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Purpose of Review: Geriatric dehydration is a widespread and under recognized problem. The purpose of this review was to examine the latest evidence regarding geriatric dehydration and provide practical guidance for health professionals.

Recent Findings: This review covers evidence from the past 2 years and shows that geriatric dehydration is not benign and is associated with significant personal distress, as well as negative economic and health system consequences. New guidance on nutrition and hydration in the elderly recommend against the use of skin turgor, dry mouth, urine colour or specific gravity to determine hydration status in the elderly. Instead, serum osmolality is considered the gold standard.

Summary: Strategies to prevent and manage geriatric dehydration should differ depending on aetiology (low intake, volume depletion or both). Widespread dissemination and implementation of innovative strategies that target improved access to fluids, and systems change to enable rapid and accurate identification and treatment are required.

Titel:	Dehydration in geriatrics: consequences and practical guidelines.
Autor/in / Beteiligte Person:	Lambert, K ; Carey, S
Zeitschrift:	Current opinion in clinical nutrition and metabolic care, Jg. 26 (2023), Heft 1, S. 36
Veröffentlichung:	1999- : London : Lippincott Williams & Wilkins ; <i>Original Publication</i>: London ; Philadelphia : Rapid Science Publishers, c1998-, 2023
Medientyp:	academicJournal
ISSN:	1473-6519 (electronic)
DOI:	10.1097/MCO.0000000000000880
Schlagwort:	Humans Aged Osmolar Concentration Dehydration etiology Dehydration prevention & control Nutritional Status
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Review; Journal Article Language: English [Curr Opin Clin Nutr Metab Care] 2023 Jan 01; Vol. 26 (1), pp. 36-41. <i>Date of Electronic Publication: </i>2022 Sep 21. MeSH Terms: Dehydration* / etiology ; Dehydration* / prevention & control ; Nutritional Status* ; Humans ; Aged ; Osmolar Concentration References: Volkert D, Beck AM, Cederholm T, et al. ESPEN practical guideline: clinical nutrition and hydration in geriatrics. Clin Nutr 2022; 41:958–989. ; Stookey JD, Pieper CF, Cohen HJ. Is the prevalence of dehydration among community-dwelling older adults really low? Informing current debate over the fluid recommendation for adults aged 70+years. Public Health Nutr 2005; 8:1275–1285. ; Wojszel ZBJN. Impending low intake dehydration at admission to a geriatric ward-prevalence and correlates in a cross-sectional study. Nutrients 2020; 12:398. ; Paulis SJ, Everink IH, Halfens RJ, et al. 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Dehydration in geriatrics: consequences and practical guidelines.