Rehydration drink

BACKGROUND OF THE INVENTION

1.Field of the Invention

The present invention relates to a new liquid composition, a method for producing this composition and the use of this composition as rehydration drink.

2.Description of the Related Art

There are a number of liquid compositions or diluted mixtures on the market by the name of "Activity Drinks", "Sports Drinks" or "Nutrient Drinks" which intend to solve problems with respect to the loss of sugars, electrolytes, vitamins, minerals, amino acids, and other important nutrients due to sweating.

These drinks, however, show concentrations of electrolytes, kinds of sugars, and osmotic characteristics which are not sufficient to be totally effective in replacing the tremendous sweat losses incurred e.g. by chronically ill patients, strenuous physical activity, or the harsh conditions of tropical or desert environment. U.S. Pat. No. 4,626,527 describes a similar intent but discloses only the use of choline.

Several groups of people, including factory and farm workers and athletes can lose one to two-liters of sweat per hour with heavy clothing. Chronically ill patients or patients who rely on others to care for them may lose more fluid than what they consume. Newcomers to the desert, with clothing and heavy packs, can lose up to four liters per hour.

There are a number of serious symptoms of heat exhaustion which may develop as one loses from as little as one liter to as much as four liters or more of sweat. These symptoms include e.g. vertigo/dizziness, lightheadedness, fatigue and muscle cramps. Most of the symptoms are obvious to the individual, but sometimes lightheadedness is not, because a lightheaded individual is unable to think or act appropriately.

Thus, most of these people lose sweat which contains not only water, but more importantly, sugars, electrolytes, vitamins, minerals, amino acids, and other important nutrients. Each of these are vital for proper cellular function, including brain function.

Drinking water alone will not replace the vital nutrients and will also cause stomach cramps because of the difference of the osmotic properties of water on the one hand and stomach fluids on the other hand, and because it requires time for the body to assimilate the water.

The use of salt tablets is not recommended because the excess sodium withdraws water or suppresses more of the other vital electrolytes from the body.

OBJECT OF THE INVENTION

Since the related art did not solve the problems properly, there was a need for a proper medical formulation which will protect people and promote their well being under various adverse conditions connected with excessive loss of water, e.g. excessive perspiration.

The present invention is thus specifically concerned with the provision of a new rehydration drink. It is therefore the object of the present invention to provide a liquid composition which overcomes all the above mentioned disadvantages, and which reduces vertigo/dizziness, lightheadedness, fatigue and muscle cramps caused by excessive water loss. Fatigue as used herein means the subjective feeling of tiredness as well as the objective fatigue of muscles and the actual decrease of performance.

SUMMARY OF THE INVENTION

The solution for the objects of the invention was found in a new liquid composition comprising per serving unit:

a) 1 to 100 g of at least one carbohydrate,

b) 2 to 2500 mg of at least one electrolyte,

c) 0,1 to 750 mg of at least one ammonia neutralizer,

d) at least one energy enhancer, preferably selected from

d.sub.1) 1-2,000 .mu.g vitamins of the vitamin B group,

d.sub.2) 10-40,000 mg L-carnitine, creatine and choline, and

d.sub.3) 1-100 mg branched-chain amino acids,

e) at least one antioxidant, preferably selected from

e.sub.1) .beta.-carotene in a quantity of 2 .mu.g-200 mg,

e.sub.2) vitamin C in a quantity of 10-250 mg,

e.sub.3) vitamin E in a quantity of 8-30 I.U., and

e.sub.4) selenium in a quantity of 10-300 .mu.g,

f) 1 to 30 mg of at least one membrane stabilizer,

g) 1 to 200 .mu.g of at least one neuromuscular enhancer, and

h) water in a quantity at least sufficient to provide a solution wherein components a) to g) are substantially dissolved and which is ready for consumption by drinking.

The ingredients of the above components a) to g) as well as the water for dissolving these ingredients (component h) should, of course, be physiologically acceptable.

