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Infants and growing children have much greater fluid turnover than adults because their higher metabolic rate increases fluid loss. Infants lose more fluid through the kidneys because immature kidneys are less able to conserve water than adult kidneys.

GENDER AND BODY SIZE

Total body water also is affected by gender and body size. Because fat cells contain little or no water and lean tissue has a high water content, people with a higher percentage of body fat have less body fluid.

ENVIRONMENTAL TEMPERATURE

People with an illness and those participating in strenuous activity are at risk for fluid and electrolyte imbalances when the environmental temperature is high.

LIFESTYLE

Other factors such as diet, exercise, and stress affect fluid, electrolyte and acid-base balance.

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