Interventions to Improve Hydration in Older Adults: A Systematic Review and Meta-Analysis

Nutrients

Annaleise Collier¹  Margaret Holyday¹  Chevonne Bruno²  Kelly Lambert² 

[1] Nutrition and Dietetics Department, Prince of Wales Hospital, Randwick, NSW 2031, Australia;School of Medicine, University of Wollongong, Wollongong, NSW 2522, Australia;

关键词: dehydration;    fluid;    beverages;    geriatric;    inpatient;    institutionalized;   

DOI  :  10.3390/nu13103640

来源: DOAJ

【 摘 要 】

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; I² = 0%, p < 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.

【 授权许可】

Unknown