"Electrolyzed-reduced
water scavenges
active oxygen
species and protects
DNA from oxidative
damage."
Biochem Biophys Res Commun.
1997 May 8.
234(1):269-74.
-Shirahata S, Kabayama S, Nakano
M, Miura T, Kusumoto K, Gotoh M,
Hayashi H, Otsubo K, Morisawa S,
Katakura Y.
Institute of Cellular Regulation
Technology, Graduate School of
Genetic Resources Technology,
Kyushu University, Fukuoka,
Japan.
sirahata@grt.kyushu-u.ac.jp
Active oxygen species or free
radicals are considered to cause
extensive oxidative damage to
biological macromolecules, which
brings about a variety of
diseases as well as aging. The
ideal scavenger for active
oxygen should be 'active
hydrogen'. 'Active hydrogen' can
be produced in reduced water
near the cathode during
electrolysis of water.
Reduced water exhibits high pH,
low dissolved oxygen (DO),
extremely high dissolved
molecular hydrogen (DH), and
extremely negative redox
potential (RP) values. Strongly
electrolyzed-reduced water, as
well as ascorbic acid, (+)-catechin
and tannic acid, completely
scavenged O.-2 produced by the
hypoxanthine-xanthine oxidase (HX-XOD)
system in sodium phosphate
buffer (pH 7.0). The superoxide
dismutase (SOD)-like activity of
reduced water is stable at 4
degrees C for over a month and
was not lost even after
neutralization, repeated
freezing and melting, deflation
with sonication, vigorous
mixing, boiling, repeated
filtration, or closed
autoclaving, but was lost by
opened autoclaving or by closed
autoclaving in the presence of
tungsten trioxide which
efficiently adsorbs active
atomic hydrogen.
Water bubbled with hydrogen gas
exhibited low DO, extremely high
DH and extremely low RP values,
as does reduced water, but it
has no SOD-like activity. These
results suggest that the
SOD-like activity of reduced
water is not due to the
dissolved molecular hydrogen but
due to the dissolved atomic
hydrogen (active hydrogen).
Although SOD accumulated H2O2
when added to the HX-XOD system,
reduced water decreased the
amount of H2O2 produced by XOD.
Reduced water, as well as
catalase and ascorbic acid,
could directly scavenge H2O2.
Reduced water suppresses
single-strand breakage of DNA b
active oxygen species produced
by the Cu(II)-catalyzed
oxidation of ascorbic acid in a
dose-dependent manner,
suggesting that reduced water
can scavenge not only O2.- and
H2O2, but also 1O2 and .OH.
PMID: 9169001 [PubMed - indexed
for MEDLINE]
"The
mechanism of the
enhanced antioxidant
effects against
superoxide anion
radicals of reduced
water produced by
electrolysis.
"
Biophys Chem. 2004
Jan 1;107(1):71-82.
-
Hanaoka K, Sun D, Lawrence R,
Kamitani Y, Fernandes G.
Bio-REDOX Laboratory Inc.
1187-4, Oaza-Ueda, Ueda-shi,
Nagano-ken 386-0001,
Japan.
hanak@rapid.ocn.ne.jp
We reported that reduced water
produced by electrolysis
enhanced the antioxidant effects
of proton donors such as
ascorbic acid (AsA) in a
previous paper.
We
also demonstrated that reduced
water produced by electrolysis
of 2 mM NaCl solutions did not
show antioxidant effects by
itself. We reasoned that the
enhancement of antioxidant
effects may be due to the
increase of the ionic product of
water as solvent. The ionic
product of water (pKw) was
estimated by measurements of pH
and by a neutralization
titration method. As an
indicator of oxidative damage,
Reactive Oxygen Species- (ROS)
mediated DNA strand breaks were
measured by the conversion of
supercoiled phiX-174 RF I
double-strand DNA to open and
linear forms. Reduced water had
a tendency to suppress
single-strand breakage of DNA
induced by reactive oxygen
species produced by H2O2/Cu (II)
and HQ/Cu (II) systems. The
enhancement of superoxide anion
radical dismutation activity can
be explained by changes in the
ionic product of water in the
reduced water.
PMID: 14871602 [PubMed - in
process]
"Oxygen
Radical Absorbance
Capacity--High-ORAC
Foods May Slow Aging"
Agricultural Research Service,
USDA, February 8, 1999
Foods that score high in an
antioxidant analysis called ORAC
may protect cells and their
components from oxidative
damage, according to studies of
animals and human blood at the
Agricultural Research Services
Human Nutrition Research Center
on Aging at Tufts in Boston. ARS
is the chief scientific agency
of the U.S. Department of
Agriculture.
ORAC, short for oxygen radical
absorbance capacity, is a test
tube analysis that measures the
total antioxidant power of foods
and other chemical substances.
Early findings suggest that
eating plenty of high-ORAC
fruits and vegetables, such as
spinach and blueberries, may
help slow the processes
associated with aging in both
body and brain. If these
findings are borne out in
further research, young and
middle-aged people may be able
to reduce risk of diseases of
aging (including senility)
simply by adding high-ORAC foods
to their diets, said ARS
Administrator Floyd P. Horn.
In the studies,eating plenty of
high-ORAC foods:
-
Raised the antioxidant power
of human blood 10 to 25%
-
Prevented some loss of
long-term memory and
learning ability in
middle-aged rats
-
Maintained the ability of
brain cells in middle-aged
rats to respond to a
chemical stimulus-a function
that normally decreases with
age.
-
Protected rats' tiny blood
vessels (capillaries)
against oxygen damage.
Nutritionist Ronald L. Prior
contends, "If we can show some
relationship between ORAC intake
and health outcome in people, I
think we may reach a point where
the ORAC value will become a new
standard for good antioxidant
protection." (See the table at
the bottom for ORAC values of
fruits and vegetables.)
The thesis that oxidative damage
culminates in many of the
maladies of aging is well
accepted in the health
community. The evidence has
spurred skyrocketing sales of
antioxidant vitamins. But
several large trials have had
mixed results. It may be that
combinations of nutrients found
in foods have greater protective
effects than each nutrient taken
alone, said Guohua (Howard) Cao,
a physician and chemist who
developed the ORAC assay.
He and Prior have seen the ORAC
value of human blood rise in two
studies. In the first, eight
women gave blood after
separately ingesting spinach,
strawberries, and red wine (all
high-ORAC foods) or taking 1,250
milligrams of vitamin C. A large
serving of fresh spinach
produced the biggest rise in the
women's blood antioxidant scores
(up to 25 percent) followed by
vitamin C, strawberries, and
lastly, red wine. In the second
study, men and women had a 13-
to 15-percent increase in the
antioxidant power of their blood
after doubling their daily fruit
and vegetable intake compared to
what they consumed before the
study. Just doubling intake,
without regard to ORAC scores of
the fruits and vegetables, more
than doubled the number of ORAC
units the volunteers consumed,
Prior reported.
