Articles producció científica> Bioquímica i Biotecnologia

Water intake, hydration status and 2-year changes in cognitive performance: a prospective cohort study

  • Datos identificativos

    Identificador: imarina:9294227
    Autores:
    Nishi, SKBabio, NPaz-Graniel, ISerra-Majem, LVioque, JFitó, MCorella, DPintó, XBueno-Cavanillas, ATur, JADiez-Ricote, LMartinez, JAGómez-Martínez, CGonzález-Botella, ACastañer, OAlvarez-Sala, AMontesdeoca-Mendoza, CFanlo-Maresma, MCano-Ibáñez, NBouzas, CDaimiel, LZulet, MASievenpiper, JLRodriguez, KLVázquez-Ruiz, ZSalas-Salvadó, J
    Resumen:
    BACKGROUND: Water intake and hydration status have been suggested to impact cognition; however, longitudinal evidence is limited and often inconsistent. This study aimed to longitudinally assess the association between hydration status and water intake based on current recommendations, with changes in cognition in an older Spanish population at high cardiovascular disease risk. METHODS: A prospective analysis was conducted of a cohort of 1957 adults (aged 55-75) with overweight/obesity (BMI between ≥ 27 and < 40 kg/m2) and metabolic syndrome from the PREDIMED-Plus study. Participants had completed bloodwork and validated, semiquantitative beverage and food frequency questionnaires at baseline, as well as an extensive neuropsychological battery of 8 validated tests at baseline and 2 years of follow-up. Hydration status was determined by serum osmolarity calculation and categorized as < 295 mmol/L (hydrated), 295-299.9 mmol/L (impending dehydration), and ≥ 300 mmol/L (dehydrated). Water intake was assessed as total drinking water intake and total water intake from food and beverages and according to EFSA recommendations. Global cognitive function was determined as a composite z-score summarizing individual participant results from all neuropsychological tests. Multivariable linear regression models were fitted to assess the associations between baseline hydration status and fluid intake, continuously and categorically, with 2-year changes in cognitive performance. RESULTS: The mean baseline daily total water intake was 2871 ± 676 mL/day (2889 ± 677 mL/day in men; 2854 ± 674 mL/day in women), and 80.2% of participants met the ESFA reference values for an adequate intake. Serum osmolarity (mean 298 ± 24 mmol/L, range 263 to 347 mmol/L) indicated that 56% of participants wer
  • Otros:

