Analyze Diet
Scientific reports2015; 5; 15514; doi: 10.1038/srep15514

Intravenous infusion of H2-saline suppresses oxidative stress and elevates antioxidant potential in Thoroughbred horses after racing exercise.

Abstract: Upon intensive, exhaustive exercise, exercise-induced reactive oxygen species may exceed the antioxidant defence threshold, consequently resulting in muscular damage or late-onset chronic inflammation. Recently, the therapeutic antioxidant and anti-inflammatory effects of molecular hydrogen (H2) for human rheumatoid arthritis have been demonstrated. However, it is also important to clarify the effects of administrating H2 in large animals other than humans, as H2 is thought to reach the target organ by passive diffusion upon delivery from the blood flow, indicating that the distance from the administration point to the target is critical. However, data on the effects of H2 on oxidative stress in real-life exhaustive exercise in large animals are currently lacking. We here investigated 13 Thoroughbred horses administered intravenous 2-L saline with or without 0.6-ppm H2 (placebo, N = 6; H2, N = 7) before participating in a high-intensity simulation race. Intravenous H2-saline significantly suppressed oxidative stress immediately, 3 h, and 24 h after the race, although the antioxidant capability was not affected throughout the study. The serum creatine kinase, lactate, and uric acid levels were increased in both groups. Taken together, these results indicate that intravenous H2-saline can significantly and specifically suppress oxidative stress induced after exhaustive racing in Thoroughbred horses.
Publication Date: 2015-10-23 PubMed ID: 26493164PubMed Central: PMC4616033DOI: 10.1038/srep15514Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This research study explores how administering saline with molecular hydrogen (H2) before high-intensity exercise can successfully reduce the oxidative stress typically experienced by Thoroughbred horses after racing.

Overview of the Research

  • The study sets out to investigate the therapeutic effects of molecular hydrogen (H2) on the oxidative stress experienced by Thoroughbred horses post high-intensity exercise. Oxidative stress occurs when there is an imbalance between the production of free radicals and the ability of the body to counteract their harmful effects through neutralisation by antioxidants. This happens frequently in horses who partake in exhaustive exercise like racing, leading to issues like muscle damage or chronic inflammation.
  • The use of H2 as an antioxidant and anti-inflammatory agent has already been explored in humans, especially with conditions like rheumatoid arthritis. The researchers believe it’s important to verify if these effects translate to larger animals, considering the way H2 is thought to work — by passively diffusing from the bloodstream to the target organ. It’s hypothesized that the distance from the point of administration (in this case, intravenous) to the target organ might impact its effectiveness. However, there’s currently a lack of data on this aspect, hence the necessity for the study.

Methodology & Findings

  • The researchers conducted a high-intensity simulation race with 13 Thoroughbred horses. These horses were divided into two groups, with one group of 7 horses receiving an intravenous solution of 2-L saline with 0.6-ppm H2 before the race, while the remaining 6 horses served as the control group, receiving regular saline without H2.
  • The study found that the H2-saline group showed a significant suppression of oxidative stress immediately following the race, as well as at 3 hours and 24 hours after the exercise. However, there was no noticeable change in the antioxidant capability of the H2-treated horses, indicating that the H2-saline infusion did not enhance the natural capacity of the body to neutralize oxidative stress.
  • It was also observed that the levels of serum creatine kinase, lactate, and uric acid increased in both groups after the race — these are markers linked to muscle fatigue and damage, thus indicating that despite the H2-saline infusion, the exhaustive exercise still led to some level of muscle stress.
  • However, despite the muscle stress indicators, the key takeaway is that the intravenous administration of H2-saline effectively and specifically reduced the oxidative stress normally generated from high-intensity physical activity in Thoroughbred horses.

Cite This Article

APA
Yamazaki M, Kusano K, Ishibashi T, Kiuchi M, Koyama K. (2015). Intravenous infusion of H2-saline suppresses oxidative stress and elevates antioxidant potential in Thoroughbred horses after racing exercise. Sci Rep, 5, 15514. https://doi.org/10.1038/srep15514

Publication

ISSN: 2045-2322
NlmUniqueID: 101563288
Country: England
Language: English
Volume: 5
Pages: 15514
PII: 15514

