Resumen de Influence of adequate hydration in the management of patients with Metabolic Syndrome

S. Castellano Ledesma, M. Gemma Campos

• Introduction: The prevalence of Metabolic Syndrome (MS) in our population has increased considerably in recent years. It also increases the need to maximize Dietary Advice in Primary Care consultation, emphasizing on hydration, even more relevant in climatic areas like Andalusia, holding high temperatures most of the year.

  Objective: Study hydration degree in patients attending the Health Center, analyze age groups, gender, MS pathologies and good control criteria.

  Method: Descriptive study of a random sample of patients between 18 May-19 June 2015. Those without MS (according to WHO criteria) are discarded. Sample n=102 (64 female, 38 male). Assessed variables: 1) Hydration (per day): a. <1liter; b. 1-1.5liters; c. 1’5-2liters; d. >2liters. 2) Age group: a. <65years; b. 65-80years; c. >80years. 3) Gender: a. Male; b. Female. 4) Compliance with good control criteria (last 3 months): a. Type 2 Diabetes. bA1c <7 if age <75, HbA1c<8 if age >75; b. Obesity. Lower abdominal perimeter or BMI; c. Dyslipemia. Triglycerides>150 or HDL cholesterol >40 if male, >50 if female; d. ypertension. Average on 80% of measurements <130/85.

  Results: The study shows that the hydration level is below recommended in 56.9% of the sample. By age groups, the best hydrated are those between 65-80 years. By gender, women are more hydrated than men, though only 46.8% get to drink more than 1.5 liter per day. Regarding the last variable, we found a correlation between higher consumption of water and good control of HbA1c glycated, HDL and blood pressure values.

  Conclusions: We may affirm that a proper degree of hydration contributes to a better management of metabolic syndrome. Dietary Advice in Primary Care should include recommendations on hydration by health professionals.