Marra MV, Simmons SF, Shotwell MS, Hudson A, Hollingsworth EK, Long E, Kuertz B, Silver HJ. Elevated Serum Osmolality and Total Water Deficit Indicate Impaired Hydration Status in Residents of Long-Term Care Facilities Regardless of Low or High Body Mass Index. Journal of the Academy of Nutrition and Dietetics. 2016 Dec;116(116). 828-836.e2. PMID: 27126154 [PubMed] PMCID: PMC4852282 NIHMSID: NIHMS756782.
Dehydration is typically associated with underweight and malnutrition in long-term care (LTC) settings. Evidence is lacking regarding the influence of the rising prevalence of overweight and obesity on risk factors, prevalence, and presentation of dehydration.