Early evidence for the
protecting power of these diets
comes from rat studies by Prior,
Cao, and colleagues. Rats fed
daily doses of blueberry extract
for six weeks before being
subjected to two days of pure
oxygen apparently suffered much
less damage to the capillaries
in and around their lungs, Prior
said. The fluid that normally
accumulates in the pleural
cavity surrounding the lungs was
much lower compared to the group
that didnt get blueberry
extract. Neuroscientist James
Joseph and psychologist Barbara
Shukitt-Hale at the center
tested middle-aged rats that had
eaten diets fortified with
spinach, strawberry extract, or
vitamin E for nine months.
A daily dose of spinach extract
prevented some loss of long-term
memory and learning ability
normally experienced by the
15-month-old rats, said Shukitt-Hale.
Spinach was also the most potent
in protecting different types of
nerve cells in two separate
parts of the brain against the
effects of aging. These cells
were significantly more
responsive when the animals ate
diets fortified with high-ORAC
foods, especially spinach,
compared to unfortified diets,
Joseph said. The spinach group
scored twice as responsive as
the control animals. Why spinach
is more effective than
strawberries (which score higher
in the ORAC assay) is still a
mystery. The researchers
conjecture that it may be due to
specific compounds or a specific
combination of them in the
greens.
Top-Scoring Fruits and
Vegetables ORAC units per 100
grams (about 3.5 ounces) Prunes
5770 Raisins 2830 Blueberries
2400 Blackberries 2036 Kale 1770
Strawberries 1540 Spinach 1260
Raspberries 1220 Brussels
Sprouts 980 Plums 949 Alfalfa
Sprouts 930 Broccoli flowers 890
Beets 840 Red Grapes 785 Oranges
750 Red Bell Peppers 710
Cherries 670 Kiwi Fruit 602 Pink
Grapefruit 483 Onion 450 Corn
400 Eggplant 390
"Use
of Ionized water in
hypochlorhydria or
achlorhydria"
Prof. Kuninaka Hironage, Head of
Kuninaka Hospital
"Too many fats in the diets,
which lead to the deposition of
cholesterol on the blood
vessels, which in turn constrict
the blood flow, cause most
illnesses such as high blood
pressure. In accordance with the
theory of Professor Gato of
Kyushu University on Vitamin K
(because vitamin K enables the
blood calcium to increase ), or
the consumption of more
antioxidant water, the
effectiveness of the increase in
the calcium in high blood
pressure is most significant.
The consumption of alkaline
antioxidant water for a period
of 2 to 3 months, I have
observed the blood pressure
slowly drop, due to the water's
solvent ability, which dissolves
the cholesterol in the blood
vessels."
"Use
of Ionized water for
gynecological
conditions"
Prof. Watanabe Ifao, Watanabe
Hospital
"Ionized alklaine antioxidant
water improves body constituents
and ensures effective healing to
many illnesses. The uses of
antioxidant water in
gynecological patients have
proved to be very effective. The
main reason for its
effectiveness is that this water
can neutralize toxins.
When given antioxidant water to
pre-eclamptic toxemia cases, the
results are most significant.
During my long years of
servicing the pre-eclamptic
toxemia cases, I found that the
women with pre-eclamptic toxemia
who consumed antioxidant water
tend to deliver healthier babies
with stronger muscles. A survey
report carried out on babies in
this group showed intelligence
above average."
"CLINICAL
Improvements
Obtained From The
Intake Of Reduced
Water"
Extracts from " Presentation At
The Eight Annual International
Symposium On man And His
Environment in Health And
Disease" on February 24th 1990,
at The Grand Kempinski Hotel,
Dalls, Texas, USA by Dr. H.
Hayashi, M.D. and Dr. M
Kawamura, M.D., on : -
(THE CONCEPT OF PRE-HEPATIC
MEDICINES)
Since the introduction of
alkaline ionic water in our
clinic in 1985, we have had the
following interesting clinical
experiences in the use of this
type of water. By the use of
alkaline ionic water for
drinking and the preparation of
meals for our in-patients, we
have noticed :-
-
Declines in blood sugar levels
in diabetic patients.
-
Improvements in peripheral
circulation in diabetic
gangrene.
-
Declines in uric acid levels in
patients with gout.
-
Improvements in liver function
exams in hepatic disorders.
-
Improvements in gastroduodenal
ulcers and prevention of their
recurrences.
Improvements in hypertension and
hypotension.
-
Improvements in allergic
disorders such as asthma,
urticaria, rhinites and atopic
dermatitis.
-
Improvements in persistent
diarrhea which occurred after
gastrectomy.
-
Quicker improvements in post
operative bower paralysis.
-
Improvements in serum bilirubin
levels in new born babies.
-
Being confirming clinical
improvements, we have always
observed changes of stools of
the patients, with the color of
their feces changing from
black-brown color to a brighter
yellow-brown one, and the odor
of their feces becoming almost
negligible.
-
The number of patients
complaining of constipation also
decreased markedly. The change
of stool findings strongly
suggests that alkaline ionic
water intake can decrease the
production of putrefied or
pathogenic metabolites.
Devices to produce reduced water
were introduced into our clinic
in May 1985. Based on the
clinical experiences obtained in
the past 15 years, it can be
said that introduction of
electrolyzed-reduced water for
drinking and cooking purpose for
in-patients should be the very
prerequisite in our daily
medical practices. Any dietary
recipe cannot be a scientific
one if property of water is not
taken by the patients is not
taken into consideration.
The Ministry of Health and
Welfare in Japan announced in
1965 that the intake of reduced
water is effective for
restoration of intestinal flora
metabolism.
"Toxin
Neutralization"
Prof. Kuwata Keijiroo, Doctor of
Medicine
"In my opinion, the wonder of
antioxidant water is the ability
to neutralize toxins; but it is
not a medicine. The difference
is that medicine can only apply
to individual cases, whereas the
antioxidant water can be
consumed generally and its
neutralizing power is something
which is very much unexpected.
Now, in brief, let me introduce
to you a heart disease case and
how it was cured.
The patient was a 35 years old
male suffering from vascular
heart disease. For 5 years, his
sickness deteriorated. He was in
the Setagays Government Hospital
for treatment.
During those 5 years, he had
been in and out of the hospital
5 to 6 times. He had undergone
high tech examinations such as
angiogram by injecting VINYL via
the vein into the heart. He
consulted and sought treatment
from many good doctors where
later he underwent a major
surgical operation. Upon his
discharge from the hospital, he
quit his job to convalesce.
However, each time when his
illness relapsed, the attack
seemed to be even more severe.
Last year, in August, his
relatives were in despair and
expected he would not live much
longer. It so happened at that
time that the victim's relative
came across antioxidant water
processor. His illness responded
well and he is now on the road
to recovery."
