{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T22:31:56Z","timestamp":1787005916025,"version":"build-2736575974"},"reference-count":36,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2007,1,2]],"date-time":"2007-01-02T00:00:00Z","timestamp":1167696000000},"content-version":"unspecified","delay-in-days":397,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2005,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1368980005001539_sec01\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The fluid recommendation for adults aged 70+ years has been criticised on the basis of a low prevalence of dehydration in community-dwelling older adults. This study explores whether the low prevalence might reflect limitations of individual dehydration indices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980005001539_sec02\">\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional data on plasma sodium, blood urea nitrogen (BUN), creatinine, glucose and potassium were used to classify 1737 participants of the 1992 Established Populations for Epidemiologic Studies of the Elderly (EPESE) (70+ years) according to multiple dehydration indices. Associations between dehydration indices, health and functional status were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980005001539_sec03\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Depending on the indicator used, the prevalence of dehydration ranged from 0.5% for hypotonic hypovolaemia only (plasma tonicity &lt;285 mOsm l\n                      <jats:sup>\u22121<\/jats:sup>\n                      with orthostatic hypotension) to 60% with dehydration defined as either plasma sodium \u2265145 mEq l\n                      <jats:sup>\u22121<\/jats:sup>\n                      , BUN\/creatinine ratio \u226520, tonicity \u2265295 mOsm l\n                      <jats:sup>\u22121<\/jats:sup>\n                      , or hypotonic hypovolaemia. Elevated tonicity and BUN\/creatinine ratio were respectively associated with chronic disease and functional impairment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980005001539_sec04\" sec-type=\"conclusion\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The true prevalence of dehydration among community-dwelling adults may be low or high, depending on the indicator(s) used to define dehydration. Before we can pinpoint a generalisable prevalence of dehydration for community-dwelling seniors and draw conclusions about fluid recommendations, validation studies of dehydration indices and longitudinal studies of dehydration, health and functional status are needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1079\/phn2005829","type":"journal-article","created":{"date-parts":[[2005,12,23]],"date-time":"2005-12-23T19:45:13Z","timestamp":1135367113000},"page":"1275-1285","source":"Crossref","is-referenced-by-count":92,"title":["Is the prevalence of dehydration among community-dwelling older adults really low? Informing current debate over the fluid recommendation for adults aged 70+years"],"prefix":"10.1017","volume":"8","author":[{"given":"Jodi Dunmeyer","family":"Stookey","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carl F","family":"Pieper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harvey Jay","family":"Cohen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2007,1,2]]},"reference":[{"key":"S1368980005001539_ref035","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(01)00359-6"},{"key":"S1368980005001539_ref001","first-page":"1033","article-title":"Dehydration in the elderly: a short review","volume":"79","author":"Lavizzo-Mourey","year":"1987","journal-title":"Journal of the National Medical Association"},{"key":"S1368980005001539_ref025","first-page":"249","volume-title":"Recommended Dietary Allowances","year":"1989"},{"key":"S1368980005001539_ref012","first-page":"149","volume-title":"Hydration and Aging","author":"Miller","year":"1998"},{"key":"S1368980005001539_ref002","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198409203111202"},{"key":"S1368980005001539_ref005","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198409203111209"},{"key":"S1368980005001539_ref029","volume-title":"Fluid, Electrolyte, and Acid\u2013Base Physiology","author":"Halperin","year":"1999"},{"key":"S1368980005001539_ref003","doi-asserted-by":"publisher","DOI":"10.1093\/geronj\/31.2.155"},{"key":"S1368980005001539_ref033","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-5491.2001.00434.x"},{"key":"S1368980005001539_ref034","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-5491.2002.00783.x"},{"key":"S1368980005001539_ref015","first-page":"9","volume-title":"Hydration and Aging","author":"Rikkert","year":"1998"},{"key":"S1368980005001539_ref028","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.300.6721.396-c"},{"key":"S1368980005001539_ref004","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.57.4.341"},{"key":"S1368980005001539_ref023","volume-title":"Stata Statistical Software, Release 6.0","year":"1999"},{"key":"S1368980005001539_ref019","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1996.03530360021030"},{"key":"S1368980005001539_ref021","unstructured":"21 World Health Organization (WHO) Expert Committee. 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