Harmonized Cross-Sectional Surveys Focused on Fluid Intake in Children, Adolescents and Adults: The Liq.In7 Initiative

Objective: To assess the intake of water and all other beverages in children, adolescents and adults. Methods: Three thousand six hundred eleven children (8 ± 2 years), 8,109 adolescents (13 ± 2 years) and 16,276 adults (40 ± 14 years) (47% men) were recruited in 15 cross-sectional surveys (liquid intake across 7 days, Liq.In7 study) and completed a 7-day fluid-specific record to assess total fluid intake (TFI), where TFI was defined as the sum of drinking water and other type of beverages. Results: The median TFI was 1.2, 1.2 and 1.8 liters/day in children, adolescents and adults respectively, with important differences observed between countries. Only 39% of children, 25% of adolescents and 51% of adults met the European Food Safety Authority adequate intake (AI) recommendations of water from fluids. In the surveys of Spain, France, Belgium, Germany, Turkey, Iran, Indonesia and China, water was the major contributor (47-78%) to TFI. In the adult surveys of UK, Poland, Japan and Argentina, hot beverages were the highest contributor to TFI. The fluid intake of children and adolescents in Mexico, Brazil, Argentina and Uruguay was characterized by a contribution of juices and sweet beverages that was as important as the contribution of water to TFI. Conclusion: Given that a relatively high proportion of subjects, especially children and adolescents, failed to meet the recommended AI of water from fluids and that water intake was not the highest contributor to TFI in all countries, undertaking actions to increase water intake are warranted.

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Pregnant and Breastfeeding Women: Drinking for Two?

Annals of Nutrition and Metabolism ◽

10.1159/000462998 ◽

2017 ◽

Vol 70 (Suppl. 1) ◽

pp. 13-17 ◽

Cited By ~ 2

Author(s):

Saptawati Bardosono ◽

Clémentine Morin ◽

Isabelle Guelinckx ◽

Rizki Pohan

Keyword(s):

Water Intake ◽

Fluid Intake ◽

Hydration Status ◽

Total Water ◽

Adequate Intake ◽

Cross Sectional Survey ◽

Total Fluid Intake ◽

Cross Sectional ◽

Total Fluid ◽

Total Water Intake

The primary aim of this cross-sectional survey was to assess the total fluid intake (TFI; sum of drinking water and all other fluids) and the intake of water and all other types of beverages in a sample of pregnant and breastfeeding women representative of Java-Island, Indonesia. Therefore, 299 pregnant and 296 breastfeeding women completed a 7-day fluid-specific record. A secondary aim was to estimate the total water intake (TWI; sum of water from fluids and food moisture), and one 24-h recall was performed to determine water intake from food moisture. The median TFI of pregnant and breastfeeding women were 2,250 (1,800-2,800) and 2,360 (1,954-2,968) mL/day, respectively. The largest contributor to TFI was water (72 and 77% for pregnant/breastfeeding women, respectively). Pregnant women to the extent of 42% and 54% of breastfeeding women did not reach the adequate intake (AI) of water from fluids. In pregnant and breastfeeding women, the median water intake from foods was 592 and 613 mL/day, representing 21 and 20% of TWI. Concluding that a high proportion of the pregnant and breastfeeding subjects did not reach the AI of water from fluid, it seems important to put in place actions such as providing education materials and ensuring access to safe water. Moreover, future surveys should dedicate attention to the assessment of fluid intake and hydration status among pregnant and breastfeeding women in other countries.

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Total fluid intake of children and adolescents: cross-sectional surveys in 13 countries worldwide

European Journal of Nutrition ◽

10.1007/s00394-015-0946-6 ◽

2015 ◽

Vol 54 (S2) ◽

pp. 57-67 ◽

Cited By ~ 28

Author(s):

Iris Iglesia ◽

Isabelle Guelinckx ◽

Pilar M. De Miguel-Etayo ◽

Esther M. González-Gil ◽

Jordi Salas-Salvadó ◽

...

Keyword(s):

Children And Adolescents ◽

Fluid Intake ◽

Total Fluid Intake ◽

Cross Sectional ◽

Total Fluid

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Drinking Water Upon Awakening, a Habit Related To a Higher Total Fluid Intake and Water Intake

The FASEB Journal ◽

10.1096/fasebj.29.1_supplement.911.14 ◽

2015 ◽

Vol 29 (S1) ◽

Author(s):

Isabelle Guelinckx ◽

Rizki Pohan ◽

Romain Monrozier ◽

Saptawati Bardosono

Keyword(s):

Drinking Water ◽

Water Intake ◽

Fluid Intake ◽

Total Fluid Intake ◽

Total Fluid

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KEBIASAAN KONSUMSI MINUMAN DAN ASUPAN CAIRAN PADA ANAK USIA SEKOLAH DI PERKOTAAN

Jurnal Gizi dan Pangan ◽

10.25182/jgp.2011.6.3.186-191 ◽

2011 ◽

Vol 6 (3) ◽

pp. 186

Author(s):

