Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-22T19:42:24.809Z Has data issue: false hasContentIssue false

Models of hydration and nutrition require environmental data

Published online by Cambridge University Press:  19 December 2019

Colleen X Muñoz
Affiliation:
Department of Health Sciences and Nursing, University of Hartford, West Hartford, CT, USA
Michael Wininger*
Affiliation:
Cooperative Studies Program, Department of Veterans Affairs, West Haven, CT, USA Yale School of Public Health, New Haven, CT, USA Department of Rehabilitation Sciences, University of Hartford, 200 Bloomfield Avenue, Dana Hall, Rm. 410, West Hartford, CT06117, USA
*
*Corresponding author: Email [email protected]
Rights & Permissions [Opens in a new window]

Abstract

Objective:

To recognize the causality of environmental factors (i.e. temperature, humidity and sun exposure) on nutritional variables, specifically body water balance and water-seeking behaviour.

Design:

Author perspective.

Setting:

Global.

Participants:

Not applicable.

Results:

A free-standing code supplement is provided to facilitate investigators in accessing meteorological data for incorporation into analyses related to nutrition and hydration.

Conclusions:

Analytical models related to human hydration should account for the environment de rigueur.

Type
Commentary
Copyright
© The Authors 2019

There is an inextricable and inexorable link between us and the environment. Our physiological responses and adaptations, most especially changes in body water, water-seeking behaviour and appetite, are profoundly influenced by ambient conditions. Yet, despite their critical importance, ambient conditions are rarely accounted for in nutritional studies. At the same time, many statistical models are published with low goodness-of-fit values(Reference Lemetais, Melander and Vecchio1Reference McKenzie, Perrier and Guelinckx3), if reported at all(Reference Kant, Graubard and Atchison4Reference Rosinger, Lawman and Akinbami10). Low goodness-of-fit, corresponding to a large proportion of unexplained variance, leads to models with reduced inferential support. This is a classic quandary in statistics: a potentially misleading result from an under-specified model. However, it is not necessarily so in nutritional science, as we can and ought to include environmental data in analyses pertaining to hydration and nutrition.

Properly, many laboratory- and some field-based investigations use a range of strategies to control for environmental factors(Reference McKenzie, Perrier and Guelinckx3,Reference Armstrong, Johnson and Munoz11Reference Figaro and Mack15) . These practices likely stem from documented impacts of environmental factors on water intake behaviours and body water balance such as, but not limited to, ambient temperature, hours of sunlight exposure and relative humidity. For example, residents in the southern USA exhibited a 20 % increase in water intake during the summer v. winter months(Reference Heller, Sohn and Burt16); residents of several European countries exhibited increased urine and plasma osmolality with high environmental temperature exposure despite reduced physical activity patterns(Reference Mora-Rodriguez, Ortega and Fernandez-Elias17); and Greek residents were more likely to be in the lowest and highest water balance categories, suggesting some do not effectively compensate or might overcompensate for total water losses(Reference Malisova, Bountziouka and Panagiotakos8). Optimal water balance might also be threatened by sunlight exposure(Reference Carter, Muller and Roberts18) and high relative humidity(Reference McCutcheon, Geor and Hare19,Reference Maughan, Otani and Watson20) . Beyond hydration, benefits of environmental data inclusion extend to nutritional and other areas of inquiry such as that related to vitamin D and bone health(Reference Holick21Reference Cashman23), appetite and dietary intake(Reference Cashman23,Reference Glerup, Mikkelsen and Poulsen24) , skin cancer(Reference Lefkowitz and Garland25,Reference Brash, Rudolph and Simon26) and more(Reference Wacker and Holick27Reference Magin29). Also, there is a real and important trade-off between controlled design v. study generalizability, to say nothing of the impracticality of controlling environmental variables. Furthermore, there is risk associated with poor control: failure to recognize the imperfections of a control creates opportunity for unrecognized sources of variance to contaminate the data set. Thus, in many cases, a controlled design is not tenable. Yet in the majority of cases where a control is not a clear value-add, an environmental covariate likely is.

