Zhang J F, Zhang N, He H R, Cai H, Yan X Y, Guo X H, Li Y B, Zhang M, Ma G S
Department of Nutrition and Food Hygiene, School of Public Health, Peking University, Beijing 100191, China.
Department of Nutrition and Food Hygiene, School of Public Health/Laboratory of Toxicological Research and Risk Assessment for Food Safety, Peking University, Beijing 100191, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2019 Apr 6;53(4):355-359. doi: 10.3760/cma.j.issn.0253-9624.2019.04.005.
To investigate the total fluids intake, volume of urine and hydration status among college students from Hebei Province in spring. In March 2017, the subjects were recruited in a college in Baoding, Hebei Province. 156 students completed the investigation. Total drinking fluids was assessed by 7-day 24-hour fluid intake questionnaire, with a quantitative tool. The water from food was assessed by the duplicate portion method. The urine samples of 24-hour was collected for 3 consecutive days, and the volume, osmolality, pH and specific gravity of urine were measured. Hydration status was grouped to three types according to the urine osmolality (mOsm/kg), namely, optimal hydration (urine osmolality ≤500), middle hydration (500< urine osmolality ≥800) and dehydration (urine osmolality >800), and the differences among subjects in different genders and hydration statuses were compared. The age of all subjects was (19.8±1.1) years old, including 80 male students. The median amounts of total fluids intake, total drinking fluids, water from food and urine volume were 2 324, 1 135, 1 174 and 1 279 ml/d, respectively. The volume of urine among males was 1 272 ml/d, which was not significantly different from that of females (1 304 ml/d) (0.05). The osmolality and specific gravity of urine among males were 688 mOsm/kg and 1.017, which were higher than those of females (493 mOsm/kg, 1.014) (0.05). But the pH of males was 6.6±0.3, which was lower than that of females (6.7±0.3) (0.05). Only 37.2% (=58) of college students were in optimal hydration status. The median of the amount of total drinking fluids among subjects in optimal hydration status was 301, 448 ml/d higher than that in middle hydration status and dehydration, respectively (0.05). The proportion of females in optimal hydration status was 51.3% (39), which was higher than that of males 23.8% (19) (0.05). Large proportion of college students in Hebei had lower total drinking fluids than the recommended intake of China, and the volume of urine was equal to the amount of total drinking fluids among the college students. Only 37.2% of college students were in optimal hydration status, and the proportion of female college students in optimal hydration status was larger than that of males.
调查河北省大学生春季的总液体摄入量、尿量及水合状态。2017年3月,在河北省保定市的一所高校招募研究对象。156名学生完成了调查。通过7天24小时液体摄入问卷这一定量工具评估总饮入液体量。通过双份饭菜法评估食物中的水分。连续3天收集24小时尿液样本,测量尿量、尿渗透压、pH值及尿比重。根据尿渗透压(mOsm/kg)将水合状态分为3类,即最佳水合状态(尿渗透压≤500)、中度水合状态(500<尿渗透压≥800)和脱水状态(尿渗透压>800),比较不同性别及水合状态研究对象之间的差异。所有研究对象年龄为(19.8±1.1)岁,其中男学生80名。总液体摄入量、总饮入液体量、食物中的水分及尿量的中位数分别为2324、1135、1174及1279 ml/d。男性尿量为1272 ml/d,与女性(1304 ml/d)相比差异无统计学意义(P>0.05)。男性尿渗透压及尿比重分别为688 mOsm/kg和1.017,高于女性(493 mOsm/kg,1.014)(P<0.05)。但男性pH值为6.6±0.3,低于女性(6.7±0.3)(P<0.05)。仅37.2%(=58)的大学生处于最佳水合状态。处于最佳水合状态研究对象的总饮入液体量中位数分别比中度水合状态和脱水状态高301、448 ml/d(P<0.05)。处于最佳水合状态的女性比例为51.3%(39名),高于男性的23.8%(19名)(P<0.05)。河北省大部分大学生的总饮入液体量低于中国推荐摄入量,且大学生尿量与总饮入液体量相当。仅37.2%的大学生处于最佳水合状态,且处于最佳水合状态的女大学生比例高于男大学生。