoscopy bowel cleansing regimens
PubMed ID: 22175055
NaP increased incidence of hypokalemia; electrolyte disturbances can cause lightheadedness/dizzinessâstudy documents that risk.
- A nutrient-wide association study on blood pressure
PubMed ID: 23093587
Sodium-to-potassium balance associated with blood pressure across populations, implying effects on vascular tone and perfusion.
- Antiplatelet effects of dietary nitrate in healthy volunteers: involvement of cGMP and influence of sex
PubMed ID: 23806384
Wellâcontrolled human study showed dietary/inorganic nitrate increased plasma nitrite and platelet cGMP and reduced platelet reactivity in men â physiological changes consistent with improved NOâmediated blood flow.
- Plasmalyte-A Based del Nido Cardioplegia Versus Plain Ringer Based del Nido Cardioplegia: Double-Blind Randomized Trial
PubMed ID: 35238704
PlasmalyteâAâbased (balanced electrolyte) cardioplegia was noninferior to Ringerâbased del Nido for preserving cardiac index and myocardial protection metricsâevidence about maintained cardiac output/flow with a balanced electrolyte solution.
- Modified Del Nido Versus CustodiolÂŽ Cardioplegia for Myocardial Protection in Adult Patients Undergoing Cardiac Surgery; A Prospective Randomized Double-Blinded Clinical Trial
PubMed ID: 41081689
Modified Del Nido cardioplegia (electrolyte-containing solution) produced lower cardiac enzymes and fewer arrhythmias vs Custodiol â indicates improved myocardial protection/clinical flow outcomes in cardiac surgery.
- Effectiveness and tolerability of a standardized extract from Hibiscus sabdariffa in patients with mild to moderate hypertension: a controlled and randomized clinical trial
PubMed ID: 15330492
Hibiscus infusion reduced systolic BP and produced natriuresisâsupports improved vascular load and flow (clinical evidence).
- Clinical effects produced by a standardized herbal medicinal product of Hibiscus sabdariffa on patients with hypertension. A randomized, double-blind, lisinopril-controlled clinical trial
PubMed ID: 17315307
Hibiscus extract lowered BP and reduced ACE activityâchanges that are likely to improve vascular function and blood flow (direct trial data).
- Restoring vascular nitric oxide formation by L-arginine improves the symptoms of intermittent claudication in patients with peripheral arterial occlusive disease
PubMed ID: 9809945
Walking-distance improvement in claudication accompanied by increased NO production.
- Combined effect of coenzyme Q10 and fenofibrate on forearm microcirculatory function in type 2 diabetes
PubMed ID: 12732401
Fenofibrate + CoQ10 improved forearm microvascular vasodilation in type 2 diabetesâevidence of improved microvascular flow.
- Arginine vasopressin and serum nitrite/nitrate concentrations in advanced vasodilatory shock
PubMed ID: 15242424
In vasodilatory shock, adding vasopressin to norepinephrine raised MAP significantlyârelevant to preventing hypotensionârelated lightheadedness in acute settings.
- No arguments for increased endothelial nitric oxide synthase activity in migraine based on peripheral biomarkers
PubMed ID: 20959430
Lâarginine infusion raised NO biomarkers in healthy peopleâsupports improved NO-mediated vasodilation.
- Rapid, direct effects of statin treatment on arterial redox state and nitric oxide bioavailability in human atherosclerosis via tetrahydrobiopterin-mediated endothelial nitric oxide synthase coupling
PubMed ID: 21730307
Atorvastatin rapidly improved endothelial function and BH4 (eNOS cofactor)âstrong vascular effects though drugâbased.
- Inhibition of p38 mitogen-activated protein kinase improves nitric oxide-mediated vasodilatation and reduces inflammation in hypercholesterolemia
PubMed ID: 21262998
p38 inhibitor improved endothelial NO responses and lowered CRPâmeaningful vascular improvement (mechanistic, not electrolyte).
- Beetroot Juice Supplementation Improves High-Intensity Intermittent Type Exercise Performance in Trained Soccer Players
PubMed ID: 28327503
Raised plasma nitrite/nitrate and lower mean HR during YoâYo IR1 suggest vascular/flow benefits.
- Beet the Best?
PubMed ID: 29976553
In PAD patients, beetroot plus exercise increased limb perfusion and reactive hyperemia vs placebo.
- Bone mineralization and plasma concentrations of electrolytes in healthy subjects after exposure to hypokinesia and hyperhydration
PubMed ID: 8475628
Salt+fluid supplementation supports intravascular volume and electrolyte status; this mechanism commonly reduces orthostatic/lightheaded symptoms (not measured here).
- Crystalloid versus blood cardioplegia in coronary by-pass surgery. A prospective, randomized, controlled study in 100 consecutive adults
PubMed ID: 7775563
Cold blood cardioplegia reduced perioperative infarction and mortality versus crystalloidâclinical evidence of improved myocardial protection and flow with an electrolyte-containing solution.
- [Nifedipine in the treatment of moderate and severe arterial hypertension. Long-term effect on arterial pressure and on the left ventricle]
PubMed ID: 9340698
Longâterm nifedipine lowered BP and LV mass; improved vascular function may represent better blood flow (not electrolyte intervention but circulatory relevance).
- Bone histomorphometric changes in trained subjects during prolonged restriction of muscular activity and chronic hyperhydration
PubMed ID: 9478065
Fluid and salt supplementation normalized hemodynamic/hormonal responses during reduced activityâlikely reduces orthostatic/lightheaded symptoms.
- Hextend, a physiologically balanced plasma expander for large volume use in major surgery: a randomized phase III clinical trial. Hextend Study Group
PubMed ID: 10320157
Better-preserved intravascular volume with a balanced solution reduces risk of hypotension/orthostatic symptoms that cause lightheadedness.
- Chronic vitamin E administration improves brachial reactivity and increases intracellular magnesium concentration in type II diabetic patients
PubMed ID: 10634373
Vitamin E treatment increased intracellular Mg/Ca and improved brachial artery dilation â direct evidence of improved vascular reactivity (indirect electrolyte relevance).
- Determinants of salt sensitivity in black and white normotensive and hypertensive women
PubMed ID: 14610097
Links intracellular sodium/calcium with salt-sensitivity of blood pressure; implicates ion handling in vascular responses and perfusion.
- Electrolytic disturbances and colonoscopy: bowel lavage solutions, age and procedure
PubMed ID: 14972007
Hyponatremia and hypokalemia after prep/procedure documented; such deficits commonly cause lightheadedness.
- Reduction of adverse citrate reactions during autologous large-volume PBPC apheresis by continuous infusion of calcium-gluconate
PubMed ID: 14617323
Continuous calcium infusion during apheresis reduced citrate-related hypocalcemic symptoms (lightheadedness-like) by ~65%.
- Mineral water intake reduces blood pressure among subjects with low urinary magnesium and calcium levels
PubMed ID: 15571635
Magnesiumâenriched mineral water lowered systolic and diastolic BP in lowâMg subjectsâsupports an effect on vascular tone/flow.
- Short-term treatment with sevelamer increases serum fetuin-a concentration and improves endothelial dysfunction in chronic kidney disease stage 4 patients
PubMed ID: 18057307
Sevelamer improved flowâmediated dilation in CKD patients â evidence for improved endothelial function / blood flow.
- Compound ion salt, a novel low-sodium salt substitute: from animal study to community-based population trial
PubMed ID: 19661926
Lowâsodium compound salt reduced SBP/DBP substantially â direct cardiovascular/hemodynamic benefits relevant to blood flow.
- Effects of potassium chloride and potassium bicarbonate on endothelial function, cardiovascular risk factors, and bone turnover in mild hypertensives
PubMed ID: 20083724
Randomized trial increasing potassium intake (KCl or KHCO3) improved endothelial function and arterial complianceâdirect evidence of improved vascular/blood flow function.
- Comparison of calcium acetate and sevelamer on vascular function and fibroblast growth factor 23 in CKD patients: a randomized clinical trial
PubMed ID: 22137672
Sevelamer improved flowâmediated vasodilatation vs calcium acetate in CKDâdirect evidence of improved endothelial function/blood flow.
- Oral resveratrol and calcium fructoborate supplementation in subjects with stable angina pectoris: effects on lipid profiles, inflammation markers, and quality of life
PubMed ID: 23153742
Calcium fructoborate (a calcium-containing supplement) reduced hs-CRP and NT-proBNP in stable anginaâsuggests beneficial cardiovascular biomarker changes tied to perfusion/heart function.
- Association of blood pressure and metabolic syndrome components with magnesium levels in drinking water in some Serbian municipalities
PubMed ID: 22361711
Higher drinking-water magnesium associated with lower diastolic BP and metabolic differences â indicates hemodynamic effects.
- Initial large-dose administration of modified St. Thomas' solution
PubMed ID: 24585900
Potassium-enriched cardioplegia shortened reperfusion time and reduced postoperative CKâMBâstrong, direct cardiac perfusion/reperfusion benefit tied to electrolyte composition.
- Paricalcitol and endothelial function in chronic kidney disease trial
PubMed ID: 25259743
Paricalcitol improved flowâmediated dilation (endothelial function) in CKD â relevant to blood flow effects linked to mineral therapy.
- Serum phosphate modifies the vascular response to vitamin D receptor activation in chronic kidney disease (CKD) patients
PubMed ID: 27113290
Paricalcitol increased endothelial vasodilatory response (FMD) though accompanied by phosphate/FGF23 rises; relevant to blood flow.
- Consequences of Supraphysiological Dialysate Magnesium on Arterial Stiffness, Hemodynamic Profile, and Endothelial Function in Hemodialysis: A Randomized Crossover Study Followed by a Non-Controlled Follow-Up Phase
PubMed ID: 32996010
Raising dialysate Mg increased serum Mg and produced sizable decreases in PWV and SBP â clear vascular benefit.
- Advantages of the use of citrate over acetate as a stabilizer in hemodialysis fluid: A randomized ABC-treat study
PubMed ID: 36210622
Citrateâstabilized dialysis fluid meaningfully reduced intradialytic hypotensive episodes (absolute reduction ~3.3 percentage points) â directly relevant to preventing lightheadedness in this setting.
- A randomised, controlled clinical trial evaluating changes in therapeutic efficacy and oxidative parameters after treatment with propionyl L-carnitine in patients with peripheral arterial disease requiring haemodialysis
PubMed ID: 16608381
IV propionylâLâcarnitine produced a clear, double-blind RCT improvement in ankleâbrachial index and lowered oxidative stress â strong direct vascular evidence.
- Plasma l-carnitine and risks of cardiovascular events and recurrent stroke after ischemic stroke: A nested case-control study
PubMed ID: 36155150
Higher plasma Lâcarnitine associated with fewer recurrent CV events observationally, consistent with vascular benefit though nonâinterventional.
- Rice-based oral electrolyte solutions for the management of infantile diarrhea
PubMed ID: 1992304
Improved fluid and K absorption in dehydrated infants supports prevention of orthostatic/lightheaded symptoms driven by volume/electrolyte loss.
- Coffee polyphenols extracted from green coffee beans improve skin properties and microcirculatory function
PubMed ID: 28675091
Coffee polyphenols improved microcirculatory responsiveness in women (improvement in skin blood flow responsiveness).
- Acute blood pressure lowering, vasoprotective, and antiplatelet properties of dietary nitrate via bioconversion to nitrite
PubMed ID: 18250365
Beetroot juice raised plasma nitrite and caused a clinically meaningful systolic BP reduction â strong evidence of improved NOâmediated vascular function.
- Platelet inhibitory effects of juices from Pachyrhizus erosus L. root and Psidium guajava L. fruit: a randomized controlled trial in healthy volunteers
PubMed ID: 27488183
Yamâbean (highânitrate) juice produced marked plasma nitrite and cGMP increases and attenuated platelet aggregation â robust support for improved NOâmediated blood flow.
- Effect of cold compression and ice therapy on muscle recovery after plyometric exercise: A randomized crossover trial
PubMed ID: 41316551
Cold compression improved muscle perfusion at 48â72 h after plyometric exercise versus placebo, providing direct evidence of improved local blood flow (not electrolyte supplementation).
- Is Na+ modeling necessary in high flux dialysis?
PubMed ID: 1751081
Raised dialysate sodium substantially reduced hypotensive episodes, which commonly cause lightheadedness.
