Fluid intake in the Institutionalized Elderly
Abstract
Objective Actual fluid intake in the institutionalized elderly was compared with three established standards to determine adequacy of fluid intake. Design Consecutive 3-day food and fluid intake was observed directly and analyzed by computer for water content. Number and frequency of medications and Minimum Data Set (MDS) information about cognitive skills, physical locomotion, and ability to understand were obtained from medical records. Recommended fluid intake was determined using three established standards for two age groups: 65 through 85 years and 86 through 100 years. The standards were 30 mL/kg body weight (standard 1); 1 mL/kcal energy consumed (standard 2); and 100 mL/kg for first 10 kg, 50 mL/kg for next 10 kg, and 15 mL for remaining kg (standard 3). Subjects/setting Data were collected in one nursing home. Subjects were 40 residents who were free from acute illness and infection and/or were not receiving enteral feedings. Main outcome measures Fluid intake and MDS data were collected. Data about medications were obtained after preliminary data collection observations. Statistical analysis performed A two-tailed t test was used to compare actual fluid intake with recommended fluid intake. Interaction effect of age on fluid intake was analyzed using multiple analysis of variance. Correlations were used to evaluate relationships among fluid intake, number and frequency of medications, age, weight, and MDS data. Results This population received adequate or more than…
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Poor ability to assess drink intake in residential and nursing care facilities has been reported numerous times.
“This poor ability to assess drink intake in residential and nursing care facilities has been reported numerous times (232-235).”
From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [232]
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- Authors
- CHIDESTER, J. C., & SPANGLER, A. A.
- Affiliations
- Reid Health (US)
- Ball State University (US)
- Corresponding author
- CHIDESTER, JUNE C.
- Venue
- Journal of the American Dietetic Association
- Publisher
- Elsevier BV
- Published
- 1997-01
- Volume
- 97
- Issue
- 1
- Pages
- 23-28
- ISSN
- 0002-8223 (ISSN-L)
- OpenAlex
- W1982422967
- Cited by
- 164
- References
- 31
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 1 · 2022: 4 · 2021: 8 · 2020: 6 · 2019: 7 · 2018: 4 · 2017: 6 · 2016: 5 · 2015: 9 · 2014: 3 · 2013: 6 · 2012: 7
- FWCI
- 14.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Dietetic Association (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutrition and Health Studies
- Keywords
- fluid intake, institutionalized elderly, nursing home residents, underweight
- MeSH terms
- Age Factors, Aged, Aged, 80 and over, Body Weight, Energy Intake, Cognition Disorders, Communication, Dehydration, Dependency, Psychological, Drinking, Drug Therapy, Eating, Female, Homes for the Aged, Humans, Institutionalization, Male, Nursing Homes, Physical Fitness, Risk Factors
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