Student or educator? Sign up with your school email and get 6 months of Pro free.
CoChat
Sign Up
Cited by 45

The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.

Interventions to Improve Hydration in Older Adults: A Systematic Review and Meta-Analysis

Bruno, Chevonne, Collier, Annaleise, Holyday, Margaret, Lambert, Kelly·2021·Nutrients
DOI 10.3390/nu13103640
Open this paper in CoChat — free account

Abstract

Dehydration is common in the elderly, especially when hospitalised. This study investigated the impact of interventions to improve hydration in acutely unwell or institutionalised older adults for hydration and hydration linked events (constipation, falls, urinary tract infections) as well as patient satisfaction. Four databases were searched from inception to 13 May 2020 for studies of interventions to improve hydration. Nineteen studies (978 participants) were included and two studies (165 participants) were meta-analysed. Behavioural interventions were associated with a significant improvement in hydration. Environmental, multifaceted and nutritional interventions had mixed success. Meta-analysis indicated that groups receiving interventions to improve hydration consumed 300.93 mL more fluid per day than those in the usual care groups (95% CI: 289.27 mL, 312.59 mL; I2 = 0%, p < 0.00001). Overall, there is limited evidence describing interventions to improve hydration in acutely unwell or institutionalised older adults. Behavioural interventions appear promising. High-quality studies using validated rather than subjective methods of assessing hydration are needed to determine effective interventions.

