Total water intake guidelines are sufficient for optimal hydration in United States adults
Purpose Recent studies suggest that 24-h urine osmolality (UOsm) for optimal water intake should be maintained
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| Veröffentlicht in: | European journal of nutrition 2023-02, Vol.62 (1), p.221-226 |
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| creator | Seal, Adam D. Colburn, Abigail T. Johnson, Evan C. Péronnet, François Jansen, Lisa T. Adams, J. D. Bardis, Costas N. Guelinckx, Isabelle Perrier, Erica T. Kavouras, Stavros A. |
| description | Purpose
Recent studies suggest that 24-h urine osmolality (UOsm) for optimal water intake should be maintained |
| doi_str_mv | 10.1007/s00394-022-02972-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2700316058</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2700316058</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-9fc863577832481d40c677b70f053b80d0ca7e4387e603e747a46736c0ac76933</originalsourceid><addsrcrecordid>eNp9kEFP2zAYhq1p01pgf4ADsrQLl4zPduIvOSIEY1IlDtALF8t1vjCXNCm2o6n_Hm8tTNphB8uWvud9bT-MnQr4JgDwIgKopixAyrwalIX8wOaiVLrQUlQf38-AM3YU4xoApNLiM5upqskjEHP2-DAm2_NfNlHgfkj2mfjT5Fvq_UCR20A8Tl3nnach8W4MfNwmv8mRn7s22OTHIcf4cvCJWn6fck9OtVOf4gn71Nk-0pfDfsyWN9cPV7fF4u77j6vLReEUVqloOldrVSHWSpa1aEtwGnGF0EGlVjW04CxSqWokDYqwRFtqVNqBdagbpY7Z-b53G8aXiWIyGx8d9b0daJyikZg9CQ1VndGv_6DrcQpDfl2mUNZNo-omU3JPuTDGGKgz25C_HHZGgPlt3uzNm2ze_DFvZA6dHaqn1Yba98ib6gyoPRDzaHii8Pfu_9S-ArM_jPU</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2772899389</pqid></control><display><type>article</type><title>Total water intake guidelines are sufficient for optimal hydration in United States adults</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Seal, Adam D. ; Colburn, Abigail T. ; Johnson, Evan C. ; Péronnet, François ; Jansen, Lisa T. ; Adams, J. D. ; Bardis, Costas N. ; Guelinckx, Isabelle ; Perrier, Erica T. ; Kavouras, Stavros A.</creator><creatorcontrib>Seal, Adam D. ; Colburn, Abigail T. ; Johnson, Evan C. ; Péronnet, François ; Jansen, Lisa T. ; Adams, J. D. ; Bardis, Costas N. ; Guelinckx, Isabelle ; Perrier, Erica T. ; Kavouras, Stavros A.</creatorcontrib><description>Purpose
Recent studies suggest that 24-h urine osmolality (UOsm) for optimal water intake should be maintained < 500 mmol·kg
−1
. The purpose of this study was to determine the total water intake (TWI) requirement for healthy adults to maintain optimal hydration as indicated by 24-h urine osmolality < 500 mmol·kg
−1
.
Methods
Twenty-four-hour UOsm was assessed in 49 men and 50 women residing in the United States (age: 41 ± 14 y, body mass index: 26.3 ± 5.2 kg·m
−2
). TWI was assessed from 7-day water turnover, using a dilution of deuterium oxide, corrected for metabolic water production. The diagnostic accuracy of TWI to identify UOsm < 500 mmol·kg
−1
was evaluated using receiver operating characteristic (ROC) analysis in men and women separately.
Results
Twenty-four-hour UOsm was 482 ± 229 and 346 ± 182 mmol·kg
−1
and TWI was 3.57 ± 1.10 L·d
−1
and 3.20 ± 1.27 L·d
−1
in men and women, respectively. ROC analysis for TWI detecting 24-h UOsm < 500 mmol·kg
−1
in men yielded an area under the curve (AUC) of 77.4% with sensitivity, specificity, and threshold values of 83.3%, 64.5%, and 3.39 L·d
−1
, respectively. The AUC was 82.4% in women with sensitivity, specificity, and threshold values of 85.7%, 72.1%, and 2.61 L·d
−1
.
