The influence of age on the renal response to water deprivation in man
Abstract
Alterations in urine concentrating ability with age were examined in 98 active community-dwelling volunteers (aged 20-79 years) who were free from evidence of diseases known to adversely affect renal function. There was a significant decrease in urine osmolality reached after 12 h dehydration with advancing age, which could not be correlated with the age-related decline in creatinine clearance. A significant age-related diminution in the ability to conserve solute was also observed. This inability to conserve solute may result in diminished medullary tonicity and impaired urinary concentrating ability.
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Reduced thirst and reduced urine concentration by the kidney increase dehydration risk in older adults.
“Among age-related physiological changes, reduced thirst and reduced urine concentration by the kidney increase dehydration risk (9,(243)(244)(245)(246).”
From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [246]
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ESPEN practical guideline: Clinical nutrition and hydration in geriatrics
Volkert, D., Beck, A. M., Cederholm, T., Cruz-Jentoft, A., Hooper, L., Kiesswetter, E., Maggio, M., Raynaud-Simon, A., Sieber, C., Sobotka, L., et al. (2022) · Clinical Nutrition · doi:10.1016/j.clnu.2022.01.024 · Cited by 516 · see citing works
Water-loss dehydration and aging
Hooper, L., Bunn, D., Jimoh, F. O., & Fairweather-Tait, S. J. (2014) · Mechanisms of Ageing and Development · doi:10.1016/j.mad.2013.11.009 · Cited by 283 · see citing works
Obstructive Sleep Apnea, Nocturia and Polyuria in Older Adults
Umlauf, M. G., Chasens, E. R., Greevy, R. A., Arnold, J., Burgio, K. L., & Pillion, D. J. (2004) · Sleep · doi:10.1093/sleep/27.1.139 · Cited by 168 · see citing works
- Authors
- Rowe, J. W., Shock, N. W., & DeFronzo, R. A.
- Affiliations
- National Institutes of Health (US)
- Venue
- Nephron
- Publisher
- S. Karger AG
- Published
- 2008-11-28
- Volume
- 17
- Issue
- 4
- Pages
- 270-278
- ISSN
- 1660-8151 (ISSN-L)
- 2235-3186
- OpenAlex
- W1969365907
- Cited by
- 326
- References
- 0
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 7 · 2023: 3 · 2022: 2 · 2021: 3 · 2020: 4 · 2019: 8 · 2018: 10 · 2017: 8 · 2016: 4 · 2015: 7 · 2014: 14 · 2013: 12 · 2012: 7
- FWCI
- 10.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Nephron journals/Nephron journals (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Electrolyte and hormonal disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Ion Transport and Channel Regulation
- Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
- Keywords
- aging, water deprivation, urine concentrating ability, urine osmolality, renal function, creatinine clearance, dehydration
- MeSH terms
- Adult, Aged, Aging, Creatinine, Glomerular Filtration Rate, Humans, Kidney, Kidney Concentrating Ability, Middle Aged, Osmolar Concentration, Urination, Water Deprivation
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