Effect of smartphone application with reminder on total fluid intake adequacy and hydration status among adults in Bontang, East Kalimantan
Abstract
Background: About 41% adults in Kalimantan have inadequate total fluid intake (TFI), which is higher than national inadequacy (28%). Inadequate TFI may cause dehydration. The biggest barrier to comply with TFI is to forget to drink. Smartphone application, Hidrasiku with reminder, is expected to be useful in TFI adequacy which may affect hydration status. Objective: This study aims to determine the effect of the Hidrasiku with reminder on the TFI adequacy and hydration status among adults in Bontang. Methods: The design of this study was quasi-experimental and cluster sampling. Inclusion criteria were healthy men, age 19-64 years and having a smartphone. Participants suffering with diseases that affected fluid balance and on diet and fluid restriction were excluded. Data collection was conducted from April to June 2023 in Bontang. A total of 106 participants were allocated into two groups, intervention and control. Both groups used Hidrasiku for four weeks, with the intervention group activating the reminder while the control group didn’t. Adequacy of TFI and hydration status were assessed before-after intervention. Results: A sample of 87 participants completed the study. The median age of the participants was 32 (19-61) years. At the end of intervention, there was significant difference in the TFI adequacy (90.2% vs 63.0%; p=0.003) and a significant increase in TFI +240 mL/day vs – 62.8 mL/day; p=0.002). Meanwhile no significant difference on hydration status (87.8% vs 73.9%; p=0.103). Conclusions: Hidrasiku with reminder has effect on the TFI adequacy and no effect on hydration statusDownloads
References
Malisova O, Athanasatou A, Pepa A, Husemann M, Domnik K, Braun H, et al. Water intake and hydration indices in healthy European adults: The European Hydration Research Study (EHRS). Nutrients. 2016 Apr 6;8(4):204.
Raymond JL, Morrow K. Krause and mahan’s food & the nutrition care process. In: 15TH ed. Elsevier; 2021. p. 28–33.
El-Sharkawy AM, Sahota O, Lobo DN. Acute and chronic effects of hydration status on health. Vol. 73, Nutrition Reviews. Oxford University Press; 2015. p. 97–109.
García AIL, Samaniego-Vaesken MDL, Partearroyo T, Varela-Moreiras G. Adaptation and validation of the hydration status questionnaire in a spanish adolescent-young population: A cross sectional study. Nutrients. 2019 Mar 1;11(3).
Riebl SK, Davy BM. The Hydration Equation: Update on water balance and cognitive performance. ACSMs Health Fit J. 2013;17(6).
Sontrop JM, Dixon SN, Garg AX, Buendia-Jimenez I, Dohein O, Huang SHS, et al. Association between water intake, chronic kidney disease, and cardiovascular disease: A cross-sectional analysis of NHANES data. Am J Nephrol. 2013;37(5):434–42.
Sontrop JM, Huang SH, Garg AX, Moist L, House AA, Gallo K, et al. Effect of increased water intake on plasma copeptin in patients with chronic kidney disease: results from a pilot randomised controlled trial. BMJ Open. 2015;5(11).
Laksmi PW, Morin C, Gandy J, Moreno LA, Kavouras SA, Martinez H, et al. Fluid intake of children, adolescents and adults in Indonesia: results of the 2016 Liq.In7 national cross-sectional survey. Eur J Nutr. 2018;57:89–100.
Peraturan Menteri Kesehatan Republik Indonesia. Angka kecukupan gizi yang dianjurkan untuk masyarakat Indonesia. Indonesia; 2019.
Ferreira-Pêgo C, Guelinckx I, Moreno LA, Kavouras SA, Gandy J, Martinez H, et al. Total fluid intake and its determinants: cross-sectional surveys among adults in 13 countries worldwide. Eur J Nutr. 2015;54:35–42.
Stout TE, Lingeman JE, Krambeck AE, Humphrey MR, Zisman A, Elfering S, et al. A Randomized trial evaluating the use of a smart water bottle to increase fluid intake in stone formers. Journal of Renal Nutrition. 2022 Mar 10;32(4):389–95.
Tarplin S, Monga M, Stern KL, McCauley LR, Sarkissian C, Nguyen MM. Predictors of reporting success with increased fluid intake among kidney stone patients. Urology. 2016;88.
Khambati A, Matulewicz RS, Perry KT, Nadler RB. Factors associated with compliance to increased fluid intake and urine volume following dietary counseling in first-time kidney stone patients. J Endourol. 2017;31(6).
Philip-Mckenzie Y, Jamnadass E, Hameed BMZ, Gamage KN, Bres-Niewada E, Sulaiman SK, et al. A content analysis of ‘water apps’ and prevention of urological diseases: Do apps really help? Vol. 73, Central European Journal of Urology. Polish Urological Association; 2020. p. 187–92.
Streeper NM, Lehman K, Conroy DE. Acceptability of mobile health technology for promoting fluid consumption in patients with nephrolithiasis. Urology. 2018;122:64–9.
Luo Y, Chen Hsu C, Jui Lin K, Kai Fu S, Ru Chen J, Lai CC. Effectiveness of a water intake program at the workplace in physical and mental health outcomes. Inquiry (United States). 2022 Mar 7;59.