Conclusion
Considering threshold values in men and women of 3.4 L·d
−1
and 2.6 L·d
−1
, respectively, maintaining TWI in line with National Academy of Medicine guidelines of 3.7 L·d
−1
in men and 2.7 L·d
−1
in women should be sufficient for most individuals in the United States to maintain 24-h UOsm < 500 mmol·kg
−1
.</description><identifier>ISSN: 1436-6207</identifier><identifier>EISSN: 1436-6215</identifier><identifier>DOI: 10.1007/s00394-022-02972-2</identifier><identifier>PMID: 35943601</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Body mass index ; Chemistry ; Chemistry and Materials Science ; Dehydration - diagnosis ; Dehydration - prevention & control ; Drinking ; Female ; Humans ; Hydration ; Male ; Middle Aged ; Nutrition ; Original Contribution ; Osmolar Concentration ; ROC Curve ; Water ; Water intake ; Water-Electrolyte Balance ; Women</subject><ispartof>European journal of nutrition, 2023-02, Vol.62 (1), p.221-226</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-9fc863577832481d40c677b70f053b80d0ca7e4387e603e747a46736c0ac76933</citedby><cites>FETCH-LOGICAL-c375t-9fc863577832481d40c677b70f053b80d0ca7e4387e603e747a46736c0ac76933</cites><orcidid>0000-0003-1529-3857 ; 0000-0002-6097-3803 ; 0000-0002-4776-9453 ; 0000-0002-6447-5537 ; 0000-0002-9086-1730 ; 0000-0002-5506-3848 ; 0000-0001-7485-8112 ; 0000-0002-0738-5826 ; 0000-0002-5134-9718 ; 0000-0001-8109-9898</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00394-022-02972-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00394-022-02972-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35943601$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Seal, Adam D.</creatorcontrib><creatorcontrib>Colburn, Abigail T.</creatorcontrib><creatorcontrib>Johnson, Evan C.</creatorcontrib><creatorcontrib>Péronnet, François</creatorcontrib><creatorcontrib>Jansen, Lisa T.</creatorcontrib><creatorcontrib>Adams, J. D.</creatorcontrib><creatorcontrib>Bardis, Costas N.</creatorcontrib><creatorcontrib>Guelinckx, Isabelle</creatorcontrib><creatorcontrib>Perrier, Erica T.</creatorcontrib><creatorcontrib>Kavouras, Stavros A.</creatorcontrib><title>Total water intake guidelines are sufficient for optimal hydration in United States adults</title><title>European journal of nutrition</title><addtitle>Eur J Nutr</addtitle><addtitle>Eur J Nutr</addtitle><description>Purpose
Recent studies suggest that 24-h urine osmolality (UOsm) for optimal water intake should be maintained < 500 mmol·kg
−1
. The purpose of this study was to determine the total water intake (TWI) requirement for healthy adults to maintain optimal hydration as indicated by 24-h urine osmolality < 500 mmol·kg
−1
.
Methods
Twenty-four-hour UOsm was assessed in 49 men and 50 women residing in the United States (age: 41 ± 14 y, body mass index: 26.3 ± 5.2 kg·m
−2
). TWI was assessed from 7-day water turnover, using a dilution of deuterium oxide, corrected for metabolic water production. The diagnostic accuracy of TWI to identify UOsm < 500 mmol·kg
−1
was evaluated using receiver operating characteristic (ROC) analysis in men and women separately.
Results
Twenty-four-hour UOsm was 482 ± 229 and 346 ± 182 mmol·kg
−1
and TWI was 3.57 ± 1.10 L·d
−1
and 3.20 ± 1.27 L·d
−1
in men and women, respectively. ROC analysis for TWI detecting 24-h UOsm < 500 mmol·kg
−1
in men yielded an area under the curve (AUC) of 77.4% with sensitivity, specificity, and threshold values of 83.3%, 64.5%, and 3.39 L·d
−1
, respectively. The AUC was 82.4% in women with sensitivity, specificity, and threshold values of 85.7%, 72.1%, and 2.61 L·d
−1
.
