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Fluid Intake Recommendation Considering the Physiological Adaptations of Adults Over 65 Years: A Critical Review

The aim of this critical review was to clarify recommended fluid intake for older people. A literature search of published articles and guidelines on fluid intake recommendations until April 2020 was carried out using PUBMED, Scopus, Cochrane, and Google Scholar. In this review, we focused on people...

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Autores principales: Masot, Olga, Miranda, Jèssica, Santamaría, Ana Lavedán, Paraiso Pueyo, Elena, Pascual, Alexandra, Botigué, Teresa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7694182/
https://www.ncbi.nlm.nih.gov/pubmed/33158071
http://dx.doi.org/10.3390/nu12113383
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author Masot, Olga
Miranda, Jèssica
Santamaría, Ana Lavedán
Paraiso Pueyo, Elena
Pascual, Alexandra
Botigué, Teresa
author_facet Masot, Olga
Miranda, Jèssica
Santamaría, Ana Lavedán
Paraiso Pueyo, Elena
Pascual, Alexandra
Botigué, Teresa
author_sort Masot, Olga
collection PubMed
description The aim of this critical review was to clarify recommended fluid intake for older people. A literature search of published articles and guidelines on fluid intake recommendations until April 2020 was carried out using PUBMED, Scopus, Cochrane, and Google Scholar. In this review, we focused on people over 65 years old at different care levels. The results show that the mean fluid intake ranges between 311 and 2390 mL/day. However, it is difficult to know whether this corresponds to the real pattern of fluid intake, due to the variability of data collection methods. With respect to the recommendations, most international organizations do not take into consideration the physiology of ageing or the health problems associated with an older population. In conclusions, we recommend to follow the guideline of the European Society for Clinical Nutrition and Metabolism (ESPEN) and the European Food Safety Authority (EFSA). ESPEN is the only guideline which takes into account age. It is also based on EFSA recommendations. This authority takes into consideration all fluids consumed (ranging from food to fluids). If it is known that around 20% of all fluids consumed come from food, the result would effectively be that the EFSA recommends the same as the ESPEN guidelines: 1.6 L/day for females and 2.0 L/day for males. The findings could help raise the awareness of professionals in the sector with respect to the required fluid intake of the elderly and, in this way, contribute to avoiding the consequences of dehydration.
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spelling pubmed-76941822020-11-28 Fluid Intake Recommendation Considering the Physiological Adaptations of Adults Over 65 Years: A Critical Review Masot, Olga Miranda, Jèssica Santamaría, Ana Lavedán Paraiso Pueyo, Elena Pascual, Alexandra Botigué, Teresa Nutrients Review The aim of this critical review was to clarify recommended fluid intake for older people. A literature search of published articles and guidelines on fluid intake recommendations until April 2020 was carried out using PUBMED, Scopus, Cochrane, and Google Scholar. In this review, we focused on people over 65 years old at different care levels. The results show that the mean fluid intake ranges between 311 and 2390 mL/day. However, it is difficult to know whether this corresponds to the real pattern of fluid intake, due to the variability of data collection methods. With respect to the recommendations, most international organizations do not take into consideration the physiology of ageing or the health problems associated with an older population. In conclusions, we recommend to follow the guideline of the European Society for Clinical Nutrition and Metabolism (ESPEN) and the European Food Safety Authority (EFSA). ESPEN is the only guideline which takes into account age. It is also based on EFSA recommendations. This authority takes into consideration all fluids consumed (ranging from food to fluids). If it is known that around 20% of all fluids consumed come from food, the result would effectively be that the EFSA recommends the same as the ESPEN guidelines: 1.6 L/day for females and 2.0 L/day for males. The findings could help raise the awareness of professionals in the sector with respect to the required fluid intake of the elderly and, in this way, contribute to avoiding the consequences of dehydration. MDPI 2020-11-04 /pmc/articles/PMC7694182/ /pubmed/33158071 http://dx.doi.org/10.3390/nu12113383 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Masot, Olga
Miranda, Jèssica
Santamaría, Ana Lavedán
Paraiso Pueyo, Elena
Pascual, Alexandra
Botigué, Teresa
Fluid Intake Recommendation Considering the Physiological Adaptations of Adults Over 65 Years: A Critical Review
title Fluid Intake Recommendation Considering the Physiological Adaptations of Adults Over 65 Years: A Critical Review
title_full Fluid Intake Recommendation Considering the Physiological Adaptations of Adults Over 65 Years: A Critical Review
title_fullStr Fluid Intake Recommendation Considering the Physiological Adaptations of Adults Over 65 Years: A Critical Review
title_full_unstemmed Fluid Intake Recommendation Considering the Physiological Adaptations of Adults Over 65 Years: A Critical Review
title_short Fluid Intake Recommendation Considering the Physiological Adaptations of Adults Over 65 Years: A Critical Review
title_sort fluid intake recommendation considering the physiological adaptations of adults over 65 years: a critical review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7694182/
https://www.ncbi.nlm.nih.gov/pubmed/33158071
http://dx.doi.org/10.3390/nu12113383
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