Variation in human water turnover associated with environmental and lifestyle factors

Author:

Yamada Yosuke12ORCID,Zhang Xueying34ORCID,Henderson Mary E. T.5ORCID,Sagayama Hiroyuki6ORCID,Pontzer Herman78ORCID,Watanabe Daiki129ORCID,Yoshida Tsukasa12ORCID,Kimura Misaka2,Ainslie Philip N.10,Andersen Lene F.11ORCID,Anderson Liam J.1213ORCID,Arab Lenore14ORCID,Baddou Issad15ORCID,Bedu-Addo Kweku16ORCID,Blaak Ellen E.17ORCID,Blanc Stephane1819,Bonomi Alberto G.20ORCID,Bouten Carlijn V. C.21ORCID,Bovet Pascal22,Buchowski Maciej S.23ORCID,Butte Nancy F.24,Camps Stefan G.2125ORCID,Close Graeme L.12ORCID,Cooper Jamie A.26ORCID,Cooper Richard27ORCID,Das Sai Krupa28ORCID,Dugas Lara R.2930ORCID,Eaton Simon31ORCID,Ekelund Ulf3233ORCID,Entringer Sonja3435ORCID,Forrester Terrence36,Fudge Barry W.37ORCID,Goris Annelies H.21ORCID,Gurven Michael38ORCID,Halsey Lewis G.5ORCID,Hambly Catherine4ORCID,El Hamdouchi Asmaa15ORCID,Hoos Marije B.21ORCID,Hu Sumei39ORCID,Joonas Noorjehan40ORCID,Joosen Annemiek M.21,Katzmarzyk Peter41ORCID,Kempen Kitty P.21ORCID,Kraus William E.42ORCID,Kriengsinyos Wantanee43ORCID,Kushner Robert F.44ORCID,Lambert Estelle V.45ORCID,Leonard William R.46ORCID,Lessan Nader4748,Martin Corby K.41ORCID,Medin Anine C.1149ORCID,Meijer Erwin P.21ORCID,Morehen James C.1250ORCID,Morton James P.12,Neuhouser Marian L.51,Nicklas Theresa A.24ORCID,Ojiambo Robert M.5253ORCID,Pietiläinen Kirsi H.54ORCID,Pitsiladis Yannis P.55ORCID,Plange-Rhule Jacob16,Plasqui Guy56ORCID,Prentice Ross L.51,Rabinovich Roberto A.57,Racette Susan B.58ORCID,Raichlen David A.59ORCID,Ravussin Eric41ORCID,Redman Leanne M.41,Reilly John J.60ORCID,Reynolds Rebecca M.61ORCID,Roberts Susan B.28ORCID,Schuit Albertine J.62ORCID,Sardinha Luis B.63,Silva Analiza M.63ORCID,Sjödin Anders M.64ORCID,Stice Eric65,Urlacher Samuel S.6667ORCID,Valenti Giulio2021ORCID,Van Etten Ludo M.21ORCID,Van Mil Edgar A.68ORCID,Wells Jonathan C. K.69ORCID,Wilson George12ORCID,Wood Brian M.7071ORCID,Yanovski Jack A.72ORCID,Murphy-Alford Alexia J.73ORCID,Loechl Cornelia U.73ORCID,Luke Amy H.74ORCID,Rood Jennifer41ORCID,Westerterp Klaas R.75ORCID,Wong William W.24ORCID,Miyachi Motohiko19ORCID,Schoeller Dale A.76ORCID,Speakman John R.347778ORCID,

Affiliation:

1. National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Osaka, Japan.

2. Institute for Active Health, Kyoto University of Advanced Science, Kyoto, Japan.

3. Shenzhen Key Laboratory of Metabolic Health, Center for Energy Metabolism and Reproduction, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.

4. Institute of Biological and Environmental Sciences, University of Aberdeen, Aberdeen, UK.

5. School of Life and Health Sciences, University of Roehampton, London, UK.

6. Faculty of Health and Sport Sciences, University of Tsukuba, Ibaraki, Japan.

7. Department of Evolutionary Anthropology, Duke University, Durham, NC, USA.

8. Duke Global Health Institute, Duke University, Durham, NC, USA.

9. Faculty of Sport Sciences, Waseda University, Saitama, Japan.

10. Centre for Heart, Lung and Vascular Health, School of Health and Exercise Sciences, Faculty of Health and Social Development, University of British Columbia Okanagan, Kelowna, British Columbia, Canada.

11. Department of Nutrition, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway.

12. Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK.

13. School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.

14. David Geffen School of Medicine, University of California, Los Angeles, CA, USA.

15. Unité Mixte de Recherche en Nutrition et Alimentation, CNESTEN-Université Ibn Tofail URAC39, Regional Designated Center of Nutrition Associated with AFRA/IAEA, Rabat, Morocco.

16. Department of Physiology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

17. Department of Human Biology, Maastricht University, Maastricht, Netherlands.

18. Nutritional Sciences, University of Wisconsin, Madison, WI, USA.

19. Institut Pluridisciplinaire Hubert Curien, CNRS Université de Strasbourg, UMR7178, France.

20. Phillips Research, Eindoven, Netherlands.

21. Maastricht University, Maastricht, Netherlands.

22. University Center for Primary Care and Public Health (Unisanté), Lausanne, Switzerland.

23. Division of Gastroenterology, Hepatology and Nutrition, Department of Medicine, Vanderbilt University, Nashville, TN, USA.

24. Department of Pediatrics, Baylor College of Medicine, US Department of Agriculture (USDA)/Agricultural Research Service (ARS) Children’s Nutrition Research Center, Houston, TX, USA.

25. Clinical Nutrition Research Centre (CNRC), Singapore Institute of Food and Biotechnology Innovation (SIFBI), Agency of Science, Technology and Research (A*STAR), Singapore.