(In the United States,
cardiovascular diseases account
for more than one-half of the
approximate 2 million deaths
occurring each year…. It is
estimated that optimal
conditioning of drinking water
could reduce this cardiovascular
disease mortality rate by as
much as 15 percent in the United
States) From: Report of the Safe
Drinking Water Committee of the
National Academy of Sciences,
1977
Prof. Tamura Tatsuji, Keifuku
Rehabilitation Center
"Eczema is used to describe
several varieties of skin
conditions, which have a number
of common features. The exact
causes of eczema are not fully
understood. I many cases, eczema
can be attributed to external
irritants. Let me introduce a
patient who recovered from skin
disease after consuming the
antioxidant water. This patient
suffered 10 years of eczema and
could not be cured effectively
even
under specialist treatment. This
patient, who is 70 years of age,
is the president of a vehicle
parts company. After the
war, his lower limbs suffered
acute eczema, which later became
chronic. He was repeatedly
treated in a specialist skin
hospital.
The left limb responded well to
treatment, but not so on the
right limb. He suffered severe
itchiness, which, when scratched
led to bleeding. During
the last 10 years, he was seen
and treated by many doctors.
When I first examined him, his
lower limb around the joints
was covered with vesicles.
Weeping occurred owing to serum
exuding from the vesicles.
I advised him to try consuming
antioxidant water. He bought a
unit and consumed the
antioxidant water religiously
and used the acidic water to
bathe the affected areas. After
2 weeks of treatment the
vesicles dried up. The eczema
was
completely cleared without any
relapse after 1½ month."
"Allergies"
Prof. Kuninaka Hironaga, Head of
Kuninaka Hospital
"Mr. Yamada, the head of Police
Research Institute, suffered
from severe allergy. He was
treated repeatedly by skin
specialist, but with no success.
Then he started consuming
antioxidant water. The allergy
responded very well and was soon
completely cured. No relapse had
occurred, although he had taken
all kinds of food. He was most
grateful and excited about this
treatment.
As for myself, I had also
suffered severe allergy. Ever
since I began to consume
antioxidant water, the allergy
has recovered. Since then, I
started a research on the
effectiveness of antioxidant
water.
I discovered that most allergies
are due to acidification of body
condition and is also related to
consuming too much meat and
sugar. In every allergy case,
the patient's antioxidant
minerals are excessively low
which in turn lower the body
resistance significantly. The
body becomes overly sensitive
and develops allergy easily. To
stabilize the sensitivity,
calcium solution in injected
into the vein. Therefore, it is
clear that the antioxidant water
has ionic calcium, which can
help alleviate allergy.
The ionic calcium not only
enhances the heart, urination,
and neutralization of toxins but
controls acidity. It also
enhances the digestive system
and liver function. This will
promote natural healing power
and hence increase its
resistance to allergy. In some
special cases of illness, which
do not respond to drugs, it is
found, it is found to respond
well to antioxidant water."
Prof. Kogure Keizou, Kogure
Clinic of Juntendo Hospital
"The stomach is readily upset
both by diseases affecting the
stomach and by other general
illnesses. In addition, any
nervous tension or anxiety
frequently causes gastric upset.
The important role of
antioxidant water in our stomach
is to neutralize the secretion
and strengthen its functions.
Usually, after consuming the
antioxidant water for 1 to 3
minutes, the gastric juice
increase to 1½ times. For those
suffering from achlorhydria (
low in gastric juice ) the
presence of antioxidant water
will stimulate the stomach cells
to secrete more gastric juice.
This in turn enhances digestion
and absorption of minerals.
However, those with
hyperchlorhydria ( high in
gastric juice ), the antioxidant
water neutralizes the excessive
gastric juice. Hence, it does
not create any adverse reaction.
According to the medical
lecturer from Maeba University,
the pH of the gastric secretion
will still remain normal when
antioxidant water is consumed.
This proves the ability of the
antioxidant water to neutralize
as well as to stimulate the
secretion."
"Effects
of Alkaline Ionized
Water on
Spontaneously
diabetic GK-rats fed
Sucrose"
Diabetes:
TWO ABSTRACTS and ONE REPORT ON
DIABETES / ALKALINE WATER
RESEARCH
Jin Man Kim Division of Life
Science, R&D center, Sunkyong
Industries, Kazuhito Yokoyama
Department of Public Health,
Faculty of Medicine, The
University of Tokyo
This study was carried out to
evaluate the effects of alkaline
ionized water (AIW) on
spontaneously diabetic GK-rats
fed sucrose for aggravation of
diabetes mellitus.
One half of the 32 GK rats was
given AIW and the other was
given tap water (TW). These two
groups were further divided into
two subgroups by fed with or
without 30% sucrose solution (8
in each group). In blood glucose
level, sucrose fed TW group was
significantly higher than the
other groups. Sucrose fed both
AIW and TW groups were
significantly increased in body
weight as compared to TW group.
In serum malondialdehyde (MDA),
a marker of lipid peroxide,
sucrose fed TW group was
significantly higher than AIW
and TW groups.
It is suggested that AIW
(Alkaline Ionized Water)
supplementation may inhibit the
increase of blood glucose and
lipid peroxide levels in
diabetes mellitus.
Protective mechanism of reduced
water against alloxan-induced
pancreatic β-cell damage:
Scavenging effect against
reactive oxygen species
Cytotechnology 40: 139–149,
2002. Netherlands.139
Yuping Li1, Tomohiro Nishimura1,
Kiichiro Teruya1, et al ,
Department of Genetic Resources
Technology, Faculty of
Agriculture, Kyushu University,
Fukuoka, Japan; 2 Nihon Trim Co.
Ltd., 1-8-34 Oyodonaka, Kita-ku,
Osaka, Japan: 3 Hita TenryosuiCo.
Ltd., 647 Nakanoshima, Hita,
Oita, Japan; 4 Center for
Holistic Medicine and
Naturopathy,
Schmallenberg-Nordenau, Germany
Author for correspondence;
E-mail: sirahata@grt.kyushu-u.ac.jp
Abstract
Reactive oxygen species (ROS)
cause irreversible damage to
biological macromolecules,
resulting in many
diseases.Reduced water (RW) such
as hydrogen-rich electrolyzed
reduced water and natural
reduced waters like Hita
Tenryosui water in Japan and
Nordenau water in Germany that
are known to improve various
diseases, could protect a
hamster pancreatic β cell line,
HIT-T15 from alloxan-induced
cell damage. Alloxan, a
diabetogenic compound, is used
to induce type 1 diabetes
mellitus in animals. Its
diabetogenic effect is exerted
via the production of ROS.
Alloxan-treated HIT-T15 cells
exhibited lowered viability,
increased intracellular ROS
levels, elevated cytosolic free
Ca2+ concentration, DNA
fragmentation, decreased
intracellular ATP levels and
lowering of glucose-stimulated
release of insulin. RWcompletely
prevented the generation of
alloxan-inducedROS, increase of
cytosolic Ca2+ concentration,
decrease of intracellular ATP
level, and lowering of
glucose-stimulated insulin
release, and strongly blocked
DNA fragmentation, partially
suppressing the lowering of
viability of alloxan-treated
cells. Intracellular ATP levels
and glucose-stimulated insulin
secretion were increased by RW
to 2–3.5 times and 2–4 times,
respectively, suggesting that RW
enhances the glucose-sensitivity
and glucose response of β-cells.
The protective activity of RWwas
stable at 4 ◦C for over a month,
but was lost by autoclaving.
