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Hydration in relation to water insecurity, heat index, and lactation status in two small-scale populations in hot-humid and hot-arid environments

Bethancourt HJ, Swanson ZS, Nzunza R, Huanca T, Conde E, Kenney WL, Young SL, Ndiema E, Braun D, Pontzer H, Rosinger AY

American journal of human biology : the official journal of the Human Biology Council · 40 citas

Cómo se estudió

Diseño
Estudio transversal (clasificado por nuestro filtro de IA)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente
Gobierno
National Science Foundation
Gobierno
National Institute on Aging
Gobierno
NIA NIH HHS
Subvenciones
National Science Foundation (1924322); National Science Foundation (NSF REU #1930719); National Science Foundation (1624398); National Institute on Aging (R01‐AG067471)

Según 3 financiadores declarados.

Publicación

Publicado
2020-06-24 · Am J Hum Biol · vol. 33 · número 1 · pág. e23447
Editorial
Wiley
Citado
53 citas · más que el 90% de estudios similares · 2.5× el promedio de su campo
Referencias
80 trabajos
Acceso
Acceso abierto (copia en repositorio)
Áreas de investigación
Child Nutrition and Water Access · Thermoregulation and physiological responses · Climate Change and Health Impacts
Palabras clave
Arid, Scale (ratio), Lactation, Index (typography), Environmental science, Geography, Biology, Ecology, Cartography, Pregnancy
MeSH
urine, humans, dehydration, urinalysis, prevalence, lactation, adolescent, adult, aged, aged, 80 and over, middle aged, child, kenya, bolivia, female, male, hot temperature, young adult, water insecurity

11 autores

  • Hilary J. Bethancourt🇺🇸 · autor de correspondenciaPennsylvania State University
  • Zane S. Swanson🇺🇸Duke University
  • Rosemary Nzunza🇰🇪Kenya Medical Research Institute
  • Tomás Huanca🇧🇴Centro de Información y Desarrollo de la Mujer
  • Esther Conde🇧🇴Centro de Información y Desarrollo de la Mujer
  • W. Larry Kenney🇺🇸Pennsylvania State University
  • Sera Lewise Young🇺🇸Northwestern University
  • Emmanuel Ndiema🇰🇪National Museums of Kenya
  • David R. Braun🇺🇸🇩🇪George Washington University; Max Planck Institute for Evolutionary Anthropology
  • Herman Pontzer🇺🇸Duke University; Duke Institute for Health Innovation
  • Asher Yoel Rosinger🇺🇸 · autor de correspondenciaPennsylvania State University

Resumen

El texto original del estudio, en el idioma en que se publicó.

Objectives

This study compared the prevalence of concentrated urine (urine specific gravity ≥1.021), an indicator of hypohydration, across Tsimane' hunter-forager-horticulturalists living in hot-humid lowland Bolivia and Daasanach agropastoralists living in hot-arid Northern Kenya. It tested the hypotheses that household water and food insecurity would be associated with higher odds of hypohydration.

Methods

This study collected spot urine samples and corresponding weather data along with data on household water and food insecurity, demographics, and health characteristics among 266 Tsimane' households (N = 224 men, 235 women, 219 children) and 136 Daasanach households (N = 107 men, 120 women, 102 children).

Results

The prevalence of hypohydration among Tsimane' men (50.0%) and women (54.0%) was substantially higher (P < .001) than for Daasanach men (15.9%) and women (17.5%); the prevalence of hypohydration among Tsimane' (37.0%) and Daasanach (31.4%) children was not significantly different (P = .33). Multiple logistic regression models suggested positive but not statistically significant trends between household water insecurity and odds of hypohydration within populations, yet some significant joint effects of water and food insecurity were observed. Heat index (2°C) was associated with a 23% (95% confidence interval [CI]: 1.09-1.40, P = .001), 34% (95% CI: 1.18-1.53, P < .0005), and 23% (95% CI: 1.04-1.44, P = .01) higher odds of hypohydration among Tsimane' men, women, and children, respectively, and a 48% (95% CI: 1.02-2.15, P = .04) increase in the odds among Daasanach women. Lactation status was also associated with hypohydration among Tsimane' women (odds ratio = 3.35, 95% CI: 1.62-6.95, P = .001).

Conclusion

These results suggest that heat stress and reproductive status may have a greater impact on hydration status than water insecurity across diverse ecological contexts.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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