Nutrition and Hydration Across the Lifespan: Integrating Nursing Care and Nutritional Science

Authors

  • Maryam Khnaiser Hamoud Al-Barrak Kingdom of Saudi Arabia, Ksa, Ministry Of Health
  • ‏Adhwaa Hurmus Alrashdi Kingdom of Saudi Arabia, Ksa, Ministry Of Health
  • ‏Manwah Fawaz  Al-Enazy Kingdom of Saudi Arabia, Ksa, Ministry Of Health
  • Nora Khaled Alsaleh Kingdom of Saudi Arabia, Ksa, Ministry Of Health
  • ‏Maram Mohammed Alhablani Kingdom of Saudi Arabia, Ksa, Ministry Of Health
  • Amirah Hassan Amer Asiri Kingdom of Saudi Arabia, Ksa, Ministry Of Health, Altahaheen Phcc
  • Ahmed Jubran Ahmed Shanyah Kingdom of Saudi Arabia, Ksa, Ministry Of Health, Hague Faifa Primary Health Care
  • Nawaf Rasheed Sanidh Alruwaili Kingdom of Saudi Arabia, Ksa, Ministry Of Health, Saudi Red Crescent Authority6
  • Safia Hassan Ibrahim Jary Kingdom of Saudi Arabia, Ksa, Ministry Of Health,  Jazan Health Cluster, King Fahd Central Hospital
  • Budour Mufadh Saleh Alanzi Kingdom of Saudi Arabia, Ksa, Ministry Of Health, Al-Mureidiseah Health Center
  • Luay Turayhib Alharbi Kingdom of Saudi Arabia, Ksa, Ministry Of Health
  • Nouf Rabeh Almohammdi Kingdom of Saudi Arabi ,Ksa, Ministry Of Health, Al-Jafr Health Center

Keywords:

nutrition; hydration; pediatrics; pregnancy; athletes; micronutrients; fiber; dehydration; nursing; dietetics; interprofessional care

Abstract

Background: Optimal nutrition and hydration underpin growth, metabolic homeostasis, and disease prevention across childhood, adulthood, pregnancy, and athletic performance. Malnutrition and dehydration remain prevalent and clinically consequential, driven by both quantitative (energy/fluid) and qualitative (diet composition) inadequacies.

Aim: To synthesize evidence on energy and fluid requirements across the lifespan, outline micronutrient priorities, and delineate role-specific interventions for nurses and nutritionists within interprofessional care pathways.

Methods: Narrative integration of established dietary reference values and clinical protocols described in the source article, spanning macronutrients, micronutrients, water balance, and condition-specific considerations (pediatrics, pregnancy, aging, sport). Emphasis was placed on actionable screening, resuscitation algorithms, and individualized dietary planning.

Results: Children require age- and weight-based caloric/fluid prescriptions; growth charts and the 4-2-1 rule guide practice. Adults generally need 2000–2800 kcal/day and sex-specific water intakes, with older adults at heightened dehydration risk. Pregnancy demands trimester-specific energy increases and targeted micronutrient supplementation (folate, iron, vitamin D, calcium, protein). Athletes need goal-driven macronutrient periodization and staged hydration with electrolytes. Clinically, low-GI carbohydrates, adequate protein (~1.6 g/kg/d in adults), prudent fat quality, and sufficient fiber support cardiometabolic health. Nurses lead screening, hemodynamic monitoring, IV access, and weight-/age-based fluid resuscitation; nutritionists diagnose dietary inadequacies, design individualized plans (e.g., DASH, therapeutic foods), and direct supplementation and education.

Conclusion: Lifespan-tailored prescriptions for energy, fluids, and micronutrients—implemented through coordinated nursing and nutritionist workflows—reduce preventable morbidity from malnutrition and dehydration and strengthen population health.

References

Drewnowski A, Rehm CD, Constant F. Water and beverage consumption among children age 4-13y in the United States: analyses of 2005-2010 NHANES data. Nutr J. 2013 Jun 19;12:85.

Yu E, Malik VS, Hu FB. Reprint of: Cardiovascular Disease Prevention by Diet Modification: JACC Health Promotion Series. J Am Coll Cardiol. 2018 Dec 11;72(23 Pt B):2951-2963.

Gudu E, Obonyo M, Omballa V, Oyugi E, Kiilu C, Githuku J, Gura Z, Ransom J. Factors associated with malnutrition in children < 5 years in western Kenya: a hospital-based unmatched case control study. BMC Nutr. 2020;6:33.