- Role of cholinergic nervous system in healing neuropathic lesions: preliminary studies and prospective, double-blinded, placebo-controlled studies
PubMed ID: 1952266
Balanced multiâelectrolyte solutions and cholinergic stimulation clearly improved capillary blood flow in studies.
- Changes in blood pressure, serum potassium and electrolytes with a combination of triamterene and a low dose of chlorthalidone
PubMed ID: 1778085
Preventing hypokalemia reduces arrhythmia/hypotension risk that can cause lightheadedness (indirect).
- [Role of prostaglandins in regulation of kidney function in heart failure]
PubMed ID: 2066053
Aspirin reduced renal prostaglandins and was associated with reduced renal blood flowâdemonstrates interplay between interventions, electrolytes, and blood flow.
- Short term study on relative merits of acetate and bicarbonate dialysis
PubMed ID: 1816218
Bicarbonate dialysis had fewer symptomatic sessions (including hypotension) versus acetate dialysisâreduced lightheadedness during dialysis.
- The safety and efficacy of ten percent pentastarch as a cardiopulmonary bypass priming solution. A randomized clinical trial
PubMed ID: 1379660
Prime fluid composition during bypass changed early postâbypass cardiac index and hemodynamicsâevidence of fluid effects on blood flow.
- Ticlopidine improves dialysis clearance of solutes in uremic patients by reducing blood clotting in dialyser fibers
PubMed ID: 8354583
Ticlopidine reduced dialyser clotting and increased solute clearances, translating to improved flow through dialysis circuits and systemic implications.
- [Hypertonic-hyperoncotic volume replacement (7.5% NaCl/10% hydroxyethyl starch 200.000/0.5) in patients with coronary artery stenoses]
PubMed ID: 7686707
Hypertonic saline-HES increased cardiac index and pulmonary pressures versus control â demonstrates intravascular hemodynamic effects relevant to flow.
- Effect of magnesium on restenosis after percutaneous transluminal coronary angioplasty: a clinical and angiographic evaluation in a randomized patient population. A pilot study. The Ichilov Magnesium Study Group
PubMed ID: 7982415
IV magnesium after angioplasty produced a small but significant increase in luminal cross-sectional area â direct vascular benefit from magnesium administration.
- Intravascular administration of polymerized gelatin versus isotonic saline for prevention of spinal-induced hypotension
PubMed ID: 8311283
Colloid prehydration in an operative setting reduced incidence/severity of spinalâinduced hypotension vs saline â directly relevant to preventing lightheadedness from intravascular volume loss.
- A prospective randomized double-blinded study of the effect of intravenous fluid therapy on adverse outcomes on outpatient surgery
PubMed ID: 7893018
Isotonic electrolyte infusion reduced postoperative dizziness â direct evidence relevant to lightheadedness prevention.
- Electrolyte modelling in haemodialysis--potassium
PubMed ID: 8803994
Managing potassium gradients reduced dialysis-associated arrhythmias and could reduce syncope/lightheadedness related to arrhythmia or rapid electrolyte shifts.
- A randomized trial of low osmolar ionic versus nonionic contrast media in patients with myocardial infarction or unstable angina undergoing percutaneous transluminal coronary angioplasty
PubMed ID: 8626947
Direct clinical trial: ionic lowâosmolar contrast agents were associated with fewer ischemic complications and better procedural blood flow outcomes compared with nonionic agents.
Illness recovery (56)
- Effects of Sodium Bicarbonate Ringer's Solution Combined with Positive End-Expiratory Pressure on the Internal Environment of Patients Undergoing Bariatric Surgery: A Randomized 2âĂâ2 Factorial Design Pilot
PubMed ID: 39722113
Balanced crystalloid led to faster awakening and lower lactate/inflammation postoperatively â suggests improved shortâterm recovery resilience during demanding periods.
- The impact of a water promotion and access intervention on elementary school students in the presence of food insecurity
PubMed ID: 39575559
School water-promotion increased daily water intakeâimproved hydration across the day likely helps recovery/alertness during long days.
- Iterative assessment of a sports rehydration beverage containing a novel amino acid formula on water uptake kinetics
PubMed ID: 38349552
Optimizing beverage composition for early water delivery can accelerate rehydration and recovery during prolonged activity or long days.
- Hydration Interventions Among Agricultural Workers: A Pilot Study
PubMed ID: 35260538
Electrolyte drink day markedly improved hydration and kidney outcomes and prevented AKI in workers on long hot shiftsâsupports faster recovery across a day.
- Effects of veverimer on serum bicarbonate and physical function in women with chronic kidney disease and metabolic acidosis: a subgroup analysis from a randomised, controlled trial
PubMed ID: 35216581
Sustained benefits in physical function over time likely translate to improved recovery across extended daily activity.
- Effects of veverimer on serum bicarbonate and physical function in diabetic patients with chronic kidney disease and metabolic acidosis: subgroup analysis from a randomized, controlled trial
PubMed ID: 34240198
Improved functional capacity and reduced exertional impairment with bicarbonate correction suggest better daytime recovery and resilience.
- The effect of type of fluid on disease severity in acute pancreatitis treatment
PubMed ID: 34919248
Balanced fluid resuscitation improved physiologic status in acute illnessâmay aid recovery capacity across days.
- Effects of Water Restriction and Supplementation on Cognitive Performances and Mood among Young Adults in Baoding, China: A Randomized Controlled Trial (RCT)
PubMed ID: 34684650
Rehydration after prolonged restriction improved cognitive/subjective measures that would favor faster recovery during long workdays.
- The Influence of Fluid Intake Behavior on Cognition and Mood among College Students in Baoding, China
PubMed ID: 33780928
Higher daily fluid intake improved vigor and a memory test in students, suggesting better daytime recovery/alertness over long days.
- Different Amounts of Water Supplementation Improved Cognitive Performance and Mood among Young Adults after 12 h Water Restriction in Baoding, China: A Randomized Controlled Trial (RCT)
PubMed ID: 33114364
Single larger-volume rehydration produced notable acute physiologic/cognitive benefits relevant to recovery in long days.
- Effects of the Amount and Frequency of Fluid Intake on Cognitive Performance and Mood among Young Adults in Baoding, Hebei, China: A Randomized Controlled Trial
PubMed ID: 33260939
Recommended drinking pattern improved vigor and hydration markersâlikely to speed subjective recovery during long active days.
- The effects of combined magnesium and zinc supplementation on metabolic status in patients with type 2 diabetes mellitus and coronary heart disease
PubMed ID: 32466773
Mg+Zn improved metabolic/inflammatory markers and antioxidant capacity â supports resilience/recovery across long days.
- Clinical Effects of Balanced Crystalloids vs Saline in Adults With Diabetic Ketoacidosis: A Subgroup Analysis of Cluster Randomized Clinical Trials
PubMed ID: 33196806
Balanced crystalloids improved metabolic recovery times in DKA â fluid composition impacts recovery speed in prolonged stress.
- [The application value of concept of enhanced recovery after surgery in patients with colorectal carcinoma after natural orifce specimen extraction surgery]
PubMed ID: 31648505
ERAS protocol with oral electrolyte solution shortened hospitalization and accelerated functional recoveryâevidence for faster recovery across long days of perioperative convalescence.
- Impact of a new balanced gelatine on electrolytes and pH in the perioperative care
PubMed ID: 31034525
Balanced IV fluids maintain physiologic status that could reduce cumulative disturbance over long days (perioperative context).
- Effect of Coaching to Increase Water Intake on Kidney Function Decline in Adults With Chronic Kidney Disease: The CKD WIT Randomized Clinical Trial
PubMed ID: 29801012
Coached increases in water intake produced sustained higher urine volumes and lower copeptin â supports maintaining hydration across long days.
- Impact of Isotonic Beverage on the Hydration Status of Healthy Chinese Adults in Air-Conditioned Environment
PubMed ID: 28272337
Isotonic beverage increased fluid retention across 8 hours vs waterâsupports maintaining hydration and quicker functional recovery over long days.
- A randomized trial of Plasma-Lyte A and 0.9Â % sodium chloride in acute pediatric gastroenteritis
PubMed ID: 27480410
Balanced IV fluids corrected dehydration more effectively and improved clinical scores; supports maintaining physiologic function across prolonged activity/illness days.
- A randomized trial to assess the potential of different beverages to affect hydration status: development of a beverage hydration index
PubMed ID: 26702122
ORS retained more fluid over 2â4 h than water â better short-term rehydration can aid recovery across long active days.
- Clinical Assessment of Fluid Balance is Incomplete for Colorectal Surgical Patients
PubMed ID: 25070944
Accurate fluid management after surgery matters for recovery during prolonged inpatient periods; study highlights common charting errors that affect recovery planning.
- A novel balanced isotonic sodium solution vs normal saline during major surgery in children up to 36Â months: a multicenter RCT
PubMed ID: 24824018
Balanced fluids reduced adverse electrolyte shiftsâmaintaining electrolyte homeostasis helps recover and sustain function across prolonged activity days.
- Cold-water immersion and iced-slush ingestion are effective at cooling firefighters following a simulated search and rescue task in a hot environment
PubMed ID: 25017114
Cooling methods that quickly restore core temperature in firefighters would support recovery between exertional bouts across long shifts (strong thermoregulatory relevance).
- Effects of early oral feeding on relapse and symptoms of upper gastrointestinal bleeding in peptic ulcer disease
PubMed ID: 23362880
Early oral feeding shortened hospital stay after peptic ulcer bleeding â supports faster recovery with timely nutrition/rehydration.
- Natriuretic peptide-driven fluid management during ventilator weaning: a randomized controlled trial
PubMed ID: 22997204
BNP-guided diuresis produced faster extubation (shorter ventilator time) and greater fluid removal without increased electrolyte harm â strong clinical recovery signal.
- [Effects of postoperative restrictive fluid management on recovery of gastrointestinal function after elective colonic resection]
PubMed ID: 22938659
Restrictive fluid regimen after colon surgery accelerated bowel recovery and lactate clearance without increasing electrolyte issues.
- Educational intervention on water intake improves hydration status and enhances exercise performance in athletic youth
PubMed ID: 21410548
Improved hydration through easier access likely helps recovery across long activity days (endurance gains shown), though not directly measured for full-day recovery.
- Hypotonic versus isotonic maintenance fluids in critically ill children: a multicenter prospective randomized study
PubMed ID: 21352357
Using isotonic fluids avoids hyponatraemia and maintains electrolyte balance over time â supports resilience during prolonged stress/illness periods.
- Effect of oral rehydration solution on fatigue during outdoor work in a hot environment: a randomized crossover study
PubMed ID: 20551583
ORS users reported slightly less fatigue after hot work shiftsâsupports faster recovery across a workday.
- Less is more: improved outcomes in surgical patients with conservative fluid administration and central venous catheter monitoring
PubMed ID: 19476825
Conservative fluid strategy and monitoring increased ventilator-free and ICU-free days â strong evidence that fluid management speeds recovery in critical care.
- Should children drink more water?: the effects of drinking water on cognition in children
PubMed ID: 19501780
Extra water improved attention and reduced thirst â better hydration can help sustain function and aid recovery during long, demanding days.
- Prospective randomized study of preoperative bowel cleansing for patients undergoing colorectal surgery
PubMed ID: 8205446
Maintaining intravascular volume via crystalloids supports sustained function across long days and reduces dehydration risk.
- Clinical impact of histidine-ketoglutarate-tryptophan (HTK) cardioplegic solution on the perioperative period in open heart surgery patients
PubMed ID: 11440787
HTK cardioplegia shortened ICU length-of-stay and reduced inotrope needs after surgeryârecovery-relevant in a clinical setting.
- [The effect of triamcinolone acetonide, montelukast, nedocromil sodium, formoterol on levels levels of sICAM-1, sIL-2R in serum and clinical course of asthma in children]
PubMed ID: 11995262
By blunting heat-related decline and preserving plasma volume, glycerol may help maintain function across long, hot days.
- Efficacy and Tolerability of Two Different Low-Volume Split-Dose Polyethylene Glycol Electrolytes Solution Bowel Preparation for Morning Colonoscopy
PubMed ID: 36092537
Improved bowelâprep scheduling reduced fatigue and increased satisfaction, which may translate to better recovery/energy across a long day.