These results suggest that RW
protects pancreatic β-cells from
alloxan-induced cell damage by
preventing alloxan-derived ROS
generation. RW may be useful in
preventing alloxan-induced type
1-diabetes mellitus.
"Diabetes"
Prof. Kuwata Keijiroo, Doctor of
Medicine
"When I was serving in the Fire
Insurance Association, I used to
examine many diabetic patients.
Besides treating them with
drugs, I provided them with
antioxidant water. After
drinking antioxidant water for
one month, 15 diabetic patients
were selected and sent to Tokyo
University for further test and
observations.
Initially, the more serious
patients were a bit apprehensive
about the treatment. When the
antioxidant water was consumed
for some time, the sugar in the
blood and urine ranged from a
ratio of 300 mg/l to 2 mg / dc.
There was a time where the
patient had undergone 5 to 6
blood tests a day and detected
to be within normal range.
Results also showed that even 1
½ hour after meals, the blood
sugar and urine ratio was 100
mg/dc: 0 mg/dc . The sugar in
the urine has completely
disappeared."
NOTE: More Americans than ever
before are suffering from
diabetes, with the number of new
cases averaging almost 800,000
each year. The disease has
steadily increased in the United
States since 1980, and in 1998,
16 million Americans were
diagnosed with diabetes (10.3
million diagnosed; 5.4 million
undiagnosed). Diabetes is the
seventh leading cause of death
in the United States, and more
than 193,000 died from the
disease and its related
complications in 1996. From: U.
S. Department of Health and
Human Services, October 13, 2000
Fact Sheet.
"Use
of Ionized water in
treating Acidosis"
Prof. Hatori Tasutaroo, Head of
Akajiuiji Blood Centre, Yokohama
Hospital, Faitama District
"Due to a higher standard of
living, our eating habits have
changed. We consume too much
proteins, fats and sugar. The
excess fats and carbohydrates
are in the body as fats. In the
present lifestyles, Americans
are more extravagant on food
compared to the Japanese. Due to
this excessive intake obesity is
a significant problem. Normally,
one out of five males and one
out of four females is obese.
The degree of "burn-out" in food
intake largely depends on the
amount on intake of vitamins and
minerals. When excessive intake
of proteins, carbohydrates and
fats occurs, the requirement for
vitamins and minerals increases.
However, there is not much
research carried out pertaining
to the importance of vitamins
and minerals.
Nowadays, many people suffer
from acidification that leads to
diabetes, heart diseases,
cancer, live and kidney
diseases. If our food intake can
be completely burned off, then
there is no deposition of fats.
Obviously, there will be no
acidification problem and hence
there should not be any sign of
obesity.
The antioxidant water contains
an abundance of ionic calcium.
This ionic calcium helps in the
"burn-off" process. By drinking
antioxidant water, it provides
sufficient minerals for our
body. As a result, we do not
need to watch our diet to stay
slim.
Hence, antioxidant water is a
savior for those suffering from
obesity and many adult diseases,
providing good assistance in
enhancing good health."
"REDUCED
WATER FOR PREVENTION
OF DISEASES"
Dr. Sanetaka Shirahata
Graduate school of Genetic
Resources Technology, Kyushu
University,
6-10-1 Hakozaki, Higashi-ku,
Fukuoka 812-8581, Japan.
It has long been established
that reactive oxygen species (ROS)
cause many types
of damage to biomolecules and
cellular structures, that, in
turn result in the development
of a variety of pathologic
states such as diabetes, cancer
and aging. Reduced water is
defined as anti-oxidative water
produced by reduction of water.
Electrolyzed reduced water (ERW)
has been demonstrated to be
hydrogen-rich water and can
scavenge ROS in vitro (Shirahata
et al., 1997). The reduction of
proton in water to active
hydrogen (atomic hydrogen,
hydrogen radical) that can
scavenge ROS is very easily
caused by a weak current,
compared to oxidation of
hydroxyl ion to oxygen molecule.
Activation of water by magnetic
field, collision, minerals etc.
will also produce reduced water
containing active hydrogen
and/or hydrogen molecule.
Several natural waters such as
Hita Tenryosui water drawn from
deep underground in Hita city in
Japan, Nordenau water in Germany
and Tlacote water in Mexico are
known to alleviate various
diseases. We have developed a
sensitive method by which we can
detect active hydrogen existing
in reduced water, and have
demonstrated that not only ERW
but also natural reduced waters
described above contain active
hydrogen and scavenge ROS in
cultured cells. ROS is known to
cause reduction of glucose
uptake by inhibiting the
insulin-signaling pathway in
cultured cells. Reduced water
scavenged intracellular ROS and
stimulated glucose uptake in the
presence or absence of insulin
in both rat L6 skeletal muscle
cells and mouse 3T3/L1
adipocytes. This insulin-like
activity of reduced water was
inhibited by wortmannin that is
specific inhibitor of PI-3
kinase, a key molecule in
insulin signaling pathways.
Reduced water protected
insulin-responsive cells from
sugar toxicity and improved the
damaged sugar tolerance of type
2 diabetes model mice,
suggesting that reduced water
may improve insulin-independent
diabetes mellitus. Cancer cells
are generally exposed to high
oxidative stress. Reduced water
cause impaired tumor phenotypes
of human cancer cells, such as
reduced growth rate,
morphological changes, reduced
colony formation ability in soft
agar, passage number-dependent
telomere shortening, reduced
binding abilities of telomere
binding proteins and suppressed
metastasis. Reduced water
suppressed the growth of cancer
cells transplanted into mice,
demonstrating their anti-cancer
effects in vivo. Reduced water
will be applicable to not only
medicine but also food
industries, agriculture, and
manufacturing industries.
Shirahata, S. et al.:
Electrolyzed reduced water
scavenges active oxygen species
and protects DNA from oxidative
damage. Biochem. Biophys. Res.
Commun., 234, 269174, 1997.
"Clinical
evaluation of
alkaline ionized
water for abdominal
complaints: Placebo
controlled double
blind tests"
by Hirokazu Tashiro, Tetsuji
Hokudo, Hiromi Ono, Yoshihide
Fujiyama, Tadao Baba (National Ohkura Hospital, Dept. of
Gastroenterology; Institute of
Clinical Research, Shiga
University of Medical Science,
Second Dept. of Internal
Medicine)
Effect of alkaline ionized water
on abdominal complaints was
evaluated by placebo controlled
double blind tests. Overall
scores of improvement using
alkaline ionized water marked
higher than those of placebo
controlled group, and its effect
proved to be significantly
higher especially in slight
symptoms of chronic diarrhea
and abdominal complaints in
cases of general malaise.
Alkaline ionized water group did
not get interrupted in the
course of the test, nor did it
show serious side effects nor
abnormal test data. It was
confirmed that alkaline ionized
water is safer and more
effective than placebos.
Summary
Effect of alkaline ionized water
on abdominal complaints was
clinically examined by double
blind tests using clean water as
placebo. Overall improvement
rate was higher for alkaline
ionized water group than placebo
group and the former proved to
be significantly more effective
than the other especially in
cases of slight symptoms.
