Table 2.
Baseline serum concentrations of biomarkers of hydration status by body mass index (BMI) category in long-term care residents recruited from 8 facilities.a
| BMI Category | N | Serum Osmolality (mOsm/kg)
|
BUNb (mg/dL)
|
BUN/Crc (mg/dL)
|
|
|---|---|---|---|---|---|
| Mean ± SD | N(%) ≥ 295d | Mean ± SD | Mean ± SD | ||
| Underweight (BMI < 18.5) | 10 | 301.4±7.1 | 9(90.0) | 18.7±6.9 | 21.7±9.6 |
| Normal Weight (BMI 18.5–24.9) | 65 | 300.0±8.0 | 47(72.3) | 22.1±8.7 | 22.4±7.4 |
| Overweight (BMI 25.0–29.9) | 41 | 298.0±10.1 | 28(68.3) | 21.7±14.8 | 20.5±7.8 |
| Obese (BMI ≥ 30) | 12 | 293.8±7.8 | 4(33.3) | 16.8±8.1 | 20.7±8.0 |
Serum biomarkers and BMI available for 128 of 247 enrolled subjects due to limitations of no blood draw (N=115) or amputation (N = 4).
BUN=Blood Urea Nitrogen
BUN/Cr=Blood Urea Nitrogen/Creatinine
Cut-point of ≥295 indicates current (≥ 300 mOsm/kg) or impending (295–300 mOsm/kg) dehydration.