UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057980
Receipt number R000066157
Scientific Title Effects of Water Ingestion on Hemodynamics During Orthostatic Stress
Date of disclosure of the study information 2025/05/28
Last modified on 2025/05/27 12:34:56

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Basic information

Public title

Can Drinking Water While Standing Reduce Blood Pressure Drops?

Acronym

"Blood Pressure Changes Associated with Drinking Water While Standing

Scientific Title

Effects of Water Ingestion on Hemodynamics During Orthostatic Stress

Scientific Title:Acronym

Hemodynamic Response to Water Intake During Orthostasis

Region

Japan


Condition

Condition

Normal Adults

Classification by specialty

Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Drinking room temperature water causes a transient increase in blood pressure (pressor response). This phenomenon is also observed in healthy individuals and disappears immediately after drinking (Endo et al., JJPysiol 2002). It is believed to be associated with the stimulation of mechanoreceptors due to the contraction of swallowing-related muscles (Abe et al., J. Appl. Physiol 2013).
In a previous study involving healthy subjects, we demonstrated that drinking 200 mL of cold water or cold carbonated water enhanced the pressor response during ingestion compared to room temperature water, and that this pressor response was sustained. This suggested that drinking cold or cold carbonated water might be useful for improving and preventing orthostatic hypotension (Kubota et al., Front. Neurol 2022). It was further suggested that this pressor response during drinking is modulated by cold and carbonation stimuli, and that the sustained pressor response post-ingestion might be triggered by a decrease in core body temperature. Notably, mean blood pressure during cold water ingestion increased by over 15 mmHg in young adults and over 20 mmHg in older adults.
However, that study was conducted with participants in a resting seated position, and it remains unknown whether a similar beneficial pressor response can be elicited during an orthostatic challenge.
Therefore, the purpose of this study is to investigate whether a similar pressor effect can be achieved during an orthostatic challenge.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Blood Pressure

Key secondary outcomes

Heart Rate, Stroke Volume, Cardiac Output, Systemic Vascular Resistance, Respiratory Sinus Arrhythmia, Baroreflex Sensitivity, Core Temperature


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Food

Interventions/Control_1

No intervention; after 10 minutes of supine rest, participants underwent a 15-minute standing challenge, followed by 5 minutes of supine rest again.

Interventions/Control_2

200mL of water at approximately 37 degree; After 10 minutes of supine rest, a 15-minute standing challenge is performed (with 1 minute of drinking water after 5 minutes of standing), followed by another 5 minutes of supine rest.

Interventions/Control_3

200mL of water at approximately 4 degree; After 10 minutes of supine rest, a 15-minute standing challenge is performed (with 1 minute of drinking water after 5 minutes of standing), followed by another 5 minutes of supine rest.

Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit

25 years-old >

Gender

Male

Key inclusion criteria

Participants will be healthy young adults, aged 18 to 24 years at the time of consent, who are capable of providing their own written informed consent.

Key exclusion criteria

1 Individuals with current or past history of diseases affecting the respiratory, cardiovascular, digestive, renal, or autonomic nervous systems.
2 Individuals with abnormalities identified in a health check-up, such as an abnormal electrocardiogram (ECG) or hypertension.
3 Individuals who are pregnant or may be pregnant.
4 Individuals unable to provide voluntary informed consent.

Target sample size

19


Research contact person

Name of lead principal investigator

1st name Satoshi
Middle name
Last name Kubota

Organization

International University of Health and Welfare

Division name

School of Health Sciences at Odawara

Zip code

250-8588

Address

1-2-25, Shiroyama, Odawara-city, Kanagawa, JAPAN

TEL

0465216500

Email

satoshi@iuhw.ac.jp


Public contact

Name of contact person

1st name Satoshi
Middle name
Last name Kubota

Organization

International University of Health and Welfare

Division name

School of Health Sciences at Odawara

Zip code

250-8588

Address

1-2-25, Shiroyama, Odawara-city, Kanagawa, JAPAN

TEL

0465216500

Homepage URL


Email

satoshi@iuhw.ac.jp


Sponsor or person

Institute

International University of Health and Welfare

Institute

Department

Personal name



Funding Source

Organization

MEXT

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

International University of Health and Welfare

Address

1-2-25, Shiroyama, Odawara-city, Kanagawa, JAPAN

Tel

0465-21-6500

Email

satoshi@iuhw.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 05 Month 28 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2025 Year 05 Month 27 Day

Date of IRB

2025 Year 05 Month 27 Day

Anticipated trial start date

2025 Year 05 Month 30 Day

Last follow-up date

2026 Year 03 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 05 Month 27 Day

Last modified on

2025 Year 05 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000066157