Short-term Body Weight Fluctuations in Older Well-Hydrated Hospitalised Patients

J Hum Nutr Diet. 2013 Oct;26(5):429-35. doi: 10.1111/jhn.12034. Epub 2013 Mar 22.

Abstract

Background: The usual daily weight fluctuations of well-hydrated older hospitalised people have not been documented internationally. To date, dehydration assessments based on a short-term body weight change defined as >2% have been drawn from healthy population data. The present pilot study aimed to describe usual body weight fluctuation at the same time of day over a 3-day time frame in well-hydrated older hospitalised adults.

Methods: An observational study of non-acute inpatients (n = 10) admitted to a Geriatric and Rehabilitation Unit, aged ≥60 years, assessed as well-hydrated, mobile, non-amputee and without conditions that influenced fluid status, was conducted. Participants were weighed hourly over a 9-h period for 3 days. Food and fluid intake, clothing items added or removed, and urine and faecal output were recorded.

Results: Weight fluctuation for each participant [mean (SD) 80.2 (4.2) years; male 60.0%, n = 10] over 3 days ranged from 1.1% to 3.6%. Over 3 days, 40.0% (4/10) of participants had weight fluctuations of >2% and 20% (2/10) had weight fluctuations of >3%. Time of weigh-in accounted for 99.8% of the variation in weight fluctuation (P < 0.05), with the lowest fluctuations observed when weights were compared at the same time each day (≤0.4 kg).

Conclusions: Weights recorded at the same time daily had the greatest accuracy. Given that the range 1.1-3.6% was within normal weight fluctuations for well-hydrated older hospitalised participants, the weight change indicative of dehydration remains to be established in this setting but appears greater than conventionally used figures.

Keywords: assessment; dehydration; elderly; hydration; older; weight.

Publication types

  • Observational Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Body Weight*
  • Dehydration / metabolism*
  • Feces
  • Female
  • Humans
  • Inpatients / statistics & numerical data*
  • Linear Models
  • Male
  • Nutrition Assessment
  • Reference Values