IHWG. Hidrasiku [Internet]. [cited 2022 Aug 31]. Available from: https://play.google.com/store/apps/details?id=id.atomic.ihwg.hidrasikuapp
Conroy DE, Dubansky A, Remillard J, Murray R, Pellegrini CA, Phillips SM, et al. Using behavior change techniques to guide selections of mobile applications to promote fluid consumption. Urology. 2017 Jan 1;99:33–7.
Conroy DE, West AB, Brunke-Reese D, Thomaz E, Streeper NM. Just-in-time adaptive intervention to promote fluid consumption in patients with kidney stones. Health Psychology. 2020;39(12):1062–9.
Bardosono S, Monrozier R, Permadhi I, Manikam NRM, Pohan R, Guelinckx I. Total fluid intake assessed with a 7-day fluid record versus a 24-h dietary recall: a crossover study in Indonesian adolescents and adults. Eur J Nutr. 2015;54:17–25.
Sunardi D, Chandra DN, Medise BE, Friska D, Manikam NRM, Lestari W, et al. Assessment of water consumption during Ramadan intermittent fasting: Result from Indonesian cross-sectional study. Front Nutr. 2022 Jul 25;9.
Lewis M, Bromley K, Sutton CJ, McCray G, Myers HL, Lancaster GA. Determining sample size for progression criteria for pragmatic pilot RCTs: the hypothesis test strikes back! Pilot Feasibility Study. 2021;7(1):40.
Cleland C, Ferguson S, Ellis G, Hunter RF. Validity of the International Physical Activity Questionnaire (IPAQ) for assessing moderate-to-vigorous physical activity and sedentary behaviour of older adults in the United Kingdom. BMC Med Res Methodol. 2018;18(1):176.
Raymond JL, Morrow K. Krause and Mahan’s Food & The Nutrition Care Process. In: 15TH ed. Elsevier; 2021. p. 57–80.
Sunardi D, Chandra DN, Medise BE, Manikam NRM, Friska D, Lestari W, et al. Water and beverages intake among workers amid the COVID-19 pandemic in Indonesia. Front Nutr. 2022;9:832641.
Bottin JH, Lemetais G, Poupin M, Jimenez L, Perrier ET. Equivalence of afternoon spot and 24-h urinary hydration biomarkers in free-living healthy adults. Eur J Clin Nutr. 2016 Aug 1;70(8):904–7.
Perrier ET, Johnson EC, McKenzie AL, Ellis LA, Armstrong LE. Urine colour change as an indicator of change in daily water intake: a quantitative analysis. Eur J Nutr. 2016 Aug 1;55(5):1943–9.
SDT. Buku Studi Diet Total: Survei konsumsi makanan individu Indonesia 2014. Ministry of Health Republic of Indonesia. 2014.
Chang T, Ravi N, Plegue MA, Sonneville KR, Davis MM. Inadequate hydration, BMI, and obesity among US adults: NHANES 2009-2012. Ann Fam Med. 2016 Jul 1;14(4):320–4.
Penggalih MHST, Sofro ZM, Rizqi ER, Fajri Y. Prevalensi kasus dehidrasi pada mahasiswa Universitas Gadjah Mada. Jurnal Gizi Klinik Indonesia. 2014;11(2).
Awwalina I, Arini SY, Martiana T, Alayyannur PA, Dwiyanti E. Relationship between drinking water habits and work climate perceptions with dehydration incidence in shipping companies’ workers. Indonesian Journal of Public Health. 2022;17(1).
Kitiwan BK, Vasunilashorn SM, Baer HJ, Mukamal K, Juraschek SP. The association of urine osmolality with decreased kidney function and/or albuminuria in the United States. BMC Nephrol. 2021;22(1).
Harries T, Eslambolchilar P, Stride C, Rettie R, Walton S. Walking in the wild - Using an always-on smartphone application to increase physical activity. In: Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics). 2013.
Hong Y, Dahlke DV, Ory M, Hochhalter A, Reynolds J, Purcell NP, et al. Designing icanfit: A mobile-enabled web application to promote physical activity for older cancer survivors. JMIR Res Protoc. 2013;2(1).
Wright HC, Alshara L, DiGennaro H, Kassis Y El, Li J, Monga M, et al. The impact of smart technology on adherence rates and fluid management in the prevention of kidney stones. Urolithiasis. 2022;50(1).
Hendriksen IJM, Snoijer M, De Kok BPH, Van Vilsteren J, Hofstetter H. Effectiveness of a multilevel workplace health promotion program on vitality, health, and work-related outcomes. J Occup Environ Med. 2016;58(6).
Baumgartner PC, Haynes RB, Hersberger KE, Arnet I. A systematic review of medication adherence thresholds dependent of clinical outcomes. Vol. 9, Frontiers in Pharmacology. 2018.
Submitted
Copyright (c) 2024 Handayani Eka Puspita Sari, Diana Sunardi, Krisadelfa Sutanto, Dian Novita Chandra, Dewi Friska, Putri Novia Choiri Insani
This work is licensed under a Creative Commons Attribution 4.0 International License.
World Nutrition Journal is an open acces journal and under the licence of
