Statement of the Third International Exercise-Associated Hyponatremia Consensus Development Conference, Carlsbad, California, 2015

@article{HewButler2015StatementOT,
  title={Statement of the Third International Exercise-Associated Hyponatremia Consensus Development Conference, Carlsbad, California, 2015},
  author={Tamara Hew-Butler and Mitchell H. Rosner and Sandra Fowkes-Godek and Jonathan P. Dugas and Martin D. Hoffman and Douglas P. Lewis and Ronald J. Maughan and Kevin C. Miller and Scott Montain and Nancy Jane Rehrer and William O. Roberts and Ian R. Rogers and Arthur J. Siegel and Kristin J. Stuempfle and James M Winger and Joseph G. Verbalis},
  journal={Clinical Journal of Sport Medicine},
  year={2015},
  volume={25},
  pages={303–320}
}
The third International Exercise-Associated Hyponatremia (EAH) Consensus Development Conference convened in Carlsbad, California in February 2015 with a panel of 17 international experts. The delegates represented 4 countries and 9 medical and scientific sub-specialties pertaining to athletic training, exercise physiology, sports medicine, water/sodium metabolism, and body fluid homeostasis. The primary goal of the panel was to review the existing data on EAH and update the 2008 Consensus… 
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165 Citations
Highly Influential Citations
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165 Citations

Preventing Deaths Due to Exercise-Associated Hyponatremia: The 2015 Consensus Guidelines.

  • M. Rosner
  • Medicine
    Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine
  • 2015
Despite strong evidence of the dangers of overly aggressive fluid intake beyond the body’s maximal fluid excretion rate, many athletes, coaches, trainers, and lay public continue to embrace the idea that “hyperhydration” has some health and performance benefits while the risks of EAH are overstated.

Wilderness Medical Society Clinical Practice Guidelines for the Management of Exercise-Associated Hyponatremia: 2019 Update.

The Presented Evidence to Support Symptomatic Hypovolemic-Associated EAH Is Not Convincing.

This report retrospectively examined the trajectories of select biomarkers during recovery to conclude that ‘‘clear evidence for volume depletion as the primary pathophysiological mechanism for the development of severe, symptomatic EAH’’ in this case.

Case Study: Symptomatic Exercise-Associated Hyponatremia in an Endurance Runner Despite Sodium Supplementation.

  • M. HoffmanT. Myers
  • Medicine
    International journal of sport nutrition and exercise metabolism
  • 2015
This case demonstrates that while oral sodium supplementation does not necessarily prevent symptomatic EAH associated with overhydration, early recognition and field management with oral hypertonic saline in combination with fluid restriction can be effective treatment for mild EAH.

Exercise-Associated Hyponatremia: 2017 Update

This review focuses on the most recent literature in the field of EAH and summarizes key new findings in the epidemiology, pathophysiology, treatment, and prevention of this condition.

Special Communication of a Case of Hypovolemic-Associated EAH: Lessons Learned During Recovery.

Biochemical evidence is provided suggesting that this patient's severe symptomatic EAH was associated with volume depletion from underreplaced sodium losses, suggesting a 'reverse' perspective of the underlying pathophysiology.

Exercise‐Associated Collapse: Is Hyponatremia in Our Head?

Severe Exercise-Associated Hyponatremia in a Collegiate American Football Player.

A case of severe EAH is reported in a National Collegiate Athletic Association (NCAA) Division III collegiate football player and pearls and pitfalls in diagnosis and management are reviewed.

Response to Letter-to-the-Editor "The Presented Evidence to Support Symptomatic Hypovolemic-Associated EAH Is Not Convincing".

This study biochemically assessed volemic status in hyponatremic patients, originally classified as hypovolemic via clinical signs and symptoms, and demonstrated that normal saline administration to a patient with euvolemic hyp onatremia does not alter serum [Na].

Predicted Risk for Exacerbation of Exercise-Associated Hyponatremia from Indiscriminate Postrace Intravenous Hydration of Ultramarathon Runners.

  • M. Hoffman
  • Medicine
    The Journal of emergency medicine
  • 2019
...

References

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