DRIE publications and other outputs
We have published most (but not all) of the papers about DRIE in open access journals (these are journals where everyone can read the papers freely, even if they don’t pay for the journal). If you would like to read one of these papers but cannot get hold of it easily please email Lee (l.hooper@uea.ac.uk) or write to her (Lee Hooper, Norwich Medical School, University of East Anglia, Norwich NR4 7TJ, England telling her your address) and ask for a copy. Lee will be happy to email or post you the paper.
How many and which older people are dehydrated?
DRIE has helped us to understand how many older adults living in UK residential care are dehydrated, and also which are more likely to be dehydrated than others.
Full paper: Which frail older people are dehydrated? The UK DRIE study. Hooper L, Bunn DK, Downing A, Jimoh FO, Groves J, Free C, Cowap V, Potter JF, Hunter PR, Shepstone L. Journals of Gerontology: Medical Sciences A. Published online 9th Nov 2015. doi: 10.1093/gerona/glv205 Available at: http://biomedgerontology.oxfordjournals.org/content/early/2015/11/09/gerona.glv205.abstract
Conference abstract and talk: Predictors of dehydration in older people: dehydration recognition in our elders (DRIE) study. Hooper L, Downing A, Jimoh FO, Bunn DK. Talk presented at the Gerontological Society of America annual meeting, November 2015, Orlando, FL, USA. The Gerontologist 2015;55(sup 2): 594. http://gerontologist.oxfordjournals.org/content/55/Suppl_2#PROGRAMABSTRACTS
Conference abstract and poster: Predictors of dehydration in older people living in UK residential care. Hooper, L., Bunn, D. European Geriatric Medicine 2014;5(sup 1):S202-3, available at http://www.europeangeriaticmedicine.com/article/S1878-7649(14)70549-2/abstract
How to assess how much older people drink: the Drinks Diary
Florence Jimoh worked with us, while completing her master’s course, to develop a Drinks Diary, which older care home residents can use to record their own drinks. The paper describing her research, as well as the Drinks Diary itself, are freely available to read and use.
Website: Florence has developed a Drinks Diary, useful to help older care home residents record their drinks. You can read about the Drinks Diary in the publication (see below) and download the Drinks Diary from: http://tiny.cc/w0m0mx
Published paper (open access): Assessment of a self-reported Drinks Diary for the estimation of drinks intake by care home residents: Fluid Intake Study in the Elderly (FISE). Jimoh FO, Bunn D, Hooper L. Journal of Nutrition Health and Aging, 2015;19(5):491-6. DOI: 10.1007/s12603-015-0458-3 Open access http://link.springer.com/article/10.1007%2Fs12603-015-0458-3
Conference talk and abstract: The Drinks Diary: Self-assessment of drinks intake by older people in residential care (FISE). Jimoh FO, Bunn DK, Hooper L. Talk presented at the Gerontological Society of America annual meeting, November 2015, Orlando, FL, USA. The Gerontologist 2015;55(sup 2): 595. http://gerontologist.oxfordjournals.org/content/55/Suppl_2#PROGRAMABSTRACTS
DRIE Project information on the NIHR website :
http://www.nihrtcc.nhs.uk/NIHRTCCAwardData/CurrentandCompletedAwards
How to tell when older people are dehydrated - signs of dehydration
Published paper (open access in UK): Clinical symptoms, signs and tests for identification of impending and current water-loss dehydration in older people. Hooper L, Abdelhamid A, Attreed NJ, Campbell WW, Channell AM, Chassagne P, Culp KR, Fletcher SJ, Fortes MB, Fuller N, Gaspar PM, Gilbert DJ, Heathcote AC, Kafri MW, Kajii F, Lindner G, Mack GW, Mentes JC, Merlani P, Needham RA, Olde Rikkert MGM, Perren A, Powers J, Ranson SC, Ritz P, Rowat AM, Sjöstrand F, Smith AC, Stookey JJD, Stotts NA, Thomas DR, Vivanti A, Wakefield BJ, Waldréus N, Walsh NP, Ward S, Potter JF, Hunter PR. Cochrane Database of Systematic Reviews 2015, Issue 4. Art. No.: CD009647. DOI: 10.1002/14651858.CD009647.pub2. This systematic review is freely available in the UK from: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009647.pub2/abstract
Conference abstract and talk: Diagnostic accuracy of urinary tests to screen for water-loss dehydration in older people. Hooper L, Bunn DK, Maas K, Twomlow E, Abdelhamid A, Jennings A, Fairweather-Tait S. Talk presented at the Gerontological Society of America annual meeting, November 2015, Orlando, FL, USA. The Gerontologist 2015;55(sup 2): 594. http://gerontologist.oxfordjournals.org/content/55/Suppl_2#PROGRAMABSTRACTS
Conference poster and abstract: Signs of Water-Loss Dehydration in Older Adults: a Diagnostic Accuracy Systematic Review. Hooper L, Gaspar PM, Mentes JC, Olde Rikkert MGM, Powers J, Thomas DR, on behalf of all authors. Accepted, poster presented at the Gerontological Society of America, annual meeting 5th-9th November 2014, Washington DC. The Gerontologist 2014;54(sup 2):667 no. 338 doi: 10.1093/geront/gnu106, http://gerontologist.oxfordjournals.org/content/54/Suppl_2/NP.1.full.pdf+html
Lee presenting our poster at the Gerontological Society of America in November 2014, with colleagues and co-authors James Powers and Jan Mentes.
