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What should an elderly person drink for optimal hydration?

5 min read

According to the National Council on Aging, up to 40% of elderly people may be chronically underhydrated, a condition that can have serious health consequences. So, what should an elderly person drink to prevent dehydration and maintain overall well-being?

Quick Summary

The best drinks for older adults focus on hydration and nutrition, including plain water, infused water, low-fat milk, herbal teas, broths, and certain juices in moderation. It is crucial to consume fluids consistently throughout the day, even when not feeling thirsty, and to limit dehydrating beverages like excessive caffeine and sugary drinks.

Key Points

  • Prioritize Water: Water is the best and most recommended fluid for senior hydration, with plain or infused options serving as the foundation.

  • Consider Nutrient-Rich Drinks: Low-fat milk, fortified soy milk, and herbal teas provide hydration along with essential nutrients like calcium, Vitamin D, and protein.

  • Limit Dehydrating Beverages: Excessive caffeine (from coffee or soda), alcohol, and high-sugar drinks should be consumed sparingly as they can exacerbate dehydration.

  • Set Hydration Reminders: Because thirst sensation diminishes with age, using reminders, apps, or a routine tied to daily activities is critical for consistent fluid intake.

  • Incorporate Hydrating Foods: Water-rich foods such as fruits, vegetables, broths, and soups contribute significantly to overall fluid consumption.

  • Monitor for Dehydration Signs: Be aware of symptoms like dry mouth, fatigue, and dark urine, and consult a doctor with any concerns, as some medications can also affect hydration.

In This Article

The Importance of Hydration in Later Years

As people age, their bodies experience changes that can increase the risk of dehydration. A decreased sense of thirst is common, meaning an elderly person may not feel compelled to drink even when their body needs fluids. Other factors, such as medications, reduced kidney function, and mobility issues, can also impact fluid intake and retention. Proper hydration is vital for older adults to maintain healthy organ function, regulate body temperature, support cognitive health, and prevent issues like constipation, urinary tract infections, and low blood pressure.

The Gold Standard: Water and Its Variations

Water is unequivocally the best beverage for hydration, as it contains no calories, sugar, or additives. For an elderly person, plain water is the first and best choice to sip throughout the day. However, if plain water is unappealing, there are many ways to make it more enticing and beneficial.

  • Infused Water: Adding slices of fruits like lemon, lime, orange, or berries, and herbs like mint or basil, can provide a refreshing flavor without added sugar. This makes drinking water more enjoyable and encourages consistent intake.
  • Sparkling Water: Unsweetened seltzer or mineral water can offer a bubbly alternative to plain water. Just be sure to check the label for any added sugars or artificial sweeteners.

Nutrient-Rich Hydration Alternatives

Beyond plain water, several other drinks offer both hydration and valuable nutrients essential for senior health.

  • Milk (Dairy or Fortified Soy): Low-fat or skim milk and fortified soy alternatives are excellent sources of calcium, vitamin D, and protein, all vital for maintaining bone and muscle health. Milk has also been shown to be an effective hydrator due to its electrolyte content.
  • Herbal Tea: Naturally caffeine-free herbal teas, such as chamomile, peppermint, or hibiscus, can be consumed warm or cold. They are soothing and add variety to a senior's fluid intake without the diuretic effects of caffeinated drinks.
  • Broth and Soup: Low-sodium broths and soups are a great way to provide fluids, especially during colder months. They also contribute to electrolyte balance and can be very nourishing.
  • 100% Fruit and Vegetable Juices (in Moderation): While higher in sugar, 100% juices can provide vitamins and minerals. The key is moderation. Opt for 100% juice without added sugars and serve in small portions. For a healthier option, consider blending whole fruits into a smoothie to retain the beneficial fiber.
  • Smoothies: A homemade smoothie made with yogurt, milk, and frozen fruit is a nutrient-dense and hydrating option, especially for seniors with a reduced appetite or difficulty chewing. Adding a handful of spinach can boost vegetable intake without significantly altering the flavor.

Drinks to Limit or Avoid

Some beverages can negatively impact hydration or overall health in older adults and should be consumed sparingly, if at all.

  • Excess Caffeine: While moderate coffee consumption (around 1-2 cups per day) is generally considered acceptable and may offer health benefits, excessive amounts can act as a diuretic, increasing urination and potentially leading to dehydration. High caffeine intake can also interfere with sleep patterns, especially in seniors who metabolize caffeine more slowly.
  • Sugary Drinks: Sodas, sugary juices, and other sweetened beverages contribute empty calories and can worsen certain health conditions, such as diabetes. High sugar intake can also increase the body's need for fluids to process the sugar, leading to a dehydration cycle.
  • Alcohol: Alcohol has a significant diuretic effect and can contribute to dehydration. It can also interfere with medications and impact balance and cognition, which are important considerations for senior safety.
  • Energy Drinks: These are typically loaded with high levels of sugar, caffeine, and other stimulants that are not suitable for older adults and can cause adverse side effects.

