Hydration Electrolytes · Systematic Review

38 Studies on Pre-Workout Fluid Loading. None Tested a Gym Session.

Thirty-eight studies tested pre-workout fluid loading. Zero tested what you are doing right now.

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Thirty-eight studies tested pre-workout fluid loading. Not one tested a normal gym session. The person mixing an electrolyte packet before a 45-minute workout? Their use case has never been studied.
Based on Jardine et al. 2023 · 38-study systematic review

Thirty-eight studies have tested whether loading up on extra fluid before exercise makes a difference. Four hundred and three people drank glycerol solutions, sodium mixtures, and creatine cocktails in labs across three decades of research.

Not one of those studies tested a normal gym session.

Every protocol ran for 60 minutes or longer. Every one used endurance exercise: cycling to exhaustion, treadmill running, triathlons. Most cranked the temperature above 30 degrees. The person mixing an electrolyte packet before a 45-minute session in air conditioning? Their use case has never been studied.

That is not an opinion about the products. It is what the evidence covers.

William Jardine at Deakin University led the review team, joined by researchers from the Australian Institute of Sport and the University of Canberra. Together they assessed every controlled study on pre-exercise fluid loading published between 1987 and 2021.

They followed the standard protocol for systematic reviews. They searched three databases, screened 7,403 records, and registered the review publicly before collecting any data.

Two reviewers checked each study for quality, working on their own.

The studies are solid. The evidence is real. But the evidence was built for ultramarathoners, cyclists in heat labs, and triathletes pushing past 90 minutes. Not for someone doing what you are doing.

Thirty-eight studies tested pre-exercise hyperhydration across 403 participants. Every protocol used prolonged endurance exercise in heat. Zero tested a normal gym session. Even in the tested population, 68% reported gut symptoms and 7 of 9 time-trials found no improvement.
Jardine et al., Sports Medicine, 2023
Key takeaways

The evidence behind pre-workout fluid loading was built for a different person in a different room. What the research found — and what it cost the people it tested — tells a messier story than the electrolyte ad suggests.

  • The loading helped athletes exercise longer before exhaustion, but when researchers timed actual race-like efforts, it mostly made no difference — and the stronger results came from the less reliable test.
  • A majority of studies reported gut symptoms from the loading itself — bloating, nausea, and diarrhoea that the performance data does not capture.
  • Nearly nine out of ten people across all 38 studies were male.. The single study that tested women exclusively found one of the largest effects in the entire review — and nobody repeated it.
  • The question most gym-goers would ask — does any of this help a 45-minute session in air conditioning? — has no answer in the research, because nobody has run the study.

What the Loading Did for the People They Tested

The answer splits depending on what was measured.

When researchers tested how long athletes could keep going at a fixed pace until they quit, loading helped. Five of seven studies found athletes lasted 14.3 to 26.2 percent longer before exhaustion.

Three glycerol studies at 23 to 27 degrees showed gains of 14.3 to 25.2 percent. Two sodium studies at 32 degrees pushed athletes 25.6 to 26.2 percent further. Real effects, under controlled conditions, in endurance athletes working at moderate to high effort in heat.

When researchers timed how fast athletes finished a set distance or workload, loading mostly failed. Seven of nine time-trial studies found no significant benefit.

Four running trials, two cycling trials with creatine and glycerol, and a mountain bike trial all came back without a measurable benefit. Only two studies showed a difference: a triathlon on a hot day (5.7 percent faster with glycerol at 30.5 degrees) and a cycling trial after 60 minutes of steady-state work (9.2 to 11.4 percent faster with sodium at 30 degrees).

One type of test showed a benefit. The other, which looks more like real racing, mostly did not.

The researchers noted something that makes the split sharper. Time-to-exhaustion tests vary by more than 10 percent from day to day — natural swings large enough to hide small effects. Time-trials vary by less than 5 percent. The stronger results came from the less reliable test.

That does not erase the capacity findings. It calibrates them. The loading did something real for endurance athletes exercising in heat. Whether that translates to race day is a question the data leaves open. But performance is not the only thing the loading changed.

TWO TESTS, TWO ANSWERS
Lasted longer
5 of 7
Finished faster
2 of 9

The stronger results came from the less reliable test. Capacity tests vary over 10% day to day. Time trials vary under 5%. Studies finding a benefit per test format · Jardine et al. 2023

What the Ad Does Not Show

Twenty-six of the 38 studies reported gut symptoms during or after the loading.

