Evidence map›Paper›PMID 41236910›Full record

ArticleAmerican journal of physiology. Renal physiology2026

Ad libitum drinking does not mitigate acute kidney injury risk nor elevations in markers of oxidative stress and inflammation during simulated occupational heat stress.

Erica Tourula, M Jo Hite, Molly E Heikkinen, Hayden W Hess, Fabiano T Amorim, Timothy D Mickleborough, Blair D Johnson, David Hostler, Zachary J Schlader

Abstract read
In one paragraph

Article in American journal of physiology. Renal physiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Hydrating with a higher-fructose sport drink does not worsen acute kidney injury risk during simulated work-related heat stress.American journal of physiology. Regulatory, integrative and comparative physiology · 2026
    Trial
  2. Water intake mediates cross-sectional associations between urinary kidney injury biomarkers and race in emerging adults.American journal of physiology. Regulatory, integrative and comparative physiology · 2026
    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

9 authors.

Erica TourulaDepartment of Kinesiology, Indiana University School of Public Health-Bloomington, Bloomington, Indiana, United States.ORCID 0000-0003-2937-7912
M Jo HiteDepartment of Kinesiology, Indiana University School of Public Health-Bloomington, Bloomington, Indiana, United States.
Molly E HeikkinenDepartment of Kinesiology, Indiana University School of Public Health-Bloomington, Bloomington, Indiana, United States.
Hayden W HessDepartment of Kinesiology, Indiana University School of Public Health-Bloomington, Bloomington, Indiana, United States.ORCID 0000-0002-8432-7208
Fabiano T AmorimDepartment of Health, Exercise and Sports Sciences, University of New Mexico, Albuquerque, New Mexico, United States.ORCID 0000-0003-2936-4484
Timothy D MickleboroughDepartment of Kinesiology, Indiana University School of Public Health-Bloomington, Bloomington, Indiana, United States.
Blair D JohnsonDepartment of Kinesiology, Indiana University School of Public Health-Bloomington, Bloomington, Indiana, United States.ORCID 0000-0002-1731-4415
David HostlerDepartment of Exercise and Nutrition Sciences, Center for Research and Education in Special Environments, University at Buffalo, Buffalo, New York, United States.
Zachary J SchladerDepartment of Kinesiology, Indiana University School of Public Health-Bloomington, Bloomington, Indiana, United States.ORCID 0000-0003-3590-3958

Funding

HHS | CDC | National Institute for Occupational Safety and Health (NIOSH) R01OH011528NIOSH CDC HHS R01 OH011528
6 · The paper itself

Abstract

This study tested the hypothesis that ad libitum fluid intake during a 2-h occupational heat stress simulation attenuates increases in renal oxidative stress, inflammation, and acute kidney injury (AKI) risk compared with fluid restriction. Thirteen healthy adults (5 women) completed two 2-h occupational heat stress simulations consisting of eight circuits of treadmill walking and rowing exercise in a wet bulb globe temperature of 33.1 ± 0.2°C. In the drinking trial (Drink), participants were provided 237 mL of a noncaloric sport drink every 15 min and drank ad libitum. In the fluid restriction trial (No Drink), no fluid was provided. Urine and blood samples were analyzed for markers of oxidative stress (thioredoxin-1, TRX-1), inflammation (monocyte chemotactic protein-1, MCP-1), and AKI risk ([IGFBP7·TIMP-2]). During Drink, ad libitum fluid intake was 1,394 ± 316 mL, and reductions in body weight were greater in No Drink (1.3 ± 0.8% vs. 2.8 ± 0.9%,

Indexed as

Acute Kidney InjuryDrinkingHeat-Shock ResponseHeat Stress DisordersInflammationInflammation MediatorsOccupational DiseasesOccupational ExposureOxidative StressAdultBiomarkersFemaleHumansMaleRisk FactorsTissue Inhibitor of Metalloproteinase-2BiomarkersInflammation MediatorsTIMP2 protein, humanTissue Inhibitor of Metalloproteinase-2dehydrationhyperthermiakidney functionwork-related heat stress

Identifiers

PMID41236910
PMCPMC12754831

What Socratic holds

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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 Socratic graph.