Journal of the Korean Dietetic Association (대한영양사협회학술지)

The Korean Dietetic Association (대한영양사협회)
권호 표지
DOI QR코드

DOI QR Code

Correlation of Dehydration with Body Mass Index and Blood Lipid Levels

탈수와 체질량지수 및 혈중지질 농도와의 관련성

  • Kim, Sun-Hee (Dept. of Public Health, Sahmyook University Graduate School) ;
  • Yun, Mi-Eun (Dept. of Food and Nutrition, Sahmyook University) ;
  • Yoo, Jae-Hyun (Lifestyle Medicine Reseach Institute, Sahmyook Medical Center) ;
  • Chun, Sung-Soo (Dept. of Health Management, Sahmyook University)
  • 김선희 (삼육대학교 일반대학원 보건학과) ;
  • 윤미은 (삼육대학교 식품영양학과) ;
  • 유재현 (삼육서울병원 생활의학연구소) ;
  • 천성수 (삼육대학교 보건관리학과)
  • Received : 2016.12.13
  • Accepted : 2016.12.29
  • Published : 2017.02.02
Download PDF
⟨ Previous Next ⟩

Abstract

Maintaining adequate fluid balance is essential for all biological functions in the body. The purpose of this study was to evaluate vulnerability to dehydration by analyzing age, gender, body mass index (BMI), and blood lipid parameters in health checkup examinees who visited Sahmyook Seoul Hospital for comprehensive health checkups. In a binary logistic regression analysis stratified by age and body mass index the odd ratio for dehydration was as high as 3.317 (95% CI: 1.666~6.605) in the 50s age group, 4.224 (95% CI: 2.038~ 8.755) in the 60s age group, and 4.610 (95% CI: 1.943~10.940) in the above 70s age group compared to 20s reference age group. Aged females showed greater vulnerability to dehydration with significance levels of P<0.01 and P<0.001. Compared to a normal weight (BMI: 18.5~22.9) the odd ratio was higher in males with an under weight (BMI: less than 18.5) (5.130 [95% CI: 1.631~16.132]) and in females with an over weight (BMI: 23.0~24.9) (1.500 [95% CI: 1.065~2.114]). In conclusion, our results showed that vulnerability to dehydration increased with age and was higher in under weight males and over weight females than that in normal weight.