- Comparison of Classical Blood Cardioplegia and Modified Del Nido Cardioplegia on Postoperative Serum Lactate Levels and Extubation Times
PubMed ID: 41689327
Single-dose modified Del Nido cardioplegia associated with lower early lactate and faster extubation post-CABG â indicates faster short-term recovery in a demanding clinical context.
- Bicarbonate ringer's solution could improve the intraoperative acid-base equilibrium and reduce hepatocellular enzyme levels after deceased donor liver transplantation: a randomized controlled study
PubMed ID: 38114893
Balanced electrolyte fluids improved physiologic markers intraoperatively â suggests better maintenance/recovery capacity over prolonged stress.
- Phosphate-loading test influences on endurance-trained volunteers during restriction of muscular activity and chronic hyperhydration
PubMed ID: 7626373
Hyperhydration data show how fluid/electrolyte loading may reduce cumulative deficits over long active periods.
- Phosphate supplementation prevents a decrease of triiodothyronine and increases resting metabolic rate during low energy diet
PubMed ID: 8807564
Phosphate maintained metabolic rate and thyroid status during calorie restriction, supporting sustained energy across prolonged periods.
- Bone histomorphometric changes in trained subjects during prolonged restriction of muscular activity and chronic hyperhydration
PubMed ID: 9478065
Extra daily fluid and salt reduced physiologic disruption during prolonged reduced activityâapplicable to maintaining function across long days.
- Hextend, a physiologically balanced plasma expander for large volume use in major surgery: a randomized phase III clinical trial. Hextend Study Group
PubMed ID: 10320157
Balanced-electrolyte fluid maintained physiologic stability in major surgeryâtranslatable to improved endurance of daily physiological stress and faster recovery.
- Rice-based oral electrolyte solutions for the management of infantile diarrhea
PubMed ID: 1992304
Improved fluid and K absorption would help sustain hydration and recovery across prolonged periods of fluid loss/long days.
- Role of cholinergic nervous system in healing neuropathic lesions: preliminary studies and prospective, double-blinded, placebo-controlled studies
PubMed ID: 1952266
Improved local perfusion/healing and electrolyte support likely aid recovery across long workdays.
- Fluid balance during pulmonary edema. Is fluid gain a marker or a cause of poor outcome?
PubMed ID: 1914560
Shows that better-managed fluid balance early in illness correlates with better clinical outcomes and shorter ICU/ventilator timesâsupports faster recovery with proper fluid/electrolyte management.
- The effects of glucose polymer beverage ingestion during prolonged outdoor exercise in the heat
PubMed ID: 2056904
Glucoseâelectrolyte drink reduced plasma volume loss and fat breakdown over a long marchâsupports better sustained function and recovery across long days.
- Early oral hydration: a novel regimen for management after elective cesarean section
PubMed ID: 8640466
Early oral hydration after cesarean accelerated return of bowel function and shortened hospital stay â indicates quicker recovery with timely oral fluids.
- A prospective randomized double-blinded study of the effect of intravenous fluid therapy on adverse outcomes on outpatient surgery
PubMed ID: 7893018
Isotonic electrolyte infusion reduced postop thirst, drowsiness and dizziness â supports sustained functioning through long periods.
- Effect of sodium in a rehydration beverage when consumed as a fluid or meal
PubMed ID: 9760324
Effective plasma-volume restoration and better fluid retention with sodium-containing broths could help sustain function and accelerate recovery across a long day (indirect physiologic support).
- Effects of intravenous fluid restriction on postoperative complications: comparison of two perioperative fluid regimens: a randomized assessor-blinded multicenter trial
PubMed ID: 14578723
Fluidâmanagement strategy reduced postoperative complications and may support faster overall recovery.
- Clinical events occurrence and the changes of quality of life in chronic haemodialysis patients with dry weight determined by echocardiographic method
PubMed ID: 15646404
Volume-guided management improved QOL domains, implying better day-to-day recovery and fewer fluid-related interruptions for dialysis patients.
- [Use of hypertonic colloid solution in the treatment of heart failure in early postoperative period]
PubMed ID: 15079108
Hypertonic fluid improved hemodynamics and reduced fluid needs â may allow faster functional recovery in settings requiring rapid volume resuscitation (context-specific).
- A prospective study of the "two-bag system'' in diabetic ketoacidosis management
PubMed ID: 15583776
Operationally faster IV fluid adjustments in acute care support quicker stabilization/rehydration and could translate to faster recovery of function during prolonged demands (indirect).
- Isotonic is better than hypotonic saline for intravenous rehydration of children with gastroenteritis: a prospective randomised study
PubMed ID: 16352625
Maintaining sodium and volume in illness helps preserve physiologic reserve across prolonged activity/days; evidence from RCT in gastroenteritis shows effective correction of sodium.
- [Effect of infusion of hypertonic-hyperoncotic solution on cardiovascular function in surgery of the abdominal aorta during the perioperative period]
PubMed ID: 16758849
Improved cardiac output and reduced fluid requirements postâop imply quicker physiologic recovery and less cumulative fatigue.
- Cardiopulmonary bypass priming using a high dose of a balanced hydroxyethyl starch versus an albumin-based priming strategy
PubMed ID: 19923501
Reduced inflammation and preserved physiology with balanced-electrolyte priming indicate faster physiologic recovery during extended stress periods.
- Preoperative fluid and electrolyte management with oral rehydration therapy
PubMed ID: 19444561
Oral rehydration improved physiologic hydration markers vs IV electrolyte therapy in surgical patients, suggesting more rapid restoration of fluid/electrolyte status over a recovery period.
- Intravenous fluid restriction after major abdominal surgery: a randomized blinded clinical trial
PubMed ID: 19583868
Restricted IV fluids were associated with longer hospital stays and more complicationsâindicates that appropriate fluid/electrolyte administration aids recovery over prolonged periods.
Pain relief (36)
- A pragmatic, open-label, randomized controlled trial of Plasma-Lyte-148 versus standard intravenous fluids in children receiving kidney transplants (PLUTO)
PubMed ID: 37914088
Better correction/prevention of electrolyte/acidâbase derangements with PlasmaâLyte can plausibly reduce headache from dehydration/electrolyte imbalance, though headaches were not specifically reported.
- Prospective randomized study of preoperative bowel cleansing for patients undergoing colorectal surgery
PubMed ID: 8205446
IV crystalloids produce measurable fluid retention â relevant to treating dehydration-associated headaches.
- A randomized controlled trial of four precolonoscopy bowel cleansing regimens
PubMed ID: 22175055
NaP prep increased hypokalemia incidenceâelectrolyte disturbances during prep could cause headache/dizziness; study documents relevant risk.
- Phosphate-loading test influences on endurance-trained volunteers during restriction of muscular activity and chronic hyperhydration
PubMed ID: 7626373
Hyperhydration protocols changed plasma/urine phosphate and volume statusârelevant to treating dehydration-related symptoms like headaches.
- Bone histomorphometric changes in trained subjects during prolonged restriction of muscular activity and chronic hyperhydration
PubMed ID: 9478065
Demonstrated benefit of added fluid and salt in preventing physiologic derangements that contribute to dehydration symptoms (including headaches).
- Electrolytic disturbances and colonoscopy: bowel lavage solutions, age and procedure
PubMed ID: 14972007
Documented electrolyte disturbances with colonoscopy prep that can manifest as headache among dehydration symptoms.
- Rice-based oral electrolyte solutions for the management of infantile diarrhea
PubMed ID: 1992304
Direct improvement in fluid absorption in dehydration supports reduced dehydration-related headache risk.
- Clinical experience with a hypotonic oral rehydration solution for treatment of pediatric gastroenteritis in the United Kingdom
PubMed ID: 2187614
ORS effective rehydration in childrenâapplicable to headache relief after fluid loss.
- Is Na+ modeling necessary in high flux dialysis?
PubMed ID: 1751081
By reducing hypotensive episodes and improving sodium status, dialysate sodium changes plausibly reduce dehydration headaches.
- Comparison of glucose/electrolyte and maltodextrin/glycine/glycyl-glycine/electrolyte oral rehydration solutions in acute diarrhea in children
PubMed ID: 1779314
Modified ORS improved early weight gain in diarrheal illness, implying better early rehydration which can help dehydration-associated headaches (indirect).
- A prospective randomized double-blinded study of the effect of intravenous fluid therapy on adverse outcomes on outpatient surgery
PubMed ID: 7893018
Isotonic electrolyte infusion reduced postoperative dizziness and drowsiness â symptomatic benefits suggesting reduced dehydration symptoms such as headache.
- Sagodana based verses rice based oral rehydration solution in the management of acute diarrhoea in Pakistani children
PubMed ID: 9056731
ORS effectively corrects dehydration in diarrhoeal illness, which commonly relieves dehydration-related headaches; study demonstrates rehydration efficacy.
- Improved efficiency of hypervolemic therapy with inhibition of natriuresis by fludrocortisone in patients with aneurysmal subarachnoid hemorrhage
PubMed ID: 10584839
Fludrocortisone prevented hyponatraemia and reduced urine/sodium losses â preserving volume can reduce dehydration-related headaches in appropriate patients.
- Fluid resuscitation of patients with multiple injuries and severe closed head injury: experience with an aggressive fluid resuscitation strategy
PubMed ID: 10744272
Fluid resuscitation prevented secondary physiological insults in severe injuryâsupports that correcting volume/electrolyte deficits reduces symptom burden including headache in acute settings (indirect).
- Hypertonic saline (7.5%) after coronary artery bypass grafting
PubMed ID: 11270018
Rapid restoration of intravascular volume and cardiac output by hypertonic saline supports its potential to relieve symptoms caused by acute hypovolemia (including headaches), though the study did not measure headaches directly.
- Comparison of nasogastric and intravenous methods of rehydration in pediatric patients with acute dehydration
PubMed ID: 11927697
Successful rehydration in dehydrated children likely reduces dehydration-associated headaches; study demonstrated effective rehydration.
- Study on efficacy of WHO-ORS in malnourished children with acute dehydrating diarrhoea
PubMed ID: 14579980
ORS shortens time to rehydration in dehydrated children â faster rehydration plausibly reduces dehydration symptoms including headache.
- Carbohydrate-electrolyte (E-Lyte) solution enhances bowel preparation with oral fleet phospho-soda
PubMed ID: 15164249
Carbohydrateâelectrolyte drink reduced symptomatic dehydration (dizziness) and hypokalemiaâplausibly reduces dehydration-related headaches though not directly measured.
- Clinical events occurrence and the changes of quality of life in chronic haemodialysis patients with dry weight determined by echocardiographic method
PubMed ID: 15646404
Study reported fewer headaches among multiple reduced fluid-related complaints after IVCD-guided volume management (direct symptom improvement linked to better volume control).
- [Efficacy and safety of reduced osmolarity oral rehydration salts in treatment of dehydration in children with acute diarrhea--a multicenter, randomized, double blind clinical trial]
PubMed ID: 17706059
Effective oral rehydration in dehydrated children implies potential to reduce dehydrationârelated headaches by restoring fluid/electrolyte status.
- A randomized controlled trial of glucose versus amylase resistant starch hypo-osmolar oral rehydration solution for adult acute dehydrating diarrhea
PubMed ID: 18270575
Strong ORS effect on rehydration in illness suggests likely reduction in dehydration-related symptoms such as headaches (indirect evidence).
- [The effect of NaCl solution with different concentration on the resuscitation of hemorrhagic shock]
PubMed ID: 20356558
Faster and more stable BP/electrolyte restoration with appropriate saline concentrations could plausibly reduce dehydration-related headaches.
- A randomized trial on the effects of regular water intake in patients with recurrent headaches
PubMed ID: 22113647
Randomized trial increasing daily water reduced headacheârelated QoL impairment and increased perceived improvementâdirect clinical evidence that increasing water intake can reduce dehydrationârelated headaches (moderate effect on objective headache days).
- Hypotonic versus isotonic maintenance fluids in critically ill children: a multicenter prospective randomized study
PubMed ID: 21352357
Study shows isotonic fluids better maintain sodium â preventing hyponatraemia and associated symptoms such as headache (indirect inference).
- Effects of drinking supplementary water at school on cognitive performance in children
PubMed ID: 22841529
Providing water resolved mild dehydration and improved function; practical evidence that correcting mild fluid deficits reduces dysfunction that can include dehydration headaches.
