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High fluid intake increases urine free cortisol excretion in normal subjects.
Abstract
To test the hypothesis that increased fluid intake increases the urine free cortisol, we prescribed 5 liters of fluid intake per day or a normal fluid intake according to a randomized cross-over design in six normal volunteers. Each period lasted 5 days, with a 2-day washout period of normal fluid intake between the two periods. Urine free cortisol, 17-hydroxycorticosteroids, and creatinine were measured daily during each study period, and the average value over each 5-day period was calculated for each subject. High fluid intake caused a significant increase in the mean urine free cortisol [126 +/- 33 (SD) vs. 77 +/- 18 micrograms/day, P < 0.005]. The frequency of urine free cortisol results that exceeded the upper normal limit of 95 micrograms/day was also much higher during high fluid intake (23/30 vs. 6/30, P < 0.005). By contrast, urine 17-hydroxycorticosteroids (high fluid vs. normal fluid: 5.3 +/- 1.5 vs. 5.0 +/- 1.7 mg/day, respectively, P = not significant) and urine creatinine (1.51 +/- 0.48 vs. 1.45 +/- 0.37 g/day, P = not significant) did not differ between the two study periods. We conclude that high fluid intake (5 liters/day) increases free cortisol excretion without an increase in urine 17-hydroxycorticosteroids. Thus, mild to moderate increases in urine cortisol excretion may not indicate hypercortisolism in individuals who have a high fluid intake and urine volume.
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“High fluid intake (Ն5 liters/d) significantly increases UFC (52).”
From The diagnosis of Cushing's syndrome: an Endocrine Society Clinical Practice Guideline. (2008) · cites this paper as [52]
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Chen, Y., Nafziger, A. N., Bertino, J., & Kashuba, A. D. M. (2006) · British Journal of Clinical Pharmacology · doi:10.1111/j.1365-2125.2006.02805.x
Urinary Free Cortisol Excretion in Humans: A Comment on the Article by Huang and Co-Workers
Fenske, M. J. (2007) · Therapeutic Drug Monitoring · doi:10.1097/ftd.0b013e318156ea19
Fenske, M. J. (2007) · Biomedical Chromatography · doi:10.1002/bmc.929
Trauma - logistics and stress response
Brorsson, C. (2014) · DiVA at Umeå University (Umeå University)
Fenske, M. J. (2007) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2007.08.003
For information on reprint requests of more than 101 and commercial reprints contact
Barbour, L. A., Cobin, R. H., DeGroot, L. J., Glinoer, D., Mandel, S. J., & Edwards, H. A. (2008)
TRABAJOS ESPECIALES MANEJO DE PACIENTES CON SÍNDROME DE CUSHING.
Lima-Martínez, M. M., Zerpa, J., Guerrero, Y., Rivera, J., & Vielma, M. (2013)
Metadata
- Authors
- Mericq, M. V., & Cutler, G. B.
- Affiliations
- National Institutes of Health (US)
- ORCID
- Cutler, Gordon B.
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 1998-02
- Volume
- 83
- Issue
- 2
- Pages
- 682-684
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W2171909930
- Cited by
- 111
- References
- 16
- Citations by year
- 2026: 2 · 2024: 4 · 2023: 1 · 2022: 3 · 2021: 3 · 2020: 3 · 2019: 6 · 2018: 4 · 2017: 8 · 2016: 6 · 2015: 4 · 2014: 3 · 2013: 4 · 2012: 5
- FWCI
- 3.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Health Sciences › Medicine › Nephrology › Electrolyte and hormonal disorders
- Keywords
- fluid intake, urinary free cortisol, cortisol excretion, 17-hydroxycorticosteroids, urinary creatinine, hypercortisolism, urine output, normal subjects
- MeSH terms
- Adult, Creatinine, Drinking, Female, Humans, Hydrocortisone, Male, Urine, 17-Hydroxycorticosteroids
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