Water and Older Adults Hy d r a ti o n Water is well known for its revitalising properties. Yet even though it is essential to health, it frequently gets overlooked as one of the six basic nutrients, along with carbohydrates, fats, vitamins, proteins and minerals. This can result in vulnerable individuals missing out on the support and guidance they need to help maintain a healthy level of hydration. Older people are a diverse group with individual needs, desires, and aspirations, which include maintaining their own health and fitness. As we get older our body’s needs and health concerns change due to an increasing susceptibility to degenerative disease. Water can make a valuable contribution to health in old age Yvonne McMeel ANutr Registered Associate Nutritionist www.mcmeel.co.uk [email protected] Wellbeing Centre and Longmead Centre Sefton Road Epsom, Surrey KT19 9HG 01372 727583 Information sourced from Royal College of Nursing and AGE UK The importance of water Why is water so important Pressure Ulcers Dehydration reduces the padding over bony points. Fluid intake to correct impaired hydration increases levels of tissue oxygen and enhances ulcer healing. Constipation Dehydration is one of the most frequent causes of constipation, which is common in older people due to poor mobility, low fibre intake, poor fluid intake and impaired colonic activity. Eating more wholegrain bread and cereals and fruit and vegetables will help along with increasing fluid intake to a minimum of 8 cups per day. Urinary tract infections and continence Water helps to maintain a healthy urinary tract and kidneys and is important in the prevention of urinary tract infection. Kidney and gallstones Good hydration can reduce the risk of kidney stone formation as it dilutes urine and helps to prevent crystallization of stone-forming salts. Consumption of water at regular intervals can also help by diluting bile and stimulating gallbladder emptying, which in turn helps prevent gallstones forming. Heart disease Adequate hydration reduces the risk of coronary heart disease by 46% in men and 59% in women. It also protects against blood clot formation by decreasing blood thickness. Health Benefits Low blood pressure Many older people suffer a drop in blood pressure on standing, which sometimes causes them to pass out. Drinking a glass of water 5 minutes before standing can help to stabilise blood pressure and prevent fainting. Diabetes Water is essential for controlling diabetes as dehydration can make the condition worse. Individuals who do not manage their diabetes well are at a greater risk of dehydration due to a high urine output. Good hydration also helps maintain healthy blood sugar levels. Cognitive impairment Symptoms of mild dehydration include lightheadedness, dizziness, headaches and tiredness, as well as reduced alertness and ability to concentrate. Once thirst is felt, mental function may be affected by as much as 10%. Falls Dehydration has been identified as one of the risk factors for falls in older people, as it can lead to deterioration in mental state, and increase the risk of dizziness and fainting. Drinking more could be a simple and effective way of preventing falls. Skin Drinking water is a good way to keep skin healthy and younger-looking. The skin acts as a water reservoir and participates in fluid regulation for the whole body. Mild dehydration causes skin to appear flushed, dry and loose, with a loss of elasticity. Are you drinking enough? The colour chart is a simple tool you can use to assess if you are drinking enough throughout the day to stay hydrated. If you urine matches the colours numbered 1, 2, or 3 you are hydrated. If your urine matches the colours numbered 4 through to 8 you are dehydrated and need to drink more fluid.
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