- A randomized trial to assess the potential of different beverages to affect hydration status: development of a beverage hydration index
PubMed ID: 26702122
ORS improved fluid retention vs water â improved rehydration may reduce dehydration-triggered headaches.
- Comparison of 3% and 7.5% Hypertonic Saline in Resuscitation After Traumatic Hypovolemic Shock
PubMed ID: 26091023
Hypertonic saline produced rapid hemodynamic improvement and fluid shiftsâmay reduce dehydration-related symptoms like headache in acute settings; study focused on trauma.
- Intraoperative fluid management in children - a comparison of three fluid regimens
PubMed ID: 25940329
By maintaining serum sodium and osmolality with balanced fluids, this study supports prevention of symptoms that can include dehydrationârelated headaches.
- Efficacy of an Oral Rehydration Solution Enriched with Lactobacillus reuteri DSM 17938 and Zinc in the Management of Acute Diarrhoea in Infants: A Randomized, Double-Blind, Placebo-Controlled Trial
PubMed ID: 30200394
ORS directly treats dehydration from diarrhoea, and rehydration is known to relieve dehydrationârelated headachesâtrial supports rapid fluid/electrolyte replacement.
- Can we prevent vasovagal reactions in young inexperienced whole blood donors? A placebo controlled study comparing effects of a 330 vs 500 mL water drink prior to donation
PubMed ID: 30508293
By reducing vasovagal reactions and improving acute hydration, preloading with water plausibly reduces dehydration-related headache risk (indirect evidence).
- Urinary markers of hydration during 3-day water restriction and graded rehydration
PubMed ID: 31428854
Demonstrated clear hydration deficits from reduced intake and the volume needed to restore hydrationâapplies to preventing dehydration-related headaches though headaches not measured.
- Clinical Effects of Balanced Crystalloids vs Saline in Adults With Diabetic Ketoacidosis: A Subgroup Analysis of Cluster Randomized Clinical Trials
PubMed ID: 33196806
Balanced crystalloids speed metabolic recovery and correct electrolyte disturbances that can underlie dehydration headaches.
- Different Amounts of Water Supplementation Improved Cognitive Performance and Mood among Young Adults after 12 h Water Restriction in Baoding, China: A Randomized Controlled Trial (RCT)
PubMed ID: 33114364
Acute rehydration after restriction reduced thirst and improved cognitionâconsistent with relief of dehydration-related headaches.
- Hydration Interventions Among Agricultural Workers: A Pilot Study
PubMed ID: 35260538
Provision of electrolyte drink improved hydration and physiology in workersâmakes dehydration headaches less likely.
- WASH interventions and child diarrhea at the interface of climate and socioeconomic position in Bangladesh
PubMed ID: 38378704
Less diarrheal illness implies fewer episodes of dehydration and associated headaches at community level.
- Hyponatremia after pediatric surgery: Randomized trial of fluid composition on antidiuretic hormone response
PubMed ID: 40399660
Maintaining serum sodium with isotonic fluids prevents clinically significant hyponatremia, which can present with headachesârelevant though headaches not a primary endpoint.
Muscle cramps (40)
- Magnesium substitution and postoperative arrhythmias in patients undergoing coronary artery bypass grafting
PubMed ID: 9406292
Magnesium substitution after CABG prevented postoperative Mg fall and reduced arrhythmias; Mg repletion is plausibly linked to fewer cramps.
- A randomised study to determine whether routine intravenous magnesium supplements are necessary in patients receiving cisplatin chemotherapy with continuous infusion 5-fluorouracil
PubMed ID: 7718321
Routine IV magnesium prevented hypomagnesaemia and symptomatic Mg deficiency episodes â strong physiological basis for fewer cramps.
- Long-term diuretic therapy: effects of dose reduction on antihypertensive efficacy and counterregulatory systems
PubMed ID: 1378114
Lowering long-term diuretic dose markedly reduced hypokalemia incidence (fewer electrolyte-related cramps expected).
- Trial of antihypertensive intervention and management: greater efficacy with weight reduction than with a sodium-potassium intervention
PubMed ID: 8454808
Low-sodium/high-potassium diet increased K excretion intake â raising K intake is plausibly protective versus cramps.
- A randomized controlled trial of four precolonoscopy bowel cleansing regimens
PubMed ID: 22175055
NaP prep associated with hypokalemiaâdocumented electrolyte disturbance that can manifest as cramps; directly relevant risk evidence.
- A Safety and Efficacy Comparison of a New Sulfate-Based Tablet Bowel Preparation Versus a PEG and Ascorbate Comparator in Adult Subjects Undergoing Colonoscopy
PubMed ID: 33165006
OST increased serum magnesium in a proportion of subjectsâMg can reduce cramps; direct electrolyte finding.
- Comparative effects of a Mg-enriched diet and different orally administered magnesium oxide preparations on ionized Mg, Mg metabolism and electrolytes in serum of human volunteers
PubMed ID: 7836622
Dietary magnesium raised biologically active (ionized) Mg2+; higher Mg2+ is plausibly protective against cramps and the study shows clear Mg changes.
- Magnesium substitution in elective coronary artery surgery: a double-blind clinical study
PubMed ID: 7540058
Perioperative high-dose magnesium produced sustained serum Mg elevations (mechanistically linked to reduced neuromuscular excitability/cramps).
- Dose-effect relations of loop- and thiazide-diuretics on calcium homeostasis: a randomized, double-blinded Latin-square multiple cross-over study in postmenopausal osteopenic women
PubMed ID: 12492451
Loop diuretics increased urinary calcium and altered PTH/1,25(OH)2D; such losses can precipitate cramps.
- Functional magnesium deficiency in critically ill patients identified using a magnesium-loading test
PubMed ID: 9187591
Magnesium-loading test shows large, rapid increases in serum/ionized Mg and identifies deficiencyâstrong mechanistic link to cramp prevention.
- The alterations in insulin sensitivity during angiotensin converting enzyme inhibitor treatment are related to changes in the calcium/magnesium balance
PubMed ID: 9037321
Study linked increased serum magnesium (and Ca/Mg balance) to better metabolic outcomes; magnesium status is wellâknown to reduce crampsâmoderate direct relevance.
- Influence of the angiotensin II receptor antagonist losartan on diuretic-induced metabolic effects in elderly hypertensive patients: comparison with a calcium channel blocker
PubMed ID: 11680666
Clinical trial showing losartan preserved serum potassium vs comparator in diuretic-treated patients â potassium status is strongly linked to cramp risk.
- Electrolytic disturbances and colonoscopy: bowel lavage solutions, age and procedure
PubMed ID: 14972007
Frequent hypokalemia/hyponatremia after colonoscopy prep â electrolyte disturbances known to trigger cramps.
- Hydrochlorothiazide efficacy and polymorphisms in ACE, ADD1 and GNB3 in healthy, male volunteers
PubMed ID: 16450155
Shows thiazide-induced potassium loss varies by genotype â hypokalemia predisposes to cramps, so this finding is pertinent.
- Consequences of Supraphysiological Dialysate Magnesium on Arterial Stiffness, Hemodynamic Profile, and Endothelial Function in Hemodialysis: A Randomized Crossover Study Followed by a Non-Controlled Follow-Up Phase
PubMed ID: 32996010
Dialysate magnesium raised serum/ionized Mg â Mg is mechanistically linked to reduced muscle cramps and excitability.
- Efficacy of a Naturally Calcium and Magnesium-Rich Mineral Water on Musculoskeletal Fragility: A Randomized, Double-Blind Controlled Trial
PubMed ID: 41683292
Magnesium intake is mechanistically linked to reduced cramps; trial showed increased urinary Mg and muscle benefits â moderate support.
- A randomized, double-blind, placebo-controlled trial of supplementary vitamins E, C and their combination for treatment of haemodialysis cramps
PubMed ID: 11427639
Large RCT in dialysis patients showed vitamins C and E (esp. combined) markedly reduced cramp frequency/intensity (strong direct evidence for cramps).
- Is Na+ modeling necessary in high flux dialysis?
PubMed ID: 1751081
Direct trial: raising dialysate sodium halved cramps (large, clinically meaningful effect).
- Ramipril decreases chlorthalidone-induced loss of magnesium and potassium in hypertensive patients
PubMed ID: 8750365
Ramipril prevented thiazide-associated K and Mg lossesâaddresses two electrolytes implicated in cramps.
- Changes in blood pressure, serum potassium and electrolytes with a combination of triamterene and a low dose of chlorthalidone
PubMed ID: 1778085
Adding triamterene reduced diureticâinduced hypokalemia and consequently fewer electrolyteârelated cramps.
- Potassium substitution via the oral route: does its efficacy depend on the anion of the potassium salt?
PubMed ID: 1762385
Oral potassium salts effectively and reliably raised serum K+ in hypokalemic patientsâdirect biochemical evidence relevant to preventing K+-related cramps.
- A pragmatic, open-label, randomized controlled trial of Plasma-Lyte-148 versus standard intravenous fluids in children receiving kidney transplants (PLUTO)
PubMed ID: 37914088
PlasmaâLyte reduced hypomagnesemia vs standard fluids in transplant kidsâmaintaining magnesium may reduce risk of cramps; direct cramp outcomes not measured but physiology is relevant.
- Efficacy of Potassium Supplementation in Hypokalemic Patients Receiving Peritoneal Dialysis: A Randomized Controlled Trial
PubMed ID: 35597332
Protocolized oral KCl in peritoneal dialysis corrected hypokalemia (mean Kâ ~0.66 mEq/L); restoring K+ plausibly reduces cramps associated with hypokalemia.
- Pickle Juice Intervention for Cirrhotic Cramps Reduction: The PICCLES Randomized Controlled Trial
PubMed ID: 35416793
Randomized trial: small sips of pickle juice acutely reduced cramp severity and aborted a higher proportion of cramps vs waterâdirect clinical evidence for cramp relief.
- The effects of combined magnesium and zinc supplementation on metabolic status in patients with type 2 diabetes mellitus and coronary heart disease
PubMed ID: 32466773
Magnesium supplementation is directly linked to reduced cramp risk; RCT showed metabolic and inflammatory improvements.
- Comparison of the Efficacy of Oral versus Intravascular Magnesium in the Prevention of Hypomagnesemia and Arrhythmia after CABG
PubMed ID: 30517252
Oral magnesium was as effective as IV magnesium at preventing low Mg and arrhythmia postâCABG; magnesium status is strongly linked to muscle cramp riskâgood mechanistic relevance.
- Effects of potassium supplementation on markers of osmoregulation and volume regulation: results of a fully controlled dietary intervention study
PubMed ID: 26599222
Oral potassium added to lowâNa diet altered BP and osmoregulatory hormones; potassium is mechanistically linked to cramp prevention.
- [Effect of magnesium sulphate infusion on emergence agitation in patients undergoing esophageal carcinoma with general anesthesia: a randomized, double-blind, controlled trial]
PubMed ID: 27998859
Magnesium infusion lowered muscle tension and pain perioperatively; Mg2+ implicated in cramp reduction.
- Late outcome of a randomized study on oral magnesium for premature complexes
PubMed ID: 25590926
Oral magnesium pidolate produced clear physiological benefits (reduced ectopy) and supports magnesium's role in neuromuscular excitabilityâstrongest relevant electrolyte evidence among studies provided.
- Role of diversion ileostomy in low rectal cancer: a randomized controlled trial
PubMed ID: 25038542
Ileostomy group had clinically important hypokalemiaâthe clear link between electrolyte loss (K+) and cramp risk supports relevance.
- Spironolactone in preventing hypokalemia following traumatic brain injury
PubMed ID: 21126390
Spironolactone markedly reduced post-injury hypokalemia incidence in TBI patients; preventing hypokalemia can reduce cramp risk.
- Patients with complex arrhythmias during and after haemodialysis suffer from different regimens of potassium removal
PubMed ID: 18065796
Dialysate potassium profiling preserved higher plasma K and reduced arrhythmia risk; supports relevance to maintaining K levels that can reduce cramps in settings of K loss.
- Oral rehydration for viral gastroenteritis in adults: a randomized, controlled trial of 3 solutions
PubMed ID: 16931613
Study showed Gatorade was associated with more persistent low potassium vs Pedialyte/ORS â hypokalemia can contribute to cramps, so ORS may reduce risk.