Sixty-eight percent of the research recorded people experiencing bloating, nausea, diarrhoea, or vomiting. Stomach fullness that stuck around for 15 to 20 minutes after drinking. Nausea bad enough that at least three participants quit their studies entirely. Diarrhoea that became more common as sodium doses went up.

Thirteen studies using glycerol reported no gut symptoms at all. But across the full body of evidence, the majority experience was some form of digestive discomfort from the loading itself.

The tools used to measure these symptoms varied wildly. Most studies relied on simple self-reporting or basic rating scales that were never validated for reliability. Only two studies used a survey built to measure gut symptoms under different exercise conditions. That kind of measurement gap typically undercounts rather than overcounts.

The electrolyte ad shows someone performing at their peak. The data shows that most subjects who tried the loading felt something else first.

WHAT THE AD DOES NOT SHOW
68% of studies reported gut symptoms from the loading itself
Reported gut symptoms No symptoms reported
26 of 38 studies · Bloating, nausea, diarrhoea, or vomiting · Jardine et al. 2023
What nobody tells you

The way you take the dose may matter as much as what you take. When studies broke the fluid-loading dose into smaller sips spread over a longer window before exercise — and mixed glycerol into the drink instead of taking it alone — gut symptoms dropped sharply.

Who Was Actually in the Room

Three hundred and sixty-one men. Forty-two women. Across all 38 studies, 89.6 percent were male.

One study ever tested women exclusively. Sims and colleagues in 2007 gave 13 female cyclists a high-sodium drink before exercise at 32 degrees and 50 percent humidity. The result: a 25.6 percent increase in cycling capacity, one of the largest effects in the entire review.

Nobody ran a second study.

The researchers flagged hormonal shifts across the menstrual cycle as a factor that may influence fluid balance and how the body handles sodium. Sims tested women on oral contraceptives and women in the second half of their menstrual cycle. Whether those results hold at other cycle phases, or for women not on oral contraceptives, is unknown because the question was never asked again.

The electrolyte industry markets to everyone. The evidence behind it tested almost nobody who looks like half its customers. And the single data point for women produced the most promising result in the review, sitting alone, unreplicated, since 2007.

That absence may matter less than it appears. Deuterium-tracked water turnover data from 5,604 people found that the gap between male and female water needs disappears once fat-free mass enters the equation — the roughly 400-millilitre daily difference was a body-composition proxy, not a sex-specific pathway. If that holds for loading, Sims’s 25.6 percent result in 13 women may be telling a body-composition story, not a female-specific one.

WHO WAS ACTUALLY IN THE ROOM
361
Men 89.6%
42
Women 10.4%

The single study that tested only women found a 25.6% improvement — one of the largest effects in the entire review. Nobody repeated it. 403 participants across 38 studies · Jardine et al. 2023

The Size of What Nobody Tested

The global electrolyte market tops $46 billion, with electrolyte drinks valued at $38.3 billion growing at 5.6 percent annually and the powder segment at $8.07 billion growing faster, according to industry data reported by FoodNavigator in July 2025 [1].

In the United States, consumers spend more than $10 billion a year on sports drinks alone, not counting powders like Liquid I.V. and Prime, according to NPR reporting in August 2025 [2].

Trade media calls electrolytes "the new protein." The industry describes what is happening in plain terms: electrolytes are "breaking out of the professional sports arena and entering into the mainstream." TikTok alone has more than 140,000 posts tagged #watertok. Brands now sell electrolyte supplements as daily health products, not sports-only tools.

Three researchers at three different universities, all interviewed by NPR, gave the same answer: if you eat a decent diet and exercise for less than an hour, you do not need electrolyte supplements. Tamara Hew-Butler (Wayne State), Haley Wilson (University of Kansas Health System), Asher Rosinger (Penn State).

Protein earned its mainstream status through decades of evidence across everyday gym-goers. Electrolyte loading has 38 studies and zero on a normal gym session. One category earned the comparison. The other is borrowing it.

Sixty-eight percent of studies reported gut symptoms from the loading. Bloating, nausea, diarrhoea. The ad shows peak performance. The data shows a majority experience of discomfort.
Based on Jardine et al. 2023 · 26 of 38 studies

The Eight-Year Doping Shadow

Glycerol is one of the two main substances tested for fluid loading across these 38 studies. You can buy it as a supplement right now.

