High Vasopressin Clinical Trial
Official title:
The Hydration to Optimize Metabolism (H2O Metabolism) Pilot Study
This study evaluates increased hydration (1.5 L of water daily during 6 weeks) on top of habitual water intake in the lowering of the vasopressin marker copeptin and in the lowering of plasma glucose concentration in adults with signs of low water intake at recruitment (elevated levels of copeptin, high urine osmolality, low urine volume).
High plasma concentration of vasopressin (i.e. antidiuretic hormone) is a novel and
independent risk factor for type 2 diabetes, the metabolic syndrome, cardiovascular disease
and premature death. The main physiological role of vasopressin is to maintain constant
plasma osmolality. Previous studies in rats and a Mendelian randomization study in humans
suggest causality between elevated vasopressin concentration and elevated plasma glucose
concentration. As vasopressin can be suppressed by increasing water intake, the investigators
hypothesize that water supplementation in individuals with high vasopressin can lower plasma
glucose and prevent diabetes.
The aim of this pilot study is to test if six weeks of water supplementation of 1.5 Liters of
extra water per day in low-drinkers with high copeptin can significantly alter hydration
markers in general and reduce plasma copeptin in particular. Furthermore, the investigators
also aim at investigating whether this 6-week water intervention can significantly reduce
fasting plasma glucose concentration.
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