Acta Gymnica e2021.009 | DOI: 10.5507/ag.2021.009

Acute hydrogen-rich water ingestion stimulates cardiac autonomic activity in healthy females

Michal Botek1, Barbora Sládečková1, Jakub Krejčí1, František Pluháček2, Eliška Najmanová2
1 Department of Natural Sciences in Kinanthropology, Faculty of Physical Culture, Palacký University Olomouc, Olomouc, Czech Republic
2 Department of Optics, Faculty of Science, Palacký University Olomouc, Olomouc, Czech Republic

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.

Keywords: molecular hydrogen, autonomic nervous system, heart rate variability, sympathetic activity, time domain indexes

Received: November 25, 2020; Revised: March 24, 2021; Accepted: April 6, 2021; Published online: April 27, 2021  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Botek, M., Sládečková, B., Krejčí, J., Pluháček, F., & Najmanová, E. (2021). Acute hydrogen-rich water ingestion stimulates cardiac autonomic activity in healthy females. Acta Gymnica51, Article e2021.009. https://doi.org/10.5507/ag.2021.009
Download citation

References

  1. Acharya, U. R., Joseph, K. P., Kannathal, N., Lim, C. M., & Suri, J. S. (2006). Heart rate variability: A review. Medical and Biological Engineering and Computing, 44(12), 1031-1051. https://doi.org/10.1007/s11517-006-0119-0 Go to original source... Go to PubMed...
  2. Aoki, K., Nakao, A., Adachi, T., Matsui, Y., & Miyakawa, S. (2012). Pilot study: Effects of drinking hydrogen-rich water on muscle fatigue caused by acute exercise in elite athletes. Medical Gas Research, 2(1), Article 12. https://doi.org/10.1186/2045-9912-2-12 Go to original source... Go to PubMed...
  3. Aubert, A. E., Seps, B., & Beckers, F. (2003). Heart rate variability in athletes. Sports Medicine, 33(12), 889-919. https://doi.org/10.2165/00007256-200333120-00003 Go to original source... Go to PubMed...
  4. Botek, M., Krejčí, J., McKune, A. J., & Sládečková, B. (2020). Hydrogen-rich water supplementation and up-hill running performance: Effect of athlete performance level. International Journal of Sports Physiology and Performance, 15(8), 1193-1196. https://doi.org/10.1123/ijspp.2019-0507 Go to original source... Go to PubMed...
  5. Botek, M., Krejčí, J., McKune, A. J., Sládečková, B., & Naumovski, N. (2019). Hydrogen rich water improved ventilatory, perceptual and lactate responses to exercise. International Journal of Sports Medicine, 40(14), 879-885. https://doi.org/10.1055/a-0991-0268 Go to original source... Go to PubMed...
  6. Botek, M., Krejčí, J., McKune, A., Valenta, M., & Sládečková, B. (2021). Hydrogen rich water consumption positively affects muscle performance, lactate response, and alleviates delayed onset of muscle soreness after resistance training. Journal of Strength and Conditioning Research. Advance online publication. https://doi.org/10.1519/JSC.0000000000003979 Go to original source... Go to PubMed...
  7. Brown, C. M., Barberini, L., Dulloo, A. G., & Montani, J. P. (2005). Cardiovascular responses to water drinking: Does osmolality play a role? American Journal of Physiology - Regulatory, Integrative and Comparative Physiology, 289(6), R1687-R1692. https://doi.org/10.1152/ajpregu.00205.2005 Go to original source... Go to PubMed...
  8. Callegaro, C. C., Moraes, R. S., Negrao, C. E., Trombetta, I. C., Rondon, M. U., Teixeira, M. S., Silva, S. C., Ferlin, E. L., Krieger, E. M., & Ribeiro, J. P. (2007). Acute water ingestion increases arterial blood pressure in hypertensive and normotensive subjects. Journal of Human Hypertension, 21(7), 564-570. https://doi.org/10.1038/sj.jhh.1002188 Go to original source... Go to PubMed...
  9. Chen, C. L., Lin, H. H., Orr, W. C., Yang, C. C., & Kuo, T. B. (2004). Transfer function analysis of heart rate variability in response to water intake: Correlation with gastric myoelectrical activity. Journal of Applied Physiology, 96(6), 2226-2230. https://doi.org/10.1152/japplphysiol.01037.2003 Go to original source... Go to PubMed...
  10. Chen, W., Chen, L., Chen, Z., Xiang, Y., Liu, S., Zhang, H., & Wang, J. (2018). Influence of the water-drinking test on intraocular pressure, Schlemm's canal, and autonomic nervous system activity. Investigative Ophthalmology & Visual Science, 59(8), 3232-3238. https://doi.org/10.1167/iovs.18-23909 Go to original source... Go to PubMed...