Conclusion
Considering threshold values in men and women of 3.4 L·d
−1
and 2.6 L·d
−1
, respectively, maintaining TWI in line with National Academy of Medicine guidelines of 3.7 L·d
−1
in men and 2.7 L·d
−1
in women should be sufficient for most individuals in the United States to maintain 24-h UOsm < 500 mmol·kg
−1
.</description><subject>Adult</subject><subject>Body mass index</subject><subject>Chemistry</subject><subject>Chemistry and Materials Science</subject><subject>Dehydration - diagnosis</subject><subject>Dehydration - prevention & control</subject><subject>Drinking</subject><subject>Female</subject><subject>Humans</subject><subject>Hydration</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nutrition</subject><subject>Original Contribution</subject><subject>Osmolar Concentration</subject><subject>ROC Curve</subject><subject>Water</subject><subject>Water intake</subject><subject>Water-Electrolyte Balance</subject><subject>Women</subject><issn>1436-6207</issn><issn>1436-6215</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp9kEFP2zAYhq1p01pgf4ADsrQLl4zPduIvOSIEY1IlDtALF8t1vjCXNCm2o6n_Hm8tTNphB8uWvud9bT-MnQr4JgDwIgKopixAyrwalIX8wOaiVLrQUlQf38-AM3YU4xoApNLiM5upqskjEHP2-DAm2_NfNlHgfkj2mfjT5Fvq_UCR20A8Tl3nnach8W4MfNwmv8mRn7s22OTHIcf4cvCJWn6fck9OtVOf4gn71Nk-0pfDfsyWN9cPV7fF4u77j6vLReEUVqloOldrVSHWSpa1aEtwGnGF0EGlVjW04CxSqWokDYqwRFtqVNqBdagbpY7Z-b53G8aXiWIyGx8d9b0daJyikZg9CQ1VndGv_6DrcQpDfl2mUNZNo-omU3JPuTDGGKgz25C_HHZGgPlt3uzNm2ze_DFvZA6dHaqn1Yba98ib6gyoPRDzaHii8Pfu_9S-ArM_jPU</recordid><startdate>20230201</startdate><enddate>20230201</enddate><creator>Seal, Adam D.</creator><creator>Colburn, Abigail T.</creator><creator>Johnson, Evan C.</creator><creator>Péronnet, François</creator><creator>Jansen, Lisa T.</creator><creator>Adams, J. D.</creator><creator>Bardis, Costas N.</creator><creator>Guelinckx, Isabelle</creator><creator>Perrier, Erica T.</creator><creator>Kavouras, Stavros A.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1529-3857</orcidid><orcidid>https://orcid.org/0000-0002-6097-3803</orcidid><orcidid>https://orcid.org/0000-0002-4776-9453</orcidid><orcidid>https://orcid.org/0000-0002-6447-5537</orcidid><orcidid>https://orcid.org/0000-0002-9086-1730</orcidid><orcidid>https://orcid.org/0000-0002-5506-3848</orcidid><orcidid>https://orcid.org/0000-0001-7485-8112</orcidid><orcidid>https://orcid.org/0000-0002-0738-5826</orcidid><orcidid>https://orcid.org/0000-0002-5134-9718</orcidid><orcidid>https://orcid.org/0000-0001-8109-9898</orcidid></search><sort><creationdate>20230201</creationdate><title>Total water intake guidelines are sufficient for optimal hydration in United States adults</title><author>Seal, Adam D. ; Colburn, Abigail T. ; Johnson, Evan C. ; Péronnet, François ; Jansen, Lisa T. ; Adams, J. D. ; Bardis, Costas N. ; Guelinckx, Isabelle ; Perrier, Erica T. ; Kavouras, Stavros A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-9fc863577832481d40c677b70f053b80d0ca7e4387e603e747a46736c0ac76933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Body mass index</topic><topic>Chemistry</topic><topic>Chemistry and Materials Science</topic><topic>Dehydration - diagnosis</topic><topic>Dehydration - prevention & control</topic><topic>Drinking</topic><topic>Female</topic><topic>Humans</topic><topic>Hydration</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nutrition</topic><topic>Original Contribution</topic><topic>Osmolar Concentration</topic><topic>ROC Curve</topic><topic>Water</topic><topic>Water intake</topic><topic>Water-Electrolyte Balance</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Seal, Adam D.</creatorcontrib><creatorcontrib>Colburn, Abigail T.</creatorcontrib><creatorcontrib>Johnson, Evan C.</creatorcontrib><creatorcontrib>Péronnet, François</creatorcontrib><creatorcontrib>Jansen, Lisa T.</creatorcontrib><creatorcontrib>Adams, J. D.