Urine Color Analysis of Hydration Status in Employees Working in Bandung, Indonesia

Liza Karina Hauteas, Rudi Supriyadi, Yenni Zuhairini


Background: Dehydration can be compensated for by the body. However, if it occurs persistently, it can cause concentration problems, thermoregulation disorders, kidney damage, and other life-threatening disorders such as cardiovascular disorders. Urine color is a simple indicator to assess a person’s hydration status. The purpose of this study was to explore the hydration status of employees working in Bandung, Indonesia.

Methods: This was a descriptive cross-sectional study conducted from March to November 2019. This study was a part of another study exploring urine color levels. Urine was collected on Sunday morning when the employees were free. Water intake and workload before urine examination were not taken into account. Hydration status was divided into three categories: well-hydrated, mild/moderate dehidration, and severe dehydration. A total sampling method was used to collect data.

Results: In total, 178 subjects who met the study criteria participated in the study. The majority of respondents were 40-79 years old, male, did not have hypertension or diabetes, and active smokers. Most respondents experienced severe dehydration (44.7%) although 58.1% had consumed ≥8 glasses of water/day.

Conclusion: More than half employees have consumed adequate amount of water; however, the majority are severely dehydrated when assessed based on their urine color. Further study on the balance of water intake and excretion is needed to explore the phenomenon of dehydration in the morning.


Dehydration, Urine Color, hydration status

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International Chair for Advanced Studies on Hydration. Human hydration [Internet]. 2016 [cited 2019 Apr 3]. Available from: http://cieah.ulpgc.es/en/main

Sari NA, Nindya TS. Hubungan asupan cairan, status gizi dengan status hidrasi pada pekerja di Bengkel Divisi General Engineering PT PAL Indonesia. Media Gizi Indones. 2018;12(1):47–53.

Roncal-Jimenez C, Lanaspa MA, Jensen T, Sanchez-Lozada LG, Johnson RJ. Mechanisms by which dehydration may lead to chronic kidney disease. Ann Nutr Metab. 2015;66:10–3.

Baron S, Courbebaisse M, Lepicard EM, Friedlander G. Assessment of hydration status in a large population. Br J Nutr. 2015;113(1):147–58.

Kavouras SA, Johnson EC, Bougatsas D, Arnaoutis G, Panagiotakos DB, Perrier E, et al. Validation of a urine color scale for assessment of urine osmolality in healthy children. Eur J Nutr. 2016;55(3):907–15.

Hagn RG, Waldréus N. An aggregate urine analysis tool to detect acute dehydration. Int J Sport Nutr Excercise Metab. 2013;23(4):303–11.

Biro Umum Kemkes RI. Infografis bagan warna urin [Internet]. 2018 [cited 2019 Apr 4]. Available from: http://roum.kemkes.go.id/berita/index.php

Kementrian Kesehatan RI. Pedoman gizi seimbang. Jakarta: Kemenkes RI; 2014. p.1–99

Benelam B, Wyness L. Hydration and health: A review. Nutr Bull. 2010;35(1):3–25.

Péronnet F, Mignault D, Du Souich P, Vergne S, Bellego L Le, Jimenez L, et al. Pharmacokinetic analysis of absorption, distribution and disappearance of ingested water labeled with D2O in humans. Eur J Appl Physiol. 2012;112(6):2213–22.

Chmielewski P, Strzelec B, Borysławski K, Chmielowiec K, Chmielowiec J, Dąbrowski P. Effects of aging on the function of the urinary system: longitudinal changes with age in selected urine parameters in a hospitalized population of older adults. Anthropol Rev. 2016;79(3):331–45.

Penggalih MHST, Sofro ZM, Rizqi ER, Fajri Y. Prevalensi kasus dehidrasi pada mahasiswa Universitas Gadjah Mada. J Gizi Klin Indones. 2014;11(2):72.

Perinpam M, Ware EB, Smith JA, Turner ST, Kardia SLR, Lieske JC. Key influence of sex on urine volume and osmolality. Biol Sex Differ. 2016;7(1):1–8.

Sobamowo H, Prabhakar SS. The kidney in aging : physiological changes and pathological implications. Mol Biol Aging. 2017;146:303–40.

Weinstein JR, Anderson S. The aging kidney : physiological changes. Adv Chronic Kidney Dis. 2010;17(4):302–7.

National Institute of Diabetes and Digestive and Kidney Disease (NIDDK). High blood pressure & kidney disease [Internet]. 2014 [cited 2019 Nov 11]. Available from: https://www.niddk.nih.gov/health-information/kidney-disease/high-blood-pressure

Bahar B, Kadrianti E, Nani. Hubungan hipertensi dengan kejadian gagal ginjal di RS Ibnu Sina Makassar periode Januari 2011-Desember 2012. Maj Kedokt Indones. 2014;4(2):163–8.

Sari N, Hisyam B. Hubungan antara diabetes melitus tipe II dengan kejadian gagal ginjal kronik di Rumah Sakit Pku Muhammadiyah Yogyakarta periode Januari 2011-Oktober 2012. J Kedokt dan Kesehat Indones. 2014;6(1):11–8.

Rivandi J, Yonata A. Hubungan diabetes melitus dengan kejadian gagal ginjal kronik. Majority. 2015;4(9):27–34.

Xia J, Wang L, Ma Z, Zhong L, Wang Y, Gao Y, et al. Cigarette smoking and chronic kidney disease in the general population: A systematic review and meta-analysis of prospective cohort studies. Nephrol Dial Transplant. 2017;32(3):475–87.

DOI: https://doi.org/10.15850/amj.v7n4.1916

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