Prevention & lipids

Medium-Term Effects of Increased Water Intake and Head-Up Sleep on Cardiovascular Health

JACC AdvPublished randomly allocated

Authors' conclusion

Medium-term increased water intake largely expands the resting volume and output of the LV while reducing arterial elastance and cardiac afterload, without altering intravascular volumes, cardiac or aerobic capacities. With the addition of HUS, relaxation properties of the resting LV are further improved.

Study context

Population
Healthy adultsage 42 ± 18 years, 51% female
Participants
35 adults
Comparison
IFI or IFI + HUS for 3 months
Methodological detailsmatched by sex, age, body composition, physical activity, and cardiorespiratory fitness
  • Matched by sex, age, body composition, physical activity, and cardiorespiratory fitness

Primary result

As reported in the abstract

Intravascular volumes (plasma and red blood cell volumes) · 3 months
  • Not modified by IFI or IFI + HUS

Further findings

Resting left ventricular (LV) end-diastolic volume, stroke volume (SV) and systolic emptying rate · 3 months

Increased after IFI and IFI + HUS
P ≤ 0.007
Effects on SV and systolic emptying rate larger in IFI + HUS vs IFI
P ≤ 0.037

Arterial elastance and cardiac afterload · 3 months

Similarly reduced by IFI and IFI + HUS
P ≤ 0.006

Resting LV diastolic filling rate and lateral wall e' velocity · 3 months

Only increased after IFI + HUS
P ≤ 0.031

Exercise SV, cardiac output and peak VO2 · 3 months

Not altered by IFI or IFI + HUS

Original publication

Medium-Term Effects of Increased Water Intake and Head-Up Sleep on Cardiovascular Health. JACC Adv. Published 8 January 2025. doi:10.1016/j.jacadv.2024.101536

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