Hew-Butler Tamara, Loi Valentina, Pani Antonello, Rosner Mitchell H
Oakland University School of Health Sciences , Rochester, MI , USA.
SC Nephrology and Dialysis, Brotzu Hospital , Cagliari , Italy.
Front Med (Lausanne). 2017 Mar 3;4:21. doi: 10.3389/fmed.2017.00021. eCollection 2017.
Exercise-associated hyponatremia (EAH) was initially described in the 1980s in endurance athletes, and work done since then has conclusively identified that overdrinking beyond thirst and non-osmotic arginine vasopressin release are the most common etiologic factors. In recent years, EAH has been described in a broader variety of athletic events and also has been linked to the development of rhabdomyolysis. The potential role of volume and sodium depletion in a subset of athletes has also been described. 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.
运动相关性低钠血症(EAH)最初于20世纪80年代在耐力运动员中被描述,自那时以来的研究已明确指出,饮水超过口渴需求以及非渗透性精氨酸加压素释放是最常见的病因。近年来,EAH在更广泛的体育赛事中被提及,并且与横纹肌溶解症的发生有关。也有研究描述了部分运动员体内容量和钠缺乏的潜在作用。本综述聚焦于EAH领域的最新文献,并总结了该病症在流行病学、病理生理学、治疗及预防方面的关键新发现。