26. Nutritional Sciences, University of Georgia, Athens, GA, USA.

27. Department of Public Health Sciences, Parkinson School of Health Sciences and Public Health, Loyola University, Maywood, IL, USA.

28. USDA Human Nutrition Research Center on Aging at Tufts University, Boston, MA, USA.

29. Public Health Sciences, Loyola University of Chicago, Maywood, IL, USA.

30. Division of Epidemiology and Biostatistics, School of Public Health & Family Medicine, University of Cape Town, Cape Town, South Africa.

31. Developmental Biology and Cancer Department, UCL Great Ormond Street Institute of Child Health, London, UK.

32. Department of Sport Medicine, Norwegian School of Sport Sciences, Oslo, Norway.

33. Department of Chronic Diseases, Norwegian Institute of Public Health, Oslo, Norway.

34. Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Institute of Medical Psychology, Berlin, Germany.

35. Department of Pediatrics, University of California Irvine, Irvine, CA, USA.

36. Solutions for Developing Countries, University of the West Indies, Mona, Kingston, Jamaica.

37. Aspire Academy, Doha, Qatar.

38. Department of Anthropology, University of California Santa Barbara, Santa Barbara, CA, USA.

39. Beijing Technology and Business University, Beijing, China.

40. Central Health Laboratory, Ministry of Health and Wellness, Mauritius.

41. Pennington Biomedical Research Center, Baton Rouge, LA, USA.

42. Department of Medicine, Duke University, Durham, NC, USA.

43. Institute of Nutrition, Mahidol University, Salaya, Phutthamonthon, Nakon-Pathom, Thailand.

44. Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

45. Health Through Physical Activity, Lifestyle and Sport Research Centre (HPALS) Division of Exercise Science and Sports Medicine (ESSM), FIMS International Collaborating Centre of Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.

46. Department of Anthropology, Northwestern University, Evanston, IL, USA.

47. Imperial College London Diabetes Centre, Abu Dhabi, United Arab Emirates.

48. Imperial College London, London, UK.

49. Department of Nutrition and Public Health, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway.

50. The FA Group, Burton-Upon-Trent, Staffordshire, UK.

51. Division of Public Health Sciences, Fred Hutchinson Cancer Center and School of Public Health, University of Washington, Seattle, WA, USA.

52. Kenya School of Medicine, Moi University, Eldoret, Kenya.

53. Rwanda Division of Basic Sciences, University of Global Health Equity, Rwanda.

54. Obesity Research Unit, Research Program for Clinical and Molecular Metabolism, Faculty of Medicine, University of Helsinki, and Abdominal Center, Obesity Center, HealthyWeightHub, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

55. School of Sport and Service Management, University of Brighton, Eastbourne, UK.

56. Department of Nutrition and Movement Sciences, Maastricht University, Maastricht, Netherlands.

57. The Queen’s Medical Research Institute, University of Edinburgh, Edinburgh, UK.

58. Program in Physical Therapy and Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA, and College of Health Solutions, Arizona State University, Phoenix, AZ, USA.

59. Biological Sciences and Anthropology, University of Southern California, Los Angeles, CA, USA.

60. University of Starthclyde, Glasgow, Scotland.

61. Centre for Cardiovascular Sciences, Queen’s Medical Research Institute, University of Edinburgh, Edinburgh, UK.

62. School of Social and Behavioral Sciences, University of Tilburg, Tilburg, Netherlands.

63. Department of Sport and Health of the Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal.

64. Department of Nutrition, Exercise and Sports, Copenhagen University, Copenhagen, Denmark.

65. Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA.

66. Department of Anthropology, Baylor University, Waco, TX, USA.

67. Child and Brain Development Program, Canadian Institute for Advanced Research (CIFAR), Toronto, Ontario, Canada.

68. Maastricht University, Brightlands Campus Greenport Venlo and Lifestyle Medicine Center for Children, Jeroen Bosch Hospital, Hertogenbosch, Netherlands.

69. Population, Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, London, UK.

70. Department of Anthropology, University of California Los Angeles, Los Angeles, CA, USA.

71. Max Planck Institute for Evolutionary Anthropology, Department of Human Behavior, Ecology, and Culture, Leipzig, Germany.

72. Section on Growth and Obesity, Division of Intramural Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, USA.

73. Nutritional and Health-Related Environmental Studies Section, Division of Human Health, International Atomic Energy Agency, Vienna, Austria.

74. Department of Public Health Sciences, Parkinson School of Health Sciences and Public Health, Loyola University Chicago, Chicago, IL, USA.

75. NUTRIM, Maastricht University, Maastricht, Netherlands.

76. Biotechnology Center and Department of Nutritional Sciences, University of Wisconsin, Madison, WI, USA.

77. State Key Laboratory of Molecular Developmental Biology, Institute of Genetics and Developmental Biology, Chinese Academy of Sciences, Beijing, China.

78. CAS Center of Excellence in Animal Evolution and Genetics, Kunming, China.

Abstract

Water is essential for survival, but one in three individuals worldwide (2.2 billion people) lacks access to safe drinking water. Water intake requirements largely reflect water turnover (WT), the water used by the body each day. We investigated the determinants of human WT in 5604 people from the ages of 8 days to 96 years from 23 countries using isotope-tracking ( 2 H) methods. Age, body size, and composition were significantly associated with WT, as were physical activity, athletic status, pregnancy, socioeconomic status, and environmental characteristics (latitude, altitude, air temperature, and humidity). People who lived in countries with a low human development index (HDI) had higher WT than people in high-HDI countries. On the basis of this extensive dataset, we provide equations to predict human WT in relation to anthropometric, economic, and environmental factors.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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