Researcher Affiliations

Yamazaki, Masahiko
  • Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi, 4-4-37 Takeda, Kofu, Yamanashi 400-8510, Japan.
  • Yamazaki Horse Clinic, 2-1-1 Mikoma, Miho-mura, Inasiki-gun, Ibaraki 300-0415, Japan.
Kusano, Kanichi
  • Japan Racing Association, Deputy Manager, Equine Department Veterinary Section, 11-1, Roppongi 6-chome Minato-ku, Tokyo 106-8401, Japan.
Ishibashi, Toru
  • Department of Rheumatology and Orthopaedic Surgery, Huis Ten Bosch Satellite H2 Clinic Hakata, 2-1 Gion, Hakata-ku, Fukuoka 812-0038, Japan.
  • Anicom Speciality Medical Institute, 1-5-22 Shimoochiai, Shinjuku-ku, Tokyo 161-0033, Japan.
Kiuchi, Masataka
  • Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi, 4-4-37 Takeda, Kofu, Yamanashi 400-8510, Japan.
Koyama, Katsuhiro
  • Graduate School Department of Interdisciplinary Research, University of Yamanashi 4-4-37 Takeda, Kofu, Yamanashi 400-8510, Japan.

MeSH Terms

  • Anaerobiosis
  • Animals
  • Antioxidants / pharmacology
  • Horses
  • Infusions, Intravenous
  • Oxidative Stress
  • Physical Conditioning, Animal
  • Sodium Chloride / chemistry

