Interventions to Improve Hydration in Older Adults: A Systematic Review and Meta-Analysis
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 patien...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-10-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/13/10/3640 |
| _version_ | 1797513510619447296 |
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| author | Chevonne Bruno Annaleise Collier Margaret Holyday Kelly Lambert |
| author_facet | Chevonne Bruno Annaleise Collier Margaret Holyday Kelly Lambert |
| author_sort | Chevonne Bruno |
| collection | DOAJ |
| description | 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; I<sup>2</sup> = 0%, <i>p</i> < 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. |
| first_indexed | 2024-03-10T06:18:31Z |
| format | Article |
| id | doaj.art-c34897e60ed642f88b541f99234a3956 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T06:18:31Z |
| publishDate | 2021-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-c34897e60ed642f88b541f99234a39562023-11-22T19:31:57ZengMDPI AGNutrients2072-66432021-10-011310364010.3390/nu13103640Interventions to Improve Hydration in Older Adults: A Systematic Review and Meta-AnalysisChevonne Bruno0Annaleise Collier1Margaret Holyday2Kelly Lambert3School of Medicine, University of Wollongong, Wollongong, NSW 2522, AustraliaNutrition and Dietetics Department, Prince of Wales Hospital, Randwick, NSW 2031, AustraliaNutrition and Dietetics Department, Prince of Wales Hospital, Randwick, NSW 2031, AustraliaSchool of Medicine, University of Wollongong, Wollongong, NSW 2522, AustraliaDehydration 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; I<sup>2</sup> = 0%, <i>p</i> < 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.https://www.mdpi.com/2072-6643/13/10/3640dehydrationfluidbeveragesgeriatricinpatientinstitutionalized |
| spellingShingle | Chevonne Bruno Annaleise Collier Margaret Holyday Kelly Lambert Interventions to Improve Hydration in Older Adults: A Systematic Review and Meta-Analysis Nutrients dehydration fluid beverages geriatric inpatient institutionalized |
| title | Interventions to Improve Hydration in Older Adults: A Systematic Review and Meta-Analysis |
| title_full | Interventions to Improve Hydration in Older Adults: A Systematic Review and Meta-Analysis |
| title_fullStr | Interventions to Improve Hydration in Older Adults: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Interventions to Improve Hydration in Older Adults: A Systematic Review and Meta-Analysis |
| title_short | Interventions to Improve Hydration in Older Adults: A Systematic Review and Meta-Analysis |
| title_sort | interventions to improve hydration in older adults a systematic review and meta analysis |
| topic | dehydration fluid beverages geriatric inpatient institutionalized |
| url | https://www.mdpi.com/2072-6643/13/10/3640 |
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