Examining improvement rate for
each case of chronic diarrhea,
constipation and abdominal
complaints, alkaline ionized
water group turned out to be
more effective than placebo
group for chronic diarrhoea, and
abdominal complaints. The test
was stopped in one case of
chronic diarrhea, among placebo
group due to exacerbation,
whereas alkaline ionized water
group did not stop testing
without serious side effects or
abnormal test data in all cases.
It was confirmed that alkaline
ionized water is more effective
than clean water against chronic
diarrhea, abdominal complaints
and overall improvement rate
(relief of abdominal complaints)
and safer than clean water.
Introduction
Since the approval of alkaline
ionized water electrolyzers by
Pharmaceutical Affairs Law in
1966 for its antacid effect and
efficacy against
gastrointestinal disorders
including hyperchylia,
indigestion, abnormal
gastrointestinal fermentation
and chronic diarrhoea, they have
been extensively used among
patients. However, medical and
scientific evaluation of their
validity is not established. In
our study, we examined clinical
effect of alkaline ionized water
on gastrointestinal disorders
across many symptoms in various
facilities. Particularly, we
studied safety and usefulness of
alkaline ionized water by
double blind tests using clean
water as a control group.
Test subjects and methods
163 patients (34 men, 129 women,
age 21 to 72, average 38.6 years
old) of indigestion, abnormal
gastrointestinal fermentation
(with abnormal gas emission and
rugitus) and abdominal
complaints caused by irregular
dejection (chronic diarrhea, or
constipation) were tested as
subjects with good informed
consent. Placebo controlled
double blind tests were
conducted using alkaline ionized
water and clean water at
multiple facilities. An alkaline
ionized water electrolyzer sold
commercially was installed with
a pump driven calcium dispenser
in each of the subject homes.
Tested alkaline ionized water
had pH at 9.5 and calcium
concentration at 30ppm. Each
subject in placebo group used a
water purifier that has the same
appearance as the electrolyzer
and produces clean water.
The tested equipment was
randomly assigned by a
controller who scaled off the
key code which was stored safely
until the tests were completed
and the seal was opened again.
Water samples were given to each
patient in the amount of 200ml
in the morning with the total of
50OmI or more per day for a
month. Before and after the
tests, blood, urine and stool
were tested and a log was kept
on the subjective symptoms,
bowel movements and accessory
symptoms. After the tests, the
results were analyzed based on
the log and the test data.
Test Results
1. Symptom
Among 163 tested subjects,
alkaline ionized water group
included 84 and placebo group
79. Background factors such as
gender, age and basal disorders
did not contribute to
significant difference in the
results.
2. Overall improvement rate
As to overall improvement rate
of abdominal complaints,
alkaline ionized water group had
2 cases of outstanding
improvement (2.5%), 26 cases of
fair improvement (32.1%), 36
cases of slight improvement
(44.4%), 13 cases of no change
(16%) and 4 cases of
exacerbation (4.9%), whereas
placebo group exhibited 4
(5.2%), 19 (24.7%), 27 (35.1%),
25 (32.5%) and 2 cases (2.6%)
for the same category.
Comparison between alkaline
ionized water and placebo groups
did not reveal any significant
difference at the level of 5%
significance according to the
Wilcoxon test, although alkaline
ionized water group turned out
to be significantly more
effective than placebo group at
the level of p value of 0.22.
Examining overall improvement
rates by a 7, 2 test (with no
adjustment for continuity)
between the effective and
noneffective groups, alkaline
ionized water group had 64 (79%)
of effective cases and 17 cases
(21%) of non effective cases,
whereas placebo group had 50
(64.9%) and 27 (35.1%) cases
respectively. The result
indicated that alkaline ionized
water group was significantly
more effective than placebo
group at the level of p value of
0.0.48.
Looking only at 83 slight cases
of abdominal complaints, overall
improvement rate for alkaline
ionized water group
(45 cases) was composed of 11
cases (242%) of fair
improvement, 22 cases (48.9%) of
slight improvement, 17 cases
(44.7%) of no change and 3 cases
(6.7%) of exacerbation, whereas
placebo group (38 cases) had 3
(7.8%), 17 (44.7%), 17 (44.7%)
and 1 (2.6%) cases for the same
category. Alkaline ionized water
group was significantly more
effective than placebo group
according to the comparison
between the groups (p value =
0.033).
3. Improvement rate by basal
symptom
Basal symptoms were divided into
chronic diarrhea, constipation
and abdominal complaints
(dyspepsia) and overall
improvement rate was evaluated
for each of them to study effect
of alkaline ionized water. In
case of chronic diarrhoea,
alkaline ionized water group
resulted in 94.1% of effective
cases and 5.9% of non effective
cases. Placebo group came up
with 64,7% effective and 35.3%
non effective. These results
indicate alkaline ionized water
group proved to be significantly
more effective than placebo
group. In case of slighter
chronic diarrhoea, comparison
between groups revealed that
alkaline ionized water group is
significantly more effective
than placebo group (p=0.015). In
case of constipation, alkaline
ionized water group consisted of
80.5% of effective and 19.5% of
non effective cases, whereas
placebo group resulted in 73.3%
effective and 26.3 non
effective. As to abdominal
complaints (dyspepsia), alkaline
ionized water group had 85.7% of
effective and 14.3% non
effective cases while placebo
group showed 47.1% and 62.9%
respectively. Alkaline ionized
water group proved to be
significantly more effective
than placebo group (p=0.025).
4. Safety
Since one case of chronic
diarrhoea, in placebo group saw
exacerbation, the test was
stopped. There was no such cases
in alkaline ionized water group.
Fourteen cases of accessory
symptoms, 8 in alkaline ionized
water group and 6 in placebo
group, were observed, none of
which were serious. 31 out of
163 cases (16 in alkaline
ionized water group, 15 in
placebo group) exhibited
fluctuation in test data,
although alkaline ionized water
group did not have any
problematic fluctuations
compared to placebo group. Two
cases in placebo group and one
case in alkaline ionized water
group have seen K value of serum
climb up and resume to normal
value after re testing which
indicates the value changes were
temporary.
Conclusion
As a result of double blind
clinical tests of alkaline
ionized water and clean water,
alkaline ionized water was
proved to be more effective than
clean water against chronic
diarrhea, abdominal complaints
(dyspepsia) and overall
improvement rate (relief from
abdominal complaints). Also,
safety of alkaline ionized water
was confirmed which clinically
verifies its usefulness.
"Selective
stimulation of the
growth of anaerobic
microflora in the
human intestinal
tract by
electrolyzed
reducing water"
Vorobjeva NV, Med Hypotheses.
2005;64(3):543-6.
