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Monica Reinagel, MS, LDN, CNS

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The Dehydration Myth

Posted: 11/ 8/2011 7:30 am

I bet you've heard it said that you need to drink at least eight glasses of water each day in order to stay properly hydrated. Perhaps you've also read that by the time you feel thirsty you're already in an advanced state of dehydration, or that most of us are chronically dehydrated. Chances are also good that you've been told that drinking caffeinated beverages like tea and coffee cause you to lose more fluid than you take in.

The dehydration myth has become so firmly entrenched in our collective consciousness that it will probably come as a surprise to learn that there is very little scientific support for any of these notions.

Drinking Water Is a Good Habit

Look, as excesses go, drinking a lot of water isn't a bad one. It won't make you fat. It won't rot your teeth or give you a hangover. Drinking lots of water can temporarily assuage hunger pangs, which dieters find useful. It can also help prevent kidney stones in those susceptible to them. Drinking more water can ease constipation an-- ironically -- also alleviate water retention.

The body has a fairly efficient mechanism for getting rid of excess water, so under normal circumstances it's hard to get yourself into trouble by drinking water -- except the kind of trouble that happens when you find yourself in bumper-to-bumper traffic on the interstate and the next rest stop is 50 long miles away. Yikes!

Still, as a nutritionist, I feel compelled to point out that most people can stay perfectly hydrated on significantly less than eight glasses of water a day.

A Drop of Truth in a Sea of Misunderstanding

So what is the basis for the idea that nothing less than two liters of water a day will keep us from multiple-organ failure? Like most urban legends, this one does contain a drop of truth. The average person needs about two liters, or approximately eight glasses, of water a day to replace what is lost through normal biological functions like breathing, sweating and urinating.

But that doesn't mean that you need to drink two liters of water. In fact, hypothetically, you don't have to drink any water at all. For one thing, you can easily get a liter or liter and a half of water just from the food that you eat, especially if you eat lots of fruits and vegetables, which are up to 97 percent water.

Surprise! Drinking Caffeinated Beverages Won't Dehydrate You

Secondly, contrary to another widely held nutritional myth, coffee, tea, sodas and other caffeinated drinks are not dehydrating. Caffeine can act as a diuretic, increasing urine output, but you still end up taking in more fluids than you lose. If you don't drink caffeinated beverages regularly, drinking a cup of coffee ends up being the equivalent of drinking about 2/3 of a cup of water. In other words, drinking coffee will hydrate you -- just not quite as efficiently as water will.

If you regularly drink caffeinated beverages, however, the diuretic effects of the caffeine are almost negligible. In other words, if you drink coffee every day, your body retains the same amount of fluid from a cup of coffee as it does from a cup of water.

Legitimate Concerns

There are a few situations when dehydration is a legitimate concern. People involved in sustained, strenuous exercise or spending extended periods of time in very hot or dry conditions need a lot more fluids to stay adequately hydrated. (Although, when you're sweating a lot, it's really important to replace sodium as well as fluids to prevent a potentially serious condition called hyponatremia.) The thirst reflex also declines with age and the elderly are at elevated risk of dehydration.

But barring ill health, extreme conditions, or intense physical activity, most people will stay well hydrated by eating a reasonably healthy diet and drinking water or other non-alcoholic beverages when they are thirsty. As a rule of thumb, if you are peeing several times a day and your urine is pale in color, you are doing fine.


Monica Reinagel is a board-certified, licensed nutritionist and a professionally-trained chef. She's the host of the #1-ranked Nutrition Diva podcast on the Quick and Dirty Tips network and the author of "Nutrition Diva's Secrets for A Healthy Diet."

 
 
 

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I bet you've heard it said that you need to drink at least eight glasses of water each day in order to stay properly hydrated. Perhaps you've also read that by the time you feel thirsty you're already...
I bet you've heard it said that you need to drink at least eight glasses of water each day in order to stay properly hydrated. Perhaps you've also read that by the time you feel thirsty you're already...
 
 
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10:55 PM on 11/28/2011
I think it all depends how much physical activity you get - I need my 8 glasses if I've danced 4 hours on a particular day. Also I supposed it depends on your height too - someone who is 5 feet tall will probably require less water than someone who is 6 feet tall. If you are thirsty drink water. I personally do feel and look younger when I drink enough water.
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captainindustry
then that will be my story.
12:49 PM on 11/12/2011
I can tell if I am dehydrated by looking at the skin on my arm. If it is dry and wrinkly, I need lots of water. DAYS of drinking lots of water. Then my skin looks hydrated.

I don't like to drink water, so I drink Soda water with a shot of lemon or better yet, key lime.

Those little key limes from Mexico are dirt cheap and delish!!
01:15 PM on 11/11/2011
Water.... a necessity for every living cell. This article is a good reminder that water comes from many food sources as well as drinking water. Forcing ourselves to drink water to comply with an arbitrary rule is what is at question. I believe our bodies have all the necessary built in systems to alert us when the body is in need of fluids and nutrients, and for some that may be 8 glasses. We need to listen to our bodies more and less to a current trend which often turns out NOT to be in the best interest of our health. I'm with sabelmouse... listen to ones own body.... our bodies know best.
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sabelmouse
i love to tumble , ask me why .
06:06 AM on 11/11/2011
how about learning to listen to one's body and drink when thirsty. both my children have a tendency to not drink until they get a headache. they had to learn to pay more attention.
that's not the same as force feeding liters of water.
when did this come about anyway. when bottled water wanted to increase their sales ?
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onionboy
Blessed are the Cheese Makers
11:05 PM on 11/21/2011
That's EXACTLY where this came from. Evian isn't naive spelled backward for nothin'.
08:52 PM on 11/10/2011
When you feel like a flake
Escalate your h20 intake
Accordingly:)