Dodik Briawan ◽

Paramitha Rachma ◽

Kartika Annisa

Keyword(s):

Fluid Intake ◽

Cross Sectional Study ◽

School Age Children ◽

Plain Water ◽

Sectional Study ◽

School Students ◽

Total Fluid Intake ◽

Cross Sectional ◽

Food And Beverages ◽

Total Fluid

The study objectives were to analyze the food and beverages contribution to the total fluid intake, and the sign of mild dehydration of school age children. The cross-sectional study was applied to 78 boys and 78 girls of elementary school students in Bogor City. Two days food recall was applied to estimate fluid intake. The fluid intake was a summation of various food and beverages. The result showed beside of plain water, most of the school children used to consumed milk and tea (>70%) at home. The total fluid intake was 2283 mL for boys and 2024 mL for girls, and its contribution was 21 percent from food (430-490 mL) and 78 percent from beverages (1600-1800 mL). There are 67.4 percent boys and 62.8 percent girls suffered mild dehydration with minimum three physical signs of dehydration. There are still 18.6 percent boys and 3.5 percent girls that their fluid intake below 100% of the requirement.

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Challenges in the assessment of total fluid intake in children and adolescents: a discussion paper

European Journal of Nutrition ◽

10.1007/s00394-018-1745-7 ◽

2018 ◽

Vol 57 (S3) ◽

pp. 43-51 ◽

Cited By ~ 8

Author(s):

Janet Warren ◽

Isabelle Guelinckx ◽

Barbara Livingstone ◽

Nancy Potischman ◽

Michael Nelson ◽

...

Keyword(s):

Children And Adolescents ◽

Fluid Intake ◽

Discussion Paper ◽

Total Fluid Intake ◽

Total Fluid

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Fluid Intake and Vasopressin: Connecting the Dots

Annals of Nutrition and Metabolism ◽

10.1159/000446198 ◽

2016 ◽

Vol 68 (Suppl. 2) ◽

pp. 6-11 ◽

Cited By ~ 7

Author(s):

Isabelle Guelinckx ◽

Mariacristina Vecchio ◽

Erica T. Perrier ◽

Guillaume Lemetais

Keyword(s):

Water Intake ◽

Fluid Intake ◽

Urine Volume ◽

Surrogate Marker ◽

Physiological Model ◽

Total Fluid Intake ◽

Cross Sectional ◽

Urine Biomarkers ◽

Increased Risk ◽

Connecting The Dots

In the last decade, cross-sectional and multiple cohort studies have associated total fluid intake or water intake with the risk for chronic kidney disease (CKD) and even the risk of developing hyperglycemia. Urine biomarkers have also been linked to the risk of CKD and lithiasis, and these biomarkers respond quickly to variations in fluid intake. High circulating copeptin levels, a surrogate marker of arginine vasopressin, have been associated with metabolic syndrome, renal dysfunction and increased risk for diabetes mellitus, cardiovascular disease and death. The aim of this paper was to explore how the various findings on water intake, hydration and health are interconnected, to highlight current gaps in our understanding and to propose a model that links water intake, homeostatic mechanisms to maintain water balance and health outcomes. Since plasma copeptin and vasopressin have been demonstrated to be sensitive to changes in water intake, inversely associated with 24-hour urine volume, and associated with urine biomarkers and fluid intake, vasopressin is proposed as the central player in this theoretical physiological model.

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Greater Total Fluid Intake Is Associated with Better Mood in a Cross‐sectional Cohort of Healthy Adults

The FASEB Journal ◽

10.1096/fasebj.29.1_supplement.900.3 ◽

2015 ◽

Vol 29 (S1) ◽

Author(s):

Jeanne BOTTIN ◽

Guillaume LEMETAIS ◽

Pascaline PICARD ◽

Liliana JIMENEZ ◽

Erica PERRIER

Keyword(s):

Fluid Intake ◽

Healthy Adults ◽

Total Fluid Intake ◽

Cross Sectional ◽

Total Fluid

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Evaluation of Fluid Intake in College Students During the Initial Response to the COVID-19 Pandemic

Current Developments in Nutrition ◽

10.1093/cdn/nzab029_023 ◽

2021 ◽

Vol 5 (Supplement_2) ◽

pp. 222-222

Author(s):

Shaylynn Glenn ◽

Cory Butts ◽

Samantha Scarneo-Miller ◽

William Adams

Keyword(s):