Conference abstract and talk: Non-invasive clinical and physical signs, symptoms and indications for identification of impending and current water-loss dehydration in older people: a diagnostic accuracy systematic review. Hooper, L., Abdelhamid, A., Campbell, W., Chassagne, P., Fletcher, S., Fortes, M., Gaspar, P., Gilbert, D., Heathcote, A., Kajii, F., Lindner, G., Mentes, J., Merlani, P., Needham, R., Olde Rikkert, M., Perren, A., Powers, J., Ranson, S., Rowat, A., Sjostrand, F., Stookey, J., Stotts, N., Vivanti, A., Waldreus, N., Walsh, N., Ward, S., Potter, J. European Geriatric Medicine 2014;5(sup 1):S69-70, available from http://www.europeangeriaticmedicine.com/article/S1878-7649(14)70148-2/pdf
Lee presenting this talk on signs of dehydration at the European Geriatric Medicine conference in Rotterdam, in September 2014.
Conference abstract and talk: Clinical and physical signs of water-loss dehydration in older people: a diagnostic accuracy systematic review Clinical and physical signs of water-loss dehydration in older people: a diagnostic accuracy systematic review Hooper L, Attreed NJ, Channell AM, Gilbert DJ, Heathcote AC, Needham RA, Ranson SC, Smith AC, Ward S. Proceedings of the Nutrition Society 2013;72(OCE4)E252. DOI: http://dx.doi.org/10.1017/S0029665113002772
How to tell when older people are dehydrated – equations for osmolarity
Published paper (open access): Accuracy of prediction equations for serum osmolarity in frail older people with and without diabetes. Siervo M, Bunn D, Prado C, Hooper L. American Journal for Clinical Nutrition, 2014;100(3): 867-876; doi:10.3945/ajcn.114.086769. Freely available from: http://ajcn.nutrition.org/content/100/3/867.long
Published paper (open access): Diagnostic accuracy of calculated serum osmolarity to predict dehydration in older people: adding value to pathology lab reports. Hooper L, Abdelhamid A, Ali A, Bunn DK, Jennings A, John G, Kerry S, Lindner G, Pfortmueller CA, Sjöstrand F, Walsh NP, Fairweather-Tait S, Potter JF, Hunter PR, Shepstone L. BMJ Open 2015;5:e008846. doi:10.1136/bmjopen-2015-008846 Freely available from: http://bmjopen.bmj.com/content/5/10/e008846.full
Published paper: Serum osmolarity and haematocrit do not modify the association between the impedance index (Ht2/Z) and total body water in the very old: The Newcastle 85+ Study. Siervo M, Prado C, Hooper L, Munro A, Collerton J, Davies K, Kingston A, Mathers JC, Kirkwood TBL, Jagger C. Archives of Gerontology and Geriatrics, published online Sept 2014. DOI: http://dx.doi.org/10.1016/j.archger.2014.09.004
Conference abstract and talk: Assessment of dehydration in older people: agreement of measured serum osmolality with calculated serum osmolarity equations. Hooper, L., Bunn, D., Prado, C., Siervo, M. European Geriatric Medicine 2014;5(sup 1):S80, available from http://www.europeangeriaticmedicine.com/article/S1878-7649(14)70178-0/pdf
How to help older people drink well
Published paper (open access): Increasing fluid intake and reducing dehydration risk in older people living in long-term care: a systematic review. Bunn D, Jimoh FO, Howard Wilsher S, Hooper L. J Am Med Dir Assoc 2015;16(2):101-13. Freely available from: http://dx.doi.org/10.1016/j.jamda.2014.10.016.