    Autor según el artículo: Nishi, SK; Babio, N; Paz-Graniel, I; Serra-Majem, L; Vioque, J; Fitó, M; Corella, D; Pintó, X; Bueno-Cavanillas, A; Tur, JA; Diez-Ricote, L; Martinez, JA; Gómez-Martínez, C; González-Botella, A; Castañer, O; Alvarez-Sala, A; Montesdeoca-Mendoza, C; Fanlo-Maresma, M; Cano-Ibáñez, N; Bouzas, C; Daimiel, L; Zulet, MA; Sievenpiper, JL; Rodriguez, KL; Vázquez-Ruiz, Z; Salas-Salvadó, J
    Departamento: Bioquímica i Biotecnologia
    Autor/es de la URV: Alkhoury, Nadine / Babio Sánchez, Nancy Elvira / Nishi, Stephanie Kimiko / Paz Graniel, Indira del Socorro / Salas Salvadó, Jorge
    Palabras clave: Water Serum osmolarity Serum osmolality Prospective studies Predimed-plus Overweight Obesity Mini-mental state Metabolic syndrome Male Hydration Humans Fluids Female Drinking Cognitive performance Cognitive function Cognition Aged water vasopressin validity us adults serum osmolarity serum osmolality predimed-plus population oxytocin osmolality fluids disturbances dehydration consumption cognitive performance cognitive function cognition
    Resumen: BACKGROUND: Water intake and hydration status have been suggested to impact cognition; however, longitudinal evidence is limited and often inconsistent. This study aimed to longitudinally assess the association between hydration status and water intake based on current recommendations, with changes in cognition in an older Spanish population at high cardiovascular disease risk. METHODS: A prospective analysis was conducted of a cohort of 1957 adults (aged 55-75) with overweight/obesity (BMI between ≥ 27 and < 40 kg/m2) and metabolic syndrome from the PREDIMED-Plus study. Participants had completed bloodwork and validated, semiquantitative beverage and food frequency questionnaires at baseline, as well as an extensive neuropsychological battery of 8 validated tests at baseline and 2 years of follow-up. Hydration status was determined by serum osmolarity calculation and categorized as < 295 mmol/L (hydrated), 295-299.9 mmol/L (impending dehydration), and ≥ 300 mmol/L (dehydrated). Water intake was assessed as total drinking water intake and total water intake from food and beverages and according to EFSA recommendations. Global cognitive function was determined as a composite z-score summarizing individual participant results from all neuropsychological tests. Multivariable linear regression models were fitted to assess the associations between baseline hydration status and fluid intake, continuously and categorically, with 2-year changes in cognitive performance. RESULTS: The mean baseline daily total water intake was 2871 ± 676 mL/day (2889 ± 677 mL/day in men; 2854 ± 674 mL/day in women), and 80.2% of participants met the ESFA reference values for an adequate intake. Serum osmolarity (mean 298 ± 24 mmol/L, range 263 to 347 mmol/L) indicated that 56% of participants were physiologically dehydrated. Lower physiological hydration status (i.e., greater serum osmolarity) was associated with a greater decline in global cognitive function z-score over a 2-year period (β: - 0.010; 95% CI - 0.017 to - 0.004, p-value = 0.002). No significant associations were observed between water intake from beverages and/or foods with 2-year changes in global cognitive function. CONCLUSIONS: Reduced physiological hydration status was associated with greater reductions in global cognitive function over a 2-year period in older adults with metabolic syndrome and overweight or obesity. Future research assessing the impact of hydration on cognitive performance over a longer duration is needed. TRIAL REGISTRATION: International Standard Randomized Controlled Trial Registry, ISRCTN89898870. Retrospectively registered on 24 July 2014.
    Áreas temáticas: Saúde coletiva Medicine, general & internal Medicine (miscellaneous) Medicine (all) Medicina veterinaria Medicina ii Medicina i General medicine Ciências biológicas iii Ciências biológicas ii Ciências biológicas i
    Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
    Direcció de correo del autor: stephanie.nishi@urv.cat indiradelsocorro.paz@urv.cat nadine.alkhoury@estudiants.urv.cat nadine.alkhoury@estudiants.urv.cat nadine.alkhoury@estudiants.urv.cat nadine.alkhoury@estudiants.urv.cat indiradelsocorro.paz@urv.cat jordi.salas@urv.cat nancy.babio@urv.cat
    Identificador del autor: 0000-0002-3204-6877 0000-0002-3204-6877 0000-0003-2700-7459 0000-0003-3527-5277
    Fecha de alta del registro: 2024-08-03
    Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
    Enlace a la fuente original: https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-023-02771-4
    URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referencia al articulo segun fuente origial: Bmc Medicine. 21 (1): 82-
    Referencia de l'ítem segons les normes APA: Nishi, SK; Babio, N; Paz-Graniel, I; Serra-Majem, L; Vioque, J; Fitó, M; Corella, D; Pintó, X; Bueno-Cavanillas, A; Tur, JA; Diez-Ricote, L; Martinez, (2023). Water intake, hydration status and 2-year changes in cognitive performance: a prospective cohort study. Bmc Medicine, 21(1), 82-. DOI: 10.1186/s12916-023-02771-4
    DOI del artículo: 10.1186/s12916-023-02771-4
    Entidad: Universitat Rovira i Virgili
    Año de publicación de la revista: 2023
    Tipo de publicación: Journal Publications
  • Palabras clave:

    Medicine (Miscellaneous),Medicine, General & Internal
    Water
    Serum osmolarity
    Serum osmolality
    Prospective studies
    Predimed-plus
    Overweight
    Obesity
    Mini-mental state
    Metabolic syndrome
    Male
    Hydration
    Humans
    Fluids
    Female
    Drinking
    Cognitive performance
    Cognitive function
    Cognition
    Aged
    water
    vasopressin
    validity
    us adults
    serum osmolarity
    serum osmolality
    predimed-plus
    population
    oxytocin
    osmolality
    fluids
    disturbances
    dehydration
    consumption
    cognitive performance
    cognitive function
    cognition
    Saúde coletiva
    Medicine, general & internal
    Medicine (miscellaneous)
    Medicine (all)
    Medicina veterinaria
    Medicina ii
    Medicina i
    General medicine
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
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