The Impact of Self-assessment on Hydration

Not Applicable

• Conditions: Hydration Status

• Registration Number: NCT06954909
• Lead Sponsor: Arizona State University

Brief Summary

The studies objective is to assess the efficacy of hydration education and the use of a self-assessment worksheet vs. a no-intervention control on improving fluid intake and hydration status in underhydrated wildland firefighters (WLFFs) and their surrogates.

Part I allows to understand hydration status of the participants (screening phase), Part II confirms if participants indeed are deemed to be low fluid consumers, and Part III of this research is a clinical trial that will focus on the optimization of hydration by improving fluid intake (and as a result lowering urine concentration) allowing participants theoretically to improve exercise performance (acute) and optimize health on the long term.

Detailed Description

Enrollment will take place until enough people have been screened and be eligible to be enrolled in PART III of the study.

Aside from allowing the investigators to better understand the hydration status of participants in PART I, this part will help to determine potentially eligible participants that can be confirmed through PART II by collecting again a urine sample, and if again concentrated urine is confirmed the research team will take a 5 mL venous blood draw performed by a trained phlebotomist to confirm elevated a copeptin level. These confirmed participants can then be enrolled in PART III of the study when eligible.

PART I includes all participants:

Two urine samples and questionnaire at one day. Expected duration of 2-3 minutes per urine sample and 2-3 minutes for the participant demographics questionnaire which will also be used as a screener to identify eligibility for PART II and III.

PART II includes a smaller sample:

Collection of a urine sample and a blood sample at one follow up day for the duration of 10 minutes.

PART III, the intervention study (being a clinical trial):

Includes n=38 participants, that will invest a maximum of 2 hours and 15 minutes as part of the data collection over a period of 6 days, which includes:

* Education session (pre: INT, or post: CON) of 25 minutes.

* Consuming labelled water and providing a urine sample and bodyweight the day before the start of the study, 10-15 minutes.

* Participate in the study for 6 days (during normal work days) and bodyweight will be measured at day 2, 4 and 6 of the study, during all study days both INT and CON will provide a morning urine sample (and if possible an afternoon/evening sample after work), and during each days sensors will be attached to participants upper arm and gear, 5 minutes per day, 25-30 minutes total.

* The intervention group will track its use of the tools we have provided them with, while the other group will not perform any additional self-assessments during the study period, 10 minutes per day 25-50 minutes total.

* Final hydration strategy questionnaire for INT and CON, 5-10 minutes.

Allocation to INT or CON depends on the total number of participants at different locations that will be eligible. The investigators will try to match participants based on their sex, age and bodyweight, and then randomly assign these matched participants to the intervention or placebo.

Study Timeline

• Status Verified: 2025-04
• Study First Submitted: 2025-04-17
• Study Start: 2025-04-22
• Study First Submitted QC: 2025-04-30
• Last Update Submitted: 2025-04-30
• Study First Posted: 2025-05-02
• Last Update Posted: 2025-05-02
• Primary Completion: 2025-07-31
• Study Completion: 2025-08-08

Recruitment & Eligibility

• Status: ENROLLING_BY_INVITATION
• Sex: All
• Target Recruitment: 38

Inclusion Criteria

• Age 18-65 years
• Identifying as male, female or other

Exclusion Criteria

• Thyroid medication
• Bariatric surgery
• Cardiovascular disease
• Renal disease
• Hepatic disease
• Bodyweight <110 lbs.
• Any injury that would not allow physical performance or activity
• Pregnant or lactating
• Diuretics
• Non-stable self-reported body weight for the last month (<10 lbs. fluctuation)

Investigators will not exclude participants reporting the use of dietary supplements as there is no evidence that the accuracy of self-assessment (specifically the accuracy of urine color assessment) to determine a low vs. high urine concentration is influenced by dietary supplement use, but participants will be questioned about their supplement, electrolyte and sport drink use.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Fluid turnover	Over a period of 4 days, in two 48-hour segments.	Fluid turnover based on D2O analysis
Urine concentration	Afternoon sample day 1, morning sample day 2/4/6	Urine concentration (osmolality).

Secondary Outcome Measures

Name	Time	Method
Urine concentration	Afternoon sample day 1, morning (and potential afternoon) samples day 1/2/3/4/5/6.	Urine concentration (USG ) for morning and when available afternoon/evening samples.
Activity	Throughout the study during working hours, which may vary between 8-16 hours per working day.	Activity pattern using an activity tracker attached to the upper arm to allow comparing activity between INT and CON.
Hydration strategy	Day 6 of the data collection, covering the hydration strategy during the study period.	Retrospective hydration strategy (questionnaire) of INT and CON.
Heat stress	Throughout the study during working hours, which may vary between 8-16 hours per working day.	Direct experienced environmental heat, measured by a heat sensor mounted on helmet or gear.
INT: Self-reported hydration measures	Study days 2/3/4/5/6.	Self-reported hydration measures in INT only (urine color, assessed on a scale from 1-7 ranging from light to dark).

Trial Locations

Locations (1)

ASU Health Futures Center; 🇺🇸 Phoenix, Arizona, United States