For investigators engaging in de novo data collection, there is an increasing number of options for environmental data acquisition via wearable sensors(Reference Chung, Na and Lee30). Where wearable sensors are possible, the resultant data can be impressively high-resolution and therefore highly informative(Reference Wininger and Pidcoe31). Where sensor-based data collection is not feasible, it may be possible to leverage web-available climate archives for information pertaining to weather at a given location at a given time. As supplement to the present commentary, we provide a strategy for implementing such a data fusion approach. Our specific goal in the commentary is to not only call attention to the need for investigators to control or adjust for environmental factors in their analyses, but to provide a tool to enable this. Below, we give overview to our approach, which is a computer code that accesses a large, web-based, weather archive to merge selected environmental data with an empirical data set as might be created in a hydration or nutritional study.

The code piece, provided in Supplemental File S1 and described in Supplemental Files S2S4 (see online supplementary material), is written in the R programming language. R is a freely available software and this code segment is completely self-contained, with only two requisite steps for operation: (i) installing the required R packages listed just above the User Input section; and (ii) modification of the input data (in the User Input), which are Participant Identifier, Latitude and Longitude of each participant, and Date of observation. The package install is a one-time process; the participant information can be changed ad hoc. With these modest start-up operations completed, the code can be executed immediately, needing modification only to add or subtract parameters, or to customize to access a different database. The output of this code is a display of a fully merged data set with temperature, dew point, precipitation (daily representative values), distance between participant and the accessed weather station, altitude and hours of daylight (Supplemental File S4). For a basic tutorial on R operation, including detailed background on all operations written into this code, please refer to a primer published recently by one of us(Reference Prokop and Wininger32).

Our choice of database was mostly in the interest of usefulness: the National Climate Data Center is a well-organized repository of millions of weather records, with substantial quality control, and has been utilized in many scientific applications. Whereas the National Climate Data Center participates in the World Meteorological Organization’s consortium of data-sharing entities, this particular data set furnishes records from more than 25 000 stations in 249 countries and allows facile reference by latitude–longitude. These data are accessible for non-commercial use across the globe, although many countries warehouse their own copies of the World Meteorological Organization data set, so it is not strictly necessary to access these data from a server based in the USA. For that matter, this code can be altered to point to any data set, including non-World Meteorological Organization resources, with appropriate modifications to accommodate differences in data file structure. Run times will vary depending on many factors, but in test runs using a Windows 7 32-Bit PC with Intel Core i5-2400 CPU @ 3.10GHz, 3GB RAM, web retrieval consistently averaged 1.3–1.6 s per page, i.e. approximately 40–45 pages per min.

Data resolution will vary between databases and within locale: some regions have a high density of weather stations reporting atmospheric conditions with high frequency; in other cases, it may only be possible to find a distant weather station with intermittent reporting. Furthermore, there are many reasons why a given individual experiences exposures that are not exactly captured by a weather repository: the individual might be travelling beyond his/her specified coordinates or he/she may have spent all day indoors, and it may not be known if the individual was engaging in vigorous exercise, etc. We note that while we are publishing a code in R script, there is no restriction on which specific coding approach can be used. Every programming language known to the authors allows web-based retrieval. We selected R on the basis of its popularity, accessibility, and widespread documentation and support. Lastly, we will note that it is not strictly necessary to use an automated script to accomplish the goal of adding environmental data to an empirical data set: for small data sets, this can be done manually; however, for data sets of sufficiently large size, this becomes a strenuous task, with increasing opportunity for human error.

The interplay between heat stress and water- and nutrient balance is a growing area of focus(Reference Malisova, Bountziouka and Panagiotakos8,Reference Westerterp, Plasqui and Goris14,Reference Glerup, Mikkelsen and Poulsen24) . Other environmental variables, for example humidity and length of day, seem likely to add further value as covariates in statistical models related to intake of food and water. Seasonality corrections are common in laboratory studies(Reference McKenzie, Perrier and Guelinckx3,Reference Armstrong, Johnson and Munoz11Reference Figaro and Mack15) but are not nearly as ubiquitous as they ought to be. Given that we are already regularly publishing and building on hydration models with poor goodness-of-fit, it is curious that we are not merging data related to ambient conditions de rigueur. Any additional explained variance can only be helpful.