References

This article includes 52 references
  1. Eisele PS, Handschin C. Functional crosstalk of PGC-1 coactivators and inflammation in skeletal muscle pathophysiology.. Semin Immunopathol 2014 Jan;36(1):27-53.
    pubmed: 24258516doi: 10.1007/s00281-013-0406-4google scholar: lookup
  2. St-Pierre J, Drori S, Uldry M, Silvaggi JM, Rhee J, Jäger S, Handschin C, Zheng K, Lin J, Yang W, Simon DK, Bachoo R, Spiegelman BM. Suppression of reactive oxygen species and neurodegeneration by the PGC-1 transcriptional coactivators.. Cell 2006 Oct 20;127(2):397-408.
    pubmed: 17055439doi: 10.1016/j.cell.2006.09.024google scholar: lookup
  3. Arany Z, Foo SY, Ma Y, Ruas JL, Bommi-Reddy A, Girnun G, Cooper M, Laznik D, Chinsomboon J, Rangwala SM, Baek KH, Rosenzweig A, Spiegelman BM. HIF-independent regulation of VEGF and angiogenesis by the transcriptional coactivator PGC-1alpha.. Nature 2008 Feb 21;451(7181):1008-12.
    pubmed: 18288196doi: 10.1038/nature06613google scholar: lookup
  4. Wu Z, Puigserver P, Andersson U, Zhang C, Adelmant G, Mootha V, Troy A, Cinti S, Lowell B, Scarpulla RC, Spiegelman BM. Mechanisms controlling mitochondrial biogenesis and respiration through the thermogenic coactivator PGC-1.. Cell 1999 Jul 9;98(1):115-24.
    pubmed: 10412986doi: 10.1016/S0092-8674(00)80611-Xgoogle scholar: lookup
  5. Ji LL. Modulation of skeletal muscle antioxidant defense by exercise: Role of redox signaling.. Free Radic Biol Med 2008 Jan 15;44(2):142-52.
  6. Pedersen BK, Febbraio MA. Muscle as an endocrine organ: focus on muscle-derived interleukin-6.. Physiol Rev 2008 Oct;88(4):1379-406.
    pubmed: 18923185doi: 10.1152/physrev.90100.2007google scholar: lookup
  7. Keller P, Penkowa M, Keller C, Steensberg A, Fischer CP, Giralt M, Hidalgo J, Pedersen BK. Interleukin-6 receptor expression in contracting human skeletal muscle: regulating role of IL-6.. FASEB J 2005 Jul;19(9):1181-3.
    pubmed: 15837717doi: 10.1096/fj.04-3278fjegoogle scholar: lookup
  8. Westerblad H, Bruton JD, Katz A. Skeletal muscle: energy metabolism, fiber types, fatigue and adaptability.. Exp Cell Res 2010 Nov 1;316(18):3093-9.
    pubmed: 20580710doi: 10.1016/j.yexcr.2010.05.019google scholar: lookup
  9. Wu Z, Huang X, Feng Y, Handschin C, Feng Y, Gullicksen PS, Bare O, Labow M, Spiegelman B, Stevenson SC. Transducer of regulated CREB-binding proteins (TORCs) induce PGC-1alpha transcription and mitochondrial biogenesis in muscle cells.. Proc Natl Acad Sci U S A 2006 Sep 26;103(39):14379-84.
    pmc: PMC1569674pubmed: 16980408doi: 10.1073/pnas.0606714103google scholar: lookup
  10. Sjödin B, Hellsten Westing Y, Apple FS. Biochemical mechanisms for oxygen free radical formation during exercise.. Sports Med 1990 Oct;10(4):236-54.
  11. Kinnunen S, Hyyppä S, Lappalainen J, Oksala N, Venojärvi M, Nakao C, Hänninen O, Sen CK, Atalay M. Exercise-induced oxidative stress and muscle stress protein responses in trotters.. Eur J Appl Physiol 2005 Jan;93(4):496-501.
    pubmed: 15221402doi: 10.1007/s00421-004-1162-xgoogle scholar: lookup
  12. Kinnunen S, Hyyppä S, Lehmuskero A, Oksala N, Mäenpää P, Hänninen O, Atalay M. Oxygen radical absorbance capacity (ORAC) and exercise-induced oxidative stress in trotters.. Eur J Appl Physiol 2005 Dec;95(5-6):550-6.
    pubmed: 16136323doi: 10.1007/s00421-005-0034-3google scholar: lookup
  13. Powers SK, Jackson MJ. Exercise-induced oxidative stress: cellular mechanisms and impact on muscle force production.. Physiol Rev 2008 Oct;88(4):1243-76.
    pmc: PMC2909187pubmed: 18923182doi: 10.1152/physrev.00031.2007google scholar: lookup
  14. Brancaccio P, Lippi G, Maffulli N. Biochemical markers of muscular damage.. Clin Chem Lab Med 2010 Jun;48(6):757-67.
    pubmed: 20518645doi: 10.1515/CCLM.2010.179google scholar: lookup
  15. Harris PA, Snow DH, Greet TR, Rossdale PD. Some factors influencing plasma AST/CK activities in thoroughbred racehorses.. Equine Vet J Suppl 1990 Jun;(9):66-71.
  16. Totsuka M, Nakaji S, Suzuki K, Sugawara K, Sato K. Break point of serum creatine kinase release after endurance exercise.. J Appl Physiol (1985) 2002 Oct;93(4):1280-6.
  17. Bloomer RJ, Goldfarb AH. Anaerobic exercise and oxidative stress: a review.. Can J Appl Physiol 2004 Jun;29(3):245-63.
    pubmed: 15199226doi: 10.1139/h04-017google scholar: lookup
  18. Chan KM, Decker EA. Endogenous skeletal muscle antioxidants.. Crit Rev Food Sci Nutr 1994;34(4):403-26.
    pubmed: 7945896doi: 10.1080/10408399409527669google scholar: lookup
