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Hydration status of community-dwelling seniors

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Abstract

Background and aims: Dehydration is the most common fluid or electrolyte disorder among older persons. This study was designed to examine the hydration status of community-dwelling seniors. Methods: Blood and urine samples were collected from 67 independently living volunteers (65–93 yrs) who had functional limitations but no condition that contraindicated 10 min of moderate exercise. Forty-six subjects who were not diabetic, had fasted for 12 hours, and had blood glucose levels ≤115 mg/dL were thus included. Urine and serum samples were analyzed for osmolality (mosm/kg), Na+ (mmol/L) and K+ (mmol/L). Whole blood was analyzed for hemoglobin (Hb, g/dL) and hematocrit (Hct, %) and urine for specific gravity (USG). Means and standard deviations for the current data were compared with normal values. Results: All values were within normal ranges except urine osmolality. Conclusions: While changes associated with aging may predispose an individual to dehydration, functionally limited, independently living older individuals demonstrate normal hydration status following a 12-hr fast. This suggests that dehydration is not solely a function of the aging process, but may be more related to concomitant medical conditions or dependent living.

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References

  1. Kositzke J. A question of balance — Dehydration in the elderly. J Gerontol Nurs 1990; 16: 4–11.

    PubMed  CAS  Google Scholar 

  2. Mentes J, Buckwalter K. Maintaining hydration to prevent acute confusion in frail elderly. J Gerontol Nurs 1997; 23: 48–51.

    PubMed  CAS  Google Scholar 

  3. O’Neill PA, Faragher EB, Davies I, Wears R, McLean KA, Fair-weather DS. Reduced survival with increasing plasma osmolality in elderly continuing-care patients. Age Ageing 1990; 19: 68–71.

    Article  PubMed  Google Scholar 

  4. Spencer B. Pritchard-Howarth M. Lee T. Jack C. Won’t drink? Can’t drink. Age Ageing 2000; 29: 185a.

    Article  CAS  Google Scholar 

  5. Chidester JC. Spangler AA. Fluid intake in the institutionalized elderly. J Am Diet Assoc 1997; 97: 23–8.

    Article  CAS  Google Scholar 

  6. Weinberg AD, Minaker KL. Council on Scientific Affairs, American Medical Association. Dehydration: evaluation and management in older adults. JAMA 1995; 274: 1552–6.

    CAS  Google Scholar 

  7. Hoffman NB. Dehydration in the elderly: Insidious and manageable. Geriatrics 1991; 46: 35–8.

    PubMed  CAS  Google Scholar 

  8. Phillips PA, Rolls BJ, Ledingham JGG, et al. Reduced thirst after water deprivation in healthy elderly men. N Engl J Med 1984; 311: 753–9.

    Article  PubMed  CAS  Google Scholar 

  9. Rolls BJ, Wood RJ, Rolls ET, Lind H, Lind W, Ledingham JGG. Thirst following water deprivation in humans. Am J Physiol 1980; 239: R476–82.

    PubMed  CAS  Google Scholar 

  10. Stachenfeld NS, DiPietro L, Nadel ER, Mack GW. Mechanism of attenuated thirst in aging: role of central volume receptors. Am J Physiol 1997; 272: R148–57.

    PubMed  CAS  Google Scholar 

  11. Rolls BJ. Physiological determinants of fluid intake in humans. In Ramsay DJ, Booth DA, Eds. Thirst: physiological and psychological aspects. New York. NY: Springer-Verlag. 1991: 391–8.

    Google Scholar 

  12. Rowe JW, Andres R, Tobin JD, Norris AH, Shock NW. The effect of age on creatinine clearance in men: A cross-sectional and longitudinal study. J Gerontol 1976; 31: 155–63.

    Article  PubMed  CAS  Google Scholar 

  13. Macias Nunez JF, Garcia Iglesias C, Bondia Roman A, et al. Renal handling of sodium in old people: A functional study. Age Ageing 1978; 7: 178–81.

    Article  PubMed  CAS  Google Scholar 

  14. Leaf A. Dehydration in the elderly. N Engl J Med 1984; 311: 791–2.

    Article  PubMed  CAS  Google Scholar 

  15. O’Neill PA, Duggan J, Davies I. Response to dehydration in elderly patients in long term care. Aging Clin Exp Res 1997; 9: 372–7.

    Google Scholar 

  16. Kenney WL. Chiu P. Influence of age on thirst and fluid intake. Med Sci Sport Exerc 2001; 33: 1524–32.

    Article  CAS  Google Scholar 

  17. Armstrong LE, Maresh CM, Castellani JW, et al. Urinary indices of hydration status. Int J Sport Nutr 1994; 4: 265–79.

    PubMed  CAS  Google Scholar 

  18. Goodman CC, Boissonnault WG. Pathology: Implications for the physical therapist. Philadelphia: W.B. Saunders Co, 1998.

    Google Scholar 

  19. Lentner C, Ed. Geigy Scientific Tables: Vols. 1 & 3. Basel, Switzerland: Ciba-Geigy Limited, 1984.

  20. Popowski LA, Opplinger RA, Lambert GP, Johnson RF, Johnson AK, Gisolfi CV. Blood and urinary measures of hydration status during progressive acute dehydration. Med Sci Sport Exerc 2001; 33: 747–53.

    Article  CAS  Google Scholar 

  21. Mack GW, Weseman CA, Langhans GW, Scherzer H, Gillen CM, Nadel ER. Body fluid balance in dehydrated healthy older men: thirst and renal osmoregulation. J Appl Physiol 1994; 76: 1615–23.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Amy L. Morgan PhD.

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This research was published as an Abstract for the 2002 Annual Meeting of the American College of Sports Medicine.

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Morgan, A.L., Masterson, M.M., Fahlman, M.M. et al. Hydration status of community-dwelling seniors. Aging Clin Exp Res 15, 301–304 (2003). https://doi.org/10.1007/BF03324513

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  • DOI: https://doi.org/10.1007/BF03324513

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