Hydration Interventions Among Agricultural Workers: A Pilot Study
Roxana Chicas1, Jonathan Suarez, Lisa Elon
1Nell Hodgson Woodruff School of Nursing (Dr Chicas, Dr Houser, Dr Hertzberg, Dr McCauley); Division of Renal Medicine, Department of Medicine (Dr Suarez, Dr Sands); Rollins School of Public Health (Ms Elon, Ms Berra), Emory University, Atlanta, Georgia; Anthropology Department, Tulane University, New Orleans, Louisiana (Mr Xiuhtecutli); and Farmworker Association of Florida, Apopka, Florida (Mr Xiuhtecutli).
Objective:
To estimate the impact of hydration interventions on postworkday hydration status and incidence of acute kidney injury (AKI).
Methods:
Thirty agricultural workers were first monitored on a workday without any interventions. On the intervention workday, the same workers were randomized to one of two groups: 169 ounces (oz) (5 L) of plain water (n = 16) or 169 oz (5L) of water with electrolytes (n = 14).
Results:
No participants in the electrolyte group had an estimate glomerular filtration rate (eGFR) at the end of the workday of less than 90 mL/min/1.73 m2 or met the criteria for AKI in comparison to the water group (eGFR < 90: 15%; AKI: 23%) or the control group (eGFR < 90: 28%; AKI: 18%).
Conclusion:
The study showed that drinking water with electrolytes may lower the risk for development of AKI among agricultural workers.
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