Which factor is NOT typically associated with increased risk of skin breakdown?

Increased hydration is recognized as a protective factor against skin breakdown rather than a risk factor. When the body is well-hydrated, the skin tends to retain its elasticity and overall integrity, making it less susceptible to injury and breakdown. Hydrated skin is better equipped to withstand friction and pressure, reducing the likelihood of developing pressure injuries, particularly in individuals who may be immobile or have other risk factors for skin breakdown.

In contrast, immobility, malnutrition, and chronic illness are all associated with an increased risk of skin breakdown for various reasons. Immobility can lead to prolonged pressure on certain areas of the skin, which inhibits blood flow and can result in tissue ischemia. Malnutrition affects the body's ability to repair itself and maintain skin integrity, leading to a higher vulnerability to skin issues. Chronic illnesses can also compromise the skin's health and resilience, making it more likely to experience breakdown under stress, such as pressure or friction. Thus, increased hydration serves as a key factor in promoting skin health and preventing breakdown.