2020
DOI: 10.3390/nu12113359
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Water Researchers Do Not Have a Strategic Plan for Gathering Evidence to Inform Water Intake Recommendations to Prevent Chronic Disease

Abstract: Confusion has persisted for decades in the United States (U.S.) over how much plain water to drink, despite national water intake recommendations which are based on high quality scientific evidence. This editorial summarizes the definition, alignment and coordination of evidence that informs the current U.S. adequate intake (AI) recommendations for water. It highlights gaps in the evidence that perpetuate confusion and opportunity to address the gaps through strategic planning.

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Cited by 3 publications
(2 citation statements)
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“…The clinical importance of water should be evaluated based on hydration status of individuals. Although several indicators, such as urine color, changes of daily weight and urine output, skin turgor, dry mouth, and blood levels of sodium, chloride, urea nitrogen, creatinine, and osmolality, have been suggested [ 29 ], these factors may not be easily assessed in large epidemiologic studies. Furthermore, there is no generalized consensus of gold standard methods for hydration status assessment.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The clinical importance of water should be evaluated based on hydration status of individuals. Although several indicators, such as urine color, changes of daily weight and urine output, skin turgor, dry mouth, and blood levels of sodium, chloride, urea nitrogen, creatinine, and osmolality, have been suggested [ 29 ], these factors may not be easily assessed in large epidemiologic studies. Furthermore, there is no generalized consensus of gold standard methods for hydration status assessment.…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, there is no generalized consensus of gold standard methods for hydration status assessment. As the next best way, water intake has been frequently used on the topic related to the roles of water in human health [ 29 ]. However, hydration level is affected by various factors such as ambient environment, sweat rates, physical activity, energy expenditure, and so on, and thus water intake alone could not provide enough information on actual hydration status in human body.…”
Section: Discussionmentioning
confidence: 99%