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Dehydration and kidney health

Dehydration and kidney health

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Dehydration and kidney health -

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Review Articles June 18 Mechanisms by Which Dehydration May Lead to Chronic Kidney Disease Subject Area: Endocrinology , Further Areas , Nutrition and Dietetics , Public Health. Roncal-Jimenez ; C. This Site. Google Scholar. Lanaspa ; M. Jensen ; T. Sanchez-Lozada ; L. Johnson R. Ann Nutr Metab 66 Suppl.

Cite Icon Cite. toolbar search Search Dropdown Menu. toolbar search search input Search input auto suggest. Journal Section:. View large Download slide. Supported by a grant from Danone Research. Parikh C, Berl T: Disorders of Water Metabolism. In: Floege J, Johnson RJ, Feehally J, eds.

Comprehensive Clinical Nephrology. Philadelphia, Elsevier, Correa-Rotter R, Wesseling C, Johnson RJ: CKD of Unknown Origin in Central America: The Case for a Mesoamerican Nephropathy. Am J Kidney Dis ; Laws RL, Brooks DR, Amador JJ, et al: Changes in kidney function among Nicaraguan sugarcane workers.

Int J Occup Environ Health ;Y Crowe J, Wesseling C, Solano BR, et al: Heat exposure in sugarcane harvesters in Costa Rica. Am J Ind Med ; Crowe J, Nilsson M, Kjellstrom T, Cerdas M, Johnson R, Wesseling C: Repeated pre and post-shift urinalyses show kidney dysfunction among Costa Rican sugarcane cutters exposed to heat stress.

Occup Environ Med ;71 suppl 1 :A Wijkstrom J, Leiva R, Elinder CG, et al: Clinical and pathological characterization of mesoamerican nephropathy: a new kidney disease in central america.

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Kidney Int ; Cirillo P, Gersch MS, Mu W, et al: Ketohexokinase-dependent metabolism of fructose induces proinflammatory mediators in proximal tubular cells.

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Am J Med ; Johnson RJ, Nakagawa T, Jalal D, Sanchez-Lozada LG, Kang DH, Ritz E: Uric acid and chronic kidney disease: which is chasing which? Nephrol Dial Transplant ; Sanchez-Lozada LG, Tapia E, Santamaria J, et al: Mild hyperuricemia induces vasoconstriction and maintains glomerular hypertension in normal and remnant kidney rats.

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BMC Nephrol ; Paula Santos U, Zanetta DM, Terra-Filho M, Burdmann EA. Burnt sugarcane harvesting is associated with acute renal dysfunction. Clark WF, Sontrop JM, Macnab JJ, et al: Urine volume and change in estimated GFR in a community-based cohort study.

C J Am Soc Nephrol ; Strippoli GF, Craig JC, Rochtchina E, Flood VM, Wang JJ, Mitchell P: Fluid and nutrient intake and risk of chronic kidney disease. Nephrology Carlton ; Nakayama T, Kosugi T, Gersch M, et al: Dietary fructose causes tubulointerstitial injury in the normal rat kidney.

Gersch MS, Mu W, Cirillo P, et al: Fructose, but not dextrose, accelerates the progression of chronic kidney disease. Shoham DA, Durazo-Arvizu R, Kramer H, et al: Sugary soda consumption and albuminuria: results from the National Health and Nutrition Examination Survey, PLoS One ;3:e Karger AG, Basel.

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Hot, humid weather increases the amount you sweat and the amount of fluid you lose. Increased urination. This may be due to undiagnosed or uncontrolled diabetes. Certain medications, such as diuretics and some blood pressure medications, also can lead to dehydration, generally because they cause you to urinate more.

Anyone can become dehydrated, but certain people are at greater risk: Infants and children. The most likely group to experience severe diarrhea and vomiting, infants and children are especially vulnerable to dehydration. Having a higher surface area to volume area, they also lose a higher proportion of their fluids from a high fever or burns.

Young children often can't tell you that they're thirsty, nor can they get a drink for themselves. Older adults. As you age, your body's fluid reserve becomes smaller, your ability to conserve water is reduced and your thirst sense becomes less acute.

