Key result
Acute ingestion of 1260 ml of hydrogen-rich water significantly increased the Ln SDNN/RMSSD ratio compared to placebo at 25 minutes (0.40 vs 0.26, p=0.049), indicating increased sympathetic activity.
Why the study?
Hydrogen-rich water has been shown to stimulate the human body, but its acute influence on autonomic cardiac regulation during resting sitting was unknown.
Does acute hydrogen-rich water ingestion stimulate cardiac autonomic activity in healthy females?
RCT (n=14)
double-blind
randomized
No
Does acute hydrogen-rich water ingestion stimulate cardiac autonomic activity in healthy females?
Standardized Mean Difference: 0.53
Absolute Event Rate: 0.4% vs 0.26%
p-value: p=0.049
Acute ingestion of 1260 ml of hydrogen-rich water induces a relative increase in sympathetic cardiac activity between 25 and 35 minutes post-ingestion in healthy females.
Acute HRW may transiently shift sympathovagal balance in young females at rest; leaves open effects on clinical outcomes or broader populations.
Background: Hydrogen-rich water (HRW) has been shown to have a stimulating effect on the human body. Objective: The aim of the study was to assess the influence of acute HRW intake on autonomic cardiac regulation during 50 min of rest sitting. Methods: Fourteen healthy females (age 21.7 ± 1.2 years, body mass 67.8 ± 8.7 kg, height 167 ± 5.5 cm) took part in this double-blind, randomized, placebo-controlled trial with crossover design. Heart rate variability (HRV) was monitored in the sitting position after administration of 1260 ml of HRW or placebo. Time domain indexes of HRV as the square root of the mean of the squares of differences between adjacent RR intervals (RMSSD), the standard deviation of all RR intervals (SDNN) and the ratio of SDNN/RMSSD as an index of sympatho-vagal balance were used to assess autonomic cardiac response. The values were transformed using natural logarithm (Ln). Results: After administration of HRW, we found significantly increased ratio Ln SDNN/RMSSD when comparing it to placebo in 25 min (HRW: 0.40 ± 0.30, placebo: 0.26 ± 0.25, p = .049) and 35 min (HRW: 0.44 ± 0.30, placebo: 0.28 ± 0.28, p = .029) of rest sitting. Ln SDNN was significantly increased after HRW administration when compared to placebo in 45 min (HRW: 4.41 ± 0.42 ms, placebo: 4.28 ± 0.31 ms, p = .049) of rest sitting. Conclusions: Acute HRW ingestion induced a relative increase in sympathetic activity between 25 and 35 min post-ingestion, whereas vagal activity was not affected.
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Botek et al. (2021) conducted an RCT in healthy (n=14). Hydrogen-rich water vs. Placebo was evaluated on Ln SDNN/RMSSD at 25 minutes (Cohen's d 0.53, p=0.049). Acute ingestion of 1260 ml of hydrogen-rich water significantly increased the Ln SDNN/RMSSD ratio compared to placebo at 25 minutes (0.40 vs 0.26, p=0.049), indicating increased sympathetic activity.
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