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Original Study| Volume 20, ISSUE 3, P317-322, March 2019

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

  • Teresa Botigué
    Affiliations
    Department of Nursing and Physiotherapy, University of Lleida, Lleida, Catalonia, Spain

    Health Care Research Group (GRECS), Biomedical Research Institute of Lleida, Lleida, Catalonia, Spain
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  • Olga Masot
    Correspondence
    Address correspondence to Olga Masot, MD, Department of Nursing and Physiotherapy, University of Lleida, c/ Montserrat Roig, 2, 25198 Lleida, Catalonia, Spain.
    Affiliations
    Department of Nursing and Physiotherapy, University of Lleida, Lleida, Catalonia, Spain

    Health Care Research Group (GRECS), Biomedical Research Institute of Lleida, Lleida, Catalonia, Spain
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  • Jèssica Miranda
    Affiliations
    Health Care Research Group (GRECS), Biomedical Research Institute of Lleida, Lleida, Catalonia, Spain

    Residència i Centre de dia Lleida-Balàfia, GSS, Lleida, Catalonia, Spain
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  • Carmen Nuin
    Affiliations
    Department of Nursing and Physiotherapy, University of Lleida, Lleida, Catalonia, Spain

    Health Care Research Group (GRECS), Biomedical Research Institute of Lleida, Lleida, Catalonia, Spain
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  • Maria Viladrosa
    Affiliations
    Health Care Research Group (GRECS), Biomedical Research Institute of Lleida, Lleida, Catalonia, Spain

    Arnau de Vilanova University Hospital of Lleida, Lleida, Catalonia, Spain
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  • Ana Lavedán
    Affiliations
    Department of Nursing and Physiotherapy, University of Lleida, Lleida, Catalonia, Spain

    Health Care Research Group (GRECS), Biomedical Research Institute of Lleida, Lleida, Catalonia, Spain
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  • Sandra Zwakhalen
    Affiliations
    Research School CAPHRI, Department of Health Services Research, Maastricht University, Maastricht, the Netherlands
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Published:October 15, 2018DOI:https://doi.org/10.1016/j.jamda.2018.08.011

      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.

      Keywords

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