96-99% of the "friendly" or
residential microflora of
intestinal tract of humans
consists of strict anaerobes and
only 1-4% of aerobes. Many
diseases of the intestine are
due to a disturbance in the
balance of the microorganisms
inhabiting the gut. The
treatment of such diseases
involves the restoration of the
quantity and/or balance of
residential microflora in the
intestinal tract. It is known
that aerobes and anaerobes grow
at different oxidation-reduction
potentials (ORP). The former
require positive E(h) values up
to +400 mV. Anaerobes do not
grow unless the E(h) value is
negative between -300 and -400
mV. In this work, it is
suggested that prerequisite for
the recovery and maintenance of
obligatory anaerobic microflora
in the intestinal tract is a
negative ORP value of the
intestinal milieu. Electrolyzed
reducing water with E(h) values
between 0 and -300 mV produced
in electrolysis devices
possesses this property.
Drinking such water favours the
growth of residential microflora
in the gut. A sufficient array
of data confirms this idea.
However, most researchers
explain the mechanism of its
action by an antioxidant
properties destined to detox the
oxidants in the gut and other
host tissues. Evidence is
presented in favour of the
hypothesis that the primary
target for electrolyzed reducing
water is the residential
microflora in the gut.
"Physiological
effects of alkaline
ionized water:
Effects on
metabolites produced
by intestinal
fermentation"
by Takashi Hayakawa, Chicko
Tushiya, Hisanori Onoda, Hisayo
Ohkouchi, Harul-~to Tsuge (Gifu
University, Faculty of
Engineering, Dept. of Food
Science)
We have found that long-term
ingestion of alkaline ionized
water (AIW) reduces cecal
fermentation in rats that were
given highly fermentable
commercial diet (MF: Oriental
Yeast Co., Ltd.). In this
experiment, rats were fed MF and
test water (tap water, AIW with
pH at 9 and 10) for about 3
months. Feces were collected on
the 57th day, and the rats were
dissected on the 88th day. The
amount of ammonium in fresh
feces and cecal contents as well
as fecal free-glucose tended to
drop down for the AIW group. In
most cases, the amount of
free-amino acids in cecal
contents did not differ sign-
icantly except for cysteine
(decreased in AIW with pH at 10)
and isoleucine (increased in AIW
with pH at 10).
Purpose of tests
Alkaline ionized water
electrolyzers have been approved
for manufacturing in 1965 by the
Ministry of Health and Welfare
as medical equipment to produce
medical substances. Alkaline
ionized water (AIW) produced by
this equipment is known to be
effective against
gastrointestinal fermentation,
chronic diarrhea, indigestion
and hyperchylia as well as for
controlling gastric acid.*1 This
is mainly based on efficacy of
the official calcium hydroxide.
*2 By giving AIW to rats for a
comparatively long time under
the condition of extremely high
level of intestinal
fermentation, we have
demonstrated that AIW intake is
effective for inhibition of
intestinal fermentation when its
level is high based on some test
results where AIW worked against
cecal hypertrophy and for
reduction in the amount of
short-chain fatty acid that is
the main product of
fermentation.*3 We have reported
that this is caused by the
synergy between calcium level
generally contained in AIW
(about 50ppm) and the value of
pH, and that frequency of
detecting some anaerobic
bacteria tends to be higher in
alkaline ionized water groups
than the other, although the
bacteria count in the intestine
does not have significant
difference. Based on these
results, we made a judgment that
effect of taking AIW supports
part of inhibition mechanism
against abnormal intestinal
fermentation, which is one of
the claims of efficacy that have
been attributed to alkaline
ionized water electrolyzers. *4
On the other hand, under the
dietary condition of low
intestinal fermentation, AIW
uptake does not seem to inhibit
fermentation that leads us to
believe that effect of AIW
uptake is characteristic of
hyper-fermentation state.
Metabolites produced by
intestinal fermentation include
indole and skatole in addition
to organic acids such as
short-chain fatty acid and
lactic acid as well as toxic
metabolites such as ammonium,
phenol and pcresol. We do not
know how AIW uptake would affect
the production of these
materials. In this experiment,
we have tested on ammonium
production as explained in the
following sections.
Testing methods
Four-week-old male Wistar/ST
Clean rats were purchased from
Japan SLC Co., Ltd. and were
divided into 3 groups of 8 each
after preliminary breeding. AIW
of pH 9 and 10 was produced by
an electrolyzer Mineone ROYAL
NDX3 1 OH by Omco Co., Ltd. This
model produces AIW by
electrolyzing water with calcium
lactate added. On the last day
of testing, the rats were
dissected under Nembutal
anesthesia to take blood from
the heart by a heparin-treated
syringe. As to their organs, the
small intestines, cecum and
colon plus rectum were taken out
from each of them. The cecurn
was weighed and cleaned with
physiological saline after its
contents were removed, and the
tissue weight was measured after
wiping out moisture. Part of
cecal contents was measured its
pH, and the rest was used to
assay ammonium concentration.
The amount of ammonium contained
in fresh feces and cecal
contents was measured by the
Nessler method after collecting
it in the extracted samples
using Conway's micro-diffusion
container. Fecal free-glucose
was assayed by the oxygen method
after extraction by hot water.
Analysis of free amino acids
contained in cecal contents was
conducted by the Waters PicoTag
amino acid analysis system.
Test results and analyses
No difference was found in the
rats' weight gain, water and
feed intake and feeding
efficiency, nor was any
particular distinction in
appearance identified. The
length of the small intestines
and colon plus rectum tended to
decline in AIW groups. PH value
of cecal contents was higher and
the amount of fecal free-glucose
tended to be lower in AIW groups
than the control group. Since
there was no difference in fecal
discharge itself, the amount of
free-glucose discharged per day
was at a low level. The amount
of discharged free-glucose in
feces is greater when intestinal
fermentation is more intensive,
which indicates that intestinal
fermentation is more inhibited
in AIW groups than the control
group. Ammonium concentration in
cecal contents tends to drop
down in AIW groups (Fig. 1).
This trend was most distinctive
in case of fresh feces of one of
AIW groups with pH 10 (Fig.2)
AIW uptake was found to be
inhibitory against ammonium
production. In order to study
dynamics of amino acids in large
intestines, we examined free
amino acids in the cecal
contents to find out that
cysteine level is low in AIW
groups whereas isoleucine level
is high in one of AIW groups
with pH 10, although no
significant difference was
identified for other amino
acids.
Bibliography
1. "Verification of Alkaline
Ionized Water" by Life Water
Institute, Metamor Publishing
Co., 1994, p.46
*2. "Official Pharmaceutical
Guidelines of Japan, Vol. IT' by
Japan Public Documents
Association, Hirokawa PublIshin
Co., 1996
*3. "Science and Technology of
Functional Water" (part) by
Takashi Hayakawa, Haruffito
Tsuge, edited by Water Scienll
cc Institute, 1999, pp.109-116
*4. 'Tasics and Effective Use of
Alkaline Ionized Water" by
Takashi Hayakawa, Haruhito Tsuge,
edited by Tetsuji Hc kudou, 25th
General Assembly of Japan
Medical Congress 'Tunctional
Water in Medical Treatment",
Administratio~ Offices, 1999,
pp. 10- 11
"Effects of alkaline ionized
water on formation &
maintenance of osseous
tissue"
by Rei Takahashi Zhenhua Zhang
Yoshinori Itokawa
(Kyoto University Graduate
School of Medicine, Dept. of
Pathology and Tumor Biology,
Fukui Prefectural University)
Effects of calcium alkaline
ionized water on formation and
maintenance of osseous tissues
in rats were examined. In the
absence of calcium in the diet,
no apparent calcification was
observed with only osteoid
formation being prominent.