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.3390/nu13103640

Cites

7 of 7 references verified0 citation errors · 0 not checkable

Statistics

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

Cites

Show all 7 references

Research works printed but not linked: 44

  1. Begum, 2010, A review of the literature on dehydration in the institutionalized elderly, e-SPEN Eur. E-J. Clin. Nutr. Metab., 5, e47, 10.1016/j.eclnm.2009.10.007 · DOI
  2. Wotton, 2008, Prevalence, risk factors and strategies to prevent dehydration in older adults, Contemp. Nurse, 31, 44, 10.5172/conu.673.31.1.44 · DOI
  3. Vivanti, 2008, Clinical assessment of dehydration in older people admitted to hospital: What are the strongest indicators?, Arch. Gerontol. Geriatr., 47, 340, 10.1016/j.archger.2007.08.016 · DOI
  4. Johnson, 2017, How Do We Stop Starving and Dehydrating Our Patients on Dysphagia Diets?, Nutr. Diet., 74, 64
  5. Murray, 2014, Intake of thickened liquids by hospitalized adults with dysphagia after stroke, Int. J. Speech-Lang. Pathol., 16, 486, 10.3109/17549507.2013.830776 · DOI
  6. Vivanti, 2009, Contribution of thickened drinks, food and enteral and parenteral fluids to fluid intake in hospitalised patients with dysphagia, J. Hum. Nutr. Diet., 22, 148, 10.1111/j.1365-277X.2009.00944.x · DOI
  7. Howard, 2018, Use of Textured Thin Liquids in Patients With Dysphagia, Am. J. Speech-Lang. Pathol., 27, 827, 10.1044/2018_AJSLP-16-0140 · DOI
  8. Thomas, 2004, Physician misdiagnosis of dehydration in older adults, J. Am. Med. Dir. Assoc., 5, S31, 10.1016/S1525-8610(04)70088-2 · DOI
  9. Thomas, 2008, Understanding clinical dehydration and its treatment, J. Am. Med. Dir. Assoc., 9, 292, 10.1016/j.jamda.2008.03.006 · DOI · Paper page
  10. Anjo, 2020, Are hypohydrated older adults at increased risk of exhaustion?, J. Hum. Nutr. Diet., 33, 23, 10.1111/jhn.12702 · DOI
  11. Mentes, 2020, Hydration Management, J. Gerontol. Nurs., 46, 19, 10.3928/00989134-20200108-03 · DOI
  12. Xiao, 2004, Economic burden of dehydration among hospitalized elderly patients, Am. J. Health-Syst. Pharm., 61, 2534, 10.1093/ajhp/61.23.2534 · DOI
  13. Lacey, 2019, A multidisciplinary consensus on dehydration: Definitions, diagnostic methods and clinical implications, Ann. Med., 51, 232, 10.1080/07853890.2019.1628352 · DOI
  14. Handu, 2016, Academy of Nutrition and Dietetics Methodology for Conducting Systematic Reviews for the Evidence Analysis Library, J. Acad. Nutr. Diet., 116, 311, 10.1016/j.jand.2015.11.008 · DOI
  15. Armstrong, 2007, Assessing hydration status: The elusive gold standard, J. Am. Coll. Nutr., 26, 575S, 10.1080/07315724.2007.10719661 · DOI · Paper page
  16. Hooper, L., Abdelhamid, A., Attreed, N.J., Campbell, W.W., Channell, A.M., Chassagne, P., Culp, K.R., Fletcher, S.J., Fortes, M.B., and Fuller, N. (2015). Clinical symptoms, signs and tests for identification of impending and current water-loss dehydration in older people. Cochrane Database Syst. Rev. · DOI · Paper page
  17. Khajuria, 2005, Osmolality revisited—Deriving and validating the best formula for calculated osmolality, Clin. Biochem., 38, 514, 10.1016/j.clinbiochem.2005.03.001 · DOI
  18. Hooper, 2016, Water-loss (intracellular) dehydration assessed using urinary tests: How well do they work? Diagnostic accuracy in older people, Am. J. Clin. Nutr., 104, 121, 10.3945/ajcn.115.119925 · DOI
  19. Bak, 2018, Drinking vessel preferences in older nursing home residents: Optimal design and potential for increasing fluid intake, Br. J. Nurs., 27, 1298, 10.12968/bjon.2018.27.22.1298 · DOI
  20. Robinson, 2002, Can a beverage cart help improve hydration?, Geriatr. Nurs., 23, 208, 10.1067/mgn.2002.126967 · DOI
  21. Karagiannis, M.J., Chivers, L., and Karagiannis, T.C. (2011). Effects of oral intake of water in patients with oropharyngeal dysphagia. BMC Geriatr., 11. · DOI
  22. Murray, 2016, Does a Water Protocol Improve the Hydration and Health Status of Individuals with Thin Liquid Aspiration Following Stroke? A Randomized Controlled Trial, Dysphagia, 31, 424, 10.1007/s00455-016-9694-x · DOI
  23. Simmons, 2001, An intervention to increase fluid intake in nursing home residents: Prompting and preference compliance, J. Am. Geriatr. Soc., 49, 926, 10.1046/j.1532-5415.2001.49183.x · DOI
  24. Mentes, 2003, Reducing hydration-linked events in nursing home residents, Clin. Nurs. Res., 12, 210, 10.1177/1054773803252996 · DOI
  25. Smith, 2019, An Innovative Approach to Adequate Oral Hydration in an Inpatient Geriatric Psychiatry Unit, J. Psychosoc. Nurs. Ment. Health Serv., 57, 15, 10.3928/02793695-20190124-03 · DOI