Protocol: The protocol for this systematic review is published at: http://www.crd.york.ac.uk/Prospero/display_record.asp?ID=CRD42012003100
Conference abstract and talk: Thinking about Drinking: Identifying drivers and barriers to hydration in older care home residents. Bunn DK, Hooper L, Poland F. Talk presented at the Gerontological Society of America annual meeting, November 2015, Orlando, FL, USA. The Gerontologist 2015;55(sup 2): 594. http://gerontologist.oxfordjournals.org/content/55/Suppl_2#PROGRAMABSTRACTS
Conference abstract and poster: Effectiveness of external factors to reduce the risk of dehydration in older people living in residential care: a systematic review. Bunn, D., Jimoh, F., Wilsher, S., Hooper, L. BMC Health Services Research, 2014;2(sup 2):11, available at http://journals.cambridge.org/download.php?file=%2FPNS%2FPNS72_OCE4%2FS0029665113003042a.pdf&code=315d237008014f6fa52396b9fb4b0cce and at http://www.biomedcentral.com/1472-6963/14/S2/P11
Conference abstract and poster: Effectiveness of external factors to reduce the dehydration risk in older people living in residential care: a systematic review. Bunn D, Jimoh O, Howard-Wilsher S, Hooper L. Proceedings of the Nutrition Society 2013;72(OCE4):E277 DOI: http://dx.doi.org/10.1017/S0029665113003042. Diane presented a poster on the systematic review about supporting drinking at the Nutrition Society Summer Meeting in Newcastle on 17th July 2013.
Eating and Drinking Well IN dementiA (EDWINA)
Conference abstract: Interventions to help older people drink well: two systematic reviews. Abdelhamid A, Bunn DK, Hooper L. Talk presented at the Gerontological Society of America annual meeting, November 2015, Orlando, FL, USA. The Gerontologist 2015;55(sup 2): 595. http://gerontologist.oxfordjournals.org/content/55/Suppl_2#PROGRAMABSTRACTS
Conference abstract and poster: Effectiveness of interventions to improve, maintain or facilitate oral food and/or drink intake in people with dementia: systematic review. Abdelhamid, A., Bunn, D., Dickinson, A., Killett, A., Poland, F., Potter, J., Richardson, K., Smithard, D., Fox, C., Hooper, L. BMC Health Services Research, 2014;2(sup 2):1, available at http://www.biomedcentral.com/1472-6963/14/S2/P1
Protocol for the EDWINA systematic review: the protocol for the Eating and Drinking Well IN dementiA (EDWINA) systematic review is Effectiveness of interventions to improve, maintain or faciltate oral food and/or drink intake in people with dementia. Abdelhamid A, Bunn D, Dickinson A, Killett A, Poland F, Potter J, Richardson K, Smithard D, Fox C, Hooper L. PROSPERO 2014:CRD42014007611 Available from http://www.crd.york.ac.uk/PROSPERO_REBRANDING/display_record.asp?ID=CRD42014007611.
Reviews and summaries:
Published review about dehydration in older people before DRIE: We have published a review about dehydration in older people in a journal called “Mechanisms of Ageing and Development” (MAD for short). The article is called “Water-loss dehydration and aging” by Lee Hooper, Diane Bunn, Florence Jimoh and Susan Fairweather-Tait. You can read the abstract at http://www.sciencedirect.com/science/article/pii/S0047637413001280.
