Trial reportJournal of the Academy of Nutrition and Dietetics2016
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.
Trial report in Journal of the Academy of Nutrition and Dietetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.
- Obesity and Nursing Home Care in the United States: A Systematic Review.The Gerontologist · 2019Pooled it
- Training Nonnursing Staff to Assist with Nutritional Care Delivery in Nursing Homes: A Cost-Effectiveness Analysis.Journal of the American Geriatrics Society · 2017Trial
- Elevated calculated serum osmolality during acute gout attacks is associated with pain severity and systemic ınflammation: a retrospective paired observational study.Rheumatology international · 2026Observational
- Exploring Staff Perspectives on the Feasibility of Integrating the Environmental Components of a Novel Intervention for Hydration in Long-Term Care.International journal of older people nursing · 2026Article
- Excessive daytime sleepiness is independently associated with dehydration among older adults.BMC geriatrics · 2026Article
- Prevalence of low-intake dehydration in hospitalised older adults: systematic review and meta-analysis.BMJ public health · 2026Article
- Association between serum osmolality and chronic kidney disease prevalence: Evidence from NHANES 1999-2018.Scientific reports · 2025Article
- Development and evaluation of a rapid skin taurine measurement device using skin blotting for the early detection of dehydration.Japan journal of nursing science : JJNS · 2025Article
- Drug Consumption and Hydration Status: Analysis of the Associations in an Elder Population.Nutrients · 2024Article
- Review
- Water intake, hydration status and 2-year changes in cognitive performance: a prospective cohort study.BMC medicine · 2023Article
- Microbiota-Liver Diseases Interactions.International journal of molecular sciences · 2023Review
- Clinical Characteristics of Concomitant Diabetic Ketoacidosis in Type 2 Diabetes Patients with Acute Pancreatitis.Diabetes, metabolic syndrome and obesity : targets and therapy · 2022Article
- Determination of the Personal Nutritional Status of Elderly Populations Based on Basic Foodomics Elements.Foods (Basel, Switzerland) · 2021Article
- Narrative Review of Low-Intake Dehydration in Older Adults.Nutrients · 2021Review
- Chronic Dehydration in Nursing Home Residents.Nutrients · 2020Article
- Hypotheses about sub-optimal hydration in the weeks before coronavirus disease (COVID-19) as a risk factor for dying from COVID-19.Medical hypotheses · 2020Article
- Cognitive performance in relation to hydration status and water intake among older adults, NHANES 2011-2014.European journal of nutrition · 2020Article
- Beverage Intake and Drinking Patterns-Clues to Support Older People Living in Long-Term Care to Drink Well: DRIE and FISE Studies.Nutrients · 2019Article
- Dehydration and Malnutrition in Residential Care: Recommendations for Strategies for Improving Practice Derived from a Scoping Review of Existing Policies and Guidelines.Geriatrics (Basel, Switzerland) · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundDehydration is typically associated with underweight and malnutrition in long-term care (LTC) settings. Evidence is lacking regarding the influence of the rising prevalence of overweight and obesity on risk factors, prevalence, and presentation of dehydration.
objectiveThe aim of this study was to objectively assess hydration status and the adequacy of total water intake, and determine relationships between hydration status, total water intake, and body mass index (BMI) in LTC residents.
designA cross-sectional analysis of baseline data was performed. PARTICIPANTS AND
settingBaseline data from 247 subjects recruited from eight community-based LTC facilities participating in two randomized trials comparing nutrient and cost-efficacy of between-meal snacks vs oral nutrition supplements (ONS). MAIN OUTCOMES: Hydration status was assessed by serum osmolality concentration and total water intakes were quantified by weighed food, beverage, water, and ONS intake. STATISTICAL ANALYSES: Simple and multiple linear regression methods were applied.
resultsForty-nine (38.3%) subjects were dehydrated (>300 mOsm/kg) and another 39 (30.5%) had impending dehydration (295 to 300 mOsm/kg). The variance in serum osmolality was significantly accounted for by blood urea nitrogen level, mental status score, and having diabetes (R(2)=0.46; P<0.001). Total water intake averaged 1,147.2±433.1 mL/day. Thus, 96% to 100% of subjects did not meet estimated requirements, with a deficit range of 700 to 1,800 mL/day. The variance in total water intake was significantly accounted for by type of liquid beverages (thin vs thick), type of ONS, total energy intake, total activities of daily living dependence, sex, and BMI (R(2)=0.56; P<0.001).
conclusionsDehydration and inadequate total water intake is prevalent in LTC residents across all BMI categories. Type of liquid beverages, type of ONS, and type of between-meal snacks are factors that could be targeted for nutrition interventions designed to prevent or reverse dehydration.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.