A novel study on 521 indonesian pilgrims: Fluid intake significantly contributes to hydration status

Purwita Wijaya Laksmi, Budi Wiweko, Aida Riyanti, Shanty Olivia F. Jasirwan, Mawari Edy, Imran Nur Ali, Rina Agustina, Pradono Handojo, Aziz Jati Nur Ananda, Diajeng Rochma Islami

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Pilgrims are vulnerable to suffer from dehydration, but the studies are scarce. Currently it is not known the accuracy of urine color chart (UCC) compared to urine specific gravity (USG) in detecting dehydration among them. Objective: To evaluate the hydration status and fluid intake among Indonesia pilgrims, and the diagnostic accuracy of UCC compared to USG. Method: A cross-sectional study was conducted during pilgrimage in 2015. Subjects were Indonesian pilgrims whose age above 18 years old. A 3-day-fluid record, USG and UCC were evaluated. Dehydration was diagnosed when USG > 1020 or color’s number of UCC > 3. Results: Out of 521 subjects, 59.5% were female, only 22.1% aged 60 years or older, 66.8% had low to moderate education level. Based on USG and UCC, dehydrated subjects were 31.1% and 35.9% respectively. The median fluid intake was significantly different between non-dehydrated and dehydrated subject [3,318 (1,033–8,120) ml vs. 2,766 (1,033–7,822) ml (p = 0.001) and 3,295 (1,033–8,120) ml vs. 2,867 (1,033–8,053) ml (p = 0.011) respectively] on both methods. Compared to USG, UCC had 59.26% sensitivity, 74.65% specificity, with AUC 0.67. Conclusion: The fluid intake was significantly different between non-dehydrated and dehydrated pilgrims. UCC might rule out dehydrated state when the result was normal.

Original languageEnglish
Pages (from-to)7019-7022
Number of pages4
JournalAdvanced Science Letters
Volume23
Issue number7
DOIs
Publication statusPublished - 1 Jul 2017

Keywords

  • Fluid Intake
  • Hydration Status
  • Pilgrims
  • Urine Color Chart
  • Urine Specific Gravity

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