  11. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Routledge. https://doi.org/10.4324/9780203771587 Go to original source...
  12. Da Ponte, A., Giovanelli, N., Nigris, D., & Lazzer, S. (2018). Effects of hydrogen rich water on prolonged intermittent exercise. Journal of Sports Medicine and Physical Fitness, 58(5), 612-621. https://doi.org/10.23736/S0022-4707.17.06883-9 Go to original source... Go to PubMed...
  13. Fukuda, K. I., Asoh, S., Ishikawa, M., Yamamoto, Y., Ohsawa, I., & Ohta, S. (2007). Inhalation of hydrogen gas suppresses hepatic injury caused by ischemia/reperfusion through reducing oxidative stress. Biochemical and Biophysical Research Communications, 361(3), 670-674. https://doi.org/10.1016/j.bbrc.2007.07.088 Go to original source... Go to PubMed...
  14. Ishibashi, T., Sato, B., Shibata, S., Sakai, T., Hara, Y., Naritomi, Y., Koyanagi, S., Hara, H., & Nagao, T. (2014). Therapeutic efficacy of infused molecular hydrogen in saline on rheumatoid arthritis: A randomized, double-blind, placebo-controlled pilot study. International Immunopharmacology, 21(2), 468-473. https://doi.org/10.1016/j.intimp.2014.06.001 Go to original source... Go to PubMed...
  15. Jordan, J., Shannon, J. R., Black, B. K., Ali, Y., Farley, M., Costa, F., Diedrich, A., Robertson, R. M., & Robertson, D. (2000). The pressor response to water drinking in humans: A sympathetic reflex? Circulation, 101(5), 504-509. https://doi.org/10.1161/01.cir.101.5.504 Go to original source... Go to PubMed...
  16. Kajiyama, S., Hasegawa, G., Asano, M., Hosoda, H., Fukui, M., Nakamura, N., Kitawaki, J., Imai, S., Nakano, K., Ohta, M., Adachi, T., Obayashi, H., & Yoshikawa, T. (2008). Supplementation of hydrogen-rich water improves lipid and glucose metabolism in patients with type 2 diabetes or impaired glucose tolerance. Nutrition Research, 28(3), 137-143. https://doi.org/10.1016/j.nutres.2008.01.008 Go to original source... Go to PubMed...
  17. Kang, K. M., Kang, Y. N., Choi, I. B., Gu, Y., Kawamura, T., Toyoda, Y., & Nakao, A. (2011). Effects of drinking hydrogen-rich water on the quality of life of patients treated with radiotherapy for liver tumors. Medical Gas Research, 1(1), Article 11. https://doi.org/10.1186/2045-9912-1-11 Go to original source... Go to PubMed...
  18. Kawamura, T., Gando, Y., Takahashi, M., Hara, R., Suzuki, K., & Muraoka, I. (2016). Effects of hydrogen bathing on exercise-induced oxidative stress and delayed-onset muscle soreness. Japanese Journal of Physical Fitness and Sports Medicine, 65(3), 297-305. https://doi.org/10.7600/jspfsm.65.297 Go to original source...
  19. Lippman, N., Stein, K. M., & Lerman, B. B. (1994). Comparison of methods for removal of ectopy in measurement of heart rate variability. American Journal of Physiology - Heart and Circulatory Physiology, 267(1), H411-H418. https://doi.org/10.1152/ajpheart.1994.267.1.h411 Go to original source... Go to PubMed...
  20. Malik, M. (1997). Time-domain measurement of heart rate variability. Cardiac Electrophysiology Review, 1(3), 329-334. https://doi.org/10.1023/A:1009912905325 Go to original source...
  21. Mizuno, K., Sasaki, A. T., Ebisu, K., Tajima, K., Kajimoto, O., Nojima, J., Kuratsune, H., Hori, H., & Watanabe, Y. (2017). Hydrogen-rich water for improvements of mood, anxiety, and autonomic nerve function in daily life. Medical Gas Research, 7(4), 247-255. https://doi.org/10.4103/2045-9912.222448 Go to original source... Go to PubMed...
  22. Nicolson, G. L., de Mattos, G. F., Settineri, R., Costa, C., Ellithorpe, R., Rosenblatt, S., La Valle, J., Jimenez, A., & Ohta, S. (2016). Clinical effects of hydrogen administration: From animal and human diseases to exercise medicine. International Journal of Clinical Medicine, 7(1), 32. https://doi.org/10.4236/ijcm.2016.71005 Go to original source...
  23. Ohsawa, I., Ishikawa, M., Takahashi, K., Watanabe, M., Nishimaki, K., Yamagata, K., Katsura, K.-I., Katayama, Y., Asoh, S., & Ohta, S. (2007). Hydrogen acts as a therapeutic antioxidant by selectively reducing cytotoxic oxygen radicals. Nature Medicine, 13(6), 688-694. https://doi.org/10.1038/nm1577 Go to original source... Go to PubMed...
