Jéssica Miranda

Background: Dehydration and low fluid intake cause the most prevalent electrolyte imbalance in older adults and increase their morbi-mortality. Objective: To analyse the scientific production on dehydration in older adults. Methods: A bibliometric analysis was performed using the Web of Science Core Collection database. The data were analysed using two software programs, the Bibliometric package for RStudio version 4.2.2, and VOSviewer 1.6.18 for the analysis of the scientific production, authors, citations, countries and collaborations, journals, research areas, and keywords. Results: A total of 205 articles were selected. An increase in the number of publications has been observed since 2012, with 2021 being the most productive year. With respect to scientific production, although the USA had the most publications, the two most prolific authors were affiliated with an institution located in the UK, with this country having the most collaborations with other countries in the development of the subject matter. The co-occurrence analysis indicated that the words with the highest occurrence were dehydration (n = 103), hydration (n = 39), prevalence (n = 30), mortality (n = 29), and thirst (n = 29). Conclusions: This is the first bibliometric analysis that shows the publication trends on dehydration in older adults. Although the number of publications is limited, they have increased in number in the last few years. The research trends are centred on the prevalence of dehydration and its related factors. More studies are needed that are centred on interventions to correct the problem, to help fight against the electrolyte imbalances that occur, and to reduce the morbi-mortality associated with this condition.

Revista oficial de la Sociedad Española de Nutrición Parenteral y de la Sociedad Española de Nutrición. Está dedicada al estudio y divulgación de temas relacionados con la nutrición.

The aim of this critical review was to clarify recommended fluid intake for older people. A literature search of published articles and guidelines on fluid intake recommendations until April 2020 was carried out using PUBMED, Scopus, Cochrane, and Google Scholar. In this review, we focused on people over 65 years old at different care levels. The results show that the mean fluid intake ranges between 311 and 2390 mL/day. However, it is difficult to know whether this corresponds to the real pattern of fluid intake, due to the variability of data collection methods. With respect to the recommendations, most international organizations do not take into consideration the physiology of ageing or the health problems associated with an older population. In conclusions, we recommend to follow the guideline of the European Society for Clinical Nutrition and Metabolism (ESPEN) and the European Food Safety Authority (EFSA). ESPEN is the only guideline which takes into account age. It is also based on EFSA recommendations. This authority takes into consideration all fluids consumed (ranging from food to fluids). If it is known that around 20% of all fluids consumed come from food, the result would effectively be that the EFSA recommends the same as the ESPEN guidelines: 1.6 L/day for females and 2.0 L/day for males. The findings could help raise the awareness of professionals in the sector with respect to the required fluid intake of the elderly and, in this way, contribute to avoiding the consequences of dehydration.