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Medicina interna de México

Print version ISSN 0186-4866

Abstract

ARANCETA-BARTRINA, Javier et al. Hydration: Importance in some pathological conditions in adults. Med. interna Méx. [online]. 2018, vol.34, n.2, pp.214-243. ISSN 0186-4866.  http://dx.doi.org/10.24245/mim.v34i2.1430.

Being well hydrated is related to an adequate state of health and well-being; however, what happens in those adult patients having some pathological conditions such as obesity, type 2 diabetes mellitus, high blood pressure, ischemic heart disease and heart failure, kidney diseases (renal failure, polycystic renal disease and renal lithiasis), chronic obstructive pulmonary disease, dyslipidemia, hyperuricemia, or in the elderly and in the perioperative period, where there is loss of health or a different need for hydration and require the use of non-alcoholic beverages in order to have a good state of hydration without altering the natural evolution of these conditions? Some key points and recommendations are: carbonation of beverages offers the benefit of increasing satiety and decreasing energy intake, which can contribute to weight loss; simple water is the best source of hydration in diabetic patients; however, other sources of hydration may be mineralized water, mineral water, milk (preferably non-fat), coffee and tea without sugar or non-caloric sweeteners or low-calorie, as well as any beverage containing them; in patients with renal lithiasis it is recommended to take 2.5 to 4 L of water per day; sports drinks can be consumed by hypertensive patients as long as they do not exceed the amount of sodium recommended by the World Health Organization. In conclusion, hydration plays an important role in the evolution of the pathologic conditions mentioned above.

Keywords : Non-alcoholic beverages; Obesity; Type 2 diabetes; High blood pressure; Ischemic heart disease; Heart failure; Renal insufficiency, chronic; Polycystic renal disease; Lithiasis; Chronic obstructive pulmonary disease; Dyslipidemia; Hyperuricemia; Adult patients; Elderly, perioperative.

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