The importance of human hydration: perceptions among healthcare professionals across Europe

Abstract

Summary Attitudes of healthcare professionals to the importance of hydration for health, wellness and performance were evaluated in six European countries. These included general medical practitioners (n = 600), nurses (n = 300), pharmacists (n = 550), nutritionists (n = 265) and dietitians (n = 265), spread across France, Germany, Greece, Italy, Spain and the UK, who completed computer‐aided web or telephone interviews. The interviews assessed attitudes to the importance of hydration, how commonly they assess the hydration status of patients, and knowledge about recommended water intakes, sources of water for consumption and contribution from different beverages. All responders considered hydration an important issue and there was little difference in opinion between different healthcare providers. Responders in Mediterranean countries (particularly Italy and Spain, but also Greece to some extent) rated hydration more importantly than those in Germany and the UK (P < 0.001) and this was reflected in the higher frequency with which they reported that they assess the hydration status of patients (P < 0.001) and provide advice on the subject (P < 0.001). It was also demonstrated by a greater percentage of responders citing the necessity of optimal hydration for physical performance in these countries, compared with Germany and those in the UK and France (P < 0.001). Whether this was caused by climatic or cultural differences was not addressed by the study. The contribution of an appropriate hydration status to mental health was relatively poorly recognised, with less than 50% of responders in all countries citing this as a benefit and less than 30% of those in France and Italy citing it as a reason to provide advice. Healthcare professionals were reasonably knowledgeable about European Food Safety Authority adequate intakes for water for men and women but overestimated the contribution from food and underestimated that from beverages. The data highlight opportunities for education and improved clinical practice, especially in respect to the effects of hydration status on mental wellbeing and performance and the contribution of foods and beverages to total water intake.

Hydration education: developing, piloting and evaluating a hydration education package for general practitioners

“…The EFSA water intake recommendations were not well known among the GPs, concurring with previous research of a range of healthcare professionals across Europe31 and previous research conducted by the research group with dietitians 32. The lack of awareness among professions in the UK and Europe warrants further exploration of how to increase dissemination of such recommendations.…”

“…The lack of awareness among professions in the UK and Europe warrants further exploration of how to increase dissemination of such recommendations. Furthermore, a lack of understanding of the body water content and the proportion of fluid obtained from food were overestimated by participants of this study and previous research of healthcare professionals,31 32 questioning the priority placed on hydration care by all healthcare professionals. The improved knowledge by the GPs after the training in this study may highlight the value of continuing professional development training for all healthcare professionals.…”

Nutritional Factors to Mental Illness.

“…However, more studies were encouraged to establish clearly the link between water and mental health (Holdsworth, 2012). Having found nutrition as an indispensable aspect of health including mental health, St. Andrew's Healthcare has developed a nutritional diagnostic tool for mental patients.…”

“…More studies are needed to determine the quantity of water the food could supply to the body, so, as to determine the exact quantity of water the body needs per day. Also, determining the environmental impact on the daily quantity of water needed by individual was encouraged (Holdsworth, 2012). Rated as a high-quality study (++).…”

The eatwell eight

“…It is an important issue, as even slight dehydration can lead to a reduction in performance. From a public health perspective the issue of healthy drinking is improving, and the paper from Holdsworth (2012) in this issue seeks to explore these perceptions among healthcare professionals. Interestingly, it suggests that while hydration is important, the contribution of hydration status on mental health is relatively poorly recognised.…”