- [Oral rehydration with a plantain flour-based solution precooked with standardized electrolytes]
PubMed ID: 15962898
ORS provides electrolytes (sodium/potassium) that are commonly implicated in cramp prevention; trial shows effective rehydration.
- Clinical events occurrence and the changes of quality of life in chronic haemodialysis patients with dry weight determined by echocardiographic method
PubMed ID: 15646404
IVCD-guided dry-weight adjustment in dialysis patients significantly reduced cramps among several fluid-related clinical events (direct link between fluid/electrolyte status and cramps).
- Study on efficacy of WHO-ORS in malnourished children with acute dehydrating diarrhoea
PubMed ID: 14579980
WHO ORS data show malnourished children had more hypokalaemia during rehydration â supports role of electrolytes (K+) in preventing cramp-prone hypokalemia.
- Beneficial antithrombotic effects of the association of pharmacological oral magnesium therapy with aspirin in coronary heart disease patients
PubMed ID: 11153897
Oral magnesium had systemic effects; magnesium supplementation is commonly linked to reduced cramping.
- The use of reduced doses of amifostine to ameliorate nephrotoxicity of cisplatin/ifosfamide-based chemotherapy in patients with solid tumors
PubMed ID: 10757556
Amifostine reduced hypomagnesemia and tubular injury during cisplatin therapyâmagnesium status is mechanistically linked to cramp risk.
- Hypomagnesemia in heart failure with ventricular arrhythmias. Beneficial effects of magnesium supplementation
PubMed ID: 10672134
Direct magnesium supplementation trial increased Mg levels and reduced ventricular arrhythmias; strong evidence Mg supplementation corrects deficiency that also causes cramps.
- [Influence of fluid replacement on serum magnesium concentration and proper magnesium supplementation during general anesthesia]
PubMed ID: 9311207
Shows that adding magnesium to large-volume IV fluids prevents serum Mg dropsâdirectly relevant because Mg status influences muscle cramping.
Energy & Fatigue (37)
- Beneficial antithrombotic effects of the association of pharmacological oral magnesium therapy with aspirin in coronary heart disease patients
PubMed ID: 11153897
Magnesium deficiency is linked to fatigue; the study demonstrates oral Mg produces physiologic changes consistent with benefit.
- Effects of Sodium Bicarbonate Ringer's Solution Combined with Positive End-Expiratory Pressure on the Internal Environment of Patients Undergoing Bariatric Surgery: A Randomized 2âĂâ2 Factorial Design Pilot
PubMed ID: 39722113
Balanced fluid shortened awakening time and lowered lactate and inflammatory markers after surgery, suggesting reduced immediate postoperative fatigue.
- Hydration Interventions Among Agricultural Workers: A Pilot Study
PubMed ID: 35260538
Electrolyte drink day associated with improved physiological outcomes and absence of AKIâplausible reduction in fatigue under heat stress.
- Effects of veverimer on serum bicarbonate and physical function in women with chronic kidney disease and metabolic acidosis: a subgroup analysis from a randomised, controlled trial
PubMed ID: 35216581
Robust improvements in bicarbonate and physical-function outcomes over 1 year support a strong effect on fatigue reduction in this population.
- Effects of veverimer on serum bicarbonate and physical function in diabetic patients with chronic kidney disease and metabolic acidosis: subgroup analysis from a randomized, controlled trial
PubMed ID: 34240198
Veverimer led to marked gains in physical function and chair-stand times in patients with metabolic acidosis â consistent with reduced fatigue and improved functional stamina.
- The effect of warm salt water foot bath on the management of chemotherapy-induced fatigue
PubMed ID: 33864994
Randomized trial showed warm salt footbaths reduced overall chemotherapyârelated fatigue vs control.
- Effectiveness of a novel 1% glucose isotonic electrolyte solution for intraoperative fluid therapy in children: a randomized controlled trial
PubMed ID: 34775865
Using a 1% glucose isotonic electrolyte solution preserved blood glucose intraoperatively versus lactated Ringer'sâdirect evidence that a glucoseâcontaining electrolyte fluid stabilizes energy substrate levels.
- Efficacy and Tolerability of Two Different Low-Volume Split-Dose Polyethylene Glycol Electrolytes Solution Bowel Preparation for Morning Colonoscopy
PubMed ID: 36092537
Randomized trial showed a specific splitâdose PEG schedule markedly reduced fatigue rates (6.15% vs 21.88%), directly linking an electrolyte bowelâprep regimen to less reported fatigue.
- Dextrose-containing intraoperative fluid in neonates: a randomized controlled trial
PubMed ID: 27083135
Different dextrose concentrations in IV fluids clearly affected blood glucose and metabolic stress in neonates.
- Hypophosphataemia after renal transplantation: relationship to immunosuppressive drug therapy and effects on muscle detected by 31P nuclear magnetic resonance spectroscopy
PubMed ID: 2109286
Shows steroid-related hypophosphataemia and reduced intracellular muscle phosphate â phosphate deficits impair ATP generation and consistent energy availability.
- Phosphate-loading test influences on endurance-trained volunteers during restriction of muscular activity and chronic hyperhydration
PubMed ID: 7626373
Manipulating hydration and phosphate status during reduced activity altered systemic markersâmay reduce fatigue related to electrolyte imbalance.
- Phosphate supplementation prevents a decrease of triiodothyronine and increases resting metabolic rate during low energy diet
PubMed ID: 8807564
Oral phosphate increased resting metabolic rate substantially and prevented diet-associated T3 declineâstrong signal for more consistent energy availability.
- Randomized trial of intravenous iron-induced hypophosphatemia
PubMed ID: 30518682
IV iron (ferric carboxymaltose) caused large drops in serum phosphate and decreases in active vitamin D â hypophosphatemia can impair cellular energy metabolism, linking electrolytes to energy consistency.
- A Nutritionally Complete Oral Nutritional Supplement Powder Improved Nutritional Outcomes in Free-Living Adults at Risk of Malnutrition: A Randomized Controlled Trial
PubMed ID: 36141627
Complete oral nutritional supplement produced clinically meaningful weight/anthropometric gainsâlikely to improve energy availability and consistency.
- Impact of Chronic Nitrate and Citrulline Malate Supplementation on Performance and Recovery in Spanish Professional Female Soccer Players: A Randomized Controlled Trial
PubMed ID: 40733006
Preserved anaerobic power and performance across matches suggests reduced cumulative fatigue.
- The effects of glucose polymer beverage ingestion during prolonged outdoor exercise in the heat
PubMed ID: 2056904
Glucoseâelectrolyte drink maintained higher blood glucose during prolonged exercise, supporting steadier energy availability.
- [Glucose polymer solutions and prolonged exertion in the heat]
PubMed ID: 1526558
Glucose-polymer drink raised blood glucose during prolonged activityâdirect evidence for more consistent short-term energy availability.
- Increased postprandial energy expenditure in obese women after peroral K- and Mg-phosphate
PubMed ID: 7816004
Oral K+/Mg2+/phosphate with glucose increased postprandial energy expenditure (~+6.3%) in obese subjects â suggests an electrolytes effect on short-term energy/thermogenesis.
- A prospective randomized double-blinded study of the effect of intravenous fluid therapy on adverse outcomes on outpatient surgery
PubMed ID: 7893018
Preop isotonic infusion reduced postoperative drowsiness â suggests electrolytes reduce subjective fatigue in acute settings.
- Impact of a School-Based Intervention on Sugar-Sweetened Beverage Intake Substitution by Water in Mexican Scholars
PubMed ID: 38437808
Increasing plain water intake while reducing sugary drinks could reduce glycemic/energy swings and support more consistent daily energy intake.
- Intravenous phosphate in the intensive care unit: more aggressive repletion regimens for moderate and severe hypophosphatemia
PubMed ID: 12845429
Phosphate is critical to ATP formation; correcting hypophosphatemia acutely improves cellular energy availability.
- Clinical events occurrence and the changes of quality of life in chronic haemodialysis patients with dry weight determined by echocardiographic method
PubMed ID: 15646404
Volume-guided dialysis patients reported improved quality-of-life domains (PF/RP/GH/RE), consistent with less fatigue from better volume control.
- Glucose-added dialysis fluid prevents asymptomatic hypoglycaemia in regular haemodialysis
PubMed ID: 17272314
Adding glucose to dialysis fluid markedly reduced asymptomatic hypoglycaemia â directly improves energetic stability during dialysis (fluid composition effect).
- Efficacy of iron-fortified rice in reducing anemia among schoolchildren in the Philippines
PubMed ID: 18791976
Reducing iron-deficiency anemia is strongly associated with decreased fatigue.
- Should children drink more water?: the effects of drinking water on cognition in children
PubMed ID: 19501780
Children who drank extra water reported less thirst and performed better on attention tasks â suggests reduced subjective fatigue and improved alertness with hydration.
- Effect of oral rehydration solution on fatigue during outdoor work in a hot environment: a randomized crossover study
PubMed ID: 20551583
Workers drinking ORS reported modestly but significantly less fatigueâdirect evidence for reduced overall fatigue.
- Educational intervention on water intake improves hydration status and enhances exercise performance in athletic youth
PubMed ID: 21410548
Marked reduction in dehydration prevalence in athletes plausibly reduces fatigue during/after exertion; endurance improved substantially.
- Effects of drinking supplementary water at school on cognitive performance in children
PubMed ID: 22841529
Hydration improved cognitive performance in children and implies more consistent cognitive energy when hydrated vs mildly dehydrated.
- Hypohydration and acute thermal stress affect mood state but not cognition or dynamic postural balance
PubMed ID: 23064870
Direct experimental evidence that mild dehydration increases fatigue symptoms.
- Ferric pyrophosphate citrate administered via dialysate reduces erythropoiesis-stimulating agent use and maintains hemoglobin in hemodialysis patients
PubMed ID: 26154926
Ferric pyrophosphate citrate delivered via dialysate maintained hemoglobin and reduced IV iron/ESA needsâmaintained Hb can translate to more consistent energy in dialysis patients.
- The Effect of Hypo-Hydration on Mood and Cognition Is Influenced by Electrolyte in a Drink and Its Colour: A Randomised Trial
PubMed ID: 31450591
Electrolyte (sodium) + water reduced dehydration-related declines in composure/agreeability and improved reaction time â indicates more stable cognitive energy/processing with electrolyte replacement.
- Drinking hydrogen water enhances endurance and relieves psychometric fatigue: a randomized, double-blind, placebo-controlled study (1)
PubMed ID: 31251888
H2 water reduced subjective fatigue after mild exercise in both untrained and trained participants â moderate evidence for reducing post-exercise fatigue (not a classical electrolyte).
- Long-term safety and efficacy of veverimer in patients with metabolic acidosis in chronic kidney disease: a multicentre, randomised, blinded, placebo-controlled, 40-week extension
PubMed ID: 31248662
Veverimer correction of metabolic acidosis improved physical function in CKD over 1 year, which can translate to more consistent daily energy.
- The effects of combined magnesium and zinc supplementation on metabolic status in patients with type 2 diabetes mellitus and coronary heart disease
PubMed ID: 32466773
Mg+Zn reduced CRP and improved TAC â plausible mechanism for lowering fatigue in metabolic disease.
- Effects of the Amount and Frequency of Fluid Intake on Cognitive Performance and Mood among Young Adults in Baoding, Hebei, China: A Randomized Controlled Trial
PubMed ID: 33260939
Improved vigor (mood) with recommended fluid regimen suggests more stable perceived energy through the day.
- Effects of Water Restriction and Supplementation on Cognitive Performances and Mood among Young Adults in Baoding, China: A Randomized Controlled Trial (RCT)
PubMed ID: 34684650
Rehydration produced cognitive and subjective improvements after dehydration which commonly present as reduced fatigue.
- Assessment of the safety and efficacy of micronized encapsulated ferric pyrophosphate in patients with iron deficiency anaemia: a phase-IV open-label clinical study
PubMed ID: 41604507
Improved anemia indices (hemoglobin, ferritin) predict reduced fatigue; relevant to energy/fatigue but this is iron, not electrolytes.
Endurance (33)
- The effects of glucose polymer beverage ingestion during prolonged outdoor exercise in the heat
PubMed ID: 2056904
Electrolyte+glucose beverage preserved plasma volume and blood glucose during prolonged exertionâsupports sustained stamina.