The present invention also relates to a composition which is suitable for producing the above liquid composition, i.e. a solid composition containing the above components a) to g), which solid composition can be obtained by homogeneously mixing the components a) to g), and which can be converted to the above liquid composition by adding water (component h) in a quantity at least sufficient to substantially dissolve all of components a) to g) to form a drinkable solution.

DESCRIPTION OF THE PREFERRED EMBODIMENTS

Among the carbohydrates of component a) are various sugars, monosaccharides as well as oligosaccharides. Typical examples are N-acetyl-D-galactosamine, D-glucose (dextrose, grape sugar, corn sugar), D-glucosamine, N-acetyl-D-glucosamine, N-methyl-D-glucosamine, D-mannose, D-ribose, D-xylose D-fructose, D-galactose, D-galactosamine, cellobiose, maltose, galactose, and sucrose.

These carbohydrates are either in the form of monomers like D-fructose or in the form of polymers e.g. glucose polymers, such as maltose or maltodextrin, in which a series of glucose molecules is bond together chemically. Such polymers can be made from any of the above sugars, which are cleaved enzymatically in the body; this process consequently provides a constant source of energy made available to the body over a course of one to two hours.

The preferred carbohydrates are the glucose polymers, maltodextrin and fructose in crystalline pure form; most preferred are the glucose polymers. The preferred range of the carbohydrates is 1 to 35 mg.

The component b) is an electrolyte, particularly mineral salt. Preferred electrolytes are salts of a metal of the group I and II of the Periodic System, preferably the inorganic and organic salts of sodium, potassium, calcium and/or magnesium. Examples of such salts are sodium acetate, acidic sodium citrate, acidic sodium phosphate, sodium amino salicylate, sodium bicarbonate, sodium bromide, sodium chloride, sodium citrate, sodium lactate, sodium phosphate, sodium salicylate, sodium sulphate (anhydrous), sodium sulphate (Glauber's salt), potassium acetate, potassium bicarbonate, potassium bromide, potassium chloride, potassium citrate, potassium-D-gluconate, mono- and dibasic potassium phosphate, calcium acetate, calcium chloride, calcium citrate, calcium-D-gluconate, calcium lactate, calcium laevulinate, dibasic calcium phosphate, magnesium chloride and magnesium sulphate.

The preferred salts are sodium bicarbonate, sodium phosphate, potassium bicarbonate, potassium chloride, dibasic potassium phosphate, calcium carbonate and magnesium carbonate. The electrolytes are present in amounts of 2 to 2500 mg, preferably in amounts of 5 to 1,000 mg.

Ammonia neutralizers of component c) are mainly amino acids e.g. .alpha.-alanine, arginine, asparagine, cystine, cysteine, aspartic acid, glutamic acid, glutamine, glycine, histidine, .delta.-hydroxylysine, hydroxyproline, lysine, 3-monoiodotyrosine, leucine, methionine, norleucine, phenylalanine, proline, threonine, serine, tyrosine, tryptophan and the salts thereof, e.g. the potassium, magnesium and the phosphate salts.

Preferred amino acids or salts thereof are D,L-magnesium aspartate, L-arginine and glutamate. The preferred range of the amino acids is 5 to 250 mg.

Energy enhancers of component d) are preferably vitamins of the vitamin B group, e.g. vitamin B1 (thiamin, aneurin), vitamin B2 (riboflavin), vitamin PP (niacinamide), vitamin B6 (pyridoxine), pantothenic acid and L-carnitine; creatine, choline (chloride or its other forms); and branched chain amino acids, particularly leucine, valine and isoleucine. Preferred quantities of vitamins of the B group (component d.sub.1) are 10-500 .mu.g, preferred quantities of L-carnitine, creatine and choline (component d.sub.2) are 50-500 mg and preferred quantities of branched-chain amino acids (leucine, isoleucine and valine) are 3-10 mg.

