Validation testing demonstrates efficacy of a 7-day fluid record to estimate daily water intake in adult men and women when compared with total body water turnover measurement

Evan C. Johnson; François Péronnet; Lisa T. Jansen; Catalina Capitan-Jiménez; J. D. Adams; Isabelle Guelinckx; Liliana Jiménez; Andy Mauromoustakos; Stavros A. Kavouras

doi:10.3945/jn.117.253377

Validation testing demonstrates efficacy of a 7-day fluid record to estimate daily water intake in adult men and women when compared with total body water turnover measurement

Evan C. Johnson, François Péronnet, Lisa T. Jansen, Catalina Capitan-Jiménez, J. D. Adams, Isabelle Guelinckx, Liliana Jiménez, Andy Mauromoustakos, Stavros A. Kavouras

Research output: Contribution to journal › Article › peer-review

29 Scopus citations

Abstract

Background: Mean daily water intake from fluids (WATER-FL) has proven to be difficult to measure because of a range of nonvalidated data collection techniques. Few questionnaires have been validated to estimate WATER-FL against selfreported diaries or urinary hydration markers, which may limit their objectivity. Objectives: The goals of this investigation were 1) to assess the validity of a 7-d fluid record (7dFLR) tomeasureWATER-FL (WATER-FL-7dFLR) through comparison with WATER-FL as calculated by measuring deuterium oxide (D₂O) disappearance (WATER-FL-D₂O), and 2) to evaluate the reliability of the 7dFLR in measuring WATER-FL. Methods: Participants [n = 96; 51% female; mean ± SD age: 41 ± 14 y; mean ± SD body mass index (in kg/m²): 26.2 ± 5.1] completed body water turnover analysis over 3 consecutiveweeks. They completed the 7dFLR and food diaries duringweeks 2 and 4 of the observation. The records were entered into nutritional software to determine the water content of all foods and fluids consumed. WATER-FL-D₂Owas calculated fromwater turnover (via the D₂Odilution method),minus water from food and metabolic water. The agreement between the 2 methods of determining WATER-FL were compared according to a Bland- Altman plot at week 2. The test-retest reliability of 7dFLR between weeks 2 and 4 was assessed via intraclass correlation (ICC). Results: The mean ± SD difference between WATER-FL-7dFLR and WATER-FL-D₂Owas 2131 ± 845 mL/d. In addition, no bias was observed (F[1,94]=0.484; R2=0.006; P = 0.488).When comparingWATER-FL-7dFLR fromweeks 2 and 4, no significant difference (mean6 SD difference: 716 75 mL/d; t[79] = 0.954; P = 0.343) and an ICC of 0.85 (95%CI: 0.77, 0.90) was observed. Conclusions: The main findings of this study were that the use of the 7dFLR is an effective and reliable method to estimate WATER-FL in adults. This style of questionnaire may be extremely helpful for collecting water intake data for large-scale epidemiologic studies.

Original language	English (US)
Pages (from-to)	2001-2007
Number of pages	7
Journal	Journal of Nutrition
Volume	147
Issue number	10
DOIs	https://doi.org/10.3945/jn.117.253377
State	Published - Oct 1 2017
Externally published	Yes

Keywords

7-day record
Deuterium oxide
Diet record
Dietary assessment
Fluid intake
Hydration
Liq.in
Water
Water turnover

ASJC Scopus subject areas

Medicine (miscellaneous)
Nutrition and Dietetics

Access to Document

10.3945/jn.117.253377

Cite this

Johnson, E. C., Péronnet, F., Jansen, L. T., Capitan-Jiménez, C., Adams, J. D., Guelinckx, I., Jiménez, L., Mauromoustakos, A., & Kavouras, S. A. (2017). Validation testing demonstrates efficacy of a 7-day fluid record to estimate daily water intake in adult men and women when compared with total body water turnover measurement. Journal of Nutrition, 147(10), 2001-2007. https://doi.org/10.3945/jn.117.253377

Validation testing demonstrates efficacy of a 7-day fluid record to estimate daily water intake in adult men and women when compared with total body water turnover measurement. / Johnson, Evan C.; Péronnet, François; Jansen, Lisa T. et al.
In: Journal of Nutrition, Vol. 147, No. 10, 01.10.2017, p. 2001-2007.

