Table 4

Summary of demographics, serum sodium and water intake volumes in the case reports/case series

AllMild hyponatraemia (130–134 mmol/L)Moderate hyponatraemia (125–129 mmol/L)Severe hyponatraemia (<125 mmol/L)
Mean age (years) (95% CI)*46±16 (43.6 to 48.0)38±10 (30.3 to 45.0)41 (35 to 47)47 (45 to 49)
Male:female (%)†53:4767: 1762: 3852:48
Comorbidities (%)
 None31% (69/223)50% (5/10)44% (12/27)28% (52/186)
 Medical condition15% (33/223)0% (0/10)11% (3/27)16% (30/186)
 Psychiatric disorder52% (117/223)50% (5/10)41% (11/27)54% (101/186)
 Both (medical +psychiatric)2% (4/223)0% (0/10)4% (1/27)2% (3/186)
Concomitant medications (%)
 Not reported31% (70/223)30% (3/10)44% (12/27)30% (55/186)
 No medications23% (51/223)50% (5/10)26% (7/27)21% (39/186)
 Associated with hyponatraemia41% (92/223)20% (2/10)30% (8/27)44% (82/186)
 Not associated with hyponatraemia5% (10/223)0% (0/10)0% (0/27)5% (10/186)
Reason for water intake
 Exercise12% (27/223)50% (5/10)29.6% (8/27)8% (14/186)
 Iatrogenic13% (29/223)0% (0/10)18.5% (5/27)13% (24/186)
 Habitual/dipsogenic7% (15/223)0% (0/10)11.1% (3/27)6% (12/186)
 Psychogenic55% (123/223)40% (4/10)33.3% (9/27)59% (110/186)
 Multiple reasons2% (5/223)0% (0/10)3.7% (1/27)2% (4/186)
 Other11% (24/223)10% (1/10)3.7% (1/27)12% (22/186)
 Mean serum sodium (mmol/L) (95% CI)118 (116 to 118)132 (131 to 133)127 (126 to 127)114 (113 to 115)
 Median water intake per day‡ (litres) (95% CI)8.0 (8.9 to 12.2)5.0 (−2.2 to 14.5)8.0 (5.3 to 9.7)9.0 (9.2 to 13.0)
 Median water intake over 4-hour period (litres) (95% CI)§5.3 (5.3 to 8.6)3.1 (−0.3 to 8.3)6.2 (3.3 to 9.1)7.5 (5.4 to 9.6)
  • *Age was not reported in n=25 individuals.

  • †Gender was not reported in n=64 individuals.

  • ‡Data are from n=76 case report/case series.

  • §Data are from n=49 case report/case series.