Preferred quantities of antioxidants (component e) are as follows: .beta.-carotene: 5-100 .mu.g, vitamin C: 20-100 mg, vitamin E: 10-20 I.U., and selenium: 50-200 .mu.g. Membrane stabilizers of component f) are preferably betain and methionine in a range of 1-30 mg, preferably 4 to 10 mg.

An example of a neuromuscular enhancer (component g) is the choline (choline chloride) already referred to under d) above. Preferred neuromuscular enhancers are higher saturated fatty alcohols, particularly C.sub.25 -C.sub.30 fatty alcohols, preferably octacosanol (cerotyl alcohol) which can be used in quantities of 1-2,000 .mu.g, preferably 3-20 .mu.g, most preferably about 5 .mu.g.

Within the broad scope of the invention described above, two lines of more specific compositions have been developed, which constitute preferred embodiments of the invention. The first line embraces compositions which are particularly suited for the administration to people who do heavy work under severe conditions and particularly at high ambient temperatures and to sports enthusiasts and athletes. This line is represented by the compositions under the heading "Drink A" in Table 1 below. The second line embraces compositions which are particularly suited for patients who exhibit dehydration symptoms due to severe diarrhea or vomiting for a variety of causes such as gastrointestinal disorders, cardiovascular disorders, and chronic illnesses, such as cancer. Compositions of this type are represented by those set forth under the heading "Drink B" in Table 1 below. Figures underlined in Table 1 (such as "32" relating to "Glucose Polymers" in the left column) refer to the specific "Drink A" and "Drink B" respectively, administered in the course of the tests which will be described later-on. The compositions containing these underlined quantities of ingredients are particularly preferred.

The quantities of the various components of the compositions according to the present invention relate, throughout the specification and the claims, in each case to serving units or rations, i.e. to quantities of drink served, administered or consumed at one time. It will be well understood that such serving units are commonly not prepared individually. For the sake of simplicity and economy greater quantities are usually prepared which are composed of multiples of such serving units. Accordingly, it must be kept in mind that the figures relating to these serving units must be extrapolated by multiplication by any desired multiplicator so that any desired quantity of a composition is included. Thus, although the figures shown in Table 1 and elsewhere in the specification as well as in the claims relate to a serving unit, they have to be understood as comprising any multiple thereof.

In preparing the various liquid compositions, the components listed in Table 1 are homogeneously mixed and dissolved in a sufficient quantity of water to provide a solution ready for consumption by drinking.