Keywords

References

  1. Ainslie PN, Campbell IT, Frayn KN, Humphreys SM, MacLaren DP, Reilly T, Westerterp KR (2002): Energy balance, metabolism, hydration, and performance during strenuous hill walking: the effect of age. J Appl Physiol (1985) 93(2):714-723 https://doi.org/10.1152/japplphysiol.01249.2001
  2. Armstrong LE (2012): Challenges of linking chronic dehydration and fluid consumption to health outcomes. Nutr Rev 70 Suppl 2:S121-S127 https://doi.org/10.1111/j.1753-4887.2012.00539.x
  3. Birmingham K (2008): Australia. Nurs Older People 20(7):6
  4. Chang T, Ravi N, Plegue MA, Sonneville KR, Davis MM (2016): Inadequate hydration, BMI, and obesity among US adults: NHANES 2009-2012. Ann Fam Med 14(4):320-324 https://doi.org/10.1370/afm.1951
  5. Crary MA, Humphrey JL, Carnaby-Mann G, Sambandam R, Miller L, Silliman S (2013): Dysphagia, nutrition, and hydration in ischemic stroke patients at admission and discharge from acute care. Dysphagia 28(1):69-76 https://doi.org/10.1007/s00455-012-9414-0
  6. Eijsvogels TM, Scholten RR, van Duijnhoven NT, Thijssen DH, Hopman MT (2013): Sex difference in fluid balance responses during prolonged exercise. Scand J Med Sci Sports 23(2):198-206 https://doi.org/10.1111/j.1600-0838.2011.01371.x
  7. Feehally J, Khosravi M (2015): Effects of acute and chronic hypohydration on kidney health and function. Nutr Rev 73 Suppl 2:110-119 https://doi.org/10.1093/nutrit/nuv046
  8. Fomon SJ (1967): Body composition of the male reference infant during the first year of life. Pediatrics 40(5):863-870
  9. Han GS, Cho WK (2011): Study of dietary behaviors and snack intake patterns of high school students in Seoul, Incheon, and Gyeonggi-do. J Korean Soc Food Culture 26(5):490-500
  10. Hooper L, Bunn D, Jimoh FO, Fairweather-Tait SJ (2014): Water-loss dehydration and aging. Mech Ageing Dev 136-137:50-58 https://doi.org/10.1016/j.mad.2013.11.009
  11. Kenefick RW, Cheuvront SN (2016): Physiological adjustments to hypohydration: impact on thermoregulation. Auton Neurosci 196:47-51 https://doi.org/10.1016/j.autneu.2016.02.003
  12. Kim MK, Sim JA, Eom HJ, Kim MH, Choi MK (2010): Mineral contents in bottled natural water and estimation of their intake by Korean adults. J Korean Diet Assoc 16(2): 116-121
  13. Kim SN (2016): Older adults' dehydration and its influencing factors in long-term care hospital on admission. Masters degree thesis. Hallym University. pp.3-18
  14. Lancaster KJ, Smiciklas-Wright H, Heller DA, Ahern FM, Jensen G (2003): Dehydration in black and white older adults using diuretics. Ann Epidemiol 13(7):525-529 https://doi.org/10.1016/S1047-2797(03)00004-8
  15. Lee SB (2008): The effects of ingestion of water or glycerol on renin activity, rectum temperature, blood electrolytes concentration in exercise. J Life Sci 18(2):187-192 https://doi.org/10.5352/JLS.2008.18.2.187
  16. Maffeis C, Tommasi M, Tomasselli F, Spinelli J, Fornari E, Scattolo N, Marigliano M, Morandi A (2016): Fluid intake and hydration status in obese vs normal weight children. Eur J Clin Nutr 70(5):560-565 https://doi.org/10.1038/ejcn.2015.170
  17. Marra MV, Simmons SF, Shotwell MS, Hudson A, Hollingsworth EK, Long E, Kuertz B, Silver HJ (2016): Elevated serum osmolality and total water deficit indicate impaired hydration status in residents of long-term care facilities regardless of low or high body mass index. J Acad Nutr Diet 116(5):828-836 https://doi.org/10.1016/j.jand.2015.12.011
  18. Maughan RJ, Watson P, Shirreffs SM (2015): Implications of active lifestyles and environmental factors for water needs and consequences of failure to meet those needs. Nutr Rev 73 Suppl 2:130-140 https://doi.org/10.1093/nutrit/nuv051
  19. Maulin K (2014): Hypernatremia in the geriatric population. Clin Interv Aging 9:1987-1992
  20. Mentes J (2006): Oral hydration in older adults: greater awareness is needed in preventing, recognizing, and treating dehydration. Am J Nurs 106(6):40-49
  21. Metheny NM (2011): Fluid and electrolyte balance. 5th ed. Jones & Bartlett Learing. Sudbury, MA. pp.3-5
  22. Morgan AL, Sinning WE, Weldy DL (2002): Age effects on body fluid distribution during exercise in the heat. Aviat Space Environ Med 73(8):750-757
  23. Park CH (2010): Carbohydrate and rehydration for performance in triathlon. J Coach Dev 12(4):145-152
  24. Reiff TB (1989): Body composition with special reference to water. In: Horwitz A, ed. Nutrition in the elderly. Oxford University Press, Oxford. pp.115-122
  25. Reljic D, Hassler E, Jost J, Friedmann-Bette B (2013): Rapid weight loss and the body fluid balance and hemoglobin mass of elite amateur boxers. J Athl Train 48(1):109-117 https://doi.org/10.4085/1062-6050-48.1.05
  26. Riccardi A, Chiarbonello B, Minuto P, Guiddo G, Corti L, Lerza R (2013): Identification of the hydration state in emergency patients: correlation between caval index and BUN/creatinine ratio. Eur Rev Med Pharmacol Sci 17(13): 1800-1803
  27. Rikkert MGMO, Hoefnagels WHL, Deurenberg P (1998): Age-related changes in body fluid compartments and the assessment of dehydration in old age. Hydr Aging 13-32
  28. Ritz P, Vol S, Berrut G, Tack I, Arnaud MJ, Tichet J (2008): Influence of gender and body composition on hydration and body water spaces. Clin Nutr 27(5):740-746 https://doi.org/10.1016/j.clnu.2008.07.010
  29. Sawka MN, Cheuvront SN, Kenefick RW (2015): Hypohydration and human performance: impact of environment and physiological mechanisms. Sports Med 45 Suppl 1:S51-S60 https://doi.org/10.1007/s40279-015-0395-7
  30. Silver AJ, Morley JE, Ishimaru-Tseng TV, Morley PM (1993): Angiotensin II and fluid ingestion in old rats. Neurobiol Aging 14(6):519-522 https://doi.org/10.1016/0197-4580(93)90033-8
  31. Stookey JD, Constant F, Popkin BM, Gardner CD (2008): Drinking water is associated with weight loss in overweight dieting women independent of diet and activity. Obes (Silver Spring) 16(11):2481-2488 https://doi.org/10.1038/oby.2008.409
  32. The Korean Nutrition Society (2015): Dietary reference intakes for Koreans. Available from: www.kns.or.kr/common/download.asp?file_name=20160419111653715371.pdf. Accessed November 11, 2016
  33. Thomas DR, Cote TR, Lawhorne L, Levenson SA, Rubenstein LZ, Smith DA, Stefanacci RG, Tangalos EG, Morley JE; Dehydration Council (2008): Understanding clinical dehydration and its treatment. J Am Med Dir Assoc 9(5):292-301 https://doi.org/10.1016/j.jamda.2008.03.006
  34. Vivanti A, Harvey K, Ash S, Battistutta D (2008): Clinical assessment of dehydration in older people admitted to hospital: what are the strongest indicators? Arch Gerontol Geriatr 47(3):340-355 https://doi.org/10.1016/j.archger.2007.08.016
  35. Weitkunat T, Knechtle B, Knechtle P, Rust CA, Rosemann T (2012): Body composition and hydration status changes in male and female open-water swimmers during an ultra-endurance event. J Sports Sci 30(10):1003-1013 https://doi.org/10.1080/02640414.2012.682083
  36. Wu SJ, Wang HH, Yeh SH, Wang YH, Yang YM (2011): Hydration status of nursing home residents in Taiwan: a cross-sectional study. J Adv Nurs 67(3):583-590 https://doi.org/10.1111/j.1365-2648.2010.05514.x
  37. Yoon BK (2008): Analysis of relationship between dehydration test and diuretics treatment in menere's disease. Masters degree thesis. Gachon University. pp.1-20