Evaluation of hydration status of children with obesity-a pilot study

Akif Celik1, Ayse Nurcan Cebeci1

  • 1Department of Pediatrics, Division of Pediatric Endocrinology, Istanbul Bilim Universitesi Tip Fakultesi, Istanbul, Turkey.

Insights

Children with obesity drink less fluid and are more dehydrated than normal-weight children. This study highlights lower total body water and higher urine density in obese youth, indicating poorer hydration status.

Area of Science:

  • Pediatric Endocrinology
  • Nutritional Science
  • Hydration Physiology

Background:

  • Childhood obesity is a growing global health concern.
  • Adequate hydration is crucial for overall health and metabolic function.
  • The relationship between obesity and hydration status in children requires further investigation.

Purpose of the Study:

  • To compare hydration status between children with obesity and normal-weight children.
  • To investigate the association between obesity and reduced water consumption.
  • To assess differences in fluid intake, urine density, and body composition.

Main Methods:

  • A cross-sectional study comparing 31 children with obesity (Group 1) and 30 normal-weight children (Group 2), aged 7-18 years.
  • Evaluated body composition, urine specific gravity, and daily fluid intake.
  • Assessed consumption of sugar-sweetened beverages (SSBs).

Main Results:

  • Children with obesity exhibited significantly lower fluid intake per body surface area and higher urine density compared to normal-weight children.
  • Obese children had higher body fat percentage and lower total body water and fat-free mass percentages.
  • Only 55% of obese children met recommended fluid intake, versus 80% of normal-weight children, with higher SSB consumption in the obese group.

Conclusions:

  • Children with obesity demonstrate poorer hydration status, characterized by reduced fluid consumption, lower total body water, and increased urine density.
  • Obesity is linked to decreased hydration levels in pediatric populations.
  • Findings underscore the importance of monitoring hydration in children with obesity.
Abstract

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