Evidence map›Paper›PMID 38116818›Full record

SynthesisJournal of athletic training2025

Oral Rehydration Beverages for Treating Exercise-Associated Dehydration: A Systematic Review, Part II. The Effectiveness of Alternatives to Carbohydrate-Electrolyte Drinks.

Niels De Brier, Vere Borra, David C Berry, David Zideman, Eunice Singletary, Emmy De Buck, International Liaison Committee on Resuscitation First Aid Task Force

Open access · diamondAbstract readSystematic Review
In one paragraph

Synthesis in Journal of athletic training, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 3 pooled it
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 3 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Singapore First Aid Guidelines 2026.Singapore medical journal · 2026
    Guideline
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

Niels De BrierCentre for Evidence-Based Practice, Belgian Red Cross, Mechelen, Belgium.
Vere BorraCentre for Evidence-Based Practice, Belgian Red Cross, Mechelen, Belgium.
David C BerryDepartment of Kinesiology, College of Health and Human Services, Saginaw Valley State University, MI.
David ZidemanThames Valley Air Ambulance, Stokenchurch, UK.
Eunice SingletaryDepartment of Emergency Medicine, University of Virginia School of Medicine, Charlottesville.
Emmy De BuckCentre for Evidence-Based Practice, Belgian Red Cross, Mechelen, Belgium.
International Liaison Committee on Resuscitation First Aid Task Force
Rode Kruis-Vlaanderen · BEDepartment of Public Health · USSaginaw Valley State University · USThames Valley Air AmbulanceUniversity of Virginia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDehydration associated with exertion is a commonly encountered condition in the first aid setting, particularly at outdoor sporting events. Part I of this systematic review demonstrated that commercial sports drinks can be suggested for effective restoration of fluid balance in dehydrated people. In part II, we perform a systematic review to compare alternative liquids, such as cow's milk, beer, and coconut water, with water for effective oral rehydration after prolonged exercise. DATA SOURCES: Cochrane Library, MEDLINE via the PubMed interface, and Embase databases were searched up until June 1, 2022. STUDY SELECTION: Controlled experimental and observational studies involving adults and children were included when dehydration was induced by physical exercise and oral rehydration fluids were administered and compared with regular water. No additional food intake accompanied the rehydration drinks or water. Articles in all languages were included if an English abstract was available. DATA EXTRACTION: Study design, study population, intervention, outcome measures, and study limitations were extracted from each included article. DATA SYNTHESIS: Of 3485 articles screened, 11 articles in which authors compared skim or low-fat cow's milk, coconut water, or beer (0%-5% alcohol) with water were included. Authors of 4 studies showed that drinking skim or low-fat milk, without additional food intake, led to improved volume/hydration status compared with drinking water. Authors of 3 trials showed no differences at multiple times for outcomes related to volume/hydration status after rehydration with fresh coconut water compared with water. Evidence to recommend beer (0%-5% alcohol) for rehydration is insufficient.

conclusionsConsuming skim or low-fat cow's milk without additional food intake as compared with water appears to improve volume/hydration status in people with exercise-induced dehydration. However, evidence is of very low certainty and should be interpreted with caution.

Indexed as

BeveragesDehydrationExerciseFluid TherapyRehydration SolutionsAnimalsCocosHumansMilkRehydration Solutionsalcoholbeercoconut waterfluid balancemilk

Identifiers

PMID38116818
PMCPMC11789751
OpenAlexW4390002821

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.