- Impact of Chronic Nitrate and Citrulline Malate Supplementation on Performance and Recovery in Spanish Professional Female Soccer Players: A Randomized Controlled Trial
PubMed ID: 40733006
Higher max speed and preserved anaerobic power translate into improved stamina in repeated-activity settings.
- Hextend, a physiologically balanced plasma expander for large volume use in major surgery: a randomized phase III clinical trial. Hextend Study Group
PubMed ID: 10320157
Evidence that a balanced electrolyte/plasma expander better maintains circulatory physiology supports increased stamina during prolonged physical stress.
- Bone histomorphometric changes in trained subjects during prolonged restriction of muscular activity and chronic hyperhydration
PubMed ID: 9478065
Strongest trial evidence that fluid and salt preserve physiologic function under prolonged stress and should support stamina.
- Phosphate-loading test influences on endurance-trained volunteers during restriction of muscular activity and chronic hyperhydration
PubMed ID: 7626373
Hyperhydration with electrolytes meaningfully changes fluid/electrolyte statusâsupports sustained activity/stamina.
- Hypophosphataemia after renal transplantation: relationship to immunosuppressive drug therapy and effects on muscle detected by 31P nuclear magnetic resonance spectroscopy
PubMed ID: 2109286
Intracellular phosphate reductions seen in some patients are mechanistically linked to reduced stamina/energy â relatively strong indirect support.
- Beet the Best?
PubMed ID: 29976553
PAD patients had larger gains in painâfree walking time and 6MWT when beetroot was added to exercise.
- Beetroot Juice Supplementation Improves High-Intensity Intermittent Type Exercise Performance in Trained Soccer Players
PubMed ID: 28327503
Improved intermittent running distance and lower HR during tests support stamina.
- Bicarbonate ringer's solution could improve the intraoperative acid-base equilibrium and reduce hepatocellular enzyme levels after deceased donor liver transplantation: a randomized controlled study
PubMed ID: 38114893
Improved acidâbase and physiologic parameters with balanced fluid implies better maintenance of function under prolonged activity.
- Effects of sulphur thermal water inhalations in long-COVID syndrome: Spa-centred, double-blinded, randomised case-control pilot study
PubMed ID: 39370044
Improved 6âminute walk distance in thermalâwater group suggests enhanced submaximal endurance capacity in that population.
- Prospective randomized study of preoperative bowel cleansing for patients undergoing colorectal surgery
PubMed ID: 8205446
Demonstrated fluid retention after Ringer's lactate supports intravascular volume needed for sustained activity.
- [The effect of triamcinolone acetonide, montelukast, nedocromil sodium, formoterol on levels levels of sICAM-1, sIL-2R in serum and clinical course of asthma in children]
PubMed ID: 11995262
Glycerol improved endurance-related outcomes (attenuated performance decline) under heat stressâsupports stamina during activity.
- Oral nitrate supplementation improves cardiovascular risk markers in COPD: ON-BC, a randomised controlled trial
PubMed ID: 38123239
Beetroot juice increased 6MWD in COPD â evidence of improved submaximal endurance capacity.
- Effects of home-based leg heat therapy on walking performance in patients with symptomatic peripheral artery disease: a pilot randomized trial
PubMed ID: 35771219
Leg heat therapy improved walking distance in PAD, translating to easier stamina during activity.
- Influence of Chronic Nitrate-Rich Beetroot Juice Supplementation on the Endurance Performance of Active Winter Triathletes: A Randomized Controlled Trial
PubMed ID: 35512758
Beetroot improved running economy and TTE, translating to easier sustained performance.
- Hydration Interventions Among Agricultural Workers: A Pilot Study
PubMed ID: 35260538
Electrolyte provision improved hydration and physiologic resilience in prolonged workâsupports stamina during activity.
- Effects of Combined Inorganic Nitrate and Nitrite Supplementation on Cardiorespiratory Fitness and Skeletal Muscle Oxidative Capacity in Type 2 Diabetes: A Pilot Randomized Controlled Trial
PubMed ID: 36364742
Nitrate increased VO2max and mitochondrial respiration in responders â biologic plausibility for easier stamina during activity.
- Effects of veverimer on serum bicarbonate and physical function in women with chronic kidney disease and metabolic acidosis: a subgroup analysis from a randomised, controlled trial
PubMed ID: 35216581
Large, durable gains in bicarbonate and physical performance over 1 year support improved stamina during activity.
- Effects of veverimer on serum bicarbonate and physical function in diabetic patients with chronic kidney disease and metabolic acidosis: subgroup analysis from a randomized, controlled trial
PubMed ID: 34240198
Substantial improvements in physical-function tests and chair-stand time with bicarbonate correction imply easier sustained activity in affected patients.
- Peripheral and pulmonary effects of inorganic nitrite during exercise in heart failure with preserved ejection fraction
PubMed ID: 33421267
Improved peripheral O2 conductance and VO2 kinetics support sustained activity/stamina.
- Acute supplementation with beetroot juice improves endothelial function in HIV-infected individuals
PubMed ID: 32866396
(duplicate) beetroot nitrate improved endothelial function â see above.
- Drinking hydrogen water enhances endurance and relieves psychometric fatigue: a randomized, double-blind, placebo-controlled study (1)
PubMed ID: 31251888
Hydrogen-rich water before cycling reduced subjective fatigue and produced small improvements in endurance/VO2 in both trained and untrained participants â moderate evidence for endurance benefits (though not a classic electrolyte).
- Water-based aerobic training improves strength parameters and cardiorespiratory outcomes in elderly women
PubMed ID: 29730330
Significant VO2max improvements from water-aerobic exercise indicate increased endurance capacity.
- A randomized trial to assess the potential of different beverages to affect hydration status: development of a beverage hydration index
PubMed ID: 26702122
ORS improved short-term fluid retention vs water, supporting sustained activity by maintaining hydration/electrolytes.
- Effect of acclimation training on physiological changes in a randomized controlled trial in hot-humid environment
PubMed ID: 26016365
Heat-acclimation training shortened run times (improved endurance); study measured sweat sodium changes too (electrolyte physiology relevance).
- Anabolic responses to acute and chronic resistance exercise are enhanced when combined with aquatic treadmill exercise
PubMed ID: 25425002
Aquatic treadmill+RT increased myoFSR and lean mass â supports stamina.
- Water-based exercise in COPD with physical comorbidities: a randomised controlled trial
PubMed ID: 22997217
Water-based training produced substantial gains in endurance shuttle walk distance (large effect on endurance), though the study is an exercise intervention (not electrolyte supplementation).
- Educational intervention on water intake improves hydration status and enhances exercise performance in athletic youth
PubMed ID: 21410548
Intervention substantially reduced dehydration rates and improved 600 m run times (~11.6% faster) â direct endurance gain tied to hydration.
- Implementing intentions to drink a carbohydrate-electrolyte solution during exercise
PubMed ID: 19598056
Behavioral increase in sports-drink consumption during submaximal exercise â supports availability of fluids/CHO that sustain stamina; direct evidence of increased intake shown.
- Efficacy of iron-fortified rice in reducing anemia among schoolchildren in the Philippines
PubMed ID: 18791976
Improved iron status after fortification supports better stamina and exercise capacity.
- Effect of different non-chloride sodium sources on the performance of heat-stressed broiler chickens
PubMed ID: 16787847
Sodium supplementation improved growth/performance in heat-stressed animals, suggesting electrolytes support stamina under stress (animal data).
- Isotonic is better than hypotonic saline for intravenous rehydration of children with gastroenteritis: a prospective randomised study
PubMed ID: 16352625
Prevention of hyponatraemia and maintenance of volume with isotonic fluids supports sustained activity in dehydrating conditions.
- Effect of sodium in a rehydration beverage when consumed as a fluid or meal
PubMed ID: 9760324
Sodium-containing broths restored plasma volume and fluid retentionâeffects that support sustained stamina during prolonged activity in dehydrating conditions.
Workout performance (32)
- Effect of acclimation training on physiological changes in a randomized controlled trial in hot-humid environment
PubMed ID: 26016365
Heat-acclimation training improved 3000 m run times; relevant to endurance/performance though not an electrolyte supplement.
- Effects of veverimer on serum bicarbonate and physical function in diabetic patients with chronic kidney disease and metabolic acidosis: subgroup analysis from a randomized, controlled trial
PubMed ID: 34240198
Veverimer produced large, clinically meaningful gains in tested physical function (chair-stand time, KDQoL-PFD) in CKD patients â directly relevant to performance measures.
- Effects of veverimer on serum bicarbonate and physical function in women with chronic kidney disease and metabolic acidosis: a subgroup analysis from a randomised, controlled trial
PubMed ID: 35216581
Confirmatory veverimer trial over 1 year with pronounced bicarbonate and physical-function improvements â strong, direct relevance to exercise performance capacity.
- Effects of Combined Inorganic Nitrate and Nitrite Supplementation on Cardiorespiratory Fitness and Skeletal Muscle Oxidative Capacity in Type 2 Diabetes: A Pilot Randomized Controlled Trial
PubMed ID: 36364742
Randomized nitrate supplementation in T2DM increased VO2max by â5% and improved muscle mitochondrial respiration in responders â clear exercise performance benefit.
- Hydration Interventions Among Agricultural Workers: A Pilot Study
PubMed ID: 35260538
Provision of electrolyte solution improved hydration and physiological markers in heat-stressed workers, which supports better performance in hot conditions.
- Influence of Chronic Nitrate-Rich Beetroot Juice Supplementation on the Endurance Performance of Active Winter Triathletes: A Randomized Controlled Trial
PubMed ID: 35512758
7-day beetroot juice improved running economy and cycling time-to-exhaustion in triathletes (ergogenic evidence).
- Oral nitrate supplementation improves cardiovascular risk markers in COPD: ON-BC, a randomised controlled trial
PubMed ID: 38123239
Daily nitrateârich beetroot juice increased 6âminute walk distance (+30 m) in COPD â clear exercise capacity benefit.
- Effects of sulphur thermal water inhalations in long-COVID syndrome: Spa-centred, double-blinded, randomised case-control pilot study
PubMed ID: 39370044
Sulphurârich thermal water inhalations increased 6âminute walk distance by ~15.9% in longâCOVID patients â direct measured improvement in submaximal exercise capacity.
- Acute supplementation with beetroot juice improves endothelial function in HIV-infected individuals
PubMed ID: 32866396
(duplicate) beetroot nitrate improved FMD â mechanistic support for exercise performance/endurance.
- Water-based aerobic training improves strength parameters and cardiorespiratory outcomes in elderly women
PubMed ID: 29730330
Water-aerobic program increased VO2max and strength in older women â clear exercise performance benefit.
- Repeated-sprint performance and plasma responses following beetroot juice supplementation do not differ between recreational, competitive and elite sprint athletes
PubMed ID: 29412076
Beetroot (nitrate) sped time-to-peak sprint power (ergogenic effect on performance).
- Inorganic Nitrate in Angina Study: A Randomized Double-Blind Placebo-Controlled Trial
PubMed ID: 28887315
Sodium nitrate increased total exercise time significantly (modest magnitude) in chronic angina patientsâdirect performance signal.
- Dietary nitrate supplementation improves sprint and high-intensity intermittent running performance
PubMed ID: 27777094
Beetroot (nitrate) produced consistent small but significant sprint and intermittent running performance improvements.
- A randomized trial to assess the potential of different beverages to affect hydration status: development of a beverage hydration index
PubMed ID: 26702122
ORS retained more fluid vs water (higher BHI), which supports performance by improving hydration during prolonged activity.
- Peripheral and pulmonary effects of inorganic nitrite during exercise in heart failure with preserved ejection fraction
PubMed ID: 33421267
Inorganic nitrite improved muscle O2 conductance and VO2 kinetics during exercise (HFpEF), indicating physiologic performance gains.
- Water-based exercise in COPD with physical comorbidities: a randomised controlled trial
PubMed ID: 22997217
An 8-week water-based exercise program produced measurable improvements in walking and shuttle-walk performance vs controls, indicating improved exercise capacity (not an electrolyte intervention but relevant to exercise performance outcomes).
- Educational intervention on water intake improves hydration status and enhances exercise performance in athletic youth
PubMed ID: 21410548
Education + fluid access produced large, measurable improvement in a 600 m endurance run (direct performance benefit through hydration).
