The Relationship Between Fluid Intake and Heat Sress with the Hydration Status of Workers: A Scooping Review
Abstract
The importance of adequate water consumption as a key factor in preventing dehydration in workers is a crucial aspect in the work environment. The body, which loses fluids through sweat, urine, and respiration, needs adequate fluid replacement to prevent dehydration. Heat stress can accelerate the dehydration process, where the body responds by producing sweat to regulate body temperature. Objective: The aim of this study is to investigate the relationship between fluid intake, heat stress, and the hydration status of workers. Method: The method used in this article review is PRISMA-ScR. The publication language is English. The search was conducted through several scientific journal databases, including Scopus, Science Direct, PubMed, SpringerLink, EBSCO Host, and ProQuest, covering the period from 2013 to 2023. The process of selecting evidence sources in the initial identification yielded 21,403 articles, then through a selection process based on eligibility, topic relevance, and final assessment, eight evidence sources were selected through five stages of selection. Eligible and selected data sources are presented in a charting table. Results: The findings of this scoping review reveal that there is a connection between fluid intake, heat stress, and the hydration status of workers. The article highlights a strong correlation between fluid intake, heat stress, and hydration status in workers, emphasizing the importance of maintaining hydration balance. Conclusions: The findings suggest that while fluid intake is crucial, heat exposure can elevate the risk of dehydration, especially in hot indoor or outdoor environments.
References
Al-Bouwarthan, M., Quinn, M. M., Kriebel, D., & Wegman, D. H. (2020). A Field Evaluation of Construction Workers’ Activity, Hydration Status, and Heat Strain in the Extreme Summer Heat of Saudi Arabia. Annals of Work Exposures and Health, 64(5), 522–535. https://doi.org/10.1093/annweh/wxaa029
American Conference of Governmental Hygienists (ACGIH). (2017). American Conference of Governmental Hygienists (ACGIH) Threshold Limit Values for Chemical Substances and Physical Agents & Biological Exposure Indices. ACGIH. https://www.acgih.org/science/tlv-bei-guidelines/
Bethel, J. W., Spector, J. T., & Krenz, J. (2017). Hydration and Cooling Practices Among Farmworkers in Oregon and Washington. Journal of Agromedicine, 22(3), 222–228. https://doi.org/10.1080/1059924X.2017.1318100
Brake, D. J., & Bates, G. P. (2003). Fluid losses and hydration status of industrial workers under thermal stress working extended shifts. Occupational and Environmental Medicine, 60(2), 90–96. https://doi.org/10.1136/oem.60.2.90
Brearley, M., Harrington, P., Lee, D., & Taylor, R. (2015). Working in hot conditions-A study of electrical utility workers in the northern territory of australia. Journal of Occupational and Environmental Hygiene, 12(3), 156–162. https://doi.org/10.1080/15459624.2014.957831
Cortez, O. D. (2009). Heat stress assessment among workers in a Nicaraguan sugarcane farm. Global Health Action, 2(1). https://doi.org/10.3402/gha.v2i0.2069
Crowe, J., Rojas-Valverde, D., Rojas-Garbanzo, M., Gutiérrez-Vargas, R., Ugalde-Ramírez, J. A., Ledezma-Rojas, J. P., Cabrera-Alpizar, W., Salazar-Salazar, M., Mauricio-La Torre, R., Valera-Amador, L., & de Joode, B. van W. (2022). Kidney Function in Rice Workers Exposed to Heat and Dehydration in Costa Rica. International Journal of Environmental Research and Public Health, 19(9). https://doi.org/10.3390/ijerph19094962
Direktorat Kesehatan Kerja RI. (2014). Pedoman Kebutuhan Cairan bagi Pekerja agar Tetap Sehat dan Produktif (Edisi 1).