Acknowledgements

Financial support: The work was supported by the College of Education, Nursing, and Health Professions of the University of Hartford, which had no additional role. Conflict of interest: The authors have no conflicts of interest to report. Authorship: C.X.M.: design and writing, editing and approval of the manuscript. M.W.: design, code creation and proofing, writing, editing and approval of the manuscript. Ethics of human subject participation: Not applicable, this work does not involve human participants.

Supplementary material

To view supplementary material for this article, please visit https://doi.org/10.1017/S1368980019003343

References

Lemetais, G, Melander, O, Vecchio, Met al. (2018) Effect of increased water intake on plasma copeptin in healthy adults. Eur J Nutr 57, 18831890.CrossRefGoogle ScholarPubMed
Muñoz, CX, Johnson, EC, McKenzie, ALet al. (2015) Habitual total water intake and dimensions of mood in healthy young women. Appetite 92, 8186.CrossRefGoogle ScholarPubMed
McKenzie, AL, Perrier, ET, Guelinckx, Iet al. (2017) Relationships between hydration biomarkers and total fluid intake in pregnant and lactating women. Eur J Nutr 56, 21612170.CrossRefGoogle ScholarPubMed
Kant, AK, Graubard, BI & Atchison, EA (2009) Intakes of plain water, moisture in foods and beverages, and total water in the adult US population – nutritional, meal pattern, and body weight correlates: National Health and Nutrition Examination Surveys 1999–2006. Am J Clin Nutr 90, 655663.CrossRefGoogle ScholarPubMed
Chang, T, Ravi, N, Plegue, MAet al. (2016) Inadequate hydration, BMI, and obesity among US adults: NHANES 2009–2012. Ann Fam Med 14, 320324.CrossRefGoogle ScholarPubMed
Roussel, R, Fezeu, L, Bouby, Net al. (2011) Low water intake and risk for new-onset hyperglycemia. Diabetes Care 34, 25512554.CrossRefGoogle ScholarPubMed
Sontrop, JM, Dixon, SN, Garg, AXet al. (2013) Association between water intake, chronic kidney disease, and cardiovascular disease: a cross-sectional analysis of NHANES data. Am J Nephrol 37, 434442.CrossRefGoogle ScholarPubMed
Malisova, O, Bountziouka, V, Panagiotakos, DBet al. (2013) Evaluation of seasonality on total water intake, water loss and water balance in the general population in Greece. J Hum Nutr Diet 26, 9096.CrossRefGoogle Scholar
Carroll, HA, Davis, MG & Papadaki, A (2015) Higher plain water intake is associated with lower type 2 diabetes risk: a cross-sectional study in humans. Nutr Res 35, 865872.CrossRefGoogle ScholarPubMed
Rosinger, AY, Lawman, HG, Akinbami, LJet al. (2016) The role of obesity in the relation between total water intake and urine osmolality in US adults, 2009–2012. Am J Clin Nutr 104, 15541561.CrossRefGoogle Scholar
Armstrong, LE, Johnson, EC, Munoz, CXet al. (2012) Hydration biomarkers and dietary fluid consumption of women. J Acad Nutr Diet 112, 10561061.CrossRefGoogle ScholarPubMed
Bougatsas, D, Arnaoutis, G, Panagiotakos, DBet al. (2018) Fluid consumption pattern and hydration among 8–14 years-old children. Eur J Clin Nutr 72, 420427.CrossRefGoogle ScholarPubMed
Peacock, OJ, Stokes, K & Thompson, D (2011) Initial hydration status, fluid balance, and psychological affect during recreational exercise in adults. J Sports Sci 29, 897904.CrossRefGoogle ScholarPubMed
Westerterp, KR, Plasqui, G & Goris, AHC (2005) Water loss as a function of energy intake, physical activity and season. Br J Nutr 93, 199203.CrossRefGoogle ScholarPubMed
