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Cited by 110Geriatric Care and Nursing HomesDysphagia Assessment and ManagementElectrolyte and hormonal disorders

Maintaining oral hydration in older adults: a systematic review

Hodgkinson, Brent, Evans, David, Wood, Jacky·2003·International Journal of Nursing Practice
DOI 10.1046/j.1440-172x.2003.00425.x
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Abstract

Dehydration is the most common fluid and electrolyte imbalance in older adults. The objectives were to identify the factors that increase the risk of dehydration in older adults, how best to assess the risk and manage oral fluid intake. Data sources included Medline, CINAHL, Cochrane Library, Embase and Current Contents, which were searched until February 2002. Randomized controlled trials for management of adequate fluid intake were undertaken. Cohort and case control studies were used for the identification of risk factors for dehydration. Studies of assessment tools for the identification of dehydration were also considered. Results show that there is no clear determination of the risk factors for dehydration and decreased fluid intake. The recommended daily intake of fluids should be not less than 1600 mL/24 h in order to ensure adequate hydration. A fluid intake sheet and urine specific gravity might be the best methods of monitoring daily fluid intake. Regular presentation of fluids to bedridden older adults can maintain adequate hydration status. In conclusion, more research is required to determine the optimum method of maintaining adequate oral hydration in older adults.

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Crossref · 10.1046/j.1440-172x.2003.00425.x

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  • Older persons are at increased risk of dehydration for various reasons, and dehydration is related to serious health consequences.

    “Besides malnutrition, older persons are at increased risk of dehydration for various reasons, which is also related to serious health consequences (7,8).”

    From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [8]

  • Fluid intake may be reduced voluntarily because of issues about getting to the toilet and continence.

    “Fluid intake may also be reduced voluntarily, e.g. because of issues about getting to the toilet and continence (8,226,253).”

    From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [8]

  • Physical access to drinks, swallowing problems and dysphagia can be issues reducing fluid intake in older adults.

    “Physical access to drinks can also be an issue (8,255,256), as can swallowing problems and dysphagia.”

    From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [8]

  • Memory problems may cause older adults to forget to drink and forget that they haven't drunk.

    “Memory problems may cause older adults to forget to drink and forget that they haven't drunk (7)(8)(9)252).”

    From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [8]

  • The causes of low-intake dehydration in older adults are varied and inter-related.

    “The causes of low-intake dehydration in older adults appear to be varied and inter-related and have been examined in several non-systematic reviews (7,8,242).”

    From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [8]

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Authors
Hodgkinson, B., Evans, D., & Wood, J.
Affiliations
  • The University of Adelaide (AU)
  • Royal Adelaide Hospital (AU)
Corresponding author
Hodgkinson, Brent
ORCID
Venue
International Journal of Nursing Practice
Publisher
Wiley
Published
2003-06
Volume
9
Issue
3
Pages
S19-28
ISSN
  • 1322-7114 (ISSN-L)
  • 1440-172X
DOI
10.1046/j.1440-172x.2003.00425.x
OpenAlex
W1964079739
Cited by
110
References
32
Citations by year
2026: 5 · 2025: 2 · 2024: 6 · 2023: 6 · 2022: 3 · 2021: 4 · 2020: 3 · 2019: 7 · 2018: 7 · 2017: 6 · 2016: 7 · 2015: 8 · 2014: 5 · 2013: 6 · 2012: 9
FWCI
0.76
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 11 d)
Locations
  • International Journal of Nursing Practice (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
  • Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Electrolyte and hormonal disorders
Keywords
dehydration, older adults, oral hydration, fluid intake, risk factors, dehydration assessment, urine specific gravity, fluid intake monitoring, bedridden patients, electrolyte imbalance
MeSH terms
Activities of Daily Living, Aged, Dehydration, Fluid Therapy, Geriatric Nursing, Humans, Nursing Assessment, Research Design, Risk Factors, Water-Electrolyte Balance, Clinical Nursing Research, Rehydration Solutions, Geriatric Assessment

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