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For those who are very fanatical drink water to maintain health, it may be worth reading excerpts from Voice Updates Daily on December 24, 2008 as follows:
Recent studies, excessive water drinking is not good for the elderly.
[JAKARTA] Consuming lots of water is very good for health, at least two liters per day. However, this does not apply in the elderly (seniors) or age 60 years and over, due to high water consumption actually result in hyponatremia.
Hyponatremia, according to specialists in internal medicine from the Siloam Hospital, Dr. Parlindungan Siregar, an electrolyte disturbance or disruption of salt levels in the blood, where the concentration of sodium (sodium) in plasma is low. Physiological changes in the elderly resulting in disruption of water and sodium balance easily occur.
That change, among others, reduction in total body water volume, decrease in filtration rate, glomerular, decreased urinary concentrating ability, increased levels of antidiuretic hormone (ADH) in plasma, increased levels of atril natriuretic peptide (ANP), reduced levels of aldosterone, decreased sensitivity of the thirst center , and the ability of water clearance.
"If the total, these changes cause the character to hold water and salt from the body of elderly people out more than people who are not elderly, so that the elderly are very vulnerable to hyponatremia. Normal sodium levels in the body of 135-140 meq / L. Thus, hyponatremia is lower than that, "said Staff of the Division of Kidney Hypertension, Department of Medicine, Faculty of Medicine University of Indonesia.
Problem of hyponatremia, according to members of the Indonesian Doctors Association (IDI), it is imperative to overcome. If not, will cause some complications such as cerebral edema. If it continues could result in permanent damage to brain tissue. Chronic mild hyponatraemia can also be at risk of fractures in the elderly because of decreased consciousness. "Symptom severity was sleepiness, fatigue, weakness, and at this time an elderly person falls and it's easy to fracture risk. If it is severe, the symptoms can cause convulsions so that permanent brain damage, "he added.
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Based on the results of a study of 31 elderly people in Elderly INSTITUTION Jakarta for 2 weeks, found that too much water intake is a common trigger the occurrence of hyponatremia, which is 78 percent. To that end, he suggested, at an advanced age should control the water intake into the body. The amount of water is sufficient and optimal for the elderly is 1,000 mL/24 hours, consisting of drinking water and food gravy.
"This amount is already optimal and balanced. Does not cause shortages of water and did not make her hyponatremia. Typically, children are thought to give parents plenty of water to make it more healthy, but it's not good, "continued the chairman of the education section of the Indonesian Association of Nephrology.
From the research that proved that the water intake of 1000 mL/24 hours is the optimal amount to not cause a decrease of sodium. "I am using renal function parameters namely, between urea and creatinine. It was from the survey, the ratio of urea and creatinine in the top 20, so no water shortage, "he said.
Union members Disease Specialist In Indonesia (PAPDI) is, interested in doing this research because no studies that establish the optimum water volume for elderly individuals. The results of this survey are expected to be used as a reference for the general public and primary care physicians in caring for the elderly elderly
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