Are older adults with excessive sodium intake at increased risk of hypohydration?

• Type: Article in International Scientific Journal
• Date: 2021

Authors

Gamba, M (Author) Other; Moreira, Pedro (Author) FCNAUP; Borges, Nuno (Author) FCNAUP; Santos, Alejandro (Author) FCNAUP; Afonso, Cláudia (Author) FCNAUP; Amaral, Teresa (Author) FCNAUP; Padrão, Patrícia (Author) FCNAUP

Journal

Title: Journal of Human Nutrition and Dietetics

ISSN: 0952-3871

Publisher: Wiley-Blackwell

Indexing

ISI Web of Knowledge - 1 Citation

Scopus - 1 Citation

Scientific classification

CORDIS: Health sciences

FOS: Medical and Health sciences

Associated Projects

NUTRITION UP 65 - Projeto Nutrition UP 65 | nutritional strategies facing an older demography

Other information

Authenticus ID: P-00T-EB7

DOI: 10.1111/jhn.12859

Abstract (EN): Background Sodium intake is expected to affect water needs, although compensation mechanisms may not work efficiently particularly in older adults. The aim of this cross-sectional study was to quantify the association between sodium excretion and hydration status in a representative sample of Portuguese older adults. Methods A cluster sampling approach was used, representing Portuguese older adults (>= 65 years) according to sex, education level and region. From a sample size of 1500 participants, 1318 were eligible for the present analysis. A 24-h urine sample was collected, and volume, osmolality, creatinine and sodium were quantified. Free water reserve (FWR) was used to assess hydration status. Excessive sodium intake was defined as above 2000 mg day(-1) as recommended by the World Health Organization. A multivariable binary logistic regression model was used to estimate the association between FWR and sodium excretion. Odds ratios (OR) and respective 95% confidence intervals (95% CI) were calculated. Results Excessive sodium excretion was observed in 80.0% of women and 91.5% of men, whereas hypohydration affected 10.9% of women and 23.6% of men. After adjusting for confounders, excessive sodium excretion was associated with an increased risk of hypohydration among men (OR = 2.75; 95% CI = 1.06-7.15). Conclusions These results stress the positive association between excessive sodium intake and hypohydration in men and highlight the need for implementing strategies regarding the reduction of salt consumption and the promotion of water intake.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 7