TABLE 1 __________________________________________________________________________ Ingredients Drink A Drink B __________________________________________________________________________ CARBOHYDRATES Glucose Polymers (g) 20-26- --32-50-100 7-10- --14-40-80 Maltodextrin (mg) 10-20- --30-50-15 10-15- --25-50-100 Fructose (g) 1-1.5- -2-5-15 1-1.5- -2-5-15 ELECTROLYTES KHCO.sub.3 (mg) 100-500- ---960-1500-2500 50-100- ---200-500-1500 NaHCO.sub.3 (mg) 20-30- --40-5-60 2-3- -4-5-10 KCl (mg) 100-150- ---200-500-2,000 20-30- --40-800-1500 K.sub.3 PO.sub.4 (mg) 100-150- ---200-500-2,000 20-30-40 --40-800-1500 Na3PO.sub.4 (mg) 50-150- ---300-500-750 5-15- --30-50-75 CaCO.sub.3 (mg) 5-15- --20-40-200 5-15- --20-40-200 MgCO.sub.3 (mg) 5-15- --20-40-200 5-15- --20-40-200 AMMONIA NEUTRALIZERS D,L-Aspartic Acid or 10-100- ---200-500-750 1-10- --20-50-75 Magnesium Aspartate (mg) L-Arginine (.mu.g) 20-100- ---200-500-750 2-10- --20-50-75 Glutamate (mg) 1-5- -- 10-30-100 1-5- --10-30-50 ENERGY ENHANCERS Vitamin B1 (.mu.g) 1-3- -5-50-500 1-3- -5-50-500 vitamin B2 (.mu.g) 10-50- ---100-500-2,000 10-50- ---100-500-2000 Niacinamide (.mu.g) 10-50- ---100-500-2,000 10-50- ---100-500-2000 Vitamin B6 (.mu.g) 10-50- ---100-500-2,000 10-50- ---100-500-2000 Pantothenic Acid (.mu.g) 10-50- ---100-500-2,000 10-50- ---100-500-2000 L-Carnitine (mg) 10-50- ---100-500-2,000 1-50- --,10-50-200 Creatine (mg) 10-50- ---100-500-1,000 5-8- --10-50-200 Choline chloride (mg) 4-200- ---400-4000-40,000 4-20- --40-400-4,000 BRANCHED CHAIN AMINO ACIDS Leucine (mg) 1-3- -5-10-50 1-3- -5-10-50 Isoleucine (mg) 1-3- -5-10-100 1-3- -5-10-100 Valine (mg) 1-3- -5-10-100 1-3- -5-10-100 ANTIOXIDANTS Beta-Carotene (.mu.g) 5-8- --10-100-200 2-3- -5-10-100 Vitamin C (mg) 20-30- --60-120-250 10-30- --60-70-90 Vitamin E (I.U.) 10-12- --15-20-30 8-9- --10-12-15 Selenium (.mu.g) 10-50- ---100-200-300 10-20- --50-100-200 MEMBRANE STABILIZERS or METHYLDONORS Betaine chloride (.mu.g) 1-3- -5-10-25 1-3- -5-10-25 Methionine (.mu.g) 3-4- -5-20-30 1-3- -5-10-20 NEUROMUSCULAR ENHANCERS Octacosanol (.mu.g) 1-3- -5-100-200 1-3- -5-10-20 __________________________________________________________________________

The preferred liquid composition of the present invention combines about 30 different macronutrients and micronutrients. Very surprisingly, a truly spectacular result is obtained, eliminating nearly completely all fatigue and dehydration symptoms, in both the sports and with dehydrated patients.

The new liquid composition according to the present invention can be manufactured by known methods, e.g. powdering each compound a) through g), mixing them together in the ranges of the amounts given, diluting the resulting mixture with water, and homogenising.

In view of the specific qualitative and quantitative combination of the components a) through g), the liquid composition is useful as rehydration drink. This drink replaces the nutrients and water losses which occur while sweating during physical exertion or water losses due to diarrhea or vomiting. This drink can be administered to a human body with no restriction concerning age, sex, medical history, drug therapy and food consumption, who lost water and nutrients in different ways and for different reasons, especially patients who e.g. clinically exhibit dehydration symptoms, sports enthusiasts and people who require sustained energy. The drink is also useful for patients in nursing homes and hospitals, patients with diarrhea, people who work outdoors, professional athletes, or those who require sustained energy while working. Finally the drink is effective under tropical or desert conditions to compensate for the quantity of liquid lost. The drink may be given a pleasant taste to stimulate consumption.

The following tests were carried out using compositions according to the present invention (Drink A and Drink B):

Two groups of people (group I and II) were analysed. Group I was composed of 25 people who were active athletes involved in many sports, particularly basketball, soccer and American football. Group II was composed of 20 patients who clinically exhibited dehydration symptoms secondary to severe diarrhea or vomiting from a variety of causes including cancer, gastrointestinal disorders, and chronically institutionalized patients.

"Quality of life scales", a term which is used for describing a series of qualities of life, are an acceptable way of evaluating any treatment not by the physician, but rather by the patient himself/herself. The patient decides whether the treatment is beneficial or not. These scales have been successfully used to evaluate cardiovascular treatments, cancer treatments, and treatments of other chronic illnesses.