- Impact of supplementation with bicarbonate on lower-extremity muscle performance in older men and women
PubMed ID: 19727904
Bicarbonate supplementation produced a measurable +13% in lowerâextremity peak muscle power in older womenâdirect evidence of improved power/performance.
- Efficacy of iron-fortified rice in reducing anemia among schoolchildren in the Philippines
PubMed ID: 18791976
Reduced anemia (higher hemoglobin/ferritin) is well linked to better exercise capacity/endurance.
- Effect of different non-chloride sodium sources on the performance of heat-stressed broiler chickens
PubMed ID: 16787847
Broiler study: adding sodium salts (esp. bicarbonate) improved growth/performance and lowered heat-stress mortality, indicating improved physiological performance under stress (animal data).
- Effect of sodium in a rehydration beverage when consumed as a fluid or meal
PubMed ID: 9760324
Sodium-containing broths restored plasma volume and retained fluid better than waterâphysiologic changes that commonly support exercise performance by maintaining circulating volume.
- The effects of glucose polymer beverage ingestion during prolonged outdoor exercise in the heat
PubMed ID: 2056904
During prolonged exercise a glucoseâpolymer electrolyte beverage maintained blood glucose and plasma volumeâsupports performance.
- Acute and chronic safety and efficacy of dose dependent creatine nitrate supplementation and exercise performance
PubMed ID: 27034623
Creatineânitrate raised plasma nitrate and at higher dose yielded modest strength and power gains over 28 days.
- Impact of Chronic Nitrate and Citrulline Malate Supplementation on Performance and Recovery in Spanish Professional Female Soccer Players: A Randomized Controlled Trial
PubMed ID: 40733006
4-week nitrate+citrulline-malate in pro players increased max speed and preserved anaerobic power after matches.
- Combined Effects of Citrulline Plus Nitrate-Rich Beetroot Extract Co-Supplementation on Maximal and Endurance-Strength and Aerobic Power in Trained Male Triathletes: A Randomized Double-Blind, Placebo-Controlled Trial
PubMed ID: 35010917
9-week citrulline+beetroot modestly increased Cooper-test distance and some power tests in triathletes.
- Hextend, a physiologically balanced plasma expander for large volume use in major surgery: a randomized phase III clinical trial. Hextend Study Group
PubMed ID: 10320157
A balanced-electrolyte/plasma expander preserved circulatory function better than hetastarchâreasonably analogous to sports-relevant balanced fluids improving performance.
- Bone histomorphometric changes in trained subjects during prolonged restriction of muscular activity and chronic hyperhydration
PubMed ID: 9478065
Supplemental fluid and salt during prolonged reduced activity preserved physiologyâstrongest direct signal that appropriate electrolyte/fluid helps performance/endurance.
- Phosphate-loading test influences on endurance-trained volunteers during restriction of muscular activity and chronic hyperhydration
PubMed ID: 7626373
Study of hyperhydration with phosphate demonstrates altered fluid/phosphate handling relevant to performance in prolonged activity.
- Beetroot Juice Supplementation Improves High-Intensity Intermittent Type Exercise Performance in Trained Soccer Players
PubMed ID: 28327503
Improved highâintensity intermittent running distance (YoâYo IR1) in trained players.
- [The effect of triamcinolone acetonide, montelukast, nedocromil sodium, formoterol on levels levels of sICAM-1, sIL-2R in serum and clinical course of asthma in children]
PubMed ID: 11995262
Glycerol hyperhydration markedly attenuated heat-induced performance loss in athletes (large, direct effect).
- Oral magnesium supplementation improves metabolic variables and muscle strength in alcoholics
PubMed ID: 1443440
Magnesium supplementation increased muscle strength, which can translate to improved performance (direct electrolyte supplement evidence).
- Simultaneous Pharmacokinetic Analysis of Nitrate and its Reduced Metabolite, Nitrite, Following Ingestion of Inorganic Nitrate in a Mixed Patient Population
PubMed ID: 33140122
Oral nitrate raised nitrate/nitrite and was positively associated with muscle power in many subjectsâgood mechanistic and physiologic relevance to exercise performance.
Body temperature (22)
- Extracorporeal whole body hyperthermia treatments for HIV infection and AIDS
PubMed ID: 9360163
Wholeâbody hyperthermia trial reported electrolyte management as part of treatmentâoffers contextual relevance to heat tolerance when electrolytes are controlled.
- Bone histomorphometric changes in trained subjects during prolonged restriction of muscular activity and chronic hyperhydration
PubMed ID: 9478065
Providing extra fluid and salt attenuated hormonal/electrolyte disturbances during prolonged inactivityâtranslatable to better heat stress response.
- Hextend, a physiologically balanced plasma expander for large volume use in major surgery: a randomized phase III clinical trial. Hextend Study Group
PubMed ID: 10320157
A balanced solution that preserves volume and electrolyte balance is plausibly helpful for thermoregulatory tolerance; trial demonstrated superior physiologic support under stress.
- [The effect of triamcinolone acetonide, montelukast, nedocromil sodium, formoterol on levels levels of sICAM-1, sIL-2R in serum and clinical course of asthma in children]
PubMed ID: 11995262
Glycerol pre-loading strongly reduced heat-related performance loss and improved retentionâdirect evidence of better heat tolerance.
- Effect of the seaweed Ascophyllum nodosum on lambs during forced walking and transport
PubMed ID: 17179560
Seaweed supplement reduced ear temperature and stress-hormone trends in lambs under heat stress â direct animal evidence of improved heat tolerance via electrolyte/seaweed effects.
- Bone mineralization and plasma concentrations of electrolytes in healthy subjects after exposure to hypokinesia and hyperhydration
PubMed ID: 8475628
Daily salt and fluid change plasma electrolyte levels and volume â mechanistically consistent with improved heat tolerance, though not directly tested.
- Phosphate-loading test influences on endurance-trained volunteers during restriction of muscular activity and chronic hyperhydration
PubMed ID: 7626373
Hyperhydration study demonstrates how fluid+electrolyte loading alters plasma/urine responsesârelevant to heat-stress tolerance.
- Hydration Interventions Among Agricultural Workers: A Pilot Study
PubMed ID: 35260538
Field trial in heat-exposed workers showed improved hydration and kidney protection using electrolyte solutionâdirectly supports heat tolerance.
- Effects of Water Restriction and Supplementation on Cognitive Performances and Mood among Young Adults in Baoding, China: A Randomized Controlled Trial (RCT)
PubMed ID: 34684650
Adequate rehydration after prolonged restriction restores fluid status which is a key determinant of heat tolerance.
- Clinical Effects of Balanced Crystalloids vs Saline in Adults With Diabetic Ketoacidosis: A Subgroup Analysis of Cluster Randomized Clinical Trials
PubMed ID: 33196806
Balanced crystalloids preserve better acidâbase and chloride/bicarbonate balance which can affect thermoregulation and recovery in severe metabolic states.
- Renal stress and kidney injury biomarkers in response to endurance cycling in the heat with and without ibuprofen
PubMed ID: 29784554
Endurance cycling in heat produced kidney stress and reduced urinary sodium excretionâindicates physiologic limits to heat tolerance that electrolytes can mitigate.
- Impact of Isotonic Beverage on the Hydration Status of Healthy Chinese Adults in Air-Conditioned Environment
PubMed ID: 28272337
Isotonic beverage improved fluid retention in an air-conditioned environment; maintaining fluid and sodium supports heat tolerance physiologically though not tested in heat stress here.
- Effect of acclimation training on physiological changes in a randomized controlled trial in hot-humid environment
PubMed ID: 26016365
Heat-acclimation training reduced sweat sodium and improved reaction time and run timesâdirectly improves heat tolerance.
- A novel balanced isotonic sodium solution vs normal saline during major surgery in children up to 36Â months: a multicenter RCT
PubMed ID: 24824018
Avoiding large electrolyte disturbances (Cl-, Mg2+) via balanced fluids supports thermoregulation and tolerance to heat stress.
- Cold-water immersion and iced-slush ingestion are effective at cooling firefighters following a simulated search and rescue task in a hot environment
PubMed ID: 25017114
Coldâwater immersion and icedâslush ingestion returned core temperature to baseline rapidly in firefighters after heat stress â strong direct evidence for interventions that improve heat recovery/tolerance (thermoregulatory, not electrolyte).
- Effects of dietary crude protein and electrolyte balance on production parameters and blood biochemicals of laying hens under tropical summer condition
PubMed ID: 24531894
In heat-stressed hens, higher dietary electrolyte balance improved physiological markers and production outcomes â strong animal-model support for heat tolerance via electrolyte balance.
- Effect of different non-chloride sodium sources on the performance of heat-stressed broiler chickens
PubMed ID: 16787847
In heat-stressed broilers, non-chloride sodium salts (esp. bicarbonate) improved performance and reduced mortalityâstrong animal evidence for electrolytes improving heat tolerance.
- Effect and interactions of dietary sodium and chloride on broiler starter performance (hatching to twenty-eight days of age) under subtropical summer conditions
PubMed ID: 16463968
In heat-stressed broiler chicks, dietary Na+/Cl- markedly affected growth, water intake and serum bicarbonateâsupports a role for electrolytes in heat-stress resilience (animal evidence).
- Uncooked rice powder in oral rehydration solution: an alternative to glucose or cooked rice powder
PubMed ID: 9701893
Effective ORS repletion of fluids and electrolytes supports thermoregulatory capacity during heat exposure by maintaining plasma volume and electrolytes.
- The effects of glucose polymer beverage ingestion during prolonged outdoor exercise in the heat
PubMed ID: 2056904
During prolonged march (heat exposure plausible), preserving plasma volume and glucose supports heat tolerance/endurance.
- [Changes in Electrolytic Concentration Resulting from Perioperative Amino Acid Fluid Administration]
PubMed ID: 26121805
Perioperative amino acid infusion helped maintain body temperature earlier and more effectively, indicating improved thermoregulation linked to fluid/nutrient management.
- Determinants of salt sensitivity in black and white normotensive and hypertensive women
PubMed ID: 14610097
Sodium handling and intracellular Na/Ca differences influence salt-sensitivity of BP and thermoregulatory fluid shifts relevant to heat tolerance.
Exercise recovery (22)
- The effect of vitamin D supplementation on the muscle damage after eccentric exercise in young men: a randomized, control trial
PubMed ID: 33176796
Vit D supplementation reduced inflammatory and muscle-damage markers after eccentric exercise, implying faster recovery.
- Impact of Chronic Nitrate and Citrulline Malate Supplementation on Performance and Recovery in Spanish Professional Female Soccer Players: A Randomized Controlled Trial
PubMed ID: 40733006
Reduced next-day losses in anaerobic power after nitrate+citrullineâpreserves post-match recovery.
- Short term effects of various water immersions on recovery from exhaustive intermittent exercise
PubMed ID: 21132438
Cold/contrast water immersion improved shortâterm strength/power recovery and reduced some damage markers after exhaustive exercise.
- Functional magnesium deficiency in critically ill patients identified using a magnesium-loading test
PubMed ID: 9187591
Magnesium loading corrects deficiency and improves biochemical status; Mg repletion is linked to improved muscle function and recovery.
- Post-exercise recovery of biological, clinical and metabolic variables after different temperatures and durations of cold water immersion: a randomized clinical trial
PubMed ID: 28116880
Large trial showing some CWI temperature/time protocols improved CK and perceived recovery timing after exercise.
- A comparative study of three types of ORS in the management of diarrheal dehydration
PubMed ID: 2361714
Super-ORS shortened time to rehydration in children â applicable to faster recovery after fluid/salt losses from exercise.
- The effects of glucose polymer beverage ingestion during prolonged outdoor exercise in the heat
PubMed ID: 2056904
Glucoseâelectrolyte drink preserved plasma volume and blood glucose during long march, which can aid recovery.
- Hydrolyzed lactalbumin-based oral rehydration solution for acute diarrhoea in infants
PubMed ID: 7981558
Trial of ORS formulations shows oral electrolyte solutions effectively treat acute diarrheal fluid loss â supports that electrolyte solutions speed rehydration and recovery after fluid loss.
- A randomised study to determine whether routine intravenous magnesium supplements are necessary in patients receiving cisplatin chemotherapy with continuous infusion 5-fluorouracil
PubMed ID: 7718321
Routine IV magnesium prevented hypomagnesaemia in chemo patients â Mg status supports recovery processes after exertion.