Figaro, MK & Mack, GW (1997) Regulation of fluid intake in dehydrated humans: role of oropharyngeal stimulation. Am J Physiol Regul Integr Comp Physiol 272, R1740R1746.CrossRefGoogle ScholarPubMed
Heller, KE, Sohn, W, Burt, BAet al. (1999) Water consumption in the United States in 1994–96 and implications for water fluoridation policy. J Public Health Dent 59, 311.CrossRefGoogle ScholarPubMed
Mora-Rodriguez, R, Ortega, J, Fernandez-Elias, Vet al. (2016) Influence of physical activity and ambient temperature on hydration: the European Hydration Research Study (EHRS). Nutrients 8, 252.CrossRefGoogle Scholar
Carter, A, Muller, R & Roberts, S (2006) The hydration status and needs of workers at a north-west Queensland fertilizer plant. J Occup Health Saf Aust N Z 22, 7382.Google Scholar
McCutcheon, LJ, Geor, RJ, Hare, MJet al. (2010) Sweating rate and sweat composition during exercise and recovery in ambient heat and humidity. Equine Vet J 27, 153157.CrossRefGoogle Scholar
Maughan, RJ, Otani, H & Watson, P (2012) Influence of relative humidity on prolonged exercise capacity in a warm environment. Eur J Appl Physiol 112, 23132321.CrossRefGoogle Scholar
Holick, MF (2004) Sunlight and vitamin D for bone health and prevention of autoimmune diseases, cancers, and cardiovascular disease. Am J Clin Nutr 80, 6 Suppl., 1678S1688S.CrossRefGoogle ScholarPubMed
Jones, G & Dwyer, T (1998) Bone mass in prepubertal children: gender differences and the role of physical activity and sunlight exposure. J Clin Endocrinol Metab 83, 42744279.Google ScholarPubMed
Cashman, KD (2007) Diet, nutrition, and bone health. J Nutr 137, issue 11, 2507S2512S.CrossRefGoogle ScholarPubMed
Glerup, H, Mikkelsen, K, Poulsen, Let al. (2000) Commonly recommended daily intake of vitamin D is not sufficient if sunlight exposure is limited. J Intern Med 247, 260268.CrossRefGoogle Scholar
Lefkowitz, ES & Garland, CF (1994) Sunlight, vitamin D, and ovarian cancer mortality rates in US women. Int J Epidemiol 23, 11331136.CrossRefGoogle ScholarPubMed
Brash, DE, Rudolph, JA, Simon, JAet al. (1991) A role for sunlight in skin cancer: UV-induced p53 mutations in squamous cell carcinoma. Proc Natl Acad Sci U S A 88, 1012410128.CrossRefGoogle ScholarPubMed
Wacker, M & Holick, MF (2013) Sunlight and vitamin D: a global perspective for health. Dermatoendocrinology 5, 51108.CrossRefGoogle ScholarPubMed
Nutter, CDD & Laing, P (1996) Multiple sclerosis: sunlight, diet, immunology and aetiology. Med Hypotheses 46, 6774.CrossRefGoogle Scholar
Magin, P (2004) A systematic review of the evidence for ‘myths and misconceptions’ in acne management: diet, face-washing and sunlight. Fam Pract 22, 6270.CrossRefGoogle Scholar
Chung, K-Y, Na, Y-J & Lee, J-H (2013) Interactive design recommendation using sensor based smart wear and weather WebBot. Wirel Pers Commun 73, 243256.CrossRefGoogle Scholar
Wininger, M & Pidcoe, P (2017) The geek perspective: answering the call for advanced technology in research inquiry related to pediatric brain injury and motor disability. Pediatr Phys Ther 29, 356359.CrossRefGoogle ScholarPubMed
Prokop, TR & Wininger, M (2018) A primer on R for numerical analysis in educational research. Front Educ 3, 80, doi: 10.3389/feduc.2018.00080.CrossRefGoogle Scholar
Supplementary material: File

Muñoz and Wininger supplementary material

Muñoz and Wininger supplementary material 1

Download Muñoz and Wininger supplementary material(File)
File 176.6 KB
Supplementary material: File

Muñoz and Wininger supplementary material

Muñoz and Wininger supplementary material 2

Download Muñoz and Wininger supplementary material(File)
File 176.8 KB