Striking differences were found
among groups that were given
diets with 30% and 60% calcium.
Rats raised by calcium ionized
water showed the least
osteogenetic disturbance. Tibiae
and humeri are more susceptible
to calcium deficiency than
femora. Theses results may
indicate that calcium in
drinking water effectively
supplements osteogenesis in case
of dietary calcium deficiency.
The mechanism involved in
osteoid formation such as
absorption rate of calcium from
the intestine and effects of
calcium alkaline ionized
drinking water on maintaining
bone structure in the process of
aging or under the condition of
calcium deficiency is
investigated.
Osteoporosis that has lately
drawn public attention is
defined as "conditions of bone
brittleness caused by reduction
in the amount of bone frames and
deterioration of osseous
microstructure." Abnormal
calcium metabolism has been
considered to be one of the
factors to contribute to this
problem, which in turn is caused
by insufficient calcium take in,
reduction in enteral absorption
rate of calcium and increase in
the amount of calcium in urinal
discharge. Under normal
conditions, bones absorb old
bones by regular metabolism
through osteoid formation to
maintain their strength and
function as supporting
structure. It is getting clear
that remodeling of bones at the
tissue level goes through the
process of activation,
resorption, reversal, matrix
synthesis and mineralization.
Another important function of
bones is storing minerals
especially by coordinating with
intestines and kidneys to
control calcium concentration in
the blood. When something
happens to this osteo
metabolism, it results in
abnormal morphological changes.
Our analyses have been focusing
mostly on the changes in the
amount of bones to examine
effects of calcium alkaline
ionized water on the reaction
system of osteo metabolism and
its efficiency. Ibis time,
however, we studied it further
from the standpoint of
histology. In other words, we
conducted comparative studies on
morphological and kinetic
changes of osteogenesis by
testing alkaline ionized water,
tap water and solution of
lactate on rats.
Three week old male Wistar rats
were divided into 12 groups by
conditions of feed and drinking
water. Feeds were prepared with
0%, 30%, 60% and 100% of normal
amount of calcium and were given
freely. Three types of drinking
water, tap water (city water,
about 6ppm of Ca), calcium
lactate solution (Ca=40ppm) and
alkaline ionized water (Ca
=40ppm, pH=9, produced by an
electrolyzer NDX 4 LMC by Omco
OMC Co., Ltd.) were also given
keely. Rats' weight, amount of
drinking water and feed as well
as the content of Ca in drinking
water were assayed every day. On
the 19th and 25th days of
testing, tetracycline
hydrochloride was added to the
feed for 48 hours so as to bring
its concentration to 30mg/kg. On
the 30th day, blood samples were
taken under Nembutal anesthesia,
and tibiae, humeri and femora
were taken out to make non
decalcified samples. Their
conditions of osteoid formation
and rotation were observed using
Villanueva bone stain and
Villanueva goldner stain.
Three groups that were given
different types of drinking
water and the same amount of Ca
in the feed were compared to
find out no significant
difference in the rate of weight
gain and intakes of feed and
drinking water. Alkaline ionized
water group had significantly
greater amount of tibiae and
humeri with higher concentration
of calcium in the bones.
The group of 0% calcium in the
feed saw drastic increase in the
amount of osteoid. There was not
much difference by types of
drinking water. Almost no
tetracycline was taken into
tibiae and humeri, although a
small amount was identified in
ferora. As a result,
osteogenesis went as far as
osteoid formation, but it was
likely that decalcification has
not happened yet, or most of
newly formed bones were
absorbed.
As to the groups of 30% and 60%
calcium in the feed, increase in
the area of tetracycline take in
was more identifiable with
higher clarity in descending
order of alkaline ionized water,
calcium lactate solution and tap
water groups. Especially in case
of tap water group, irregularity
among the areas of tetracycline
take in was distinctive. The
group of 100% calcium in the
feed saw some improvements in
osteogenesis in descending order
of alkaline ionized water,
calcium lactate solution and tap
water. In any case, bone
formation seemed to be in good
condition at near normal level.
Alkaline ionized water was
regarded to be effective for
improvements of osteogenesis
under the conditions of
insufficient calcium in the
feed. Also, the extent. of
dysosteogenesis differed by the
region. That is, tibiae and
humeri tend to have more
significant dysosteogenesis than
femora.
In addition, there is a
possibility that osteo
metabolism varies depending on
enteral absorption rate of
calcium, adjustment of discharge
from kidneys and functional
adjustment of accessory thyroid
in the presence of alkaline
ionized water. We are now
studying its impact on calcium
concentration in the blood. We
are also examining whether it is
possible to deter bone
deterioration by testing on fast
aging mouse models.
"Evaluation
of ionized calcium
as a nutrient"
Chen H, Kimura M, Zhu Z, Itokawa
Y, The 11th symposium on Trace
Nutrients Research, Japan Trace
Nutrients Research Society,
p131-138, 1994.
Summary: To clarify effect of
ionized calcium water for
drinking water in rats, 36 Male
Wister rats weighing about 50g
were randomly divided into 6
groups, and given following diet
and drinking water : (1)
Ca-sufficient diet, tap-water;
(2) Ca-sufficient diet,
tap-water;(3) Ca-sufficient
diet, calcium lactate
added-ionized calcium-water :
(4) Ca-deficient diet, calcium
lactate added-water ; (5) Ca
deficient diet, calcium lactate
added-water :(6) Ca-deficient
diet, calcium lactate added
ionized calcium-water. The diets
were given by paired-feeding
method 4 weeks and drinking
water was ad libitum. The
significant change of calcium
concentration in the rats were
was follows; Ca concentration of
plasma, spleen, of plasma,
spleen, kidney, testis and tibia
in Ca deficient groups (4), (5),
(6) were significantly low
compared with these in Ca
sufficient groups (1),(2),(3) Ca
concentration in brain of groups
(4),(5),(6) was low compared to
these in groups (2), Ca
concentration in heart and
muscle of group (4) was low
compared to Ca deficient groups
(1),(2),(3), but these in group
(5) drank Ca added-water was
recovered and these in group (6)
drank ionized-Ca-water was
higher than these in any other
groups. Ca concentration of
liver in groups (4) were
significantly lower than that in
group (1),(3) and Ca
concentration of liver in Ca
deficient rats (groups (5),(6))
drank Ca-added-water were high
compared to these in group (4).
In 24 hours urine discharge of
group (2) was high compared with
groups (4), (5), (6). These
results suggest that ionized Ca
in drinking water may be active
for intestinal absorption.
"Calcium and magnesium in
drinking water
and risk of death from
cerebrovascular disease."