increase peace&love,Joni
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April Pells
08:33 PM on 11/10/2011
I feel good when I drink 3-4 liters of fluid a day. Regardless of dr suggestions, that's what works for me.
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captainindustry
then that will be my story.
12:45 PM on 11/12/2011
do you mean 3 or 4 glasses of fluid a day?
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April Pells
05:07 PM on 11/14/2011
No, I mean liters. I fill my 1 liter Nalgene 3-4 times a day, so I know how much I drink.
01:59 PM on 11/10/2011
I sure hope my husband doesn't read this article. I am on him to drink more water every day. I agree with the comments regarding many people not having a balanced diet so do not get enough water through food. I am trying very hard to not put additional chemicals/ preservatives in my body through soda etc... It's the small changes that can make a big difference. Keep the myth if it means people take better care of themselves.
01:59 PM on 11/10/2011
I just experienced the effects of dehydration in a very serious way. I had been training for a half-marathon walk over the summer and thought that I was hydrating enough with powerade & water. I wasn't and spent 4 days in the hospital with 20% of my colon in severe condition. I was at risk of losing my colon. I was unable to participate in the walk but hope to do one in the spring/summer and pay more attention to water. I do have to add that this is something that had built up over years of not drinking enough as I had the first episode 7 years ago. Summer training & lack of enough hydration made it a serious problem. Like an earlier post said - Balance, as with all things, is important.
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Heidi Dietrich
Furkids are people too.
01:16 PM on 11/10/2011
I drink a lot of water every day and had increased it. It feels really good. But one problem I ran into was that the increase in water caused my seizure medication to be flushed out of my system faster. Everything is a balancing act. It's funny, you do one thing to improve your health and it affects another part of your health. Oh well. So those of you who take medication, be careful and get your levels checked if it's something REALLY necessary. Find out from your physician or a nutritionist the best thing for you.
01:26 PM on 11/10/2011
Many medications say to take it with a full glass of water. That used to mean 8 ounces of water. I can sympathize with you because I take meds for various medical conditions too and they all say to take with a glass of water.
12:25 PM on 11/10/2011
On the flip side, a person can overdose on water by drinking too much too fast. It throws off the eletrolytes that regulate your heartbeat. I don't remember the specific amount, but I think it was 2-3 gallons? Anybody know?
01:22 PM on 11/10/2011
I know that drinking 2-3 gallons of water too fast will bloat a person & most likely result in vomiting & thus lead to dehydration.
11:58 AM on 11/10/2011
When I was a teenager I worked as a maid for a local motel. It was very, very hot in the summer. I would get these terrible headaches. Drinking water alone didn't cut it. My mother told me to pour a teaspoon of salt into the palm of my hand and just lick it up. The headaches stopped immediately. So, I believe this article is correct when it talks about replacing sodium in very hot weather when you sweat a lot.
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onionboy
Blessed are the Cheese Makers
11:10 PM on 11/21/2011
Yes. That's essentially why Gatorade was developed by the Florida Gators. They were playing football in Florida and they would sweat like crazy. You lose a lot of electrolytes in your sweat, so water alone won't cut it. When I was younger, I found that the food in very hot and dry countries seemed to be very salty to my taste. At first it made no sense to me until I started eating the local food and realized (like I should have in the first place), "hey, they know what they're doing".
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ghkusa
Quis custodiet ipsos custodes?
11:57 AM on 11/10/2011
A good article. It never made sense to me that after eons of evolution our rather advanced bodies consistently failed to alert us in a timely manner that we were approaching dehydration -- or worse, that we were seriously dehydrated when we first felt thirsty.

Now I won't have to file that breach of warranty suit!
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Jerachrome
Engineers do it with precision
11:55 AM on 11/10/2011
This article confirms what I have experienced. I have been hiking and biking for decades, much of it considered strenuous. My standard supply of liquids is two 20-ounce bottles, one filled with water and the other with soda. At the end of my hike or bicycle ride, typically the soda is gone and the water is half consumed. This has worked fine for me four over 20 years.
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John Rathe
02:23 PM on 11/10/2011
Yes, drinking soda while exercising heavily is a fantastic idea. /sarcasm

Anecdotal evidence based on your own personal experience isn't data.
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sabelmouse
i love to tumble , ask me why .
06:08 AM on 11/11/2011
he said '' my experience '' didn't he ? no claim was made other than that.
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onionboy
Blessed are the Cheese Makers
11:19 PM on 11/21/2011
Maybe, maybe not.

Caffeine, in many sodas, is actually good when exercising heavily. One of caffeine's actions is to inhibit cAMP, effectively boosting glucose utilization. As the article points out, the diuretic effect is negligible for most when compared to the amount of fluid it's in. So, I wouldn't advise espresso during a workout.

And the best after-workout drink...chocolate milk. Even better than water.

I'm not saying that any of this make sense when you first hear it, but it is the data.
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i3lackops
Nobody expects the Spanish Inquisition!!!
11:56 AM on 11/10/2011
Also if you live at higher altitudes (above 6k feet) you start to lose fluids faster. i lived in a town that was 9494ft in elevation, and i had to drink water constantly. It also took a lot more water to not be thirsty.
10:36 AM on 11/10/2011
Oh, I finally can stop drinking so much water! :) Actually, water is very useful, but too much water is also harmful and causes edema all over the body
amd2857
Beauty is in the eye of the beholder.
12:50 PM on 11/10/2011
May I ask what Edema is and meaning all over body is a rash or ?
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Heidi Dietrich
Furkids are people too.
01:08 PM on 11/10/2011
Edema is swelling.
01:17 PM on 11/10/2011
Edema is the retention of fluids in the body, usually starting in the legs. At its worst, your body can retain fluid around the heart, causing it to work harder.