Evidence mapPaperPMID 38409366Full record

ReviewNature reviews. Nephrology2024

Long-term health outcomes associated with hydration status.

Natalia I Dmitrieva, Manfred Boehm, Paul H Yancey, Sofia Enhörning

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
12.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
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  5. Observational
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  9. Review
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  11. Lifestyle and Environment Aspects Challenging Kidney Health.Kidney & blood pressure research · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Natalia I DmitrievaLaboratory of Cardiovascular Regenerative Medicine, National Heart Lung and Blood Institute, NIH, Bethesda, Maryland, USA. dmitrien@nhlbi.nih.gov.ORCID 0000-0001-8074-6950
Manfred BoehmLaboratory of Cardiovascular Regenerative Medicine, National Heart Lung and Blood Institute, NIH, Bethesda, Maryland, USA.
Paul H YanceyBiology Department, Whitman College, Walla Walla, Washington, USA.ORCID 0000-0003-1841-4941
Sofia EnhörningPerinatal and Cardiovascular Epidemiology, Lund University Diabetes Centre, Department of Clinical Sciences in Malmö, Lund University, Malmö, Sweden.ORCID 0000-0001-8895-0534
National Heart Lung and Blood Institute · USLund University · SEWhitman College · US

Funding

Vascular remodeling in patients with rare genetic disordersZIAHL006077 · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · 2025 to 2025
$2.6M
iPS-technology and patient specific disease modelsZIAHL006079 · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · 2025 to 2025
$1.5M
Murine models of vascular remodelingZIAHL006078 · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · 2025 to 2025
$1.0M
Intramural NIH HHS ZIA HL006077Intramural NIH HHS ZIA HL006078Intramural NIH HHS ZIA HL006079
6 · The paper itself

Abstract

Body water balance is determined by fundamental homeostatic mechanisms that maintain stable volume, osmolality and the composition of extracellular and intracellular fluids. Water balance is maintained by multiple mechanisms that continuously match water losses through urine, the skin, the gastrointestinal tract and respiration with water gains achieved through drinking, eating and metabolic water production. Hydration status is determined by the state of the water balance. Underhydration occurs when a decrease in body water availability, due to high losses or low gains, stimulates adaptive responses within the water balance network that are aimed at decreasing losses and increasing gains. This stimulation is also accompanied by cardiovascular adjustments. Epidemiological and experimental studies have linked markers of low fluid intake and underhydration - such as increased plasma concentration of vasopressin and sodium, as well as elevated urine osmolality - with an increased risk of new-onset chronic diseases, accelerated aging and premature mortality, suggesting that persistent activation of adaptive responses may be detrimental to long-term health outcomes. The causative nature of these associations is currently being tested in interventional trials. Understanding of the physiological responses to underhydration may help to identify possible mechanisms that underlie potential adverse, long-term effects of underhydration and inform future research to develop preventative and treatment approaches to the optimization of hydration status.

Indexed as

DehydrationOrganism Hydration StatusWater-Electrolyte BalanceBody WaterDrinkingHumans

Identifiers

PMID38409366
OpenAlexW4392168742

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.