Research output: Contribution to journal › Article › peer-review

Johnson, EC, Péronnet, F, Jansen, LT, Capitan-Jiménez, C, Adams, JD, Guelinckx, I, Jiménez, L, Mauromoustakos, A & Kavouras, SA 2017, 'Validation testing demonstrates efficacy of a 7-day fluid record to estimate daily water intake in adult men and women when compared with total body water turnover measurement', Journal of Nutrition, vol. 147, no. 10, pp. 2001-2007. https://doi.org/10.3945/jn.117.253377

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title = "Validation testing demonstrates efficacy of a 7-day fluid record to estimate daily water intake in adult men and women when compared with total body water turnover measurement",

abstract = "Background: Mean daily water intake from fluids (WATER-FL) has proven to be difficult to measure because of a range of nonvalidated data collection techniques. Few questionnaires have been validated to estimate WATER-FL against selfreported diaries or urinary hydration markers, which may limit their objectivity. Objectives: The goals of this investigation were 1) to assess the validity of a 7-d fluid record (7dFLR) tomeasureWATER-FL (WATER-FL-7dFLR) through comparison with WATER-FL as calculated by measuring deuterium oxide (D2O) disappearance (WATER-FL-D2O), and 2) to evaluate the reliability of the 7dFLR in measuring WATER-FL. Methods: Participants [n = 96; 51% female; mean ± SD age: 41 ± 14 y; mean ± SD body mass index (in kg/m2): 26.2 ± 5.1] completed body water turnover analysis over 3 consecutiveweeks. They completed the 7dFLR and food diaries duringweeks 2 and 4 of the observation. The records were entered into nutritional software to determine the water content of all foods and fluids consumed. WATER-FL-D2Owas calculated fromwater turnover (via the D2Odilution method),minus water from food and metabolic water. The agreement between the 2 methods of determining WATER-FL were compared according to a Bland- Altman plot at week 2. The test-retest reliability of 7dFLR between weeks 2 and 4 was assessed via intraclass correlation (ICC). Results: The mean ± SD difference between WATER-FL-7dFLR and WATER-FL-D2Owas 2131 ± 845 mL/d. In addition, no bias was observed (F[1,94]=0.484; R2=0.006; P = 0.488).When comparingWATER-FL-7dFLR fromweeks 2 and 4, no significant difference (mean6 SD difference: 716 75 mL/d; t[79] = 0.954; P = 0.343) and an ICC of 0.85 (95%CI: 0.77, 0.90) was observed. Conclusions: The main findings of this study were that the use of the 7dFLR is an effective and reliable method to estimate WATER-FL in adults. This style of questionnaire may be extremely helpful for collecting water intake data for large-scale epidemiologic studies.",

keywords = "7-day record, Deuterium oxide, Diet record, Dietary assessment, Fluid intake, Hydration, Liq.in, Water, Water turnover",

author = "Johnson, {Evan C.} and Fran{\c c}ois P{\'e}ronnet and Jansen, {Lisa T.} and Catalina Capitan-Jim{\'e}nez and Adams, {J. D.} and Isabelle Guelinckx and Liliana Jim{\'e}nez and Andy Mauromoustakos and Kavouras, {Stavros A.}",

note = "Funding Information: Supported by Danone Research France. This is a free access article, distributed under terms (http://www.nutrition.org/publications/guidelines-and-policies/license/) that permit unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Author disclosures: LTJ, CC-J, AM, and JDA, no conflicts of interest. ECJ has an active grant with Danone Research. FP is a scientific consultant for Danone Research. IG and LJ are employees of Danone Research. SAK is a scientific consultant for Quest Diagnostics and has active grants with Danone Research. Supplemental Figure 1 is available from the {\textquoteleft}{\textquoteleft}Online Supporting Material{\textquoteright}{\textquoteright} link in the online posting of the article and from the same link in the online table of contents at http://jn.nutrition.org. Publisher Copyright: {\textcopyright} 2017 American Society for Nutrition.",

year = "2017",

month = oct,

day = "1",

doi = "10.3945/jn.117.253377",

language = "English (US)",

volume = "147",

pages = "2001--2007",

journal = "Journal of Nutrition",

issn = "0022-3166",

publisher = "American Society for Nutrition",

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TY - JOUR

T1 - Validation testing demonstrates efficacy of a 7-day fluid record to estimate daily water intake in adult men and women when compared with total body water turnover measurement

AU - Johnson, Evan C.

AU - Péronnet, François

AU - Jansen, Lisa T.

AU - Capitan-Jiménez, Catalina

AU - Adams, J. D.

AU - Guelinckx, Isabelle

AU - Jiménez, Liliana

AU - Mauromoustakos, Andy

AU - Kavouras, Stavros A.

N1 - Funding Information: Supported by Danone Research France. This is a free access article, distributed under terms (http://www.nutrition.org/publications/guidelines-and-policies/license/) that permit unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Author disclosures: LTJ, CC-J, AM, and JDA, no conflicts of interest. ECJ has an active grant with Danone Research. FP is a scientific consultant for Danone Research. IG and LJ are employees of Danone Research. SAK is a scientific consultant for Quest Diagnostics and has active grants with Danone Research. Supplemental Figure 1 is available from the ‘‘Online Supporting Material’’ link in the online posting of the article and from the same link in the online table of contents at http://jn.nutrition.org. Publisher Copyright: © 2017 American Society for Nutrition.