MEDLINE ABSTRACT
Author: Yang CY
Author Affiliation: School of
Public Health, Kaohsiung Medical
College, Taiwan, Republic of
China. chunyuh@cc.kmc.edu.tw
Source: Stroke 1998 Feb;
29(2):411-4
BACKGROUND AND PURPOSE: Many
studies have demonstrated a
negative association between
mortality from cardiovascular or
cerebrovascular diseases and
water hardness. This report
examines whether calcium and
magnesium in drinking water are
protective against
cerebrovascular disease.
METHODS: All eligible
cerebrovascular deaths (17133
cases) of Taiwan residents from
1989 through 1993 were compared
with deaths from other causes
(17133 controls), and the levels
of calcium and magnesium in
drinking water of these
residents were determined. Data
on calcium and magnesium levels
in drinking water throughout
Taiwan were obtained from the
Taiwan Water Supply Corporation.
The control group consisted of
people who died from other
causes, and the controls were
pair matched to the cases by
sex, year of birth, and year of
death.
RESULTS: The adjusted odds
ratios (95% confidence interval)
were 0.75 (0.65 to 0.85) for the
group with water magnesium
levels between 7.4 and 13.4 mg/L
and 0.60 (0.52 to 0.70) for the
group with magnesium levels of
13.5 mg/L or more. After
adjustment for magnesium levels
in drinking water, there was no
difference between the groups
with different levels of
calcium.
CONCLUSIONS: The results of the
present study show that there is
a significant protective effect
of magnesium intake from
drinking water on the risk of
cerebrovascular disease. This is
an important finding for the
Taiwan water industry and human
health.
"Reduced
hemodialysis-induced
oxidative stress in
end-stage renal
disease patients by
electrolyzed reduced
water"
Huang KC, Yang CC, Lee KT, Chien
CT
Department of Family Medicine,
National Taiwan University
College of Medicine and National
Taiwan University Hospital,
Taipei, Taiwan.
KIDNEY INTERNATIONAL.
2003 Aug; 64(2):704-14.
BACKGROUND: Increased oxidative
stress in end-stage renal
disease (ESRD) patients may
oxidize macromolecules and
consequently lead to
cardiovascular events during
chronic hemodialysis.
Electrolyzed reduced water (ERW)
with reactive oxygen species (ROS)
scavenging ability may have a
potential effect on reduction of
hemodialysis-induced oxidative
stress in ESRD patients.
METHODS: We developed a
chemiluminescence emission
spectrum and high-performance
liquid chromatography analysis
to assess the effect of ERW
replacement on plasma ROS (H2O2
and HOCl) scavenging activity
and oxidized lipid or protein
production in ESRD patients
undergoing hemodialysis.
Oxidized markers, dityrosine,
methylguanidine, and
phosphatidylcholine
hydroperoxide, and inflammatory
markers, interleukin 6 (IL-6),
and C-reactive protein (CRP)
were determined. RESULTS:
Although hemodialysis
efficiently removes dityrosine
and creatinine, hemodialysis
increased oxidative stress,
including phosphatidylcholine
hydroperoxide, and
methylguanidine. Hemodialysis
reduced the plasma ROS
scavenging activity, as shown by
the augmented reference H2O2 and
HOCl counts (Rh2o2 and Rhocl,
respectively) and decreased
antioxidative activity
(expressed as total antioxidant
status in this study). ERW
administration diminished
hemodialysis-enhanced Rh2o2 and
Rhocl, minimized oxidized and
inflammatory markers (CRP and
IL-6), and partly restored total
antioxidant status during
1-month treatment. CONCLUSION:
This study demonstrates that
hemodialysis with ERW
administration may efficiently
increase the H2O2- and HOCl-dependent
antioxidant defense and reduce
H2O2- and HOCl-induced oxidative
stress.
"Fluid replacement promotes
optimal physical performance"
Adequate fluid replacement helps
maintain hydration and, promotes
the health, safety, and optimal
physical performance of
individuals participating in
regular physical activity.
Med Sci Sports
Exercise1996 Jan;28(1):i-vii.
American College of Sports
Medicine position stand.
Exercise and fluid replacement.
- Convertino VA, Armstrong LE,
Coyle EF, Mack GW, Sawka MN,
Senay LC Jr, Sherman WM.
It is the position of the
American College of Sports
Medicine that adequate fluid
replacement helps maintain
hydration and, therefore,
promotes the health, safety, and
optimal physical performance of
individuals participating in
regular physical activity. This
position statement is based on a
comprehensive review and
interpretation of scientific
literature concerning the
influence of fluid replacement
on exercise performance and the
risk of thermal injury
associated with dehydration and
hyperthermia.
Based on available evidence, the
American College of Sports
Medicine makes the following
general recommendations on the
amount and composition of fluid
that should be ingested in
preparation for, during, and
after exercise or athletic
competition:
1) It is recommended that
individuals consume a
nutritionally balanced diet and
drink adequate fluids during the
24-hr period before an event,
especially during the period
that includes the meal prior to
exercise, to promote proper
hydration before exercise or
competition.
2) It is recommended that
individuals drink about 500 ml
(about 17 ounces) of fluid about
2 h before exercise to promote
adequate hydration and allow
time for excretion of excess
ingested water.
3) During exercise, athletes
should start drinking early and
at regular intervals in an
attempt to consume fluids at a
rate sufficient to replace all
the water lost through sweating
(i.e., body weight loss), or
consume the maximal amount that
can be tolerated.
4) It is recommended that
ingested fluids be cooler than
ambient temperature [between 15
degrees and 22 degrees C (59
degrees and 72 degrees F])] and
flavored to enhance palatability
and promote fluid replacement.
Fluids should be readily
available and served in
containers that allow adequate
volumes to be ingested with ease
and with minimal interruption of
exercise.
5) Addition of proper
amounts of carbohydrates and/or
electrolytes to a fluid
replacement solution is
recommended for exercise events
of duration greater than 1 h
since it does not significantly
impair water delivery to the
body and may enhance
performance. During exercise
lasting less than 1 h, there is
little evidence of physiological
or physical performance
differences between consuming a
carbohydrate-electrolyte drink
and plain water.
6) During intense exercise
lasting longer than 1 h, it is
recommended that carbohydrates
be ingested at a rate of 30-60
g.h(-1) to maintain oxidation of
carbohydrates and delay fatigue.
This rate of carbohydrate intake
can be achieved without
compromising fluid delivery by
drinking 600-1200 ml.h(-1) of
solutions containing 4%-8%
carbohydrates (g.100 ml(-1)).
The carbohydrates can be sugars
(glucose or sucrose) or starch
(e.g., maltodextrin).
7) Inclusion of sodium
(0.5-0.7 g.1(-1) of water) in
the rehydration solution
ingested during exercise lasting
longer than 1 h is recommended
since it may be advantageous in
enhancing palatability,
promoting fluid retention, and
possibly preventing hyponatremia
in certain individuals who drink
excessive quantities of fluid.
There is little physiological
basis for the presence of sodium
in n oral rehydration solution
for enhancing intestinal water
absorption as long as sodium is
sufficiently available from the
previous meal.
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