Comparison of Healthy Senior Drink Options

Beverage Type Key Benefits Notes for Seniors
Plain Water Zero calories, zero sugar, pure hydration. Best choice for all-day sipping. Easily absorbed.
Infused Water Added flavor without sugar, encourages intake. Simple to prepare with fruits or herbs. A refreshing alternative.
Milk (Low-Fat) Calcium, Vitamin D, protein, effective hydration. Good for bone health. Lactose-free options available.
Herbal Tea Soothing, caffeine-free, adds variety. Can be enjoyed hot or cold. Look for natural, high-quality teas.
Low-Sodium Broth Good for hydration, electrolytes, and warmth. Perfect for mealtimes or as a savory snack. Watch sodium levels.
100% Juice Vitamins and minerals. High in sugar; should be consumed in small amounts. Smoothies are a better option due to fiber.

Strategies for Ensuring Consistent Fluid Intake

Caregivers and seniors can use several simple strategies to make staying hydrated an effortless part of the daily routine.

1. Make Fluids Visible and Accessible

  • Keep a pitcher of water or infused water within reach at all times, such as on a bedside table, coffee table, or kitchen counter.
  • Use a reusable, easy-to-hold water bottle that can be carried around the house.
  • Provide a straw, as some seniors find sipping easier than drinking from a glass.

2. Establish a Schedule

  • Tie drinking to daily activities, such as taking a sip every time you watch a commercial break on television.
  • Encourage drinking a full glass of water with every meal and with all medications.
  • Set an alarm or use a hydration app as a reminder to drink throughout the day.

3. Incorporate Water-Rich Foods

  • Many fruits and vegetables have high water content, including watermelon, strawberries, cucumbers, and celery.
  • Serve gelatin, custard, or yogurt as hydrating snacks or desserts.
  • Offer soups and broths as part of lunch or dinner.

4. Observe for Signs of Dehydration

It's important to recognize the signs of dehydration, as an older person may not always be able to communicate their symptoms clearly. Key indicators include:

  • Dry mouth and flushed skin
  • Fatigue or confusion
  • Dizziness or lightheadedness
  • Urinating less often or having dark-colored urine

Conclusion: Making Hydration a Priority

For an elderly person, staying properly hydrated is one of the simplest yet most impactful aspects of maintaining good health. Focusing on water, nutrient-rich milks, and herbal teas while limiting sugary and caffeinated drinks can make a significant difference. By incorporating consistent fluid intake into a daily routine, caregivers and seniors can proactively prevent dehydration and support a higher quality of life. For more detailed nutritional information specific to older adults, you can consult resources like the U.S. Department of Agriculture's MyPlate for Older Adults recommendations found at the National Institute on Aging website [https://www.nia.nih.gov/health/dietary-guidance-older-adults/how-myplate-applies-older-adults]. Ultimately, a personalized approach based on individual health needs is always best, ideally discussed with a healthcare provider. Consistent, small sips throughout the day are more effective than drinking large amounts at once.

Frequently Asked Questions

Fluid needs vary based on individual health, activity levels, and body weight. A general guideline is around 6 to 8 glasses of fluid per day, but it is best to discuss specific needs with a healthcare provider.

Coffee and tea are acceptable in moderation (1-2 cups) but should not be the primary source of hydration due to their diuretic effects from caffeine. Decaffeinated and herbal teas are safer options.

Yes, nutritional shakes can be a good option as they provide both fluids and essential nutrients, which is beneficial for seniors with a poor appetite. Always choose options that align with any dietary restrictions, such as controlling sugar intake.

Early signs often include dry mouth, fatigue, and feeling lightheaded or dizzy. Darker colored urine is also a key indicator that more fluids are needed.

Making drinks more appealing by adding flavor (fruit infusions, a squeeze of lemon), providing a variety of options (milk, soup, herbal tea), and establishing a drinking schedule can be effective strategies.

Most sports drinks are high in sugar and are not ideal for regular consumption by older adults. Electrolyte drinks designed specifically for seniors or rehydration solutions may be appropriate if approved by a doctor, especially for electrolyte replacement.

Many foods have high water content and contribute to hydration. Excellent choices include watermelon, cucumbers, strawberries, oranges, lettuce, and soups.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.