Hydrogen Water Improves Heart Rate Variability at Rest and During Standing Stress

Hydrogen-rich water has a positive effect on heart rate variability at rest and during orthostatic loading, but not during cycling, in healthy adults: A pilot randomized, placebo-controlled crossover trial

Research hubs: Cardiovascular System · Brain & Nervous System

Authors
Yuki Muramoto, Emi Minaguchi, Kazuhisa Sugai, Kyohei Daigo, Yuji Iwasawa, Momoi Mizuki, Genki Ichihara, Hiroki Okawara, Tomonori Sawada, Iwao Sakane, Ryo Takemura, Yasunori Satoe, Kazuki Sato, Motoaki Sano, Yoshinori Katsumata
Journal
Heliyon
Year
2026
DOI
10.1016/j.heliyon.2026.e44678
Study Type
Human
Outcome
Positive
Peer Reviewed
Yes
Country
Japan
Health Condition
Autonomic Nervous System Dysfunction
Body System
Cardiovascular

TL;DR

Short-term consumption of hydrogen-rich water (HRW) improved measures of autonomic nervous system activity at rest and during postural changes but did not significantly affect physiological responses during exercise.

Key Finding

Hydrogen-rich water improved heart rate variability markers at rest and during a standing stress test, but had no measurable effect on physiological responses during moderate-to-high intensity cycling.

Summary

This study tested whether drinking hydrogen-rich water affects the body's automatic nervous system (the system that controls heart rate, breathing, and other functions without conscious effort) in 47 healthy adults. Participants drank hydrogen-rich water or plain water before two tests: one measuring heart rate variability (small natural changes in the time between heartbeats, which reflect nervous system health) at rest and during a standing stress test, and one involving 30 minutes of cycling. Hydrogen-rich water improved heart rate variability at rest and while standing up, but it did not change heart rate, blood lactate, or oxygen use during cycling exercise.

Practical Takeaway

This small pilot trial suggests that drinking hydrogen-rich water may support autonomic nervous system function — particularly the body's ability to regulate heart rate at rest and when changing posture — but early evidence indicates it does not enhance performance or reduce fatigue during exercise. Because this was a pilot study with 47 participants and a short intervention period, larger and longer trials are needed before drawing firm conclusions.

Abstract (excerpt)

Hydrogen-rich water has various health benefits, such as substantially reducing lactate accumulation during high-intensity exercise. However, little is known about the effects of hydrogen-rich water on physiological responses during physical activity compared to those at rest. Therefore, we…

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