TY - JOUR
T1 - A novel study on 521 indonesian pilgrims
T2 - Fluid intake significantly contributes to hydration status
AU - Laksmi, Purwita Wijaya
AU - Wiweko, Budi
AU - Riyanti, Aida
AU - Jasirwan, Shanty Olivia F.
AU - Edy, Mawari
AU - Ali, Imran Nur
AU - Agustina, Rina
AU - Handojo, Pradono
AU - Ananda, Aziz Jati Nur
AU - Islami, Diajeng Rochma
N1 - Publisher Copyright:
© 2017 American Scientific Publishers All rights reserved
PY - 2017/7
Y1 - 2017/7
N2 - 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.
AB - 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.
KW - Fluid Intake
KW - Hydration Status
KW - Pilgrims
KW - Urine Color Chart
KW - Urine Specific Gravity
UR - http://www.scopus.com/inward/record.url?scp=85030253807&partnerID=8YFLogxK
U2 - 10.1166/asl.2017.9458
DO - 10.1166/asl.2017.9458
M3 - Article
AN - SCOPUS:85030253807
SN - 1936-6612
VL - 23
SP - 7019
EP - 7022
JO - Advanced Science Letters
JF - Advanced Science Letters
IS - 7
ER -