These problems are compounded by chronic illnesses such as diabetes and dementia, and by the use of certain medications. Older adults also may have mobility problems that limit their ability to obtain water for themselves. People with chronic illnesses.

Having uncontrolled or untreated diabetes puts you at high risk of dehydration. Kidney disease also increases your risk, as do medications that increase urination. Even having a cold or sore throat makes you more susceptible to dehydration because you're less likely to feel like eating or drinking when you're sick.

People who work or exercise outside. When it's hot and humid, your risk of dehydration and heat illness increases. That's because when the air is humid, sweat can't evaporate and cool you as quickly as it normally does, and this can lead to an increased body temperature and the need for more fluids.

Dehydration can lead to serious complications, including: Heat injury. If you don't drink enough fluids when you're exercising vigorously and perspiring heavily, you may end up with a heat injury, ranging in severity from mild heat cramps to heat exhaustion or potentially life-threatening heatstroke.

Urinary and kidney problems. Prolonged or repeated bouts of dehydration can cause urinary tract infections, kidney stones and even kidney failure. Electrolytes — such as potassium and sodium — help carry electrical signals from cell to cell.

If your electrolytes are out of balance, the normal electrical messages can become mixed up, which can lead to involuntary muscle contractions and sometimes to a loss of consciousness. Low blood volume shock hypovolemic shock. This is one of the most serious, and sometimes life-threatening, complications of dehydration.

It occurs when low blood volume causes a drop in blood pressure and a drop in the amount of oxygen in your body. People may need to take in more fluids if they are experiencing conditions such as: Vomiting or diarrhea.

If your child is vomiting or has diarrhea, start giving extra water or an oral rehydration solution at the first signs of illness. Don't wait until dehydration occurs. Strenuous exercise. In general, it's best to start hydrating the day before strenuous exercise.

Producing lots of clear, dilute urine is a good indication that you're well-hydrated. During the activity, replenish fluids at regular intervals and continue drinking water or other fluids after you're finished.

Hot or cold weather. You need to drink additional water in hot or humid weather to help lower your body temperature and to replace what you lose through sweating. You may also need extra water in cold weather to combat moisture loss from dry air, particularly at higher altitudes Illness.

Older adults most commonly become dehydrated during minor illnesses — such as influenza, bronchitis or bladder infections. Make sure to drink extra fluids when you're not feeling well. By Mayo Clinic Staff. Oct 14, Show References. Marx JA, et al. Infectious diarrheal disease and dehydration.

In: Rosen's Emergency Medicine: Concepts and Clinical Practice. Philadelphia, Pa. Accessed Aug. Aurbach PS. Dehydration, rehydration and hyperhydration. In: Wilderness Medicine.

National Institute of Diabetes and Digestive and Kidney Diseases. Rochester, Minn. Somers MJ. Clinical assessment of hypovolemia dehydration in children. Miller HJ. Dehydration in the older adult. Journal of Gerontological Nursing.

Heat and athletes. Centers for Disease Control and Prevention. Treatment of hypovolemia dehydration in children. Sterns RH. Etiology, clinical manifestations and diagnosis of volume depletion in adults. Heat-related emergencies.

Freedman S. Oral rehydration therapy. Thomas DT, et al. American College of Sports Medicine Joint Position Statement. Nutrition and Athletic Performance. Medicine and Science in Sports and Exercise. Takahashi PY expert opinion. Mayo Clinic, Rochester, Minn. Hoecker JL expert opinion.

A Dehydragion misconception is that everyone should drink Dehydratiom glasses Dehydratikn water per day, Dehydratioh since everyone is different, daily Insulin sensitivity and insulin secretion needs will vary jidney person. How much water Dehydrstion need High-quality herbal extracts based on differences Dehydration and kidney health age, climate, exercise intensity, as well as states Performance-enhancing supplements pregnancy, anv, and illness. Water helps the kidneys remove wastes from your blood in the form of urine. Water also helps keep your blood vessels open so that blood can travel freely to your kidneys, and deliver essential nutrients to them. But if you become dehydrated, then it is more difficult for this delivery system to work. Mild dehydration can make you feel tired, and can impair normal bodily functions. Severe dehydration can lead to kidney damage, so it is important to drink enough when you work or exercise very hard, and especially in warm and humid weather.

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