Stookey JD. Analysis of 2009⁻2012 Nutrition Health and Examination Survey (NHANES) Data to Estimate the Median Water Intake Associated with Meeting Hydration Criteria for Individuals Aged 12⁻80 in the US Population. Nutrients. 2019 Mar 18;11(3)

Drewnowski A, Rehm CD, Constant F. Water and beverage consumption among adults in the United States: cross-sectional study using data from NHANES 2005-2010. BMC Public Health. 2013 Nov 12;13:1068.

Position of the American Dietetic Association, Dietitians of Canada, and the American College of Sports Medicine: Nutrition and athletic performance. J Am Diet Assoc. 2000 Dec;100(12):1543-56.

Mustad VA, Huynh DTT, López-Pedrosa JM, Campoy C, Rueda R. The Role of Dietary Carbohydrates in Gestational Diabetes. Nutrients. 2020 Jan 31;12(2)

Locke A, Schneiderhan J, Zick SM. Diets for Health: Goals and Guidelines. Am Fam Physician. 2018 Jun 01;97(11):721-728.

Budhathoki S, Sawada N, Iwasaki M, Yamaji T, Goto A, Kotemori A, Ishihara J, Takachi R, Charvat H, Mizoue T, Iso H, Tsugane S., Japan Public Health Center–based Prospective Study Group. Association of Animal and Plant Protein Intake With All-Cause and Cause-Specific Mortality in a Japanese Cohort. JAMA Intern Med. 2019 Nov 01;179(11):1509-1518.

Titi-Lartey OA, Gupta V. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): Jul 24, 2023. Marasmus.

Bosch V, Pantín EL. [Fats in the diet]. Arch Latinoam Nutr. 1988 Sep;38(3):506-18.

Martinchik AN, Baturin AK, Kambarov AO. [Analysis of the association of diet energy from macronutrients and prevalence of overweight and obesity among the Russian population]. Vopr Pitan. 2020;89(3):40-53.

Soliman GA. Dietary Fiber, Atherosclerosis, and Cardiovascular Disease. Nutrients. 2019 May 23;11(5)

Siervo M, Lara J, Chowdhury S, Ashor A, Oggioni C, Mathers JC. Effects of the Dietary Approach to Stop Hypertension (DASH) diet on cardiovascular risk factors: a systematic review and meta-analysis. Br J Nutr. 2015 Jan 14;113(1):1-15.

Iqbal S, Rust P, Weitensfelder L, Ali I, Kundi M, Moshammer H, Ekmekcioglu C. Iron and Iodine Status in Pregnant Women from A Developing Country and Its Relation to Pregnancy Outcomes. Int J Environ Res Public Health. 2019 Nov 11;16(22)

Baytekus A, Tariku A, Debie A. Clinical vitamin-A deficiency and associated factors among pregnant and lactating women in Northwest Ethiopia: a community-based cross-sectional study. BMC Pregnancy Childbirth. 2019 Dec 18;19(1):506.

Armstrong LE, Johnson EC. Water Intake, Water Balance, and the Elusive Daily Water Requirement. Nutrients. 2018 Dec 05;10(12)

Armstrong LE. Challenges of linking chronic dehydration and fluid consumption to health outcomes. Nutr Rev. 2012 Nov;70 Suppl 2:S121-7.

An R, McCaffrey J. Plain water consumption in relation to energy intake and diet quality among US adults, 2005-2012. J Hum Nutr Diet. 2016 Oct;29(5):624-32.

Faizan, Unaiza, and Audra S. Rouster. "Nutrition and hydration requirements in children and adults." In StatPearls [Internet]. StatPearls Publishing, 2023.

May, Matt. "Working with nutritionists." In American Association of Bovine Practitioners Conference Proceedings, no. 57, pp. 16-18. 2024.

Published

2025-09-06

How to Cite

Al-Barrak, M. K. H., Alrashdi, ‏Adhwaa H., Al-Enazy, ‏Manwah F., Alsaleh, N. K., Alhablani, ‏Maram M., Asiri, A. H. A., … Almohammdi, N. R. (2025). Nutrition and Hydration Across the Lifespan: Integrating Nursing Care and Nutritional Science. Saudi Journal of Medicine and Public Health, 2(2). Retrieved from https://saudijmph.com/index.php/pub/article/view/86

Issue

Section

Articles

Similar Articles

1 2 3 4 > >> 

You may also start an advanced similarity search for this article.