Episode Transcript

How Much Water Should I Drink?
Episode 6: August 27, 2008

Hello there! This is Monica Reinagel and you're listening to The Nutrition Diva: Quick and Dirty Tips for Eating Well and Feeling Fabulous. These tips are provided for your information and entertainment and are not intended as medical advice. Because everyone is different, please work with your health professional to determine what’s right for you.

 
I bet you’ve heard it said that you need to drink at least eight glasses of water a 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.
 
What would you say if I told you that all of these widely held truths are little more than urban legends?
 
I can almost hear your shocked expressions! The dehydration myth has become so firmly entrenched in our collective consciousness that it may indeed come as a surprise to learn that there is very little scientific support for any of these notions.
 
Tales of the Overhydrated
 
Now, I have to tell you that opera singers are among the most over-hydrated people on the planet. That’s right: My people were carrying water bottles everywhere we went for decades before the rest of you got on the H2O bandwagon. Like most young singers, I was inculcated into the cult of hydration by my first voice teacher, who explained the danger and heartbreak that would follow if I failed to keep my vocal cords adequately lubricated.
 
I could picture the tragedy: I’d step out on stage, open my mouth to sing, and nothing but a small plume of dust—or perhaps a tumbleweed or two—would come out of my mouth. Hey, the odds of success as an opera singer are slim enough. I certainly wasn’t going to take any unnecessary chances!
 
So, I joined the legion of singers neurotically sucking down liter after liter every day. It’s a wonder I ever got through the first act of an opera without having to leave the stage four times for bathroom breaks.
 
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 hang-over. 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 can ease constipation and—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 drinking water—except the kind of trouble that happens when you find yourself in bumper-to-bumper traffic on the interstate, or on stage for Act II of Puccini’s Turandot, and the next bathroom break is at least 50 long minutes away. Ouch.
 
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.
 
So who started this notion that nothing less than two liters of water a day will keep us from multiple-organ failure? You have to wonder whether this whole thing was somehow cooked up by the $60 billion bottled water industry, which has somehow figured out a way to take a cheap and widely available commodity and sell it at a mark up of anywhere from 250% to 3000%, creating an environmental disaster of nightmarish proportions in the process.
 
A Drop of Truth in a Sea of Misunderstanding
 
While I love a good conspiracy theory as much as the next guy, I don’t actually think that’s what happened. 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% water. (If you’re curious to know how much water you’re actually eating, you can find out by entering a typical day’s intake into the diet tracking tools on NutritionData.com.)
 
Secondly, contrary to another widely held nutritional myth, coffee, tea, sodas, and other beverages also help fulfill your fluid quota.
 
What?! Have I lost my mind? Don’t I know that caffeinated beverages like coffee and tea are dehydrating? Actually, they aren’t. Dr. Ann Grandjean is a hydration researcher at the University of Nebraska and she has done some research that might surprise you.
 
Surprise! Drinking Caffeinated Beverages Won’t Dehydrate You
 
Dr. Grandjean has demonstrated that if you regularly drink caffeinated beverages, the diuretic effects 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.
 
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.
 
Hey, don’t get me wrong: I’ve still got a pretty stiff water habit myself and I think you’re better off drinking water than just about anything else. But I’ve seen how overzealous the hydration police can get and thought it was time to separate fact from fiction.
 
There are a few more important things to say about hydration but they affect a smaller number of folks. So that this episode doesn’t run on too much longer, I’ll just mention them very briefly here but I’ll include some links with the show notes for more information on all of these:
 
1.    The thirst reflex does decline with age and the elderly are at elevated risk of dehydration.
2.    Excessive thirst and urination can be a warning sign for diabetes.
3.    Those 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.
4.    When you’re sweating a lot, you need to replace sodium and potassium as well as fluids to prevent a potentially serious condition called hyponatremia.
 
The Bottom Line on Hydration
 
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.
 
This is Monica Reinagel, the Nutrition Diva, with your quick and dirty tips for eating well and feeling fabulous.  Visit nutritiondiva.quickanddirtytips.com for a transcript of this episode and links to lots more information about hydration. You can also post a comment about today’s episode on the show’s site. I’d love to hear your thoughts.
 
Got a burning curiosity about some aspect of nutrition? Need to settle a nutrition-related bet with your roommate or spouse? Nutrition Diva is here for you. Send an email to nutrition@quickanddirtytips.com or leave me a voicemail at 206-203-1438. 
 
Have a great day and eat something good for me!
 
RESOURCES: 
 
 

Comments (6) for How Much Water Should I Drink? |  Subscribe to Comment

eli Says:
6/10/2009 3:24:37 PM
Lauren Walls: Sorry, but you're not a vegetarian! Please stop misusing that word as it makes it difficult for people who don't eat ANY meat to find what they need at restaurants and for others to understand, with people claiming they are vegetarians (or "mostly" vegetarians) but still eating chicken, fish, and other meats. Can't you just say "I don't eat red meat or pork."? I usually end up saying "I don't eat any meat" since "vegetarian" doesn't cut it anymore.
joyce Cormack Says:
5/29/2009 10:42:47 PM
on water: I drink celery seed tea every day to help lower my blood pressure, because it is a diuretic. Is this consistent with getting enough water if I drink 3-4 plain glasses water plus get 6 glasses of other liquids [ milk, juice, tea, etc?
Lauren Walls Says:
9/30/2008 7:07:04 PM
Hey Monica! I'm somewhat of a vegetarian in the respect that I don't eat red meat or pork. I want to put protein in my diet but I really and truly get sick of only chicken, turkey, fish, and beans.
Monica Reinagel Says:
9/18/2008 9:51:43 AM
John, As it happens, I'm going to be doing an episode on high fructose corn syrup in a couple of weeks so watch for that. If there is ever a time that Gatorade IS appropriate (if not always necessary), it's during exercise. The sugars it contains help to restock the supply of glycogen in his muscles and I don't think there's any danger of getting too much electrolytes. But there's no need for athletes or anyone else to continue drinking Gatorade throughout the rest of the day.
John Says:
9/16/2008 4:43:42 PM
I live in a hot climate and am quite active. I've never had any heat-related emergency and find my habit of drinking water, tea, and soft drinks has generally worked. But I do have a related question. My cross country coach in high school was our school's physiology teacher. He insisted we drink only water and avoid sports drinks like Gatorade saying water and half a banana was more effective. Fast forward 25 years and my son is a student athlete in middle school and his coach really pushes Gatorade. He downs about 1/3 to 1/2 of a gallon of the stuff daily and won't touch water. I'm sure he's well hydrated, but I'm worried about all of the sugar/HFCS. Can he be over-electrolyted? What's the story on sports drinks?
Mark Salinas Says:
8/28/2008 8:10:58 PM
I agree that water consumption has been a constant debate amongst many. My personal doctor told me that unless I am outside in the sun or participating in a fitness activity, I do not need more than 20 ounces of water. His recommendation does not work for me. Personally I usually have water next to my bed side, in the car and at work. I am always thirsty! I have a clean bill of health. My two cents anyway. Very good article with an incredible amount of insight!

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