  19. Newham DJ, Jones DA, Tolfree SE, Edwards RH. Skeletal muscle damage: a study of isotope uptake, enzyme efflux and pain after stepping.. Eur J Appl Physiol Occup Physiol 1986;55(1):106-12.
    pubmed: 3009175doi: 10.1007/BF00422903google scholar: lookup
  20. Sewell DA, Harris RC. Adenine nucleotide degradation in the thoroughbred horse with increasing exercise duration.. Eur J Appl Physiol Occup Physiol 1992;65(3):271-7.
    pubmed: 1396658doi: 10.1007/BF00705093google scholar: lookup
  21. Harris DB, Harris RC, Wilson AM, Goodship A. ATP loss with exercise in muscle fibres of the gluteus medius of the thoroughbred horse.. Res Vet Sci 1997 Nov-Dec;63(3):231-7.
    pubmed: 9491449doi: 10.1016/s0034-5288(97)90026-6google scholar: lookup
  22. Starling RD, Trappe TA, Short KR, Sheffield-Moore M, Jozsi AC, Fink WJ, Costill DL. Effect of inosine supplementation on aerobic and anaerobic cycling performance.. Med Sci Sports Exerc 1996 Sep;28(9):1193-8.
  23. Mills PC, Smith NC, Harris RC, Harris P. Effect of allopurinol on the formation of reactive oxygen species during intense exercise in the horse.. Res Vet Sci 1997 Jan-Feb;62(1):11-6.
    pubmed: 9160417doi: 10.1016/s0034-5288(97)90172-7google scholar: lookup
  24. Harris RC, Marlin DJ, Snow DH. Metabolic response to maximal exercise of 800 and 2,000 m in the thoroughbred horse.. J Appl Physiol (1985) 1987 Jul;63(1):12-9.
    pubmed: 3624119doi: 10.1152/jappl.1987.63.1.12google scholar: lookup
  25. Bouzid MA, Hammouda O, Matran R, Robin S, Fabre C. Changes in oxidative stress markers and biological markers of muscle injury with aging at rest and in response to an exhaustive exercise.. PLoS One 2014;9(3):e90420.
  26. Derbré F, Gratas-Delamarche A, Gómez-Cabrera MC, Viña J. Inactivity-induced oxidative stress: a central role in age-related sarcopenia?. Eur J Sport Sci 2014;14 Suppl 1:S98-108.
    pubmed: 24444251doi: 10.1080/17461391.2011.654268google scholar: lookup
  27. Meng SJ, Yu LJ. Oxidative stress, molecular inflammation and sarcopenia.. Int J Mol Sci 2010 Apr 12;11(4):1509-26.
    pmc: PMC2871128pubmed: 20480032doi: 10.3390/ijms11041509google scholar: lookup
  28. Moylan JS, Reid MB. Oxidative stress, chronic disease, and muscle wasting.. Muscle Nerve 2007 Apr;35(4):411-29.
    pubmed: 17266144doi: 10.1002/mus.20743google scholar: lookup
  29. Ohno K, Ito M, Ichihara M, Ito M. Molecular hydrogen as an emerging therapeutic medical gas for neurodegenerative and other diseases.. Oxid Med Cell Longev 2012;2012:353152.
    pmc: PMC3377272pubmed: 22720117doi: 10.1155/2012/353152google scholar: lookup
  30. Ishibashi T, Sato B, Rikitake M, Seo T, Kurokawa R, Hara Y, Naritomi Y, Hara H, Nagao T. Consumption of water containing a high concentration of molecular hydrogen reduces oxidative stress and disease activity in patients with rheumatoid arthritis: an open-label pilot study.. Med Gas Res 2012 Oct 2;2(1):27.
    pmc: PMC3563451pubmed: 23031079doi: 10.1186/2045-9912-2-27google scholar: lookup
  31. Ishibashi T. Molecular hydrogen: new antioxidant and anti-inflammatory therapy for rheumatoid arthritis and related diseases.. Curr Pharm Des 2013;19(35):6375-81.
  32. Fujita R, Tanaka Y, Saihara Y, Yamakita M, Ando D, Koyama K. Effect of molecular hydrogen saturated alkaline electrolyzed water on disuse muscle atrophy in gastrocnemius muscle.. J Physiol Anthropol 2011;30(5):195-201.
    pubmed: 21963827doi: 10.2114/jpa2.30.195google scholar: lookup
  33. Tsubone H, Hanafusa M, Endo M, Manabe N, Hiraga A, Ohmura H, Aida H. Effect of Treadmill Exercise and Hydrogen-rich Water Intake on Serum Oxidative and Anti-oxidative Metabolites in Serum of Thoroughbred Horses.. J Equine Sci 2013;24(1):1-8.
    pmc: PMC4013981pubmed: 24833996doi: 10.1294/jes.24.1google scholar: lookup
  34. Trotti R, Carratelli M, Barbieri M. Performance and clinical application of a new, fast method for the detection of hydroperoxides in serum.. Panminerva Med 2002 Mar;44(1):37-40.
    pubmed: 11887090
  35. Carratelli M, Porcaro L, Ruscica M, De Simone E, Bertelli AA, Corsi MM. Reactive oxygen metabolites and prooxidant status in children with Down's syndrome.. Int J Clin Pharmacol Res 2001;21(2):79-84.
    pubmed: 11824651
  36. Ono H, Nishijima Y, Adachi N, Sakamoto M, Kudo Y, Nakazawa J, Kaneko K, Nakao A. Hydrogen(H2) treatment for acute erythymatous skin diseases. A report of 4 patients with safety data and a non-controlled feasibility study with H2 concentration measurement on two volunteers.. Med Gas Res 2012 May 20;2(1):14.
