Dini Arini Hasibuan, Oke Rina Ramayani, Tiangsa Sembiring, Munar Lubis


Background: Inadequate hydration state in children causes several conditions such as imbalance mood, headache, delayed cognitive function, even death. It is imperative to access the status quickly, accurately by using urine color scale and measuring the urine specific gravity. The purpose of this study is to analyze the relationship between urine color scale and urine specific gravity to hydration status in children.


Method: A cross-sectional study was conducted in March 2019 in Singkuang village. The samples were elementary children from 8 to 14 years old. All samples required to fill the questionnaire and to submit the urine sample. Then, they were examined to assess hydration state. The urine was evaluated by using a urine color scale and refractometer. Bivariate analysis, chi-square, was used to analyze the determinants. The confidence interval was set to 95% and P<0.05 was significant.


Result: There were 222 samples from elementary school class 4 to 6. There were 46 (20.7%) dehydrated children from a physical examination. There were 5 (2.2%) dehydrated children and 153 (65.9%) probably dehydrated children when to be assessed by urine color scale. There were 18 (8.1%), dehydrated children, when being assessed by urine specific gravity. There was no relationship between urine color scale to hydration status (P = 0.511). But the urine specific gravity was significantly correlated to hydration status (P = 0.032) and urine color scale (P = 0.0001)

Conclusion: Hydration status can be determined by evaluating urine specific gravity but not by evaluating urine color scale.



Urine color scale, urine specific gravity, hydration status, children

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