Prevalence and Risk Factors Associated With Low Fluid Intake in Institutionalized Older Residents

Teresa Botigue; Olga Masot; Jessica Miranda; Carmen Nuin; Maria Viladrosa; Ana Lavedan; Sandra Zwakhalen

doi:10.1016/j.jamda.2018.08.011

Prevalence and Risk Factors Associated With Low Fluid Intake in Institutionalized Older Residents

Teresa Botigue, Olga Masot^*, Jessica Miranda, Carmen Nuin, Maria Viladrosa, Ana Lavedan, Sandra Zwakhalen

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Objective: The aim of this study was to determine the prevalence of low fluid intake in institutionalized older residents and the associated factors.

Design: This was a cross-sectional study.

Setting and Participants: The study was carried out at a nursing home with a capacity for 156 residents, all of whom were older than 65 years.

Measures: Data were collected on the fluids consumed by each resident over a period of 1 week. Information relating to sociodemographic variables and to residents' health, nutrition, and hydration status was also collected.

Results: Of 53 residents, 34% ingested less than 1500 mL/d. The factors with the greatest correlation associated with low fluid intake were cognitive and functional impairment, the risk of suffering pressure ulcers, being undernourished, a texture-modified diet, dysphagia, impaired swallowing safety, and BUN: creatinine ratio.

Conclusions/Implications: The results obtained highlight the scale of low fluid intake in nursing homes and also aid to identify and understand the factors associated with this problem. The findings could help us to develop specific strategies to promote the intake of liquids and thereby reduce the incidence of dehydration in nursing homes. (C) 2018 AMDA - The Society for Post-Acute and Long-Term Care Medicine.

Original language	English
Pages (from-to)	317-322
Number of pages	6
Journal	Journal of the American Medical Directors Association
Volume	20
Issue number	3
DOIs	https://doi.org/10.1016/j.jamda.2018.08.011
Publication status	Published - Mar 2019

Keywords

Fluid intake
risk factors
elderly
nursing home
long-term care
NURSING-HOME RESIDENTS
DEHYDRATION
HYPERNATREMIA
INTERVENTION
INFECTION
STANDARDS
HYDRATION
WATER
FOOD

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10.1016/j.jamda.2018.08.011

Cite this

@article{8ffdf1ed26d1447ea7c7e30549786f8d,

title = "Prevalence and Risk Factors Associated With Low Fluid Intake in Institutionalized Older Residents",

abstract = "Objective: The aim of this study was to determine the prevalence of low fluid intake in institutionalized older residents and the associated factors.Design: This was a cross-sectional study.Setting and Participants: The study was carried out at a nursing home with a capacity for 156 residents, all of whom were older than 65 years.Measures: Data were collected on the fluids consumed by each resident over a period of 1 week. Information relating to sociodemographic variables and to residents' health, nutrition, and hydration status was also collected.Results: Of 53 residents, 34% ingested less than 1500 mL/d. The factors with the greatest correlation associated with low fluid intake were cognitive and functional impairment, the risk of suffering pressure ulcers, being undernourished, a texture-modified diet, dysphagia, impaired swallowing safety, and BUN: creatinine ratio.Conclusions/Implications: The results obtained highlight the scale of low fluid intake in nursing homes and also aid to identify and understand the factors associated with this problem. The findings could help us to develop specific strategies to promote the intake of liquids and thereby reduce the incidence of dehydration in nursing homes. (C) 2018 AMDA - The Society for Post-Acute and Long-Term Care Medicine.",

keywords = "Fluid intake, risk factors, elderly, nursing home, long-term care, NURSING-HOME RESIDENTS, DEHYDRATION, HYPERNATREMIA, INTERVENTION, INFECTION, STANDARDS, HYDRATION, WATER, FOOD",

author = "Teresa Botigue and Olga Masot and Jessica Miranda and Carmen Nuin and Maria Viladrosa and Ana Lavedan and Sandra Zwakhalen",