The scoring system is simple. The person decides if the treatment has improved, worsened, or has made no change in his/her life during the treatment period. Each person is asked to score themselves before and after using the drink. The amount served was 1 cup (1 serving unit) of Drink A containing about 33 g of carbohydrates and about 132 calories, and 1 cup (1 serving unit) of Drink B containing about 15 g of carbohydrates and about 60 calories. Either drink would have been all right for either group, but athletes need more energy and drink A has more energy calories as well as enhancing agents. The results of these tests are shown in Table 2.

TABLE 2 __________________________________________________________________________ Quality of Life Scales Group I/Drink A Group II/Drink B No No Improve Change Worsen Improve Change Worsen __________________________________________________________________________ Physical Symptoms 25 19 1 Fatigue Dizziness, Vertigo Lightheadedness Muscle cramps Performance 23 2 18 2 General Well Being 25 20 Cognitive Abilities 25 17 3 Life Satisfaction 25 20 __________________________________________________________________________

Further tests were made with Group I and Group II people and with Drink A and Drink B. Blood values were obtained of all 25 patients in Group I (athletes) and all 20 patients in Group II (patients) before and after administration of the rehydration drink A to Group I and Drink B to Group II.

Group I- Active Athletes:

A blood sample was obtained on all athletes half way through the end of the strenuous exercise. For example, this was at half time of the basketball, soccer, or American football game, or half way through (at least 45 minutes) a strenuous exercise work-out for others (body-builders, runners, etc.). After the blood was obtained, the athletes began to drink four to six oz. of Drink A every 15 to 20 minutes until the games or exercises were completed, at which time a second blood sample was obtained. The two sets of blood values were compared (Tables 3 to 6).

The first blood samples were analysed and consistently revealed a picture of Type A Lactic Acidosis due to hypoxemia in this group. Lactic acidosis is characterized by:

1) Increased Anion Gap (A. G.) ( >25 mEq/l; normal range=8-16 mEq/1). The Anion Gap is defined as: Sodium (Na)-[Chloride (Cl)+Bicarbonate (HCO.sub.3)]

2) Decreased serum bicarbonate (normal range 24-26 mEq/l)

3) Increased serum potassium (>5.5; normal 3,5-5,3 mEq/l)

4) Low or normal serum chloride (normal 96-109 mEq/l)

5) Increased serum uric acid (normal range=3-9 mg/dl)

6) Increased serum phosphorus (normal range 2,5-4,5 mg/dl)

7) Increased serum SGOT (normal range 0-40 Units/liter)

8) Increased serum LDH (normal range 100-225 Units/liter)

9) Decreased urine pH (normal range 5.1-9.0)

10) Increased lactate (>5, normal range 0-1.6 mEq/liter)

