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Nutrition gériatrique

Arabic: الشرب الزائد أو الفقر بالسوائل عند الكبار

Common water deficit in the elderly due to reduced perception of thirst.

Definition

State of water deficit in the body of the elderly, often unnoticed, resulting from reduced thirst and decreased hydration intake.

How it works

With age, the sensation of thirst decreases significantly and body composition changes (less water and more fat). Consequently, the elderly are at high risk of dehydration without apparent symptoms. Dehydration increases the risk of confusion, falls, urinary tract infections, constipation, and can exacerbate cardiovascular and renal conditions. It is often under-diagnosed as it does not always cause typical thirst symptoms.

Role

Critical prevention of neurological, renal, and infectious complications in the elderly.

Examples

  • Sudden mental confusion
  • Unexplained falls
  • Urinary tract infections
  • Constipation
  • Dark urine
  • Extreme fatigue

Recommendations

Encourage drinking 1.5 to 2 liters of liquids per day, regularly. Offer various and appetizing beverages (teas, juices, broth). Regularly remind to drink even without feeling thirsty.

Key takeaway

Active prevention of dehydration is essential in the elderly as the sensation of thirst is altered.

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