European Journal of Clinical Nutrition

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24-h hydration status: parameters, epidemiology and recommendations

F Manz and A Wentz

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Figure 1.

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Definitions of 24-h hydration status: In a subject individual minimum and maximum 24-h urine osmolality characterise 24-h hydration status of hypohydration, euhydration and hyperhydration. In a group in which only mean and standard deviation values of minimum and maximum urinary osmolality of a representative subgroup of subjects are known, three categories of 24-h hydration can be characterised using data of Uosm: risk of hypohydration (Uosmgreater than or equal tomean-2 s.d. value of maximum Uosm), euhydration (mean -2 s.d. value of maximum Usom>Uosm>mean +2 s.d. value of minimum Uosm) and risk of hyperhydration (Uosmless than or equal tomean +2 s.d. value of minimum Uosm). Additional clinical or biochemical signs of hypo(hyper)-hydration are necessary to diagnose hypo(hyper)-hydration in a subject of this life stage and gender group.

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