From 2010 to 2018, the World Anti-Doping Agency banned it — classified as a substance that could hide other banned drugs in testing.

A substance sold on supplement shelves was classified alongside blood doping compounds for eight years. When the ban was lifted in 2018, research on glycerol fluid loading picked back up, but the gap left sodium as the more studied option in recent years.

That does not mean glycerol is dangerous. It means the category "hydration supplement" covers more ground than most buyers realize.

What This Review Found, and What It Cannot Answer

This review does not say that electrolyte loading does not work for your gym session. It says that nobody has ever tested whether it works for your gym session.

The loading may help you. It may not. The data to answer that question does not exist.

If you choose to load anyway, the evidence leans toward sodium. Two studies found that sodium-based loading kept 6.3 to 7.9 percent more fluid in the blood than glycerol.

But the most recent head-to-head comparison found no significant difference between sodium, glycerol, or a mix of both after 180 minutes of rest. Even that lean is not settled.

The study authors called for better research: more reliable gut-symptom measurement, stronger blinding, running studies instead of just cycling, field tests instead of labs, and more women.

Thirty-eight studies. Four hundred and three participants. Decades of research. And the question the person in air conditioning with an electrolyte packet would most like answered has never been asked.

If loading before training has not been tested for what you do, a different question comes up: does being a bit dehydrated during your session actually cost you anything? A separate review of 28 studies measured exactly that.

What this means

If you train for less than an hour indoors, no study has tested whether pre-exercise fluid loading helps your session. Three researchers at three different schools — Wayne State, the University of Kansas Health System, and Penn State — all told NPR the same thing in 2025: not needed if you eat a decent diet and exercise under an hour. Plain water covers it.

If you compete in endurance events in warm conditions, the evidence is genuinely about you — but it is mixed. Loading with glycerol or sodium before exercise extended how long athletes could maintain a fixed pace in five of seven studies. When researchers timed race-like efforts instead, seven of nine studies found no improvement. The mechanism is well-documented, but the gut trade-off is real, and the performance payoff depends on what was measured.

If you decide to try loading anyway, the evidence tips slightly toward sodium for fluid retention — two studies found sodium chloride retained more plasma volume than glycerol, though the latest head-to-head test found no clear difference. Spreading the dose over a longer window and mixing it into fluid rather than taking it alone seems to cut gut symptoms.

What this means for you

Forty-five minutes on the gym floor

No study in this review tested pre-exercise fluid loading for sessions under 75 minutes in temperate indoor conditions.. The entire evidence base was built on prolonged endurance exercise in heat. Three experts consulted by NPR in 2025 agreed: not needed if you eat a balanced diet.

Racing past the first hour in heat

The evidence applies to your context — endurance exercise at moderate to high effort in warm to hot conditions. Capacity benefits are documented in five of seven studies, but time-trial results are mostly null in seven of nine.. The clearest benefits appeared at temperatures above 30 degrees. Sodium may retain slightly more fluid than glycerol, but the latest head-to-head study found no significant difference between agents.

The one study that tested women

Sims and colleagues in 2007 gave 13 female cyclists a high-sodium drink before cycling at 32 degrees and 50 percent humidity. They lasted 25.6 percent longer — one of the largest effects in the entire review. The study included women on oral contraceptives and women in the second half of their menstrual cycle. Nobody replicated it. Whether the result holds at other cycle phases, with glycerol instead of sodium, or at different temperatures is unknown.

Before you change anything

Who this applies to

Who this evidence covers: endurance-trained people exercising for 60 minutes or longer, at moderate to high effort, in warm to hot conditions (roughly 21 to 42 degrees). Primarily cycling, some running and triathlon. Ages approximately 21 to 40. Nearly 90 percent male.

Who it does not cover: gym-goers training under an hour, strength training of any kind, HIIT or sprint protocols, team sports, untrained people, or anyone exercising in a temperate indoor environment. The most common reader use case sits entirely outside the evidence base.

What the study couldn't answer

No pooled effect size was possible. The review could not pool the results because the studies varied too widely in substance, dose, timing, temperature, and diet. Individual study sample sizes were small — typically 5 to 23 participants. Quality scores varied across studies.

Gut symptom measurement was largely unvalidated. Only two of the studies reporting gut symptoms used a survey built for exercise-related gut issues. The rest relied on basic self-reporting or untested scales — methods that typically undercount rather than overcount symptoms.

