Publication:
Water scarcity and conservation and their role in obesity in nature and in humans

dc.contributor.coauthorJohnson, Richard J.
dc.contributor.coauthorPainer-Gigler, Johanna
dc.contributor.coauthorKalgeropoulu, Szilvia
dc.contributor.coauthorGiroud, Sylvain
dc.contributor.coauthorShiels, Paul G.
dc.contributor.coauthorKanbay, Mehmet
dc.contributor.coauthorAndres-Hernando, Ana
dc.contributor.coauthorRodriguez-Iturbe, Bernardo
dc.contributor.coauthorLanaspa, Miguel A.
dc.contributor.coauthorStenvinkel, Peter
dc.contributor.coauthorSanchez-Lozada, Laura G.
dc.contributor.departmentSchool of Medicine
dc.contributor.kuauthorFaculty Member, Kanbay, Mehmet
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2025-09-10T04:58:49Z
dc.date.available2025-09-09
dc.date.issued2025
dc.description.abstractIncreasing temperatures and water scarcity pose threats to animals living in the wild and humans. Here, we review biological mechanisms animals use to prevent dehydration. Fat and glycogen generate water during metabolism that can be used by many animals as a source of water. In hibernating animals, fat production is stimulated in the autumn by a vasopressin-dependent, carbohydrate-based metabolism that leads to thirst, increased water intake, and storage of glycogen and fat. As fall advances, the animals switch to fat-based metabolism with falling vasopressin levels, and actual entrance into torpor can be triggered when water becomes unavailable and/or unpredictable. Once in torpor, metabolic water is generated by fat metabolism along with a suppression of vasopressin and fall in serum osmolality that blocks thirst. We suggest that water production from fat does not keep up with demands, and that respiratory acidosis also develops as a consequence of hypoventilation, and this leads to the necessity of interbout arousals (IBA), in which the animal rewarms with a switch to carbohydrate metabolism that causes a rapid increase in water availability from the breakdown of glycogen that facilitates the ventilation needed to correct the acidemia. The animal then drops its metabolic rate again, allowing fat metabolism to continue. The observation that water deficit may be a stimulus for fat storage in hibernation carries significance for human obesity, especially in response to salt and sugar, as it suggests that hydration may be protective. These studies also provide an understanding of how glucagon-like peptide-1 agonists may cause weight loss.
dc.description.fulltextNo
dc.description.harvestedfromManual
dc.description.indexedbyWOS
dc.description.indexedbyPubMed
dc.description.publisherscopeInternational
dc.description.readpublishN/A
dc.description.sponsoredbyTubitakEuN/A
dc.identifier.doi10.1111/joim.70003
dc.identifier.eissn1365-2796
dc.identifier.embargoNo
dc.identifier.issn0954-6820
dc.identifier.quartileN/A
dc.identifier.urihttps://doi.org/10.1111/joim.70003
dc.identifier.urihttps://hdl.handle.net/20.500.14288/30368
dc.identifier.wos001542957300001
dc.keywordsdehydration
dc.keywordsmetabolic depression
dc.keywordsmetabolic water
dc.keywordsobesity
dc.keywordsstarvation
dc.keywordsvasopressin
dc.keywordswater scarcity
dc.language.isoeng
dc.publisherWiley
dc.relation.affiliationKoç University
dc.relation.collectionKoç University Institutional Repository
dc.relation.ispartofJournal of internal medicine
dc.subjectMedicine, General & Internal
dc.titleWater scarcity and conservation and their role in obesity in nature and in humans
dc.typeReview
dspace.entity.typePublication
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