TABLE 3 __________________________________________________________________________ Blood Values (a. normal range, and of Athletes No. 1 through 25 at half-time of exercise, before rehydration drink A was administered: Urin Na Cl HCO.sub.3 K Uric P pH LDH No 135- 96- 24- A.G. Lact 3.5- Acid 2.5- 5.2- SGOT 100- a. 147 109 26 8-16 0-16 5.3 3-9 4.5 9.0 0-40 225 __________________________________________________________________________ 1 140 93 20 27 6.1 5.8 11 4.7 5.0 41 230 2 146 96 23 27 7.1 5.6 12 4.9 4.0 42 227 3 147 100 22 25 5.5 5.7 9 5.1 5.0 40 232 4 141 95 22 24 5.1 5.9 10 4.6 5.0 35 234 5 137 95 20 22 5.2 5.7 8 4.8 5.0 42 224 6 138 93 22 23 5.6 6.1 11 5.0 5.0 45 226 7 142 95 21 26 5.9 6.0 13 4.7 5.0 39 229 8 145 94 20 31 6.8 5.7 15 4.8 4.0 44 246 9 144 95 21 28 6.3 6.0 14 4.6 4.0 43 241 10 142 93 21 28 6.2 5.6 15 4.5 4.0 42 229 11 139 92 20 27 6.2 6.1 13 4.7 4.0 44 225 12 146 94 23 29 6.3 5.8 16 4.8 4.0 42 232 13 145 95 21 29 6.6 5.9 14 5.0 4.0 41 234 14 144 93 22 29 6.6 5.7 13 4.9 4.0 47 227 15 146 94 21 31 7.1 6.2 17 5.0 4.0 45 239 16 139 94 21 24 5.6 5.6 11 4.6 5.0 41 235 17 135 93 22 30 7.0 6.1 16 4.9 4.0 46 239 18 143 94 21 28 6.4 6.0 12 5.0 4.0 42 241 19 142 95 22 25 5.9 5.7 9 4.6 5.0 36 235 20 145 94 20 31 6.8 6.3 13 4.9 4.0 47 236 21 139 92 20 27 5.9 6.1 15 4.9 5.0 44 228 22 140 94 21 25 5.4 5.6 9 5.0 4.0 42 226 23 146 93 23 30 6.8 6.1 16 5.1 4.0 46 234 24 143 92 20 31 6.7 6.3 14 4.8 4.0 45 237 25 147 97 22 28 6.6 5.9 13 4.7 4.0 41 231 __________________________________________________________________________

TABLE 4 ______________________________________ Hallmarks of lactic acidosis seen in athletes, especially type A which is due to hypoxemia, the number of athletes with those values and the range. number of hallmark of athletes range of lactic with nor- athletes blood parameter acidosis mal value blood values ______________________________________ anion gap (A.G.) >25 mEq/lt 23 of 25 22-31 lactate level >5.0 mEq/lt All 25 5.1-7.1 urine pH <5.2 All 25 4.0-5.0 chloride level low or <96 23 of 25 92-100 mEq/lt bicarbonate level <24 mEq/lt All 25 20-23 potassium level >5.6 mEq/lt All 25 5.6-6.3 uric acid level >9 mg/dl 24 of 25 8-17 phosphorus >4.5 mg/dl All 25 4.5-5.1 SGOT >40 IU/l 22 of 25 35-47 LDH >225 IU/l 24 of 25 225-246 ______________________________________

TABLE 3 __________________________________________________________________________ Blood Values of group I athletes at the end of game/exercise after administration of rehydration drink A Urin Na Cl HCO.sub.3 K Uric P pH LDH No 135- 96- 24- A.G. Lact 3.5- Acid 2.5- 5.2- SGOT 100- a. 147 109 26 8-16 0-16 5.3 3-9 4.5 9.0 0-40 225 __________________________________________________________________________ 1 140 105 25 10 0.8 3.9 8.0 4.1 8.0 31 109 2 142 106 24 12 1.2 5.0 7.0 4.0 8.0 27 201 3 139 103 26 10 1.1 4.9 7.0 3.7 6.0 36 217 4 141 101 25 15 1.5 5.1 8.0 2.9 8.0 26 222 5 147 108 26 13 0.5 3.8 3.0 3.1 8.0 29 199 6 137 99 26 12 1.4 4.7 5.0 3.9 7.0 40 109 7 140 108 24 8 1.1 4.5 8.0 4.3 6.0 19 216 8 136 101 25 10 1.2 3.9 4.0 3.0 7.0 26 193 9 139 99 26 14 1.5 4.2 7.0 2.7 9.0 37 129 10 142 105 24 13 0.9 4.8 5.0 3.6 8.0 24 147 11 137 96 25 16 1.3 4.1 3.0 3.3 8.0 19 192 12 145 107 26 12 0.2 3.7 5.0 4.2 6.0 26 178 13 140 99 26 15 1.4 5.0 4.0 2.8 7.0 30 201 14 147 108 25 14 0.7 4.3 8.0 4.1 8.0 27 219 15 137 96 25 16 0.3 4.0 6.0 3.6 6.0 161 184 16 135 97 24 14 1.2 5.0 4.0 2.5 6.0 32 191 17 139 99 24 16 0.9 5.2 7.0 2.7 8.0 22 217 18 140 105 25 10 0.6 3.7 4.0 3.7 7.0 12 157 19 145 108 24 13 0.4 5.1 8.0 4.0 6.0 25 152 20 138 103 26 9 1.4 3.9 3.0 3.2 8.0 8 183 21 142 106 25 11 0.8 4.7 4.0 2.9 6.0 36 222 22 143 107 24 12 1.3 4.4 7.0 2.7 7.0 25 166 23 137 102 24 11 0.6 3.6 5.0 4.5 6.0 30 200 24 140 99 26 15 1.3 4.8 7.0 3.9 8.0 17 226 25 145 104 25 16 0.7 5.1 8.0 3.1 6.0 39 196 __________________________________________________________________________

