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Armstrong, LE, Kavouras, SA, Walsh, NP and Roberts, WO (2016) Diagnosing dehydration? Blend evidence with clinical observations. Current Opinion in Clinical Nutrition and Metabolic Care, 19 (6). pp. 434-438. ISSN 1363-1950
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Diagnosing dehydration Blend evidence with clinical observations.pdf - Accepted Version Download (711kB) | Preview |
Abstract
PURPOSE OF REVIEW: The purpose of the review is to provide recommendations to improve clinical decision-making based on the strengths and weaknesses of commonly used hydration biomarkers and clinical assessment methods. RECENT FINDINGS: There is widespread consensus regarding treatment, but not the diagnosis of dehydration. Even though it is generally accepted that a proper clinical diagnosis of dehydration can only be made biochemically rather than relying upon clinical signs and symptoms, no gold standard biochemical hydration index exists. Other than clinical biomarkers in blood (i.e., osmolality and blood urea nitrogen/creatinine) and in urine (i.e., osmolality and specific gravity), blood pressure assessment and clinical symptoms in the eye (i.e., tear production and palpitating pressure) and the mouth (i.e., thirst and mucous wetness) can provide important information for diagnosing dehydration. SUMMARY: We conclude that clinical observations based on a combination of history, physical examination, laboratory values, and clinician experience remain the best approach to the diagnosis of dehydration.
| Item Type: | Article |
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| Additional Information: | This is a pre-copyedited, author-produced version of an article accepted for publication in Current Opinion in Clinical Nutrition and Metabolic Care. The published version of record Armstrong, Lawrence E.; Kavouras, Stavros A.; Walsh, Neil P.; Roberts, William O.. Diagnosing dehydration? Blend evidence with clinical observations. Current Opinion in Clinical Nutrition and Metabolic Care 19(6):p 434-438, November 2016. | DOI: 10.1097/MCO.0000000000000320 is available online at: https://doi.org/10.1097/mco.0000000000000320 |
| Uncontrolled Keywords: | Algorithms Biomarkers/blood/urine Blood Pressure Blood Urea Nitrogen Clinical Decision-Making/methods Creatinine/blood Dehydration/*diagnosis/physiopathology Humans Mucous Membrane Osmolar Concentration Specific Gravity Urine; Mucous Membrane; Urine; Humans; Dehydration; Creatinine; Blood Urea Nitrogen; Blood Pressure; Osmolar Concentration; Specific Gravity; Algorithms; Biomarkers; Clinical Decision-Making; Algorithms; Biomarkers; Blood Pressure; Blood Urea Nitrogen; Clinical Decision-Making; Creatinine; Dehydration; Humans; Mucous Membrane; Osmolar Concentration; Specific Gravity; Urine; 4.2 Evaluation of markers and technologies; Algorithms; Biomarkers; Blood Pressure; Blood Urea Nitrogen; Clinical Decision-Making; Creatinine; Dehydration; Humans; Mucous Membrane; Osmolar Concentration; Specific Gravity; Urine; 11 Medical and Health Sciences; Nutrition & Dietetics |
| Subjects: | R Medicine > RC Internal medicine > RC1200 Sports Medicine |
| Divisions: | Sport and Exercise Sciences |
| Publisher: | Lippincott, Williams & Wilkins |
| SWORD Depositor: | A Symplectic |
| Date Deposited: | 14 Jan 2025 10:53 |
| Last Modified: | 14 Jan 2025 11:00 |
| DOI or ID number: | 10.1097/MCO.0000000000000320 |
| URI: | https://researchonline.ljmu.ac.uk/id/eprint/25261 |
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