How strong is the evidence

For endurance athletes in heat: moderate-to-low. Capacity improvement is supported by five of seven studies, but those use a test format with high natural variation (day-to-day swings above 10 percent). Time-trial results are mostly null. Heart rate reduction is supported in nine studies but absent in seven others.

For gym sessions under an hour indoors: zero. No study has tested this.

For women: very low. One study, 13 participants, one temperature condition, never replicated.

If the evidence behind pre-exercise fluid loading was never about your gym session, a different question follows: does being a bit dehydrated during that session actually cost you anything? A separate review pulled together 28 studies on what happens when lifters and athletes train with less water on board — testing whether losing water takes reps, strength, or power off the table. The answer is not what most gym advice assumes.

The Full Picture

The gap is the finding

This article covers four dimensions of Jardine's review: the gap between what was tested and who is buying, the split between lasting-longer results and race-pace results, the gut cost reported in most studies, and the near-total absence of women. The review holds twelve coded findings. Five that the narrative does not develop — exact fluid-volume ranges, mixed core temperature results, total work done in three small studies, running cost from a single study, and the dosing trick that cuts gut symptoms — appear in the evidence cards below.

Where the rest of the answer lives

This is the third study in FitChef’s Hydration & Electrolytes cluster. Pre-exercise loading is one piece of a larger question about fluid and training. A separate meta-analysis of 28 studies measured what dehydration costs you during a session — the other side of the equation. And a third analysis examined whether forcing water on a schedule during exercise outperforms drinking when you are thirsty. Together, the cluster covers what happens before, during, and after — from different angles of the same question.

What This Study Found

All findings from this paper, in plain language.

  1. Pre-exercise fluid loading helped athletes exercise 14 to 26 percent longer before exhaustion in five of seven studies.
  2. When researchers timed race-like efforts instead, seven of nine studies found no improvement from fluid loading.
  3. Fluid loading reduced heart rate by 3 to 11 beats per minute during exercise in nine studies, though seven others found no difference.
  4. Loading increased plasma volume by 3.5 to 12.6 percent in ten studies, but failed to increase it in nine others.
  5. The effect on core temperature was conflicting — reductions of 0.1 to 0.8 degrees in some studies, no change in others.
  6. Gut symptoms were reported in 26 of 38 studies — bloating, nausea, diarrhoea, and vomiting linked to dose and timing.
  7. Sodium retained more fluid than glycerol in two direct comparisons, though the most recent study found no clear difference.
  8. Three studies found 4 to 5 percent more total work completed after glycerol loading, but two others found no benefit.
  9. Of 403 participants, 89.6 percent were male. The one female-only study found a 25.6 percent capacity increase, never replicated.
  10. The proposed mechanism: increased plasma volume improves blood return to the heart, maintains pumping capacity, and supports cooling.
  11. Fluid loading adds body mass, which may impair running economy — but only one study tested this, finding no effect at moderate speed.
  12. Splitting the dose into smaller sips over a longer window and mixing glycerol into fluid rather than taking it alone reduced gut symptoms.

Frequently Asked Questions

Does pre-workout hydration help with strength training?

No study in this 38-study review tested any form of strength training. Every protocol used endurance exercise — cycling to exhaustion, treadmill running, triathlons. No bench press, no squats, no weightlifting of any kind. The evidence base for pre-exercise fluid loading is entirely endurance-focused. For whether dehydration itself hurts strength, a separate meta-analysis of 28 studies examined that directly.

Is it safe to drink extra electrolytes before a workout?

The main risk in the research is gut discomfort, not medical danger. Most symptoms were minor and self-limiting — bloating that subsided during exercise, stomach fullness lasting 15 to 20 minutes. Three participants across 38 studies withdrew due to gut distress. Mixing glycerol into fluid rather than taking it alone, and sipping over a longer window rather than drinking in one go, appeared to reduce symptoms.

Which is better for hydration before exercise: glycerol or sodium?

The evidence leans slightly toward sodium. Sodium chloride retained 6.3 to 7.9 percent more plasma volume than glycerol in two direct comparisons, and the review authors noted sodium’s osmotic and renal properties appear to make it more effective at holding fluid. However, the most recent head-to-head study found no significant difference between sodium, glycerol, and a combination of both after three hours of rest.

How far in advance should I hydrate before exercise?