note = "Funding Information: This work was supported by bridge funding for research projects provided by the University of Lleida. Publisher Copyright: {\textcopyright} 2018 AMDA – The Society for Post-Acute and Long-Term Care Medicine",

year = "2019",

month = mar,

doi = "10.1016/j.jamda.2018.08.011",

language = "English",

volume = "20",

pages = "317--322",

journal = "Journal of the American Medical Directors Association",

issn = "1525-8610",

publisher = "Elsevier Science",

number = "3",

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TY - JOUR

T1 - Prevalence and Risk Factors Associated With Low Fluid Intake in Institutionalized Older Residents

AU - Botigue, Teresa

AU - Masot, Olga

AU - Miranda, Jessica

AU - Nuin, Carmen

AU - Viladrosa, Maria

AU - Lavedan, Ana

AU - Zwakhalen, Sandra

N1 - Funding Information: This work was supported by bridge funding for research projects provided by the University of Lleida. Publisher Copyright: © 2018 AMDA – The Society for Post-Acute and Long-Term Care Medicine

PY - 2019/3

Y1 - 2019/3

N2 - Objective: The aim of this study was to determine the prevalence of low fluid intake in institutionalized older residents and the associated factors.Design: This was a cross-sectional study.Setting and Participants: The study was carried out at a nursing home with a capacity for 156 residents, all of whom were older than 65 years.Measures: Data were collected on the fluids consumed by each resident over a period of 1 week. Information relating to sociodemographic variables and to residents' health, nutrition, and hydration status was also collected.Results: Of 53 residents, 34% ingested less than 1500 mL/d. The factors with the greatest correlation associated with low fluid intake were cognitive and functional impairment, the risk of suffering pressure ulcers, being undernourished, a texture-modified diet, dysphagia, impaired swallowing safety, and BUN: creatinine ratio.Conclusions/Implications: The results obtained highlight the scale of low fluid intake in nursing homes and also aid to identify and understand the factors associated with this problem. The findings could help us to develop specific strategies to promote the intake of liquids and thereby reduce the incidence of dehydration in nursing homes. (C) 2018 AMDA - The Society for Post-Acute and Long-Term Care Medicine.

AB - Objective: The aim of this study was to determine the prevalence of low fluid intake in institutionalized older residents and the associated factors.Design: This was a cross-sectional study.Setting and Participants: The study was carried out at a nursing home with a capacity for 156 residents, all of whom were older than 65 years.Measures: Data were collected on the fluids consumed by each resident over a period of 1 week. Information relating to sociodemographic variables and to residents' health, nutrition, and hydration status was also collected.Results: Of 53 residents, 34% ingested less than 1500 mL/d. The factors with the greatest correlation associated with low fluid intake were cognitive and functional impairment, the risk of suffering pressure ulcers, being undernourished, a texture-modified diet, dysphagia, impaired swallowing safety, and BUN: creatinine ratio.Conclusions/Implications: The results obtained highlight the scale of low fluid intake in nursing homes and also aid to identify and understand the factors associated with this problem. The findings could help us to develop specific strategies to promote the intake of liquids and thereby reduce the incidence of dehydration in nursing homes. (C) 2018 AMDA - The Society for Post-Acute and Long-Term Care Medicine.

KW - Fluid intake

KW - risk factors

KW - elderly

KW - nursing home

KW - long-term care

KW - NURSING-HOME RESIDENTS

KW - DEHYDRATION

KW - HYPERNATREMIA

KW - INTERVENTION

KW - INFECTION

KW - STANDARDS

KW - HYDRATION

KW - WATER

KW - FOOD

U2 - 10.1016/j.jamda.2018.08.011

DO - 10.1016/j.jamda.2018.08.011

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JO - Journal of the American Medical Directors Association

JF - Journal of the American Medical Directors Association

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ER -