Literature Review Hydration Assessment Methods in the Elderly Population: Advantages and Disadvantages
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Background: The elderly population is vulnerable to hydration problems, which can have adverse effects on their health. Accurate and reliable hydration assessment methods are crucial for effective detection, monitoring, and management of hydration status in the elderly. However, there is currently no consensus on the optimal method.
Objectives: This literature aims to analyze the hydration assessment methods used in the elderly population and evaluate their strengths and limitations.
Methods: This study gathered data from relevant literature and research articles obtained from journals in databases such as PubMed, Google Scholar, and Science Direct. Articles were searched using keywords such as Hydration Assessment, Hydration Markers, and (elderly OR older). Data sources included publications from official websites and research journals. The literature review process involved selecting the review topic, searching for relevant articles, and analyzing and synthesizing the available literature.
Discussion: Several hydration assessment methods in the elderly include biochemical parameters, clinical signs and symptoms, bioimpedance analysis (BIA), and ultrasonography. However, no single method can provide a comprehensive picture of dehydration status in the elderly.
Conclusions: When selecting an appropriate assessment method, factors such as assessment goals, strengths, limitations, sensitivity, specificity, cost, equipment availability, ease of use, and time required need to be considered. By considering these factors, researchers can choose the most suitable hydration assessment method for the elderly population, thereby obtaining accurate and relevant information for proper management and care.
Bak, A., Tsiami, A. and Greene, C. (2017) ‘Methods of Assessment of Hydration Status and their Usefulness in Detecting Dehydration in the Elderly', Current Research in Nutrition and Food Science Journal, 5(2), pp. 43–54.
Barley, O.R., Chapman, D.W. and Abbiss, C.R. (2020) ‘Reviewing the current methods of assessing hydration in athletes', Journal of the International Society of Sports Nutrition, 17, p. 52. Available at: https://doi.org/10.1186/s12970-020-00381-6.
Baron, S. et al. (2015) ‘Assessment of hydration status in a large population', The British Journal of Nutrition, 113(1), pp. 147–158. Available at: https://doi.org/10.1017/S0007114514003213.
Baron, S. et al. (2018) ‘Fluid requirements and assessment in nutrition support', ldots and dietetics in ldots [Preprint]. Available at: https://doi.org/10.1002/9781118993880.ch3.1.
Betomvuko, P., de Saint-Hubert, M., and ... (2018) ‘Early diagnosis of dehydration in hospitalized geriatric patients using clinical and laboratory criteria', European Geriatric ldots [Preprint]. Available at: https://doi.org/10.1007/s41999-018-0100-0.
Boccardi, V. et al. (2022) ‘Dealing with dehydration in hospitalized oldest persons: accuracy of the calculated serum osmolarity', Aging Clinical and Experimental Research, 34(10), pp. 2547–2552.
Bron, A.J. and Willshire, C. (2021) ‘Tear Osmolarity in the Diagnosis of Systemic Dehydration and Dry Eye Disease', Diagnostics, 11(3), p. 387. Available at: https://doi.org/10.3390/diagnostics11030387.
Bruno, C. et al. (2021) ‘Interventions to Improve Hydration in Older Adults: A Systematic Review and Meta-Analysis', Nutrients, 13(10), p. 3640. Available at: https://doi.org/10.3390/nu13103640.
Buanasita, A., Yanto, A. and Sulistyowati, I. (2015) Perbedaan Tingkat Konsumsi Energi, Lemak, Cairan, dan Status Hidrasi Mahasiswa Obesitas dan Non Obesitas. University of Brawijaya. Available at: https://doaj.org/article/3f9554f57cce42fe82d9a67a0512028f (Accessed: 10 June 2023).
Cheuvront, S.N. et al. (2013) ‘Physiologic basis for understanding quantitative dehydration assessment', The American Journal of Clinical Nutrition, 97(3), pp. 455–462. Available at: https://doi.org/10.3945/ajcn.112.044172.