College Students ◽

Water Intake ◽

Fluid Intake ◽

Initial Response ◽

The United States ◽

Plain Water ◽

Total Fluid Intake ◽

Living Situation ◽

Academic Standing ◽

Total Fluid

Abstract Objectives To evaluate fluid intake of college students during the initial response to the COVID-19 pandemic. Methods College students (n = 1015 (75.5% Female); 59 freshmen, 139 sophomores, 264 juniors, 245 seniors, 289 graduate) participated in an online questionnaire from colleges/universities within the United States during the Spring 2020 academic semester. Participants were asked about their fluid intake over the previous 30 days using the BEVQ-15. The questionnaire consisted of demographic and living status questions as well as 16 questions detailing type (e.g., water, milk, etc.), frequency (“how often”), and volume of fluids for each consumption (“how much each time”). Kruskal-Wallis analyses (test statistic reported as chi-square, χ2) were used to compare the total fluid intake, frequency of plain water intake, and volume with each consumption between those with and without a change in living situation and by academic standing. Data reported as (median [interquartile range]). Results A change in living status was reported by 426/1015 (42%) participants. Median fluid intake was 1848 mL ([1295, 2532] mL) for all participants. Total fluid intake [χ2(1) = 18.07, P < 0.001] was different between those with (1709 [1199, 2366] mL) and without (1940 [1378, 2644] mL) a change in living situation. However, the volume of plain water intake was not different between those with (710 [473, 1420] mL) and without (1065 [591, 1420] mL) a change in living situation [χ2(1) = 2.81, P = 0.09]. Frequency [χ2(1) = 3.10, P = 0.08] and the volume with each consumption [χ2(1) = 1.16, P = 0.28] of plain water were also not different based on a change in living situation. Academic standing impacted the volume of total fluid intake [χ2(4) = 14.33, P = 0.006], with juniors (1751 [1161, 2455] mL) reporting less than graduate students (1940 [1041, 2780] mL, P = 0.01). Conclusions These data suggest a change in living situation affected total fluid intake, however, there were no differences in the frequency and volume of plain water intake. Further, academic standing impacted the fluid intake behaviors. Future investigations are warranted to evaluate factors guiding fluid intake frequency and volumes in the college student population. Funding Sources N/A

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Prevention of Recurrent Acute Uncomplicated Cystitis by Increasing Daily Water in Premenopausal Women: A Prospective, Randomized, Controlled Study

Open Forum Infectious Diseases ◽

10.1093/ofid/ofx180.006 ◽

2017 ◽

Vol 4 (suppl_1) ◽

pp. S736-S736 ◽

Cited By ~ 1

Author(s):

Thomas M Hooton ◽

Mariacristina Vecchio ◽

Alison Iroz ◽

Ivan Tack ◽

Quentin Dornic ◽

...

Keyword(s):

Water Intake ◽

Fluid Intake ◽

Urine Volume ◽

Control Group ◽

Total Fluid Intake ◽

Water Group ◽

Daily Water Intake ◽

Daily Water ◽

The Mean ◽

Total Fluid

Abstract Background Increased hydration is commonly recommended as a preventive measure for women with recurrent acute uncomplicated cystitis (rAUC), but supportive data are sparse. The aim of this study was to assess the efficacy of increased daily water intake on the frequency of rAUC in premenopausal women. Methods 140 healthy premenopausal asymptomatic women drinking less than 1.5 L of total fluid daily (24 hours) and suffering from rAUC (33 episodes in the past year) were randomized to receive, in addition to their usual daily fluid intake, either 1.5 L water daily (water group) or no additional fluids (control group), for 12 months. Assessments of daily water and total fluid intake, urine volume and osmolality, number of urine voids, and occurrence of AUC symptoms and a reminder to notify investigators of any such symptoms were performed at baseline, 6- and 12-month clinic visits in addition to monthly telephone calls. The primary outcome was frequency of rAUC episodes (31 AUC symptom and 3103 CFU/mL of a uropathogen in voided urine) over 12 months. Results Between baseline and 12 month’s follow-up, the water group, compared with the control group, had statistically significant increases in mean daily water intake (1.15 vs. −0.01 L), total fluid intake (1.65 vs. 0.03 L), urine volume (1.40 vs. 0.04 L), and number of urine voids (2.2 vs. −0.2), and a decrease in urine osmolality (−408 vs. −35 mOsm/Kg). The mean number of rAUC episodes in the water group was significantly less than in the control group (1.6 vs. 3.1; odds ratio 0.52, 95% CI 0.46–0.60,  P < 0.0001) (figure shows cumulative sum of AUC episodes over 12 months in both study groups). The mean number of antimicrobial regimens used to treat AUC events was 1.8 in the water group vs. 3.5 in the control group (P < 0.0001). In addition, the mean number of days to first rAUC and the mean number of days between rAUC episodes was longer in the water group compared with the control group (148 vs. 93,  P = 0.0005 and 143 vs. 85, P < 0.0001, respectively). Conclusions Our results provide strong evidence that increased water intake is an effective antimicrobial-sparing preventive strategy for women with rAUC. Increasing daily water intake by approximately 1.5 L reduced rAUC episodes by 48% and antimicrobial regimens by 47% over 12 months. Disclosures M. Vecchio, Danone Research: Employee, Salary. A. Iroz, Dzanone Research: Employee, Salary. I. Tack, Danone Research: Consultant, Consulting fee and Speaker honorarium. Q. Dornic, Danone research: Employee, Salary. I. Seksek, Danone Research: Employee, Salary.

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