Infusion of hypertonic saline produces a gradual increase in thirst appreciation throughout a wide range of plasma osmolality (Thompson et. al., 1986) as well as increase in plasma AVP concentration (Philips et. al., 1985). Plasma AVP concentration may be estimated using thirst perception and/or plasma osmolality values (Obika et. al., 2011). In this investigation, we further examined the changes in thirst perception, TP, plasma osmolality, Posm, and plasma arginine vasopressin concentration, PAVP, in dehydrated and oral saline loaded subjects. Forty (40) healthy subjects between the ages of 18-30 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: 2(Na+ + K+)+Urea+Glucose and was also calculated from TP (Thompson et. al., 1986). PAVP was calculated from TP (Igbokwe and Obika, 2008) and Posm, Thompson et. al. (1986). The results in females showed that 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). In conclusion, the relationship between TP, Posm and PAVP may not be maintained during oral saline loading, probably due to body fluid changes.
Physiology 2012 (Edinburgh) (2012) Proc Physiol Soc 27, C33
Oral Communications: Thirst perception, plasma osmolality and plasma arginine vasopressin concentration in dehydrated and oral saline loaded subjects
L. F. Obika1, E. Amabebe1, J. O. Ozoene1, C. A. Inneh1
1. Physiology, University of Benin,, Benin City, Edo State, Nigeria.
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Where applicable, experiments conform with Society ethical requirements.