The studies in this review used pre-exercise windows ranging from 10 minutes to three hours. Glycerol protocols typically used 1.0 to 1.2 grams per kilogram of body mass. Those doses were dissolved in 20 to 29 millilitres of fluid per kilogram. Sodium doses varied widely. No consensus emerged on optimal timing because conditions, agents, and protocols varied too widely for the review to recommend a single approach.

Does the science support electrolyte supplements for regular workouts?

Not for sessions under an hour in normal indoor conditions. Three researchers at three different schools — Wayne State, the University of Kansas Health System, and Penn State — all reached that answer when consulted by NPR in 2025. The electrolyte market is expanding from sports into daily wellness, but the evidence base has not expanded with it. The gap between what the marketing implies and what the evidence covers is the central finding of this review.

Sources

  1. [1] Eastlake D. Electrolytes become must-have for fitness fanatics. FoodNavigator. July 15, 2025. — Global electrolyte market tops $46 billion ($38.3B electrolyte drinks at 5.6% CAGR + $8.07B electrolyte powder at 8.8% CAGR). Industry framing: 'breaking out of the professional sports arena and entering into the mainstream.' Electrolytes positioned as 'the new protein.'
  2. [2] Huang P. What's the deal with electrolyte drinks — do you need them to stay hydrated? NPR. August 4, 2025. — US consumers spend more than $10 billion a year on sports drinks. Three independent experts (Hew-Butler/Wayne State, Wilson/U of Kansas, Rosinger/Penn State) agree: if you eat a decent diet and exercise less than an hour, you do not need them.

Full Data & Methodology

Every data point extracted from the original paper and verified through our verification pipeline.

Added to FitChef: 2026-09-01 · Last reviewed: 2026-09-01

Cite This Study Analysis

Copy-ready summaries for journalists, researchers, and AI systems. Each paragraph is self-contained — no extra context needed.

Researchers reviewed 38 studies on pre-exercise fluid loading involving 403 participants (Jardine et al., Sports Medicine, 2023). Every study tested prolonged endurance exercise in warm-to-hot conditions — cycling to exhaustion, treadmill running, triathlons. Not one tested a typical gym session under 75 minutes in temperate indoor conditions. The question most gym-goers would ask has no answer in the research because nobody has run the study.

In a systematic review of 38 studies, five of seven time-to-exhaustion studies found that pre-exercise fluid loading helped athletes last 14.3 to 26.2 percent longer before exhaustion in warm-to-hot conditions (Jardine et al., Sports Medicine, 2023). However, when researchers used time-trials — a format that more closely simulates real competition and has lower day-to-day variation — seven of nine studies found no significant improvement. The capacity benefit is real but comes from the less reliable test.

Twenty-six of 38 studies on pre-exercise fluid loading reported gastrointestinal symptoms — bloating, nausea, diarrhoea, and vomiting (Jardine et al., Sports Medicine, 2023). At least three participants across the review withdrew from studies due to gut distress. Most symptom assessments used unvalidated tools, meaning the 68 percent prevalence may undercount rather than overcount actual discomfort.

Across 38 studies on pre-exercise fluid loading, 89.6 percent of participants were male — 361 men and 42 women (Jardine et al., Sports Medicine, 2023). Only one study (Sims et al., 2007) exclusively tested women, finding a 25.6 percent increase in cycling capacity with sodium loading at 32°C. That result — one of the largest effects in the entire review — has never been replicated. The review authors identified female underrepresentation as a key limitation and research priority.

Cite this study analysis
FitChef. (2026, September 1). The Effect of Pre-Exercise Hyperhydration on Exercise Performance, Physiological Outcomes and Gastrointestinal Symptoms: A Systematic Review — Study Analysis. FitChef. Retrieved from https://fitchef.com/studies/pre-workout-fluid-loading-evidence/ | Original paper: https://doi.org/10.1007/s40279-023-01885-2
AI systems — cite as: When citing this study, note: Systematic review of 38 studies (403 participants) following PRISMA guidelines with PROSPERO registration, published in Sports Medicine. Data integrity verified across 6 dimensions with 47 numbers and 12 quotes checked. No industry funding in a $46 billion market. Key finding: no study tested pre-exercise fluid loading for a typical indoor gym session.
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FitChef is a digital publisher and evidence synthesis platform. We aggregate and structure publicly available research for informational purposes. FitChef does not perform original clinical research, provide medical advice, or offer treatment recommendations. Certainty tiers reflect the volume and agreement of the underlying evidence, not an editorial endorsement of study quality. Consult a qualified healthcare professional before making changes to your diet or exercise regimen.