TABLE 6 ______________________________________ shows that all 25 athletes had normal blood values after drinking rehydration drink A: number of hallmark of athletes range of lactic with this athletes' blood parameter acidosis value blood values ______________________________________ anion gap >25 mEq/lt all 25 8-16 lactate level >5.0 mEq/lt all 25 0.2-1.5 urine pH <5.2 all 25 6-9 chloride level low or <96 all 25 96-108 mEq/lt bicarbonate level <24 mEq/lt all 25 24-26 potassium level >5.6 mEq/lt all 25 3.6-5.2 uric acid level >9 mg/dl all 25 3-8 phosphorus >4.5 mg/dl all 25 2.5-4.5 SGOT >40 IU/l all 25 8-40 LDH >225 IU/l all 25 109-226 ______________________________________

Group II - Patients

A blood sample was obtained of all 20 patients with various illnesses listed in Table 7. After drinking four to six ounces of the rehydration drink B every 20 to 30 minutes for two and a half to three hours, a second blood specimen was obtained. The two sets of blood values were compared.

Three patients had diarrhea which produces a metabolic acidosis characterized by low bicarbonate, a normal to low chloride, and unlike lactic acidosis, a low potassium, and a low sodium. These features are shown in Table 7.

Two patients had nausea and vomiting which produces a metabolic alkalosis characterized by an elevated bicarbonate, an elevated sodium, a low potassium, and a normal to low chloride. Both patients had these blood changes. Lactic acidosis Type B (no clinical tissue hypoxia) seen with Infections, Diabetes, Cancer, and Alcohol use; Lactic acidosis Type A (due to clinically apparent hypoxia) seen with dehydration in nursing home patients.

TABLE 7 __________________________________________________________________________ Blood Values (a.: normal. and of 20 Group II patients before the administration of rehydration drink B (Diar = diarrhoea; Naus = nausea, vomiting; Alc = Alcohol; Inf = infections; Diab = diabetes; Canc = cancer; Home = dehydrated nurse home patients) Urin Na Cl HCO.sub.3 K Uric P pH LDH No 135- 96- 24- A.G. Lact 3.5- Acid 2.5- 5.2- SGOT 100- a. 147 109 26 8-16 0-16 5.3 3-9 4.5 9.0 0-40 225 __________________________________________________________________________ Diar 129 95 17 17 5.2 3.3 18.0 4.9 4 46 236 Diar 130 96 15 19 4.9 3.4 17 5.1 4 41 241 Diar 127 94 15 18 5.3 3.1 15.0 4.7 5 48 229 Naus 150 94 28 28 0.8 3.2 16.0 4.6 9 40 226 Naus 151 93 30 28 1.1 3.0 18.0 4.7 9 47 230 Inf 141 93 23 25 2.4 5.8 12 5.1 3 40 240 Inf 143 94 21 28 2.7 6.2 13 4.9 4 46 237 Diab 146 99 20 27 5.1 5.6 11 5.2 4 40 245 Diab 144 95 21 28 5.2 5.9 19 5.0 3 44 235 Diab 139 93 20 26 5.7 5.7 12 4.8 3 42 228 Canc 140 91 21 28 5.9 5.8 15 5.3 4 53 317 Canc 142 95 22 25 6.2 5.9 17 4.9 5 49 300 Canc 137 92 22 23 5.6 6.1 13 4.6 3 52 278 Canc 138 94 21 23 6.0 6.2 16 5.1 4 61 259 Alc 147 101 21 25 5.0 5.9 14 4.9 4 59 266 Home 145 93 22 30 7.0 6.1 16 4.9 4 46 242 Home 139 92 20 27 6.2 6.1 13 4.7 4 49 225 Home 143 92 20 31 6.5 6.0 14 4.9 5 47 236 Home 142 95 22 25 7.0 5.6 16 5.1 3 36 226 Home 136 92 21 23 4.6 6.0 12 4.8 4 45 233 __________________________________________________________________________

