Thirst perception, plasma osmolality and estimated plasma arginine vasopressin concentration in dehydrated and oral saline loaded subjects. 2013

Lf O Obika, and E Amabebe, and J O Ozoene, and C A Inneh
Department of Physiology, School of Basic Medical Sciences, University of Benin, Benin City, Edo State. lfoozy@yahoo.com.

Infusion of hypertonic saline produces an increase in thirst appreciation as well as increase in plasma Arginine Vasopressin (AVP) concentration, which may be estimated using thirst perception and/or plasma osmolality In this study, we examined the changes in thirst perception (TP), plasma osmolality (Posm) and plasma arginine vasopressin concentration (PAVP) as well as their relationships in dehydrated and oral saline loaded subjects. Forty (40) healthy subjects between the ages of 18 and 30 years were divided into 4 groups of 10 subjects (5 females and 5 males) each. Subjects in group A (dehydrated) were subjected to 18 hr fluid restriction, while those in B, C, and D orally ingested 7.1 ml/kg of 0.9%, 1.8% and 2.7% NaCl solutions respectively. TP was rated using the Visual Analogue Scale, VAS. Estimation of Posm was done using the standard formula and was also calculated from TP. PAVP was calculated from TP and Posm. The changes in TP in water restriction and salt loadings were similar in both males and females. However, the 2.7% NaCl sodium chloride solution intake induced a greater increase in TP than the 18 h fluid restriction. In females there was no significant difference between the measured and calculated Posm at 0 min, in groups A and D, whereas, values for group B (278.8±4.2 vs 292.0±2.9 mOsm/kgH2O) and C (282.6±4.1 vs 295.6±2.5 mOsm/kgH2O) differ significantly (p<0.05). At 90 min, the calculated Posm was significantly higher than the measured Posm in group D (283.6±2.1 vs 312.0±0.8 mOsm/kgH2O, p<0.05) only. In male subjects, there was no significant difference between the measured and calculated Posm in all the groups at 0 min, and at 90 min in groups A and B, while the calculated Posm was significantly higher (p<0.05) than the measured Posm in groups C (283.0±4.6 vs 302.4±3.3 mOsm/kgH2O) and D (275.6±4.8 vs 307.2±2.6 mOsm/kgH2O). In both male and female subjects, there was a significant (p<0.05) and positive correlation between TP and measured Posm at 0 min, but not at 90 min. PAVP values correlated significantly (p<0.05) with Posm and TP at 90 min only in group A. When group A was compared to group B, the changes in Posm were significant (p<0.05) in the males at 0 min (298.0±1.6 vs 281.0±4.4 mOsm/kgH2O), and at 90 min (303.0±1.8 vs 270.6±11.0 mOsm/kgH2O), whilst in the females the changes were only significant at 90 min (304.4±3.5 vs 285.0±4.3 mOsm/kgH2O). We can reasonably conclude the relationship between TP, Posm and PAVP may not be maintained during oral hypertonic saline loading, probably due to body fluid changes.

UI MeSH Term Description Entries
D009994 Osmolar Concentration The concentration of osmotically active particles in solution expressed in terms of osmoles of solute per liter of solution. Osmolality is expressed in terms of osmoles of solute per kilogram of solvent. Ionic Strength,Osmolality,Osmolarity,Concentration, Osmolar,Concentrations, Osmolar,Ionic Strengths,Osmolalities,Osmolar Concentrations,Osmolarities,Strength, Ionic,Strengths, Ionic
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001127 Arginine Vasopressin The predominant form of mammalian antidiuretic hormone. It is a nonapeptide containing an ARGININE at residue 8 and two disulfide-linked cysteines at residues of 1 and 6. Arg-vasopressin is used to treat DIABETES INSIPIDUS or to improve vasomotor tone and BLOOD PRESSURE. Argipressin,Vasopressin, Arginine,Arg-Vasopressin,Argipressin Tannate,Arg Vasopressin
D012462 Saline Solution, Hypertonic Hypertonic sodium chloride solution. A solution having an osmotic pressure greater than that of physiologic salt solution (0.9 g NaCl in 100 ml purified water). Hypertonic Saline Solution,Hypertonic Solution, Saline,Sodium Chloride Solution, Hypertonic,Hypertonic Saline Solutions,Hypertonic Solutions, Saline,Saline Solutions, Hypertonic,Sodium Chloride Solutions, Hypertonic,Saline Hypertonic Solution,Saline Hypertonic Solutions,Solution, Hypertonic Saline,Solution, Saline Hypertonic,Solutions, Hypertonic Saline,Solutions, Saline Hypertonic
D012965 Sodium Chloride A ubiquitous sodium salt that is commonly used to season food. Sodium Chloride, (22)Na,Sodium Chloride, (24)NaCl
D013894 Thirst A drive stemming from a physiological need for WATER. Thirsts

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