Low Water Intake and Risk for New-Onset Hyperglycemia
- Ronan Roussel, MD, PHD1,2,3,4⇓,
- Léopold Fezeu, MD, PHD4,
- Nadine Bouby, PHD4,5,6,
- Beverley Balkau, PHD7,8,
- Olivier Lantieri, MD, MPH9,
- François Alhenc-Gelas, MD, PHD4,5,6,10,
- Michel Marre, MD, PHD1,2,3,
- Lise Bankir, PHD4 and
- for the D.E.S.I.R. Study Group
- 1Université Paris–Diderot, Paris 7, Paris, France
- 2Département d'Endocrinologie, Diabétologie et Nutrition, Assistance Publique-Hôpitaux de Paris, Hôpital Bichat, Paris, France
- 3INSERM U695, Paris, France
- 4INSERM Unité 872, Centre de Recherche des Cordeliers, Paris, France
- 5Université Pierre et Marie Curie, Paris, France
- 6Université Paris Descartes, Paris, France
- 7INSERM CESP Center for Research in Epidemiology and Population Health, U1018, Epidemiology of Diabetes, Obesity and Chronic Kidney Disease Over the Life Course, Villejuif, France
- 8Université Paris 11, UMRS 1018, Villejuif, France
- 9Institut Inter-Régional pour la Santé, La Riche, France
- 10Département d’Hypertension Artérielle, Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges Pompidou, Paris, France
- Corresponding author: Ronan Roussel, .
OBJECTIVE Water intake alters vasopressin secretion. Recent findings reveal an independent association between plasma copeptin, a surrogate for vasopressin, and risk of diabetes.
RESEARCH DESIGN AND METHODS Participants were 3,615 middle-aged men and women, with normal baseline fasting glycemia (FG), who were recruited in a 9-year follow-up study. Odds ratios (ORs) and 95% CIs for the incidence of hyperglycemia (FG ≥6.1 mmol/L or treatment for diabetes) were calculated according to daily water intake classes based on a self-administered questionnaire.
RESULTS During follow-up, there were 565 incident cases of hyperglycemia. After adjustment for confounding factors, ORs (95% CIs) for hyperglycemia associated with classes of water intake (<0.5 L, n = 677; 0.5 to <1.0 L, n = 1,754; and >1.0 L, n = 1,184) were 1.00, 0.68 (0.52–0.89), and 0.79 (0.59–1.05), respectively (P = 0.016).
CONCLUSIONS Self-reported water intake was inversely and independently associated with the risk of developing hyperglycemia.
This article contains Supplementary Data online at http://care.diabetesjournals.org/lookup/suppl/doi:10.2337/dc11-0652/-/DC1.
↵* A complete list of the members of the D.E.S.I.R. Study Group can be found in the Appendix.
- Received April 6, 2011.
- Accepted September 4, 2011.
- © 2011 by the American Diabetes Association.
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