Gao, C., Kuklane, K., Östergren, P. O., & Kjellstrom, T. (2018). Occupational heat stress assessment and protective strategies in the context of climate change. International Journal of Biometeorology, 62(3), 359–371. https://doi.org/10.1007/s00484-017-1352-y
García-Trabanino, R., Jarquín, E., Wesseling, C., Johnson, R. J., González-Quiroz, M., Weiss, I., Glaser, J., José Vindell, J., Stockfelt, L., Roncal, C., Harra, T., & Barregard, L. (2015). Heat stress, dehydration, and kidney function in sugarcane cutters in El Salvador - A cross-shift study of workers at risk of Mesoamerican nephropathy. Environmental Research, 142, 746–755. https://doi.org/10.1016/j.envres.2015.07.007
Heat - Overview: Working in Outdoor and Indoor Heat Environments | Occupational Safety and Health Administration. (n.d.). Retrieved January 7, 2024, from https://www.osha.gov/heat-exposure
Jacklitsch, B., Williams, W., Musolin, K., Coca, A., Kim, J.-H., & Turner, N. (2016). NIOSH criteria for a recommended standard: occupational exposure to heat and hot environments. US Department of Health and Human Services, Publication 2016-106.
Jayasekara, K. B., Kulasooriya, P. N., Wijayasiri, K. N., Rajapakse, E. D., Dulshika, D. S., Bandara, P., Fried, L. F., De Silva, A., & Albert, S. M. (2019). Relevance of heat stress and dehydration to chronic kidney disease (CKDu) in Sri Lanka. Preventive Medicine Reports, 15(January), 100928. https://doi.org/10.1016/j.pmedr.2019.100928
Kavouras, S. A. (2019). Hydration, dehydration, underhydration, optimal hydration: are we barking up the wrong tree? European Journal of Nutrition, 58(2), 471–473. https://doi.org/10.1007/s00394-018-01889-z
Kenefick, R. W., & Sawka, M. N. (2007). Hydration at the Work Site. Journal of the American College of Nutrition, 26(October 2014), 597S-603S. https://doi.org/10.1080/07315724.2007.10719665
Kjellstrom, T., Briggs, D., Freyberg, C., Lemke, B., Otto, M., & Hyatt, O. (2016). Heat, Human Performance, and Occupational Health: A Key Issue for the Assessment of Global Climate Change Impacts. Annual Review of Public Health, 37, 97–112. https://doi.org/10.1146/annurev-publhealth-032315-021740
Lacey, J., Corbett, J., Forni, L., Hooper, L., Hughes, F., Minto, G., Moss, C., Price, S., Whyte, G., Woodcock, T., Mythen, M., & Montgomery, H. (2019). A multidisciplinary consensus on dehydration: definitions, diagnostic methods and clinical implications. Annals of Medicine, 51(3–4), 232–251. https://doi.org/10.1080/07853890.2019.1628352
Liska, D., Mah, E., Brisbois, T., Barrios, P. L., Baker, L. B., & Spriet, L. L. (2019). Narrative review of hydration and selected health outcomes in the general population. Nutrients, 11(1), 1–29. https://doi.org/10.3390/nu11010070
Luangwilai, T., Robson, M. G., & Siriwong, W. (2021). Effect of Heat Exposure on Dehydration and Kidney Function Among Sea Salt Workers in Thailand. Roczniki Panstwowego Zakladu Higieny / Annals of the National Institute of Hygiene, 72(4), 435–442. https://doi.org/10.32394/rpzh.2021.0186
McCubbin, A. J., Allanson, B. A., Caldwell Odgers, J. N., Cort, M. M., Costa, R. J. S., Cox, G. R., Crawshay, S. T., Desbrow, B., Freney, E. G., Gaskell, S. K., Hughes, D., Irwin, C., Jay, O., Lalor, B. J., Ross, M. L. R., Shaw, G., Périard, J. D., & Burke, L. M. (2020). Sports Dietitians Australia position statement: Nutrition for exercise in hot environments. International Journal of Sport Nutrition and Exercise Metabolism, 30(1), 83–98. https://doi.org/10.1123/ijsnem.2019-0300
Mizelle, E., Larson, K. L., Bolin, L. P., & Kearney, G. D. (2022). Fluid Intake and Hydration Status Among North Carolina Farmworkers: A Mixed Methods Study. Workplace Health and Safety, 70(12), 532–541. https://doi.org/10.1177/21650799221117273
National Institute for Occupational Safety and Health. (2016). Occupational exposure to heat and hot environments. DHHS (NIOSH) Publication.
