About this trial
Compared with White Adults, Non-Hispanic Black Adults are at an elevated risk of developing cardiovascular disease (CVD) and end stage chronic-kidney disease (CKD), two of the leading causes of death in the United States. Inadequate hydration status is associated with risk factors for both CVD and CKD. Prior data show that Black individuals are less likely to be adequately hydrated when compared with their White counterparts. Further, socioeconomic factors have been shown to influence hydration practices. Inadequate hydration influences certain hormones that regulate blood volume and impact blood pressure, but increasing potassium intake may provide some positive effects on normalizing these hormones and blood pressure. Black adults, in particular, are more likely to consume less potassium, have inadequate hydration, and tend to have higher blood pressure. As such, there is a critical need for effective strategies to address racial disparities in hydration and resultant health consequences; as well as establish the role of socioeconomic factors contributing to hydration. Therefore, the investigators are seeking to test the investigators' central hypothesis that water with a potassium supplement will improve hydration and cardiovascular health in young White adults (n = 20, 10 females, 10 males), and to a greater extent in young Black Adults (n = 20, 10 females, 10 males. The investigators will assess measures of blood pressure, arterial stiffness, and biomarkers in the urine and blood samples prior to and following a 14-day hydration intervention of 1) bottled water and 2) bottled water with potassium supplementation (2000mg potassium/day).
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Between the ages of 18-30 years
Resting blood pressure no higher than 150/90 mmHg
BMI below 35 kg/m2
Free of any metabolic disease (e.g., diabetes) kidney disease, pulmonary disorders (e.g., COPD), cardiovascular disease (peripheral vascular, cardiac, or cerebrovascular), no autoimmune diseases, and no history of cancer.
Disqualifiers
Have any precluding medical conditions (i.e. hemophilia) or medication (Pradaxa, Eliquis, etc.) that prevent participants from giving blood.
Are currently pregnant or trying to become pregnant.
Renin-angiotensin-aldosterone system (RAAS) blockers: Candesartan , Eprosartan, Irbesartan, Losartan, Olmesartan, Telmisartan
Non -steroidal anti-inflammatory medications: Aspirin, Ibuprofen, Naproxen
Trial design
Single group
Treatments tested in this trial
Water and Potassium supplementation
Dietary supplementAll Participants will be given cases of water and instructed to drink at least an extra 1L per day. Additionally, participants will be given 2000 mg of potassium via potassium chloride powder.
Treatment groups
Trial outcomes
Primary outcomes
Urine specific gravity
24 urine samples will be aliquoted and assessed for urine specific gravity (unitless)
Urine osmolality
24 urine samples will be aliquoted and assessed for urine osmolality in mOsm/kg (AI Osmometer 3D3)
Urine flow rate
24 urine samples will be assessed for urine flow rate based on urine volume and self-reported collection time (ml/min).
Plasma copeptin
Plasma copeptin concentration (picomoles per liter) from a resting blood draw
Secondary outcomes
Kidney blood velocity
Renal and segmental artery blood velocity will be assessed in the decubitis position using a high-frequency ultrasound probe, typically in the range of 3-5 MHz.Using Spectral Doppler, the peak systolic velocity (PSV) in the renal and segmental arteries will be measured.
Plasma Osmolality
Researchers will analyze blood samples for osmolarity (AI Osmometer 3D3)
Plasma electrolytes
Researchers will analyze plasma samples for electrolytes (Na, K, Cl) concentration using the SmartLyte Electrolyte Analyzer. The unit of measure for Na, K, and Cl is millimoles per liter (mmol/L).
Blood glucose
Researchers will analyze whole blood samples for blood glucose concentration in milligrams per deciliter using Cholestech benchtop analyzer
Other outcomes
Hemoglobin
Whole blood samples will be analyzed for hemoglobin concentration (HemoCue, radiometer)
Hematocrit
Whole blood samples will be analyzed for hematocrit as a percentage (Thermo Hematocrit Microcentrifuge).
Physical activity
Participants will wear an ActiGraph GT3X accelerometer for 14 days to objectively quantify steps taken per day.
Area deprivation index
Investigators will measure participant's area deprivation index (ADI) based on their self-reported zip code. The ADI is a multidimensional assessment of a region's socioeconomic conditions. It is used to measure and quantify the level of deprivation or disadvantage experienced by residents in a specific geographical area. The composite score will be standardized to have a mean of 100 and a standard deviation of 20 to assist interpretation.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Auburn University
Lead sponsor
Indiana University
Collaborator