ClinicalTrials.gg
WithdrawnNCT02331316Updated Mar 23, 2021

Drinking Water to Reach or Maintain a Healthier Weight

An interventional study of Daily extra water intake in Obesity and Dietary Modification, sponsored by ThinkWell. Withdrawn at 1 site in United Kingdom. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-03-23.

Sponsored by ThinkWell · Not applicable, Interventional, and Prevention

Why this study was withdrawn
PI Retired study unfunded
Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

The purpose of this study is to find out if drinking extra water helps people lose or maintain weight loss and reduce hunger and, if so, what volume of water is most effective and when is it best to drink it.

Read the detailed description

Obesity is a major public health problem. Observational data suggest that drinking water is associated with a healthier weight. Indeed advice to drink extra water to help with weight control is widespread (eight 8oz glasses or 2L of water a day is a common recommendation). The public spends billions of dollars on bottled water in the belief that it works and people are increasingly carrying water with them throughout the day. However, a systematic review of randomized controlled trials looking at the effectiveness of drinking extra water to help reduce weight or weight gain or produce changes in surrogate markers such as appetite or caloric intake undertaken by our group showed that currently there is an absence of reliable evidence to support the recommendation to drink water.

It is important to establish whether drinking extra water is indeed helpful for weight control and, if so, what is the optimal quantity to recommend, as this could have an important impact of public health and public health policies if it is indeed effective. Tap water is so readily available in this country that even if the improvement in weight maintenance or reduction is small, this will be a cost-effective intervention. If it is not effective, then it is important that people know this so that they can make an informed choice about buying bottles of water for their health.

The primary clinical question the study will address is does drinking extra water prevent or reduce weight gain?

The secondary clinical questions it will ask are:

  1. Does drinking water reduce hunger or increase satiety
  2. Does drinking water increase participants' sense of well-being
  3. What is the effect of the different volumes of water on nocturnal urination patterns?

Once participants decide to take part in this trial, they will be asked to drink a specific amount of water at particular times of the day for 6 months. A computer will decide by chance the amount of water they will be asked to drink each day of the trial and the times at which to drink this.

There are different amounts and different times that people will be asked to drink water, this is so that investigators can find out if there is an optimal volume of water to drink, and a best time to drink water to reduce headaches or hunger. The least amount of water the computer could ask participants to drink is half a glass (that is 4oz or 120ml). The largest volume of water the computer could ask a participant to drink would be eight glasses of water a day (a total of 64oz or 2L) spread across the day (that is not all at once). Once the computer has assigned participants to a particular volume and times to drink water, these will remain the same for every day throughout the study.

Participant will be asked to provide some brief information about themselves at the beginning of the study (for example, age, sex, height and whether they exercise, smoke or not). During the study they will be asked to weigh themselves and record this, their dietary habits and the amount they drink will be stored on a private and confidential page on the study website. They will be asked to fill in [2] confidential short surveys about how they feel and their views, one at the start and one at the end of the study

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Conditions studied

  • Obesity
  • Dietary Modification

Keywords

  • obesity
  • diet
  • weight
  • hunger
  • public led trial
03

In context

Obesity

11,522 studies on the registry are indexed under Obesity; 2,033 are open to participants now.

Browse Obesity studies →

Lead sponsor

ThinkWell is the lead sponsor of 9 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Any adult (defined as someone aged 18 or above) for who advice to drink extra water is not .

Exclusion criteria

Exclusion Criteria:

General:

  1. \< 18 years of age
  2. No personal email address
  3. Pregnancy
  4. Ecstasy recreational drug use

Health conditions:

  1. Impaired renal function
  2. Chronic bowel problems
  3. Low sodium levels
  4. Diabetes insipidus
  5. Schizophrenia or history of psychosis
  6. Congestive heart failure
  7. Current chemotherapy treatment
  8. Anorexia
  9. bulimia

Concurrent Medications:

  1. Taking regular non-steroidal anti-inflammatory drugs
  2. Diuretics (e.g. thiazides, indapamide, loop diuretics), also called "water tablets"
  3. Anti-depressants Selective serotonin re-uptake inhibitors (SSRIs), Tricyclic and tetracyclic antidepressants (TCAs),monoamine oxidase inhibitor (MAOIs)
  4. Anti-psychotics (e.g. haloperidol)
  5. Anti-convulsants (e.g. sodium valproate, carbamazepine)

Implicit exclusions:

  1. People without internet access
  2. People who cannot read 3 People without the ability to understand the website and documents
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Daily extra water intake 2L

    Timing of daily extra water intake intervention-A: extra water intake: 8 8oz glasses of water a day (2L) - 2 first thing in the morning before breakfast, 2 before midday or midday meal, 2 before afternoon meal and 2 before evening meal. Intervention-B: Drink extra water at anytime over 24 hours

    Other: Daily extra water intake

  • Experimental
    Daily extra water intake 1L

    Timing of daily extra water intake Intervention-A: 4 8oz glasses of water a day (1L) - 1 first thing in the morning before breakfast, 1 before midday or midday meal, 1 before afternoon meal and 1 before evening meal. Intervention-B: Drink extra water at anytime over 24 hours

    Other: Daily extra water intake

  • Experimental
    Daily extra water intake 500ml

    Timing of daily extra water intake Intervention-A: 2 8oz glasses of water a day (500ml) - each half an hour before a meals. Intervention-B: Drink extra water at anytime over 24 hours

    Other: Daily extra water intake

  • Experimental
    Daily extra water intake 120ml

    Timing of daily extra water intake Intervention-A: 1/2 a glass of water on waking (120ml). If you forget to drink your water first thing, do not drink it later in the day, just skip this day and drink ½ a glass the next day on waking. Intervention-B: Drink extra water at anytime over 24 hours

    Other: Daily extra water intake

Interventions

  • OtherDaily extra water intake

    Intervention-A: Timing of assigned daily extra water intake specified Intervention-B: Daily extra water assigned at any time during 24 hour period

06

What researchers measure

Primary outcomes

  1. Weight loss or maintenance recorded online using participant reported outcome measures(PROMS)

    Weight loss or maintenance recorded online using participant reported outcome measures(PROMS). Participants will be asked to record weight using a supplied body mass index calculator and home weight scales weekly or as a minimum at baseline and close of study

    Time frame: 6 months

Secondary outcomes

  1. Hunger intensity and satiety recorded online using participant reported outcome measures(PROMS)

    Hunger intensity and satiety recorded online using participant reported outcome measures(PROMS). Participants will be asked to self report hunger and satiety levels using a mobile app, web or journal using a visual analog scale (VAS ) on a daily basis or as a minimum at baseline and close of study

    Time frame: 6 months

  2. Well-being as measured by The PROMIS Well-being measure

    The PROMIS Well-being measure will be administered to participants monthly, There will be a VAS Mood scale where they can record sad to happy mood at the same time they record hunger

    Time frame: 6 months

  3. Nightly micturition frequency as measured by self report

    Participants will self report weekly if nightly micturition frequency increases, decreases or there is no change

    Time frame: 6 months

07

Study locations

1 site
  • ThinkWell and City University London
    Oxford, Oxfordshire OX4 4DN, United Kingdom
08

References and documents

Publications

  • 1 Price A, Burls A, Spurden D, et al. Water intake for weight reduction: a Systematic Review. PROSPERO. 2013.http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42013004998
  • 1 Price A, Burls A. PLOT-IT Public Led Online Trials Infrastructure and Tools. In: Force 2015. Oxford UK: : Force2015 2015. doi:DOI: 10.13140/2.1.1992.6082
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 23, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02331316
Lead sponsor
ThinkWell
Responsible party
Sponsor
First posted
Jan 6, 2015
Start date
Jan 2019 (estimated)
Primary completion
Aug 2019 (estimated)
Completion
Nov 2019 (estimated)
Last update
Mar 23, 2021

Study contacts

Amanda J Burls, MD
principal investigator · ThinkWell and City University London
Martin Cartwright, PhD
principal investigator · City, University of London

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Mar 2021. You cannot join it, but the record below documents what was studied.

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