Factors associated with low‐intake dehydration among older inpatients: A pilot study

Wham, Carol; Smithers, Allie; Kruger, Rozanne; Mazahery, Hajar; Richter, Marilize

doi:10.1111/ajag.12894

Cited by 2 publications

(3 citation statements)

References 20 publications

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“…Another recent study [6] identified that older patients with bladder continence issues had the lowest water intake of <300 ml per day and that this was associated with 7.8 times greater odds of dehydration (odds ratio 7.8, 95% CI 1.8–34). Simple strategies such as offering water at routine intervals such as each meal, snack and with medications was described as a simple strategy likely to be of benefit.…”

Section: Practical Strategies To Prevent and Manage Geriatric Dehydra...mentioning

confidence: 99%

“…Poor vision or mobility may limit access to fluid, especially if hospitalized or in long-term care. For elders who are reliant on feeding assistance, this is a known risk factor for low fluid intake [6], and elders may be inclined to not ask for assistance with hydration or be a burden to others.…”

Section: Causes Of Dehydrationmentioning

confidence: 99%

“…Another recent study [6] identified that older patients with bladder continence issues had the IDDSI level refers to level of thickness with level 2 referring to mildly thick fluid, and level 4 referring to extremely thick fluid [18]. Composition obtained from the Australian Food Composition Database [19], Flavour Creations [20], and Abbott Australasia [21].…”

Section: Practical Strategies To Prevent and Manage Geriatric Dehydra...mentioning

confidence: 99%

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Dehydration in geriatrics: consequences and practical guidelines

Lambert

Carey

2022

Current Opinion in Clinical Nutrition &Amp; Metabolic Care

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Purpose of reviewGeriatric dehydration is a widespread and under recognized problem. The purpose of this review was to examine the latest evidence regarding geriatric dehydration and provide practical guidance for health professionals. Recent findingsThis review covers evidence from the past 2 years and shows that geriatric dehydration is not benign and is associated with significant personal distress, as well as negative economic and health system consequences. New guidance on nutrition and hydration in the elderly recommend against the use of skin turgor, dry mouth, urine colour or specific gravity to determine hydration status in the elderly. Instead, serum osmolality is considered the gold standard. SummaryStrategies to prevent and manage geriatric dehydration should differ depending on aetiology (low intake, volume depletion or both). Widespread dissemination and implementation of innovative strategies that target improved access to fluids, and systems change to enable rapid and accurate identification and treatment are required.

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Section: Practical Strategies To Prevent and Manage Geriatric Dehydra...mentioning

confidence: 99%

Section: Causes Of Dehydrationmentioning

confidence: 99%

Section: Practical Strategies To Prevent and Manage Geriatric Dehydra...mentioning

confidence: 99%

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Dehydration in geriatrics: consequences and practical guidelines

Lambert

Carey

2022

Current Opinion in Clinical Nutrition &Amp; Metabolic Care

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Development of the ‘Healthy Eating Index for Older People’ to Measure Adherence to Dietary Guidelines in Healthy Older New Zealand Adults

Mumme,

de Seymour,

Conlon

et al. 2024

Dietetics

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This study aimed to develop the ‘Healthy Eating Index for Older People’ (the index), based on New Zealand dietary guidelines, and measures the validity and reproducibility of a food frequency questionnaire (FFQ) to derive the index scores in older adults. In Auckland, New Zealand, participants (community-dwelling adults aged 65–74 years, [n = 273, 36% male]) completed a 109-item FFQ administered one month apart (FFQ1, FFQ2), with a four-day food record (4-DFR) collected in between. Adherence to the guidelines was scored using the index, comprising a total score (maximum = 100) and two sub-scores: adequacy (maximum = 60) and moderation (maximum = 40). A comparison of FFQ1 and FFQ2 determined reproducibility, and FFQ1 and 4-DFR determined validity. Higher index scores (from FFQ1) were associated with higher intakes of protein, fibre, vitamins and minerals and lower intakes of alcohol and saturated fats (nutrients from 4-DFR) after adjusting for age and sex (all p < 0.001). Total index and sub-indices correlation coefficients ranged from 0.42 to 0.77 (all p < 0.001); weighted kappa values ranged from 0.35 to 0.67; and mean differences were all <10% of FFQ1 for reproducibility and validity. The Bland–Altman analysis showed no bias for the total index score for reproducibility and validity. However, with validation, the sub-index scores became less reliable as food intake increased (p < 0.05). The index applied to the FFQ demonstrated good construct validity and reproducibility. Relative and absolute validity were acceptable, though caution is required when using the absolute sub-index scores. The index is suitable for measuring total diet quality in older New Zealand adults.

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Factors associated with low‐intake dehydration among older inpatients: A pilot study

Cited by 2 publications

References 20 publications

Dehydration in geriatrics: consequences and practical guidelines

Dehydration in geriatrics: consequences and practical guidelines

Development of the ‘Healthy Eating Index for Older People’ to Measure Adherence to Dietary Guidelines in Healthy Older New Zealand Adults

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