  26. Wilson, 2019, Improving hydration of care home residents by increasing choice and opportunity to drink: A quality improvement study, Clin. Nutr., 38, 1820, 10.1016/j.clnu.2018.07.020 · DOI
  27. Dunne, 2004, Visual contrast enhances food and liquid intake in advanced Alzheimer’s disease, Clin. Nutr., 23, 533, 10.1016/j.clnu.2003.09.015 · DOI
  28. McCormick, 2008, The efficacy of pre-thickened fluids on total fluid and nutrient consumption among extended care residents requiring thickened fluids due to risk of aspiration, Age Ageing, 37, 714, 10.1093/ageing/afn204 · DOI
  29. 2013, A Pilot Study: Fluid Intake and Bacteriuria in Nursing Home Residents in Southern Taiwan, Nurs. Res., 62, 66, 10.1097/NNR.0b013e31826901d5 · DOI
  30. Schnelle, 2010, A Controlled Trial of an Intervention to Improve Urinary and Fecal Incontinence and Constipation, J. Am. Geriatr. Soc. (JAGS), 58, 1504, 10.1111/j.1532-5415.2010.02978.x · DOI
  31. Go, 2013, Heart Disease and Stroke Statistics-2013 Update A Report From the American Heart Association, Circulation, 127, E6
  32. Holzapfel, 1996, Feeder position and food and fluid consumed by nursing home residents, J. Gerontol. Nurs., 22, 6, 10.3928/0098-9134-19960401-04 · DOI
  33. Tanaka, 2008, Can an individualized and comprehensive care strategy improve urinary incontinence (UI) among nursing home residents?, Arch. Gerontol. Geriatr., 49, 278, 10.1016/j.archger.2008.10.006 · DOI
  34. Taylor, 2006, Provision of small, frequent meals does not improve energy intake of elderly residents with dysphagia who live in an extended-care facility, J. Am. Diet. Assoc., 106, 1115, 10.1016/j.jada.2006.04.014 · DOI
  35. Spangler, 1984, The management of dehydration and incontinence in nonambulatory geriatric patients, J. Appl. Behav. Anal., 17, 397, 10.1901/jaba.1984.17-397 · DOI
  36. Allen, 2014, Impact of serving method on the consumption of nutritional supplement drinks: Randomized trial in older adults with cognitive impairment, J. Adv. Nurs., 70, 1323, 10.1111/jan.12293 · DOI
  37. Walker, P., Kifley, A., Kurrle, S., and Cameron, I.D. (2019). Process outcomes of a multifaceted, interdisciplinary knowledge translation intervention in aged care: Results from the vitamin D implementation (ViDAus) study. BMC Geriatr., 19. · DOI
  38. Abdelhamid, A., Bunn, D., Copley, M., Cowap, V., Dickinson, A., Gray, L., Howe, A., Killett, A., Lee, J., and Li, F. (2016). Effectiveness of interventions to directly support food and drink intake in people with dementia: Systematic review and meta-analysis. BMC Geriatr., 16. · DOI · Paper page
  39. Milisen, 2005, Multicomponent intervention strategies for managing delirium in hospitalized older people: Systematic review, J. Adv. Nurs., 52, 79, 10.1111/j.1365-2648.2005.03557.x · DOI
  40. Godfrey, 2012, An exploration of the hydration care of older people: A qualitative study, Int. J. Nurs. Stud., 49, 1200, 10.1016/j.ijnurstu.2012.04.009 · DOI · Paper page
  41. Hooper, 2014, O3.20: Non-invasive clinical and physical signs, symptoms and indications for identification of impending and current water-loss dehydration in older people: A diagnostic accuracy systematic review, Eur. Geriatr. Med., 5, S69, 10.1016/S1878-7649(14)70148-2 · DOI
  42. Schettino, M.S.T.B., Silva, D.C.C., Pereira-Carvalho, N.A.V., Vicente, L.C.C., and Friche, A.A.d.L. (2019). Dehydration, stroke and dysphagia: Systematic review. Audiol.—Commun. Res., 24. · DOI
  43. Geerligs, 2018, Hospital-based interventions: A systematic review of staff-reported barriers and facilitators to implementation processes, Implement. Sci., 13, 36, 10.1186/s13012-018-0726-9 · DOI · Paper page
  44. Hooper, 2015, Diagnostic accuracy of calculated serum osmolarity to predict dehydration in older people: Adding value to pathology laboratory reports, BMJ Open, 5, e008846, 10.1136/bmjopen-2015-008846 · DOI · Paper page

Cited by

See all 45

Metadata

Authors
Bruno, C., Collier, A., Holyday, M., & Lambert, K.
Venue
Nutrients
Publisher
MDPI AG
Published
2021-10-18
Volume
13
Issue
10
Pages
3640
ISSN
2072-6643
DOI
10.3390/nu13103640
Cited by
45
References
7
Language
en
Licence
creativecommons.org/licenses/by/4.0/ (vor)

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

How to cite

Cite CoChat for the checks on this page, and the paper for its own findings.

This page
CoChat. (2026). Citation check: Interventions to Improve Hydration in Older Adults: A Systematic Review and Meta-Analysis. https://app.cochat.ai/papers/10.3390/nu13103640
The paper
Bruno, C., Collier, A., Holyday, M., & Lambert, K. (2021). Interventions to Improve Hydration in Older Adults: A Systematic Review and Meta-Analysis. Nutrients. https://doi.org/10.3390/nu13103640

Data sources

Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.