- Beneficial antithrombotic effects of the association of pharmacological oral magnesium therapy with aspirin in coronary heart disease patients
PubMed ID: 11153897
Oral magnesium improved vascular/platelet physiology; magnesium is implicated in muscle recovery and cellular repair.
- Cardiopulmonary bypass priming using a high dose of a balanced hydroxyethyl starch versus an albumin-based priming strategy
PubMed ID: 19923501
Balanced-electrolyte priming reduced metabolic/organ stress after surgery â suggests improved recovery from physiologic strain (analogy to postâworkout recovery).
- Impact of supplementation with bicarbonate on lower-extremity muscle performance in older men and women
PubMed ID: 19727904
Oral bicarbonate increased lower-body peak power (+13% in women) and reduced urinary nitrogen loss, suggesting improved recovery/anabolic milieu after exertion.
- Anabolic responses to acute and chronic resistance exercise are enhanced when combined with aquatic treadmill exercise
PubMed ID: 25425002
Aquatic+resistance training increased anabolic signals/lean mass.
- Effect of electrolyzed high-pH alkaline water on blood viscosity in healthy adults
PubMed ID: 27932937
After exercise-induced dehydration, electrolyzed alkaline water improved hemorheology (blood viscosity), suggesting faster physiological recovery.
- Half Saline-Bicarbonate Solution as Intraoperative Fluid Replacement Therapy Leads to Less Acidosis and Better Early Renal Function During Deceased-Donor Transplant
PubMed ID: 30995895
Different crystalloid composition improved urine output/acidâbase after transplant â may aid recovery physiology.
- Clinical Effects of Balanced Crystalloids vs Saline in Adults With Diabetic Ketoacidosis: A Subgroup Analysis of Cluster Randomized Clinical Trials
PubMed ID: 33196806
Balanced crystalloids shorten DKA resolution â faster metabolic recovery (indirect relevance to post-exertion recovery).
- Effects of veverimer on serum bicarbonate and physical function in diabetic patients with chronic kidney disease and metabolic acidosis: subgroup analysis from a randomized, controlled trial
PubMed ID: 34240198
Veverimer raised serum bicarbonate and produced clinically meaningful improvement in repeated chair-stand time and physical-function scores â plausibly supports faster functional recovery after exertion.
- Prospective randomized study of preoperative bowel cleansing for patients undergoing colorectal surgery
PubMed ID: 8205446
Ringer's lactate produced measurable fluid retention after infusion â helps restore intravascular volume post-exertion.
- Effects of veverimer on serum bicarbonate and physical function in women with chronic kidney disease and metabolic acidosis: a subgroup analysis from a randomised, controlled trial
PubMed ID: 35216581
Same veverimer phase with sustained bicarbonate gains and improved physical function over 1 year â relevant to post-exertion recovery capacity.
- Effects of Massage and Cold Water Immersion After an Exhaustive Run on Running Economy and Biomechanics: A Randomized Controlled Trial
PubMed ID: 31800477
Post-run massage improved short-term running economy and some gait metrics vs rest â evidence for faster recovery of running performance (not an electrolyte study, but recovery-relevant).
- Hydration Interventions Among Agricultural Workers: A Pilot Study
PubMed ID: 35260538
Isotonic electrolyte drink improved hydration and kidney markers in workersâsupports faster physiological recovery after exertion.
- Effects of Sodium Bicarbonate Ringer's Solution Combined with Positive End-Expiratory Pressure on the Internal Environment of Patients Undergoing Bariatric Surgery: A Randomized 2âĂâ2 Factorial Design Pilot
PubMed ID: 39722113
Balanced bicarbonate Ringer reduced lactate and inflammatory cytokines and shortened awakening time after surgery â mechanistic relevance to faster metabolic/acidâbase recovery (surgical setting, not exercise).
Focus & concentration (14)
- The Influence of Fluid Intake Behavior on Cognition and Mood among College Students in Baoding, China
PubMed ID: 33780928
Higher daily fluid intake produced small improvements in a memory test and vigor in college students.
- Different Amounts of Water Supplementation Improved Cognitive Performance and Mood among Young Adults after 12 h Water Restriction in Baoding, China: A Randomized Controlled Trial (RCT)
PubMed ID: 33114364
500 mL water after 12 h fluid restriction significantly improved working memory (operation span).
- Effects of the Amount and Frequency of Fluid Intake on Cognitive Performance and Mood among Young Adults in Baoding, Hebei, China: A Randomized Controlled Trial
PubMed ID: 33260939
Recommended drinking pattern increased vigor (mood) and improved urine osmolalityâindirectly supports cognitive alertness.
- The Effect of Hypo-Hydration on Mood and Cognition Is Influenced by Electrolyte in a Drink and Its Colour: A Randomised Trial
PubMed ID: 31450591
Randomized trial showed sodium (electrolyte) with water reduced hydration-related declines in attention/processing speed and mood compared with water/no drink â direct support for improved mental focus with electrolyte + water.
- Dietary nitrate modulates cerebral blood flow parameters and cognitive performance in humans: A double-blind, placebo-controlled, crossover investigation
PubMed ID: 26037632
Singleâdose dietary nitrate (beetroot juice) altered prefrontal cortex bloodâflow responses and improved one arithmetic task, indicating improved acute cognitive focus.
- Treatment with a potassium-iron-phosphate-citrate complex improves PSE scores and quality of life in patients with minimal hepatic encephalopathy: a multicenter, randomized, placebo-controlled, double-blind clinical trial
PubMed ID: 23117470
Potassiumâironâphosphateâcitrate complex improved PSE (cognitive) scores in minimal hepatic encephalopathyâdirect cognitive benefit from an electrolyte/mineral formulation.
- Effects of drinking supplementary water at school on cognitive performance in children
PubMed ID: 22841529
Provision of extra water at school improved short-term memory in mildly dehydrated children â strong direct evidence linking hydration to sharper focus.
- Should children drink more water?: the effects of drinking water on cognition in children
PubMed ID: 19501780
Randomized increase in water intake in children produced measurable improvements in attention and some memory tasks â strong evidence hydration improves cognitive focus.
- Efficacy of iron-fortified rice in reducing anemia among schoolchildren in the Philippines
PubMed ID: 18791976
Iron-fortified rice reduced anemia and raised ferritin; correcting anemia commonly improves cognitive function/attention.
- Tolvaptan, a selective oral vasopressin V2-receptor antagonist, for hyponatremia
PubMed ID: 17105757
Tolvaptan raised serum sodium and improved mental-component quality-of-life scores in hyponatraemic patients (direct link between sodium correction and cognitive/mental symptoms).
- A prospective randomized double-blinded study of the effect of intravenous fluid therapy on adverse outcomes on outpatient surgery
PubMed ID: 7893018
Preop isotonic electrolyte reduced drowsiness and dizziness â improved alertness is analogous to sharper focus.
- Dietary boron, brain function, and cognitive performance
PubMed ID: 7889884
Controlled low boron intake produced EEG slowing and measurable attention/memory/psychomotor deficitsâsupports a role of boron (an ionic trace element) in cognitive performance.
- Lactulose vs polyethylene glycol 3350--electrolyte solution for treatment of overt hepatic encephalopathy: the HELP randomized clinical trial
PubMed ID: 25243839
PEG-electrolyte lavage produced more rapid resolution of overt hepatic encephalopathy (faster mental-status improvement) â directly shows faster cognitive recovery with an electrolyte-containing therapy.
- Effects of Water Restriction and Supplementation on Cognitive Performances and Mood among Young Adults in Baoding, China: A Randomized Controlled Trial (RCT)
PubMed ID: 34684650
Rehydration (500â1000 mL) after 36 h restriction improved processing speed and working memory â direct cognitive benefit from fluid restoration.
Tissue repair (10)
- Impact of Serum Bicarbonate Levels on Muscle Mass and Kidney Function in Pre-Dialysis Chronic Kidney Disease Patients
PubMed ID: 31752000
Oral sodium bicarbonate raising serum bicarbonate helped preserve muscle mass over 4 months in CKD patientsâsupports muscle preservation, relevant to repair/recovery.
- Anabolic responses to acute and chronic resistance exercise are enhanced when combined with aquatic treadmill exercise
PubMed ID: 25425002
Increased myofibrillar FSR and lean mass with aquatic+resistance training.
- Impact of supplementation with bicarbonate on lower-extremity muscle performance in older men and women
PubMed ID: 19727904
Bicarbonate supplementation reduced 24âh urinary nitrogen loss (better nitrogen retention) and increased muscle power, consistent with a substantial potential to support muscle repair/retention.
- Role of cholinergic nervous system in healing neuropathic lesions: preliminary studies and prospective, double-blinded, placebo-controlled studies
PubMed ID: 1952266
Balanced electrolyte solutions improved capillary blood flow and sped healing in neuropathic skin wounds.
- Oral consumption of electrokinetically modified water attenuates muscle damage and improves postexercise recovery
PubMed ID: 23580602
EMW drink attenuated inflammatory/damage markers and improved functional recovery, suggesting faster repair processes.
- The effect of vitamin D supplementation on the muscle damage after eccentric exercise in young men: a randomized, control trial
PubMed ID: 33176796
Higher 25(OH)D associated with lower post-exercise inflammatory and some muscleâdamage markers, suggesting faster repair.
- Cold blood versus cold crystalloid cardioplegia for repair of ventricular septal defects in pediatric heart surgery: a randomized controlled trial
PubMed ID: 12173840
In pediatric VSD repair blood cardioplegia prevented ATP fall and reduced troponin release â direct clinical signal of improved myocardial recovery attributable to electrolyte/substrate milieu.
- A clinical comparative study between crystalloid and blood-based St Thomas' hospital cardioplegic solution
PubMed ID: 10077377
Blood cardioplegia preserved creatine phosphate and hastened functional recovery â evidence that physiologic electrolyte/substrate composition aids tissue repair.
- Warm blood hyperkalaemic reperfusion ('hot shot') prevents myocardial substrate derangement in patients undergoing coronary artery bypass surgery
PubMed ID: 9663539
Potassium-rich warm reperfusion preserved myocardial ATP and amino acids after bypass â supports electrolyte-driven preservation/recovery of muscle tissue energy and substrates.
- The effects of combined magnesium and zinc supplementation on metabolic status in patients with type 2 diabetes mellitus and coronary heart disease
PubMed ID: 32466773
Mg+Zn improved antioxidant capacity and reduced CRP â mechanisms that can support muscle repair.
Muscle soreness (7)
- Beetroot juice is more beneficial than sodium nitrate for attenuating muscle pain after strenuous eccentric-bias exercise
PubMed ID: 28719765
Beetroot reduced pressure-pain thresholds after intense exercise vs nitrate-only and placebo.
- The effect of vitamin D supplementation on the muscle damage after eccentric exercise in young men: a randomized, control trial
PubMed ID: 33176796
Vitamin D sufficiency attenuated postâexercise muscle damage and inflammatory markers â consistent with less soreness.
- Oral consumption of electrokinetically modified water attenuates muscle damage and improves postexercise recovery
PubMed ID: 23580602
Oral electrokinetically modified water reduced CK/hsCRP and improved muscle pain and arm disability vs placebo after biceps exercise.
- [Effect of magnesium sulphate infusion on emergence agitation in patients undergoing esophageal carcinoma with general anesthesia: a randomized, double-blind, controlled trial]
PubMed ID: 27998859
Perioperative magnesium reduced pain and muscle tension scoresâsupports Mg2+ role in muscle comfort.
- Balneotherapy for musculoskeletal pain: does the mineral content matter?
PubMed ID: 31605208
Mineral water baths produced small-to-moderate reductions in musculoskeletal pain intensity and improved mobility.
- Efficacy of baths with mineral-medicinal water in patients with fibromyalgia: a randomized clinical trial
PubMed ID: 31161236
Mineral (electrolyteârich) baths reduced fibromyalgia pain/impactâsuggests electrolytic thermal therapy may reduce muscle pain.
- Effects of Massage and Cold Water Immersion After an Exhaustive Run on Running Economy and Biomechanics: A Randomized Controlled Trial
PubMed ID: 31800477
Post-run massage led to better short-term recovery of running economy and gait measures, consistent with reduced functional soreness post-exercise.
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Being studied right now
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