  24. Ohta, S. (2015). Molecular hydrogen as a novel antioxidant: Overview of the advantages of hydrogen for medical applications. In E. Cadenas & L. Packer (Eds.), Methods in enzymology (Vol. 555, pp. 289-317). Academic Press. https://doi.org/10.1016/bs.mie.2014.11.038 Go to original source... Go to PubMed...
  25. Ostojic, S. M., & Stojanovic, M. D. (2014). Hydrogen-rich water affected blood alkalinity in physically active men. Research in Sports Medicine, 22(1), 49-60. https://doi.org/10.1080/15438627.2013.852092 Go to original source... Go to PubMed...
  26. Patwardhan, A. R., Vallurupalli, S., Evans, J. M., Bruce, E. N., & Knapp, C. F. (1995). Override of spontaneous respiratory pattern generator reduces cardiovascular parasympathetic influence. Journal of Applied Physiology, 79(3), 1048-1054. https://doi.org/10.1152/jappl.1995.79.3.1048 Go to original source... Go to PubMed...
  27. Peçanha, T., Paula-Ribeiro, M., Campana-Rezende, E., Bartels, R., Marins, J. C. B., & de Lima, J. R. P. (2014). Water intake accelerates parasympathetic reactivation after high-intensity exercise. International Journal of Sport Nutrition & Exercise Metabolism, 24(5), 489-496. https://doi.org/10.1123/ijsnem.2013-0122 Go to original source... Go to PubMed...
  28. Penttilä, J., Helminen, A., Jartti, T., Kuusela, T., Huikuri, H. V., Tulppo, M. P., Coffeng, R., & Scheinin, H. (2001). Time domain, geometrical and frequency domain analysis of cardiac vagal outflow: Effects of various respiratory patterns. Clinical Physiology, 21(3), 365-376. https://doi.org/10.1046/j.1365-2281.2001.00337.x Go to original source... Go to PubMed...
  29. Routledge, H. C., Chowdhary, S., Coote, J. H., & Townend, J. N. (2002). Cardiac vagal response to water ingestion in normal human subjects. Clinical Science, 103(2), 157-162. https://doi.org/10.1042/cs1030157 Go to original source... Go to PubMed...
  30. Schroeder, C., Bush, V. E., Norcliffe, L. J., Luft, F. C., Tank, J., Jordan, J., & Hainsworth, R. (2002). Water drinking acutely improves orthostatic tolerance in healthy subjects. Circulation, 106(22), 2806-2811. https://doi.org/10.1161/01.cir.0000038921.64575.d0 Go to original source... Go to PubMed...
  31. Scott, E. M., Greenwood, J. P., Gilbey, S. G., Stoker, J. B., & Mary, D. A. (2001). Water ingestion increases sympathetic vasoconstrictor discharge in normal human subjects. Clinical Science, 100(3), 335-342. https://doi.org/10.1042/cs1000335 Go to original source...
  32. Shimouchi, A., Nose, K., Yamaguchi, M., Ishiguro, H., & Kondo, T. (2009). Breath hydrogen produced by ingestion of commercial hydrogen water and milk. Biomarker Insights, 4, Article BMI-S2209. https://doi.org/10.4137/bmi.s2209 Go to original source... Go to PubMed...
  33. Steptoe, A., Hamer, M., & Chida, Y. (2007). The effects of acute psychological stress on circulating inflammatory factors in humans: A review and meta-analysis. Brain, Behavior, and Immunity, 21(7), 901-912. https://doi.org/10.1016/j.bbi.2007.03.011 Go to original source... Go to PubMed...
  34. Task Force of the European Society of Cardiology. (1996). Heart rate variability: Standards of measurement, physiological interpretation and clinical use. Circulation, 93(5), 1043-1065. https://doi.org/10.1161/01.cir.93.5.1043 Go to original source...
  35. Tomofuji, T., Kawabata, Y., Kasuyama, K., Endo, Y., Yoneda, T., Yamane, M., Azuma, T., Ekuni, D., & Morita, M. (2014). Effects of hydrogen-rich water on aging periodontal tissues in rats. Scientific Reports, 4(1), Article 5534. https://doi.org/10.1038/srep05534 Go to original source... Go to PubMed...
  36. Wang, H.-M., & Huang, S.-C. (2012). SDNN/RMSSD as a surrogate for LF/HF: A revised investigation. Modelling and Simulation in Engineering, 2012, Article 931943. https://doi.org/10.1155/2012/931943 Go to original source...
  37. Zanini, D., Stajer, V., & Ostojic, S. M. (2020). Hydrogen vs. caffeine for improved alertness in sleep-deprived humans. Neurophysiology, 52(1), 67-72. https://doi.org/10.1007/s11062-020-09852-7 Go to original source...

This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.