    pmc: PMC3407032pubmed: 22607973doi: 10.1186/2045-9912-2-14google scholar: lookup
  37. Hammouda O, Chtourou H, Chahed H, Ferchichi S, Kallel C, Miled A, Chamari K, Souissi N. Diurnal variations of plasma homocysteine, total antioxidant status, and biological markers of muscle injury during repeated sprint: effect on performance and muscle fatigue--a pilot study.. Chronobiol Int 2011 Dec;28(10):958-67.
    pubmed: 22080741doi: 10.3109/07420528.2011.613683google scholar: lookup
  38. Shi M, Wang X, Yamanaka T, Ogita F, Nakatani K, Takeuchi T. Effects of anaerobic exercise and aerobic exercise on biomarkers of oxidative stress.. Environ Health Prev Med 2007 Sep;12(5):202-8.
    pmc: PMC2723376pubmed: 21432082doi: 10.1265/ehpm.12.202google scholar: lookup
  39. Bloomer RJ, Goldfarb AH, Wideman L, McKenzie MJ, Consitt LA. Effects of acute aerobic and anaerobic exercise on blood markers of oxidative stress.. J Strength Cond Res 2005 May;19(2):276-85.
    pubmed: 15903362doi: 10.1519/14823.1google scholar: lookup
  40. Nguyen HX, Tidball JG. Interactions between neutrophils and macrophages promote macrophage killing of rat muscle cells in vitro.. J Physiol 2003 Feb 15;547(Pt 1):125-32.
  41. Tidball JG. Inflammatory processes in muscle injury and repair.. Am J Physiol Regul Integr Comp Physiol 2005 Feb;288(2):R345-53.
    pubmed: 15637171doi: 10.1152/ajpregu.00454.2004google scholar: lookup
  42. Eivers SS, McGivney BA, Gu J, MacHugh DE, Katz LM, Hill EW. PGC-1α encoded by the PPARGC1A gene regulates oxidative energy metabolism in equine skeletal muscle during exercise.. Anim Genet 2012 Apr;43(2):153-62.
  43. Summermatter S, Thurnheer R, Santos G, Mosca B, Baum O, Treves S, Hoppeler H, Zorzato F, Handschin C. Remodeling of calcium handling in skeletal muscle through PGC-1α: impact on force, fatigability, and fiber type.. Am J Physiol Cell Physiol 2012 Jan 1;302(1):C88-99.
    pubmed: 21918181doi: 10.1152/ajpcell.00190.2011google scholar: lookup
  44. Handschin C, Spiegelman BM. The role of exercise and PGC1alpha in inflammation and chronic disease.. Nature 2008 Jul 24;454(7203):463-9.
    pmc: PMC2587487pubmed: 18650917doi: 10.1038/nature07206google scholar: lookup
  45. Kitaoka Y, Mukai K, Aida H, Hiraga A, Masuda H, Takemasa T, Hatta H. Effects of high-intensity training on lipid metabolism in Thoroughbreds.. Am J Vet Res 2012 Nov;73(11):1813-8.
    pubmed: 23106469doi: 10.2460/ajvr.73.11.1813google scholar: lookup
  46. Kawai M, Minami Y, Sayama Y, Kuwano A, Hiraga A, Miyata H. Muscle fiber population and biochemical properties of whole body muscles in Thoroughbred horses.. Anat Rec (Hoboken) 2009 Oct;292(10):1663-9.
    pubmed: 19728360doi: 10.1002/ar.20961google scholar: lookup
  47. Morales-Alamo D, Calbet JA. Free radicals and sprint exercise in humans.. Free Radic Res 2014 Jan;48(1):30-42.
    pubmed: 23879691doi: 10.3109/10715762.2013.825043google scholar: lookup
  48. Nishino T, Nakanishi S, Okamoto K, Mizushima J, Hori H, Iwasaki T, Nishino T, Ichimori K, Nakazawa H. Conversion of xanthine dehydrogenase into oxidase and its role in reperfusion injury.. Biochem Soc Trans 1997 Aug;25(3):783-6.
    pubmed: 9388545doi: 10.1042/bst0250783google scholar: lookup
  49. Sakai T, Sato B, Hara K, Hara Y, Naritomi Y, Koyanagi S, Hara H, Nagao T, Ishibashi T. Consumption of water containing over 3.5 mg of dissolved hydrogen could improve vascular endothelial function.. Vasc Health Risk Manag 2014;10:591-7.
    pmc: PMC4207582pubmed: 25378931doi: 10.2147/VHRM.S68844google scholar: lookup
  50. Ishibashi T, Sato B, Shibata S, Sakai T, Hara Y, Naritomi Y, Koyanagi S, Hara H, Nagao T. Therapeutic efficacy of infused molecular hydrogen in saline on rheumatoid arthritis: a randomized, double-blind, placebo-controlled pilot study.. Int Immunopharmacol 2014 Aug;21(2):468-73.
    pubmed: 24929023doi: 10.1016/j.intimp.2014.06.001google scholar: lookup
  51. Seo T, Kurokawa R, Sato B. A convenient method for determining the concentration of hydrogen in water: use of methylene blue with colloidal platinum.. Med Gas Res 2012 Jan 24;2:1.
    pmc: PMC3309943pubmed: 22273079doi: 10.1186/2045-9912-2-1google scholar: lookup
  52. Saito S, Yamauchi H, Hasui Y, Kurashige J, Ochi H, Yoshida K. Quantitative determination of urinary 8-hydroxydeoxyguanosine (8-OH-dg) by using ELISA.. Res Commun Mol Pathol Pharmacol 2000;107(1-2):39-44.
    pubmed: 11334369

