[Analysis of dehydration in older people in a nursing home in Spain: prevalence and associated factors]
| Autor: | Ana Lavedán, Miguel Ángel Escobar-Bravo, Judith Roca, Jèssica Miranda, Olga Masot, Teresa Botigué |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Population Medicine (miscellaneous) Context (language use) Fluid intake Prevalence Medicine Elderly people Humans Dehydration education Aged Gynecology Aged 80 and over Urine colour education.field_of_study Nutrition and Dietetics business.industry Drinking Water Physical Functional Performance medicine.disease Nursing Homes Cross-Sectional Studies Spain Female business Nursing homes Older people Cognition Disorders |
| Zdroj: | Nutricion hospitalaria. 38(2) |
| ISSN: | 1699-5198 |
| Popis: | espanolIntroduccion: la deshidratacion en las personas mayores institucionalizadas es un problema poco explorado, no habiendose encontrado evidencia al respecto en relacion con las personas mayores del contexto residencial espanol. Objetivos: estimar la prevalencia de la deshidratacion e identificar los factores asociados a la misma en las personas mayores institucionalizadas en una residencia geriatrica. Metodos: estudio descriptivo y transversal. La deshidratacion se midio a traves del color de la orina. Para la identificacion de los factores se seleccionaron variables sociodemograficas, clinicas, funcionales y mentales. Resultados: la muestra total estudiada fue de 96 individuos con una media de edad de 86,6 anos (± 7,1), de los cuales el 80,2 % eran mujeres. La prevalencia de la deshidratacion fue del 31,3 % (IC 95 %: 22,0 a 40,6). Los factores que se asociaron independientemente a la deshidratacion fueron la presencia de ojos hundidos (OR = 8,67; p = 0,004), la baja ingesta hidrica (OR = 3,96; p = 0,041) y el deterioro funcional (OR = 0,97; p = 0,012) y cognitivo (OR = 1,10; p = 0,009). Conclusiones: este estudio permite visibilizar el problema de la deshidratacion en las personas mayores institucionalizadas en Espana. La tabla de colores de la orina puede emplearse de forma rutinaria, no invasiva y con bajo coste, por lo que podria ser el metodo de eleccion para la deteccion de la deshidratacion en esta poblacion. Teniendo en cuenta que la deshidratacion cronica es la mas prevalente en las personas mayores, la identificacion de los factores asociados es clave para mejorar su hidratacion. EnglishBackground: dehydration in institutionalized elderly people has not been extensively studied. There are not clear data on the Spanish context. Aim: to estimate the prevalence of dehydration and to identify the associated factors in institutionalized older people in a nursing home. Methods: a cross-sectional study was carried out. Dehydration was measured through the colour of urine. For the identification of the associated factors, sociodemographic, clinical, functional, and mental variables were selected. Results: the total sample studied was comprised of 96 individuals with a mean age of 86.6 years (± 7.1), of whom 80.2 % were women. The prevalence of dehydration was 31.3% (95 % CI, 22.0 to 40.6). The factors that were independently associated with dehydration were the presence of sunken eyes (OR = 8.67; p = 0.004), low fluid intake (OR = 3.96; p = 0.041), and both functional (OR = 0.97; p = 0.012) and cognitive (OR = 1.10; p = 0.009) impairment. Conclusions: this study highlights the problem of dehydration in institutionalized older people in Spain. An urine colour table may be used routinely, non-invasively, and cheaply. So, it may well be the best simple method for detecting dehydration in this population. Taking into account that chronic dehydration is most prevalent in elderly people, the identification of associated factors is a key factor for a successful approach. |
| Databáze: | OpenAIRE |
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