All 20 patients demonstrate the characteristic blood changes seen with the disorders listed, whether it be metabolic acidosis associated with diabetes, metabolic alkalosis associated with nausea and vomiting, or lactic acidosis associated with infections, diabetes, cancer, alcohol, or dehydration seen in nursing home patients who are not well attended and who forget to drink on a regular basis.1

Each blood parameter became normal for all patients studied after the rehydration drink B was given to them as shown in:

TABLE 8 __________________________________________________________________________ Blood Values (a.: normal, and of 20 Group II patients after the administration of rehydration drink B (Diar = diarrhoea; Naus = nausea, vomiting; Alc = Alcohol; Inf = infections; Diab = diabetes; Canc = cancer; Home = dehydrated nurse home patients) Urin Na Cl HCO.sub.3 K Uric P pH LDH No 135- 96- 24- A.G. Lact 3.5- Acid 2.5- 5.2- SGOT 100- a. 147 109 26 8-16 0-16 5.3 3-9 4.5 9.0 0-40 225 __________________________________________________________________________ Diar 141 99 26 16 0.9 5.1 8 4.2 8 40 148 Diar 139 103 24 12 1.3 4.9 3 2.9 6 22 217 Diar 143 105 25 13 1.0 4.6 6 3.6 9 31 196 Naus 140 107 24 9 0.8 5.2 9 4.1 5 19 154 Naus 145 108 26 11 1.4 5.0 5 2.6 6 27 219 Inf 142 104 24 14 0.7 3.7 7 4.0 7 12 201 Inf 136 102 25 9 0.4 4.9 4 2.8 8 25 224 Diab 144 106 26 12 1.5 5.4 8 3.5 6 36 133 Diab 135 101 25 9 1.2 4.7 9 4.4 7 33 168 Diab 146 109 24 13 1.4 5.2 3 2.9 9 34 214 Canc 137 98 25 14 0.9 4.0 4 3.3 7 55 309 Canc 139 97 26 16 1.1 4.7 8 4.3 6 47 294 Canc 142 105 24 13 0.8 5.0 5 3.9 8 60 281 Canc 147 108 26 13 1.6 5.3 7 4.5 6 59 262 Alc 138 99 25 14 1.5 4.2 7 2.7 9 38 199 Home 140 107 24 9 1.3 3.9 3 4.2 8 19 209 Home 145 109 26 10 0.8 3.6 4 3.0 6 20 200 Home 139 100 24 15 1.5 5.1 6 3.7 7 40 155 Home 141 103 25 13 1.1 4.5 9 2.6 6 35 205 Home 143 106 24 13 1.0 3.7 8 4.4 9 15 186 __________________________________________________________________________

CONCLUSION: For both groups of athletes (Group I) and patients (Group II) it was demonstrated that their initial blood values were consistent with the acid-base disorder characteristic for those specific groups. It was further demonstrated that the blood abnormalities became normalized after each person drank rehydration drink A or B respectively.