Nur Siddiq, M. C., & Mulyono. (2020). The relationship between heat stress and dehydration in the continous casting machine section of pt x. Indian Journal of Forensic Medicine and Toxicology, 14(2), 1347–1352. https://doi.org/10.37506/ijfmt.v14i2.3098
Orysiak, J., Młynarczyk, M., & Tomaszewski, P. (2023). Fluid intake at work in foresters working in different thermal conditions. Scientific Reports, 13(1), 1–10. https://doi.org/10.1038/s41598-023-41652-x
Permenkes. (2014). Peraturan Menteri Kesehatan Republik Indonesia Nomor 41 Tahun 2014 Tentang Pedoman Gizi Seimbang. 1–96.
Piil, J. F., Lundbye-Jensen, J., Christiansen, L., Ioannou, L., Tsoutsoubi, L., Dallas, C. N., Mantzios, K., Flouris, A. D., & Nybo, L. (2018). High prevalence of hypohydration in occupations with heat stress - Perspectives for performance in combined cognitive and motor tasks. PLoS ONE, 13(10), 1–20. https://doi.org/10.1371/journal.pone.0205321
Polkinghorne, B. G., Gopaldasani, V., Furber, S., Davies, B., & Flood, V. M. (2013). Hydration status of underground miners in a temperate Australian region. BMC Public Health, 13(1). https://doi.org/10.1186/1471-2458-13-426
Pranata, A. E. (2013). Manajemen Cairan dan Elektrolit. Nurha Medika.
Pryor, R. R., Larson, J. R., Vandermark, L. W., Johnson, B. D., & Schlader, Z. J. (2023). Water consumption patterns impact hydration markers in males working in accordance with the National Institute for Occupational Safety and Health recommendations. Journal of Occupational and Environmental Hygiene, 20(9), 414–425. https://doi.org/10.1080/15459624.2023.2221713
Santoso, B. I., Hardinsyah, Siregar, P., & Pardede, S. O. (2011). Air Bagi Kesehatan.
Suma’mur, P. K. (2009). Hygiene Perusahaan Dan Kesehatan Kerja (Hiperkes). In Kesehatan Kerja.
Sutarto, T., Soemarko, D. S., & Ichsan, S. (2022). The Association between Heat Exposure and Hydration Status Among Production Workers in Fish Processing Company. The Indonesian Journal of Community and Occupational Medicine, 1(3), 146–153. https://doi.org/10.53773/ijcom.v1i3.33.146-53
Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., … Straus, S. E. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850
Wagoner, R. S., López-Gálvez, N. I., de Zapien, J. G., Griffin, S. C., Canales, R. A., & Beamer, P. I. (2020). An occupational heat stress and hydration assessment of agricultural workers in north mexico. International Journal of Environmental Research and Public Health, 17(6). https://doi.org/10.3390/ijerph17062102
Wesseling, C., Aragón, A., González, M., Weiss, I., Glaser, J., Rivard, C. J., Roncal-Jiménez, C., Correa-Rotter, R., & Johnson, R. J. (2016). Heat stress, hydration and uric acid: A cross-sectional study in workers of three occupations in a hotspot of Mesoamerican nephropathy in Nicaragua. BMJ Open, 6(12), 1–11. https://doi.org/10.1136/bmjopen-2016-011034
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