Prevalence of underhydration among schoolchildren and their mothers from the city and municipality of Niepolomice and Cracow in Southern Poland.

IF 2 4区 医学 Q3 PHYSIOLOGY
Journal of Physiology and Pharmacology Pub Date : 2025-04-01 Epub Date: 2025-05-05 DOI:10.26402/jpp.2025.2.04
B Piorecka, N Drapala, A Koziol-Kozakowska, P Jagielski, M Plonka, P Kawalec
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引用次数: 0

Abstract

Proper hydration is crucial for overall well-being. Insufficient water intake can disrupt homeostasis and lead to severe health issues. This observational study aimed to evaluate the prevalence of underhydration among mother-child pairs and to determine the effect of sociodemographic factors and nutritional status on underhydration. It utilized a questionnaire complemented by a urine osmolality test to assess hydration status. Underhydration was defined as an osmolality greater than 800 mOsm/kgH2O. Two urine samples were collected from each child - one immediately after waking (first morning sample) and another at school in the afternoon - while only a first morning sample was requested from the mothers. Conducted between March and June 2018, the study involved 125 schoolchildren (77 boys and 48 girls) with a mean age of 10.25±1.63 years, and their 125 mothers with a mean age of 39.89±4.49 years, residing in the city and municipality of Niepolomice and Cracow (southern Poland). The urine osmolality tests revealed underhydration in 49.2% of children in the morning and in 51% during school hours. Statistical analysis of risk factors for underhydration in children did not reveal any significant associations with place of residence, age, sex, body mass index (BMI), and waist-to-height-ratio (WHtR). Among the mothers, 23.7% showed signs of underhydration. A significant association was observed between underhydration and mothers BMI (OR 4.42; 95% CI: 1.73-11.32), with those who were overweight or obese facing a more than fourfold higher risk of underhydration compared to those of normal weight. A significant positive association in morning urine osmolality (rSp=0.364; p=0.013) was observed exclusively in mother-daughter pairs, suggesting that daughters may mirror their mothers' hydration behaviors. This study highlights the importance of initiatives to enhance water intake among both children and their mothers, especially those with excess body weight.

波兰南部尼波洛米采和克拉科夫市小学生及其母亲体内水分不足的患病率。
适当的补水对整体健康至关重要。饮水不足会破坏体内平衡,导致严重的健康问题。本观察性研究的目的是评估母亲和孩子之间水合不足的患病率,并确定社会人口因素和营养状况对水合不足的影响。它利用问卷和尿液渗透压试验来评估水合状态。水合不足定义为渗透压大于800 mOsm/kgH2O。从每个孩子身上收集了两份尿样——一份是在醒来后立即收集的(第一个早晨的尿样),另一份是在下午上学时收集的——而只有第一个早晨的尿样是母亲要求的。该研究于2018年3月至6月期间进行,涉及125名学童(77名男孩和48名女孩),平均年龄为10.25±1.63岁,以及他们的125名母亲,平均年龄为39.89±4.49岁,居住在Niepolomice和克拉科夫市(波兰南部)。尿液渗透压测试显示,49.2%的儿童在早晨和51%的儿童在上学时间水合不足。对儿童水合不足危险因素的统计分析未发现与居住地、年龄、性别、体重指数(BMI)和腰高比(WHtR)有任何显著关联。在母亲中,23.7%表现出水分不足的迹象。水分不足与母亲BMI之间存在显著关联(OR 4.42;95% CI: 1.73-11.32),超重或肥胖的人患水合不足的风险比正常体重的人高出四倍多。晨尿渗透压呈显著正相关(rSp=0.364;P =0.013)仅在母女对中观察到,这表明女儿可能反映了母亲的补水行为。这项研究强调了提高儿童及其母亲的饮水量的重要性,尤其是那些体重超标的儿童。
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来源期刊
CiteScore
4.00
自引率
22.70%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Journal of Physiology and Pharmacology publishes papers which fall within the range of basic and applied physiology, pathophysiology and pharmacology. The papers should illustrate new physiological or pharmacological mechanisms at the level of the cell membrane, single cells, tissues or organs. Clinical studies, that are of fundamental importance and have a direct bearing on the pathophysiology will also be considered. Letters related to articles published in The Journal with topics of general professional interest are welcome.
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