Cited by 283Nutrition and Health in AgingElectrolyte and hormonal disordersGeriatric Care and Nursing Homes

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Water-loss dehydration and aging

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Hooper, Lee, Bunn, Diane, Jimoh, Florence O., Fairweather-Tait, Susan J.·2014·Mechanisms of Ageing and Development

DOI 10.1016/j.mad.2013.11.009

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Abstract

This review defines water-loss and salt-loss dehydration. For older people serum osmolality appears the most appropriate gold standard for diagnosis of water-loss dehydration, but clear signs of early dehydration have not been developed. In older adults, lower muscle mass, reduced kidney function, physical and cognitive disabilities, blunted thirst, and polypharmacy all increase dehydration risk. Cross-sectional studies suggest a water-loss dehydration prevalence of 20-30% in this population. Water-loss dehydration is associated with higher mortality, morbidity and disability in older people, but evidence is still needed that this relationship is causal. There are a variety of ways we may be able to help older people reduce their risk of dehydration by recognising that they are not drinking enough, and being helped to drink more. Strategies to increase fluid intake in residential care homes include identifying and overcoming individual and institutional barriers to drinking, such as being worried about not reaching the toilet in time, physical inability to make or to reach drinks, and reduced social drinking and drinking pleasure. Research needs are discussed, some of which will be addressed by the FP7-funded NU-AGE (New dietary strategies addressing the specific needs of elderly population for a healthy ageing in Europe) trial.

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Authors: Hooper, L., Bunn, D., Jimoh, F. O., & Fairweather-Tait, S. J.
Affiliations: University of East Anglia (GB)
Corresponding author: Hooper, Lee
ORCID: Hooper, Lee
Bunn, Diane
Jimoh, Florence O.
Fairweather-Tait, Susan J.
Venue: Mechanisms of Ageing and Development
Publisher: Elsevier BV
Published: 2014-03
Volume: 136-137
Pages: 50-58
ISSN: 0047-6374 (ISSN-L)
DOI: 10.1016/j.mad.2013.11.009
OpenAlex: W2152164967
Cited by: 283
References: 99
Citations by year: 2026: 22 · 2025: 17 · 2024: 34 · 2023: 38 · 2022: 21 · 2021: 27 · 2020: 28 · 2019: 24 · 2018: 19 · 2017: 16 · 2016: 14 · 2015: 13 · 2014: 10
FWCI: 1.34
Type: journal article
Language: en
Open access: green
ueaeprints.uea.ac.uk
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Mechanisms of Ageing and Development (publishedVersion)
PubMed (publishedVersion)
UEA Digital Repository (University of East Anglia) (submittedVersion)
Funders: Seventh Framework Programme (266486, NCT01754012)
National Institute for Health Research
Topics: Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
Health Sciences › Medicine › Nephrology › Electrolyte and hormonal disorders
Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
Keywords: serum osmolality, muscle mass, renal function, polypharmacy, fluid intake, care homes, healthy aging, morbidity and mortality
MeSH terms: Aged, Aged, 80 and over, Aging, Clinical Trials as Topic, Dehydration, Diet, Drinking, Europe, Female, Humans, Male, Middle Aged, Osmolar Concentration, Reference Values, Risk, Self Care, Water, Prevalence, Symptom Assessment

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Water-loss dehydration and aging

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