PY - 2017/10/1

Y1 - 2017/10/1

N2 - Background: Mean daily water intake from fluids (WATER-FL) has proven to be difficult to measure because of a range of nonvalidated data collection techniques. Few questionnaires have been validated to estimate WATER-FL against selfreported diaries or urinary hydration markers, which may limit their objectivity. Objectives: The goals of this investigation were 1) to assess the validity of a 7-d fluid record (7dFLR) tomeasureWATER-FL (WATER-FL-7dFLR) through comparison with WATER-FL as calculated by measuring deuterium oxide (D2O) disappearance (WATER-FL-D2O), and 2) to evaluate the reliability of the 7dFLR in measuring WATER-FL. Methods: Participants [n = 96; 51% female; mean ± SD age: 41 ± 14 y; mean ± SD body mass index (in kg/m2): 26.2 ± 5.1] completed body water turnover analysis over 3 consecutiveweeks. They completed the 7dFLR and food diaries duringweeks 2 and 4 of the observation. The records were entered into nutritional software to determine the water content of all foods and fluids consumed. WATER-FL-D2Owas calculated fromwater turnover (via the D2Odilution method),minus water from food and metabolic water. The agreement between the 2 methods of determining WATER-FL were compared according to a Bland- Altman plot at week 2. The test-retest reliability of 7dFLR between weeks 2 and 4 was assessed via intraclass correlation (ICC). Results: The mean ± SD difference between WATER-FL-7dFLR and WATER-FL-D2Owas 2131 ± 845 mL/d. In addition, no bias was observed (F[1,94]=0.484; R2=0.006; P = 0.488).When comparingWATER-FL-7dFLR fromweeks 2 and 4, no significant difference (mean6 SD difference: 716 75 mL/d; t[79] = 0.954; P = 0.343) and an ICC of 0.85 (95%CI: 0.77, 0.90) was observed. Conclusions: The main findings of this study were that the use of the 7dFLR is an effective and reliable method to estimate WATER-FL in adults. This style of questionnaire may be extremely helpful for collecting water intake data for large-scale epidemiologic studies.

AB - Background: Mean daily water intake from fluids (WATER-FL) has proven to be difficult to measure because of a range of nonvalidated data collection techniques. Few questionnaires have been validated to estimate WATER-FL against selfreported diaries or urinary hydration markers, which may limit their objectivity. Objectives: The goals of this investigation were 1) to assess the validity of a 7-d fluid record (7dFLR) tomeasureWATER-FL (WATER-FL-7dFLR) through comparison with WATER-FL as calculated by measuring deuterium oxide (D2O) disappearance (WATER-FL-D2O), and 2) to evaluate the reliability of the 7dFLR in measuring WATER-FL. Methods: Participants [n = 96; 51% female; mean ± SD age: 41 ± 14 y; mean ± SD body mass index (in kg/m2): 26.2 ± 5.1] completed body water turnover analysis over 3 consecutiveweeks. They completed the 7dFLR and food diaries duringweeks 2 and 4 of the observation. The records were entered into nutritional software to determine the water content of all foods and fluids consumed. WATER-FL-D2Owas calculated fromwater turnover (via the D2Odilution method),minus water from food and metabolic water. The agreement between the 2 methods of determining WATER-FL were compared according to a Bland- Altman plot at week 2. The test-retest reliability of 7dFLR between weeks 2 and 4 was assessed via intraclass correlation (ICC). Results: The mean ± SD difference between WATER-FL-7dFLR and WATER-FL-D2Owas 2131 ± 845 mL/d. In addition, no bias was observed (F[1,94]=0.484; R2=0.006; P = 0.488).When comparingWATER-FL-7dFLR fromweeks 2 and 4, no significant difference (mean6 SD difference: 716 75 mL/d; t[79] = 0.954; P = 0.343) and an ICC of 0.85 (95%CI: 0.77, 0.90) was observed. Conclusions: The main findings of this study were that the use of the 7dFLR is an effective and reliable method to estimate WATER-FL in adults. This style of questionnaire may be extremely helpful for collecting water intake data for large-scale epidemiologic studies.

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KW - Deuterium oxide

KW - Diet record

KW - Dietary assessment

KW - Fluid intake

KW - Hydration

KW - Liq.in

KW - Water

KW - Water turnover

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Validation testing demonstrates efficacy of a 7-day fluid record to estimate daily water intake in adult men and women when compared with total body water turnover measurement

Abstract

Keywords

ASJC Scopus subject areas

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