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Dehydration. Evaluation and management in older adults. Council on Scientific Affairs, American Medical Association

OBJECTIVE--To review published literature regarding dehydration in older individuals and formulate a consensus on the evaluation and treatment of this unrecognized cause of hospitalizations, morbidity, and mortality. DATA SOURCES AND STUDY SELECTION--The literature concerning dehydration in the elderly population from MEDLINE was reviewed from 1976 through 1995. Search terms included dehydration, elderly, evaluation, hospitalization, and [...]

By |2013-01-31T18:32:27+00:00enero 31st, 2013|Assessment methodologies, Scientific papers|0 Comments

CRITERIA FOR MEASUREMENT OF DEHYDRATION.

This Position Stand provides guidance on fluid replacement to sustain appropriate hydration of individuals performing physical activity. The goal of prehydrating is to start the activity euhydrated and with normal plasma electrolyte levels. Prehydrating with beverages, in addition to normal meals and fluid intake, should be initiated when needed at least several hours before the [...]

By |2013-01-31T18:32:27+00:00enero 31st, 2013|Assessment methodologies, Scientific papers|0 Comments

Exercise associated hyponatraemia: quantitative analysis to understand the aetiology.

BACKGROUND: The development of symptomatic hyponatraemia consequent on participation in marathon and ultraendurance races has led to questions about its aetiology and prevention. OBJECTIVES: To evaluate: (a) the assertion that sweat sodium losses cannot contribute to the development of hyponatraemia during endurance exercise; (b) the adequacy of fluid replacement recommendations issued by the International Marathon [...]

Black tea–helpful or harmful? A review of the evidence.

OBJECTIVE: To consider whether consumption of black tea has a positive or negative impact on health. DESIGN: Databases were searched for relevant epidemiological and clinical studies published between 1990 and 2004. RESULTS: Clear evidence was found for coronary heart disease (CHD), where an intake of > or = 3 cups per day related to risk [...]

Blood pressure response to 1-month, electrolyte-carbohydrate beverage consumption.

There are many occupations where workers undergo daily exposure to rigorous environments, often with only limited access to fluids. Such conditions warrant the use of an electrolyte rehydration beverage; however, the long-term use of such beverages may pose potential health risks due to the increase in dietary sodium intake. This study proposed to determine blood [...]

Core temperature and metabolic responses after carbohydrate intake during exercise at 30 degrees C.

CONTEXT: Carbohydrate ingestion has recently been associated with elevated core temperature during exercise in the heat when testing for ergogenic effects. Whether the association holds when metabolic rate is controlled is unclear. Such an effect would have undesirable consequences for the safety of the athlete. OBJECTIVE: To examine whether ingesting fluids containing carbohydrate contributed to [...]

By |2013-01-31T09:55:10+00:00enero 31st, 2013|Exercise and sport, Scientific papers|0 Comments

Voluntary drinking and hydration in non-acclimatized girls exercising in the heat.

The intent of this study was to assess the influence of drink flavor and composition on voluntary drinking and hydration status in girls exercising intermittently in the heat (35 +/- 1 degrees C, 45-50% relative humidity). Twelve physically active, nonacclimatized girls (9-12 years) performed three 3 h identical sessions, each consisting of four 20 min [...]

By |2013-01-31T09:55:10+00:00enero 31st, 2013|Children, Scientific papers|0 Comments

Understanding clinical dehydration and its treatment

Dehydration in clinical practice, as opposed to a physiological definition, refers to the loss of body water, with or without salt, at a rate greater than the body can replace it. We argue that the clinical definition for dehydration, ie, loss of total body water, addresses the medical needs of the patient most effectively. There [...]

By |2013-01-31T09:55:09+00:00enero 31st, 2013|Hydration and health, Scientific papers|0 Comments

The effects of dehydration on rehabilitation outcomes of elderly orthopedic patients.

OBJECTIVE: To study the effects of dehydration, by using the indices of prerenal azotemia and orthostasis, on the rehabilitation outcomes of elderly orthopedic patients. DESIGN: Prospective, pilot study. SETTING: Regional inpatient rehabilitation center. PARTICIPANTS: A consecutive sample of 39 patients (29 women, 10 men), ranging in age from 58 to 94 years (mean, 78y), of [...]

By |2013-01-31T09:55:09+00:00enero 31st, 2013|Age and the elderly, Scientific papers|0 Comments