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During the last decade, the scientific evidence in the research of fluid intake and hydration assessment increased. More intake data on specifically fluid intake were published, and the science on hydration biomarkers also started covering the general population. That set the basis for more robust reference values on total water intake in the future. Ideally, because estimating the amount of food moisture might be difficult for the general population, these values will be translated into recommendation on the amount to drink, as well as on the fluid types to drink. Moreover, given the fact that a relative large proportion of individuals don’t meet the reference values and/or have a relatively high intake of sugar-sweetened beverages, national campaigns promoting the intake of water seem pertinent. Roselyne Y. Wagner, PhD, is a scientific project manager for PMCONSEILS in France. Isabelle Guelinckx, PhD, is a fluid intake manager in the Hydration & Health Department, Danone Nutricia Research in Palaiseau, France.


The Next Steps for Recommendations

References 1. Institute of Medicine, Food and Nutrition Board, Dietary reference intake for water, potassium, sodium, chloride and sulfate, IOM, Editor. 2004, National Academy Press: Washinghton, DC. 2. EFSA, Panel on Dietetic Products Nutrition and Allergies (NDA): Scientific opinion on dietary references for water, in J 8:1459, EFSA, Editor. 2010. 3. Armstrong, L.E., Assessing hydration status: the elusive gold standard. J Am Coll Nutr, 2007. 26(5 Suppl): p. 575s-584s. 4. B. Benelam, L.W., Hydration and health: a review. Nutrition Bulletin, 2010(35): p. 3-25. 5. Danone Nutricia Research, Water and Hydration : Physiological Basis in Adults. H4H Initiative 6. Leard, S.E. and E.D. Freis, Changes in the volume of the plasma, interstitial and intracellular fluid spaces during hydration and dehydration in normal and edematous subjects. Am J Med, 1949. 7(5): p. 647-54. 7. Gaebelein, C.J. and L.C. Senay, Jr., Influence of exercise type, hydration, and heat on plasma volume shifts in men. J Appl Physiol Respir Environ Exerc Physiol, 1980. 49(1): p. 119-23. 8. Armstrong, L.E., Hydration assessment techniques. Nutr Rev, 2005. 63(6 Pt 2): p. S40-54. 9. Sociedad Española de Dietética y Ciencias de la Alimentación, Rueda de los Alimentos, SEDCA, Editor. 2007. 10. Ministry of Health, Turkey, Dietary guidelines for Turkey, Turkey, Ministry of Health, Editor. 2011. 11. Department of Health, UK Department of Health, Editor. 2000. 12. PNNS, De l’eau sans modération, Programme National Nutrition Santé (PNNS), Editor. 2000. 13. Gandy, J., et al., Recording of fluid, beverage and water intakes at the population level in Europe. Br J Nutr, 2016. 116(4): p. 677-82. 14. Gandy, J., Water intake: validity of population assessment and recommendations. Eur J Nutr, 2015. 54 Suppl (2): p. S11-S16. 15. Iglesia, I., et al., Total fluid intake of children and adolescents: cross-sectional surveys in 13 countries worldwide. Eur J Nutr, 2015. 54 Suppl 2: p. 57-67. 16. Guelinckx, I., et al., Intake of water and beverages of children and adolescents in 13 countries. Eur J Nutr, 2015. 54 Suppl 2: p. 69-79. 17. Ferreira-Pego, C., et al., Total fluid intake and its determinants: crosssectional surveys among adults in 13 countries worldwide. Eur J Nutr, 2015. 54 Suppl 2: p. 35-43. 18. Guelinckx, I., et al., Intake of water and different beverages in adults across 13 countries. Eur J Nutr, 2015. 54 Suppl 2: p. 45-55. 19. S. Bardonoso, R.M., I.Permadhi, N. R. M. Manikam, R. Pohan, I. Guelinckx, Total fluid intake assessed with a 7-day fluid record versus a 24-h dietary recall: a crossover study in Indonesian adolescents and adults. Eur J Nutr, 2015. 54 (Suppl (2)): p. S17-S25. 20. WHO, Guideline: Sugars intake for adults and children. World Health and Organization, Editors. 2015: Geneva. 21. Hicks, S., New U.S. dietary guidelines recommend water consumption. Bottled Water Reporter. 2016: p. 20-25. 22. Culora, J., What you should H2Know about healthy hydration. Bottled Water Reporter. 2016: p. 14-19.

To learn about Danone’s Hydration for Health initiative, visit

23. Ministry of Health of the Republic of Indonesia, Recommended Nutritional Intake for Indonesian Population. 2013, Ministry of Health: Jakarta, Indonesia. 24. S. Storchsdieck genannt Bonsmann, T.M. Mak, S. Caldeira and J. Wollgast, How to promote water intake in schools: a toolkit. J.S.f.p. report, Editor. 2016, European Union. 25. Partnership for a Healthier America. Drink Up. 2013.

JAN/FEB 2017



Bottled Water Reporter  

Healthy Hydration January/February 2017

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