Edmonds, C.J. et al. (2021) ‘Dehydration in older people: A systematic review of the effects of dehydration on health outcomes, healthcare costs and cognitive performance', Archives of Gerontology and Geriatrics, 95, p. 104380. Available at: https://doi.org/10.1016/j.archger.2021.104380.
Ekingen, T. et al. (2022) ‘Associations between hydration status, body composition, sociodemographic and lifestyle factors in the general population: a cross-sectional study', BMC Public Health, 22(1), p. 900. Available at: https://doi.org/10.1186/s12889-022-13280-z.
Hahn, R. (2022) Urine concentration in elderly women and men. Available at: https://doi.org/10.21203/rs.3.rs-1684076/v1.
Hooper, L. et al. (2015) ‘Diagnostic accuracy of calculated serum osmolarity to predict dehydration in older people: adding value to pathology laboratory reports', BMJ open, 5(10), p. e008846. Available at: https://doi.org/10.1136/bmjopen-2015-008846.
Kang, H.W. et al. (2019) ‘Twenty-four-hour urine osmolality as a representative index of adequate hydration and a predictor of recurrence in patients with urolithiasis', International Urology and Nephrology, 51(7), pp. 1129–1135. Available at: https://doi.org/10.1007/s11255-019-02108-2.
Khajuria, A. and Krahn, J. (2005) ‘Osmolality revisited--deriving and validating the best formula for calculated osmolality', Clinical Biochemistry, 38(6), pp. 514–519. Available at: https://doi.org/10.1016/j.clinbiochem.2005.03.001.
Lacey, J. et al. (2019) ‘A multidisciplinary consensus on dehydration: definitions, diagnostic methods and clinical implications.', Annals of medicine, 51(3–4), pp. 232–251. Available at: https://doi.org/10.1080/07853890.2019.1628352.
Mandalí , C. et al. (2023) ‘Use of bioelectrical impedance analysis in centenarians: a systematic review', Aging Clinical and Experimental Research, 35(1), pp. 1–7. Available at: https://doi.org/10.1007/s40520-022-02282-x.
Nakamura, Y. et al. (2020) ‘Effect of Increased Daily Water Intake and Hydration on Health in Japanese Adults', Nutrients, 12(4), p. 1191. Available at: https://doi.org/10.3390/nu12041191.
Puga, A.M., Partearroyo, T. and Varela-Moreiras, G. (2018) ‘Hydration status, drug interactions, and determinants in a Spanish elderly population: a pilot study', Journal of Physiology and Biochemistry, 74(1), pp. 139–151. Available at: https://doi.org/10.1007/s13105-017-0585-x.
Sanson, G. et al. (2021) ‘Impaired hydration status in acutely admitted older patients: prevalence and impact on mortality', Age and Ageing, 50(4), pp. 1151–1158. Available at: https://doi.org/10.1093/ageing/afaa264.
Sumeru, A. and Mustikasari, D. (2020) ‘The Use of Self-Monitoring Urine Chart (PURI) in Older Adults to Prevent Dehydration: A Literature Review', Journal of Bionursing, 2(1), pp. 1–8. Available at: https://doi.org/10.20884/1.bion.2020.2.1.38.
Volkert, D. et al. (2019) ‘ESPEN guideline on clinical nutrition and hydration in geriatrics', Clinical Nutrition (Edinburgh, Scotland), 38(1), pp. 10–47. Available at: https://doi.org/10.1016/j.clnu.2018.05.024.
Wood, A.D. et al. (2021) ‘Bioelectrical Impedance Versus Biochemical Analysis of Hydration Status: Predictive Value for Prolonged Hospitalisation and Poor Discharge Destination for Older Patients', Healthcare, 9(2), p. 154. Available at: https://doi.org/10.3390/healthcare9020154.
Zeni, C. et al. (2022) ‘Bioimpedanciometry in nutritional and hydration assessments in a single dialysis center', Jornal Brasileiro De Nefrologia, pp. S0101-28002022005061400. Available at: https://doi.org/10.1590/2175-8239-JBN-2022-0037en.
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