</creatorcontrib><creatorcontrib>Bardis, Costas N.</creatorcontrib><creatorcontrib>Guelinckx, Isabelle</creatorcontrib><creatorcontrib>Perrier, Erica T.</creatorcontrib><creatorcontrib>Kavouras, Stavros A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Seal, Adam D.</au><au>Colburn, Abigail T.</au><au>Johnson, Evan C.</au><au>Péronnet, François</au><au>Jansen, Lisa T.</au><au>Adams, J. D.</au><au>Bardis, Costas N.</au><au>Guelinckx, Isabelle</au><au>Perrier, Erica T.</au><au>Kavouras, Stavros A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Total water intake guidelines are sufficient for optimal hydration in United States adults</atitle><jtitle>European journal of nutrition</jtitle><stitle>Eur J Nutr</stitle><addtitle>Eur J Nutr</addtitle><date>2023-02-01</date><risdate>2023</risdate><volume>62</volume><issue>1</issue><spage>221</spage><epage>226</epage><pages>221-226</pages><issn>1436-6207</issn><eissn>1436-6215</eissn><abstract>Purpose
Recent studies suggest that 24-h urine osmolality (UOsm) for optimal water intake should be maintained < 500 mmol·kg
−1
. The purpose of this study was to determine the total water intake (TWI) requirement for healthy adults to maintain optimal hydration as indicated by 24-h urine osmolality < 500 mmol·kg
−1
.
Methods
Twenty-four-hour UOsm was assessed in 49 men and 50 women residing in the United States (age: 41 ± 14 y, body mass index: 26.3 ± 5.2 kg·m
−2
). TWI was assessed from 7-day water turnover, using a dilution of deuterium oxide, corrected for metabolic water production. The diagnostic accuracy of TWI to identify UOsm < 500 mmol·kg
−1
was evaluated using receiver operating characteristic (ROC) analysis in men and women separately.
Results
Twenty-four-hour UOsm was 482 ± 229 and 346 ± 182 mmol·kg
−1
and TWI was 3.57 ± 1.10 L·d
−1
and 3.20 ± 1.27 L·d
−1
in men and women, respectively. ROC analysis for TWI detecting 24-h UOsm < 500 mmol·kg
−1
in men yielded an area under the curve (AUC) of 77.4% with sensitivity, specificity, and threshold values of 83.3%, 64.5%, and 3.39 L·d
−1
, respectively. The AUC was 82.4% in women with sensitivity, specificity, and threshold values of 85.7%, 72.1%, and 2.61 L·d
−1
.
Conclusion
Considering threshold values in men and women of 3.4 L·d
−1
and 2.6 L·d
−1
, respectively, maintaining TWI in line with National Academy of Medicine guidelines of 3.7 L·d
−1
in men and 2.7 L·d
−1
in women should be sufficient for most individuals in the United States to maintain 24-h UOsm < 500 mmol·kg
−1
.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>35943601</pmid><doi>10.1007/s00394-022-02972-2</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-1529-3857</orcidid><orcidid>https://orcid.org/0000-0002-6097-3803</orcidid><orcidid>https://orcid.org/0000-0002-4776-9453</orcidid><orcidid>https://orcid.org/0000-0002-6447-5537</orcidid><orcidid>https://orcid.org/0000-0002-9086-1730</orcidid><orcidid>https://orcid.org/0000-0002-5506-3848</orcidid><orcidid>https://orcid.org/0000-0001-7485-8112</orcidid><orcidid>https://orcid.org/0000-0002-0738-5826</orcidid><orcidid>https://orcid.org/0000-0002-5134-9718</orcidid><orcidid>https://orcid.org/0000-0001-8109-9898</orcidid></addata></record> |
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| ispartof | European journal of nutrition, 2023-02, Vol.62 (1), p.221-226 |
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| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adult Body mass index Chemistry Chemistry and Materials Science Dehydration - diagnosis Dehydration - prevention & control Drinking Female Humans Hydration Male Middle Aged Nutrition Original Contribution Osmolar Concentration ROC Curve Water Water intake Water-Electrolyte Balance Women |
| title | Total water intake guidelines are sufficient for optimal hydration in United States adults |
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