Water Supplementation Reduces Copeptin and Plasma Glucose in Adults With High Copeptin: The H2O Metabolism Pilot Study

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Water Supplementation Reduces Copeptin and Plasma Glucose in Adults With High Copeptin : The H2O Metabolism Pilot Study. / Enhörning, Sofia; Brunkwall, Louise; Tasevska, Irina; Ericson, Ulrika; Persson Tholin, Jenny; Persson, Margaretha; Lemetais, Guillaume; Vanhaecke, Tiphaine; Dolci, Alberto; Perrier, Erica T; Melander, Olle.

In: The Journal of clinical endocrinology and metabolism, Vol. 104, No. 6, 01.06.2019, p. 1917-1925.

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TY - JOUR

T1 - Water Supplementation Reduces Copeptin and Plasma Glucose in Adults With High Copeptin

T2 - The Journal of clinical endocrinology and metabolism

AU - Enhörning, Sofia

AU - Brunkwall, Louise

AU - Tasevska, Irina

AU - Ericson, Ulrika

AU - Persson Tholin, Jenny

AU - Persson, Margaretha

AU - Lemetais, Guillaume

AU - Vanhaecke, Tiphaine

AU - Dolci, Alberto

AU - Perrier, Erica T

AU - Melander, Olle

N1 - Copyright © 2019 Endocrine Society.

PY - 2019/6/1

Y1 - 2019/6/1

N2 - OBJECTIVE: Because elevated copeptin, a marker of vasopressin, is linked to low water intake and high diabetes risk, we tested the effect of water supplementation on copeptin and fasting glucose.DESIGN, SETTING, AND PARTICIPANTS: Thirty-one healthy adults with high copeptin (>10.7 pmol · L-1 in men and >6.1 pmol·L-1 in women) identified in a population-based survey from 2013 to 2015 and with a current 24-hour urine osmolality of >600 mOsm · kg-1 were included.INTERVENTION: Addition of 1.5 L water daily on top of habitual fluid intake for 6 weeks.MAIN OUTCOME MEASURE: Pre- and postintervention fasting plasma copeptin concentrations.RESULTS: Reported mean water intake increased from 0.43 to 1.35 L · d-1 (P < 0.001), with no other observed changes in diet. Median (interquartile range) urine osmolality was reduced from 879 (705, 996) to 384 (319, 502) mOsm · kg-1 (P < 0.001); urine volume increased from 1.06 (0.90, 1.20) to 2.27 (1.52, 2.67) L · d-1 (P < 0.001); and baseline copeptin decreased from 12.9 (7.4, 21.9) pmol · L-1 to 7.8 (4.6;11.3) pmol · L-1 (P < 0.001). Water supplementation reduced fasting plasma glucose from a mean (SD) of 5.94 (0.44) to 5.74 (0.51) (P = 0.04). The water-associated reduction of both fasting copeptin and glucose concentration in plasma was most pronounced in participants in the top tertile of baseline copeptin.CONCLUSIONS: Water supplementation in persons with habitually low water consumption and high copeptin levels is effective in lowering copeptin. It appears a safe and promising intervention with the potential of lowering fasting plasma glucose and thus reducing diabetes risk. Further investigations are warranted to support these findings.

AB - OBJECTIVE: Because elevated copeptin, a marker of vasopressin, is linked to low water intake and high diabetes risk, we tested the effect of water supplementation on copeptin and fasting glucose.DESIGN, SETTING, AND PARTICIPANTS: Thirty-one healthy adults with high copeptin (>10.7 pmol · L-1 in men and >6.1 pmol·L-1 in women) identified in a population-based survey from 2013 to 2015 and with a current 24-hour urine osmolality of >600 mOsm · kg-1 were included.INTERVENTION: Addition of 1.5 L water daily on top of habitual fluid intake for 6 weeks.MAIN OUTCOME MEASURE: Pre- and postintervention fasting plasma copeptin concentrations.RESULTS: Reported mean water intake increased from 0.43 to 1.35 L · d-1 (P < 0.001), with no other observed changes in diet. Median (interquartile range) urine osmolality was reduced from 879 (705, 996) to 384 (319, 502) mOsm · kg-1 (P < 0.001); urine volume increased from 1.06 (0.90, 1.20) to 2.27 (1.52, 2.67) L · d-1 (P < 0.001); and baseline copeptin decreased from 12.9 (7.4, 21.9) pmol · L-1 to 7.8 (4.6;11.3) pmol · L-1 (P < 0.001). Water supplementation reduced fasting plasma glucose from a mean (SD) of 5.94 (0.44) to 5.74 (0.51) (P = 0.04). The water-associated reduction of both fasting copeptin and glucose concentration in plasma was most pronounced in participants in the top tertile of baseline copeptin.CONCLUSIONS: Water supplementation in persons with habitually low water consumption and high copeptin levels is effective in lowering copeptin. It appears a safe and promising intervention with the potential of lowering fasting plasma glucose and thus reducing diabetes risk. Further investigations are warranted to support these findings.

U2 - 10.1210/jc.2018-02195

DO - 10.1210/jc.2018-02195

M3 - Article

VL - 104

SP - 1917

EP - 1925

JO - The Journal of clinical endocrinology and metabolism

JF - The Journal of clinical endocrinology and metabolism

SN - 1945-7197

IS - 6

ER -