Published summary for dietitians (open access): This is a paper we wrote for dietitians on dehydration and drinking in care homes: Everything you always wanted to know about dehydration in older care home residents (but were afraid to ask!). Hooper L, Jimoh FO, Bunn DK. NHD: the Dietitians Magazine, 2014;98:33-38, freely available from http://content.yudu.com/Library/A35ces/NHDIssue98/resources/index.htm?referrerUrl=http%3A%2F%2Ffree.yudu.com%2Fitem%2Fdetails%2F2371954%2FNHD-Issue-98
Published summaries for nurses: These papers were written for nurses on how we tell older adults are dehydrated, and ways for care homes to help older adults to drink well:
- Detecting dehydration in older people: useful tests. Hooper L, Bunn D Nursing Times 2015: 111(32/33); 12-16. Available at: http://www.nursingtimes.net/roles/older-people-nurses/detecting-dehydration-in-older-people-useful-tests/5089358.fullarticle
- Reducing dehydration in residents of care homes. Hooper L, Whitelock S, Bunn D. Nursing Times 2015;11(34/35): 16-19. Available at: http://www.nursingtimes.net/roles/older-people-nurses/reducing-dehydration-in-residents-of-care-homes/5089669.fullarticle
Symposium on Drinking, Fluid Intake and Dehydration in Older People, for clinicians, at the Gerontological Society of America, Saturday 21st November 2015, Orlando Florida. Clinical Interventions Track: Drinking, Fluid Intake, and Dehydration in Older People Saturday, November 21 8:00-9:30am. The Gerontologist 2015;55(sup 2, 1655): 594-5. http://gerontologist.oxfordjournals.org/content/55/Suppl_2#PROGRAMABSTRACTS (this symposium includes five abstracts mentioned individually above)With Janet Mentes, James Powers, Diane Bunn, Florence Jimoh, and Lee Hooper. These are the slides, abstracts, and these are the details of the presenters
Florence Jimoh, Janet Mentes, Diane Bunn, Lee Hooper and James Powers at the Gerontological Society of America, November 2015.
Discussion and policy papers using our experience of dehydration in residential care:
Published paper: Should dehydration in older people be a marker of lack of quality in long term care provision? Hooper L, Bunn D. Quality in Ageing and Older Adults, 2014;15(4) published online Nov 2014. doi: org/10.1108/QAOA-09-2014-0019. You can find the paper here: http://www.emeraldinsight.com/doi/abs/10.1108/QAOA-09-2014-0019
Published paper that we contributed to: Hydration and Older People in the UK: Addressing the Problem, Understanding the Solutions. Wilson L on behalf of the Parliamentary Hydration Forum. November 2014. International Longevity Centre, UK, http://www.ilcuk.org.uk/index.php/publications/publication_details/hydration_and_older_people_in_the_uk.
Talks about the DRIE study
We have delivered well over 20 talks about the DRIE study and about dehydraton. These include the talks below, as well as the talks associated with many of the abstracts and symposia mentioned above.
“Tea and tears in hydration research” Lee Hooper at the Metabolic and Endocrine Norfolk & Suffolk CLRN Research afternoon, 6th February 2013, University of East Anglia
“Hydration, drinking and older adults” Lee Hooper at the Norfolk NorseCare Resident’s Forum, 26th March 2013, Dereham Football Club.
“I know I’m not drinking enough” Lee Hooper at Norwich Medical School Research Day, 8th April 2013, University of East Anglia.
“Care for a drink?” Diane Bunn Café Conversation at the Post Graduate Research Showcase, 6th June 2013, The Forum, Norwich City Centre.
“The importance of hydration, and health impact of inadequate hydration, in older people” Lee Hooper at IUNS 20th International Congress of Nutrition, 16th September 2013, Granada, Spain.
The protocol for this systematic review is published at: http://www.crd.york.ac.uk/Prospero/display_record.asp?ID=CRD42012003100
Training
Diane and Lee have sent out written information on hydration in older people, and on the DRIE study to all residents, relatives and staff in care homes taking part in the study. We have also held discussions, talks and training on drinking and hydration in the care homes we have approached. These have included individual and group sessions with residents, with relatives and with staff.
If you are interested in training on hydration for care staff please contact Lee (l.hooper@uea.ac.uk).
Study registration
DRIE is registered with the Research Register for Social Care Id 122273,
DRIE 2 is registered with the ISRCTN register: ISRCTN58315094, see http://controlled-trials.com/ISRCTN58315094
The protocol for the systematic review on supporting drinking in residential care is published at: http://www.crd.york.ac.uk/Prospero/display_record.asp?ID=CRD42012003100
Other websites which mention DRIE
Grant information on Europe PubMed Central: http://europepmc.org/GrantLookup/details.php?all=&init=&name=Hooper&title=&key=&i=&gid=&f%5B%5D=DH&uid=24794&bid=1
DRIE Project information on the NIHR website : http://www.nihrtcc.nhs.uk/NIHRTCCAwardData/CurrentandCompletedAwards