Citations

This article has been cited 10 times.
  1. Dobashi S, Kobayashi T, Tanaka Y, Shibayama Y, Koyama K. Effects of carbohydrate-electrolyte dissolved alkaline electrolyzed water on physiological responses during exercise under heat stress in physically active men.. Curr Res Physiol 2022;5:389-398.
    doi: 10.1016/j.crphys.2022.09.007pubmed: 36193515google scholar: lookup
  2. Hirano SI, Ichikawa Y, Sato B, Takefuji Y, Satoh F. Molecular Hydrogen as a Medical Gas for the Treatment of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Possible Efficacy Based on a Literature Review.. Front Neurol 2022;13:841310.
    doi: 10.3389/fneur.2022.841310pubmed: 35493814google scholar: lookup
  3. Shibayama Y, Dobashi S, Arisawa T, Fukuoka T, Koyama K. Impact of hydrogen-rich gas mixture inhalation through nasal cannula during post-exercise recovery period on subsequent oxidative stress, muscle damage, and exercise performances in men.. Med Gas Res 2020 Oct-Dec;10(4):155-162.
    doi: 10.4103/2045-9912.304222pubmed: 33380581google scholar: lookup
  4. Yang M, Dong Y, He Q, Zhu P, Zhuang Q, Shen J, Zhang X, Zhao M. Hydrogen: A Novel Option in Human Disease Treatment.. Oxid Med Cell Longev 2020;2020:8384742.
    doi: 10.1155/2020/8384742pubmed: 32963703google scholar: lookup
  5. Dobashi S, Takeuchi K, Koyama K. Hydrogen-rich water suppresses the reduction in blood total antioxidant capacity induced by 3 consecutive days of severe exercise in physically active males.. Med Gas Res 2020 Jan-Mar;10(1):21-26.
    doi: 10.4103/2045-9912.279979pubmed: 32189665google scholar: lookup
  6. Kawamura T, Higashida K, Muraoka I. Application of Molecular Hydrogen as a Novel Antioxidant in Sports Science.. Oxid Med Cell Longev 2020;2020:2328768.
    doi: 10.1155/2020/2328768pubmed: 32015786google scholar: lookup
  7. Javorac D, Stajer V, Ratgeber L, Betlehem J, Ostojic S. Short-term H(2) inhalation improves running performance and torso strength in healthy adults.. Biol Sport 2019 Dec;36(4):333-339.
    doi: 10.5114/biolsport.2019.88756pubmed: 31938004google scholar: lookup
  8. Kawamura T, Suzuki K, Takahashi M, Tomari M, Hara R, Gando Y, Muraoka I. Involvement of Neutrophil Dynamics and Function in Exercise-Induced Muscle Damage and Delayed-Onset Muscle Soreness: Effect of Hydrogen Bath.. Antioxidants (Basel) 2018 Sep 25;7(10).
    doi: 10.3390/antiox7100127pubmed: 30257503google scholar: lookup
  9. Dos Santos SA, Dos Santos Vieira MA, Simões MCB, Serra AJ, Leal-Junior EC, de Carvalho PTC. Photobiomodulation therapy associated with treadmill training in the oxidative stress in a collagen-induced arthritis model.. Lasers Med Sci 2017 Jul;32(5):1071-1079.
    doi: 10.1007/s10103-017-2209-7pubmed: 28429194google scholar: lookup
  10. Kusano K, Yamazaki M, Kiuchi M, Kaneko K, Koyama K. Reference range of blood biomarkers for oxidative stress in Thoroughbred racehorses (2-5 years old).. J Equine Sci 2016;27(3):125-129.
    doi: 10.1294/jes.27.125pubmed: 27703408google scholar: lookup