Saturday, 25 September 2021

Hydration: Going Against the Current

 

  The cartoon above arrived today, courtesy of the New Yorker.  That fact, plus the fact that it is pouring outside, reminded me of a "FAD" which I have wondered about over a number of years. It has to do with the consumption of water. The need for humans to drink huge amounts of it; people doing little physical work at all in comfortable, climate controlled buildings. I recall going to meetings where the participants looked like they were heading off on a safari. To ascend to the second floor, elevator buttons had to be pushed for those carrying  enough water bottles to get them through the hour.  Had I been as smart then as I now am, I surely could have convinced the folks at "The Bay" to start selling colourful canteens to match the work gear.

   It is lucky for me that the answer to the question, "How Much Water Do You Actually Need?" arrived just prior to that cartoon.  The answer to the question is basically, "Not Much." Here is the recent article, as well as another one which determines that this whole myth began in 1945. You should look at the articles and additional literature since I am not providing all the stuff about electrolytes. Still, you are more likely to be waterlogged than dehydrated.

"How Much Water Do You Actually Need? Here’s how to know when you truly need to hydrate," Christie Aschwanden, New York Times, September 17, 2021. 

If you’ve spent any time on social media or visited an athletic event lately, you’ve surely been bombarded with encouragements to drink more water. Celebrity influencers lug around gallon-sized water bottles as the hot new accessory.... 
The purported benefits of excess water consumption are seemingly endless, from improved memory and mental health to increased energy to better complexion. “Stay hydrated” has become a new version of the old salutation, “Stay well.”...

We’ve all been taught that eight 8-ounce glasses of water per day is the magic number for everyone, but that notion is a myth, said Tamara Hew-Butler, an exercise and sports scientist at Wayne State University.

….Do I have to drink water to stay hydrated?

Not necessarily. From a purely nutritional standpoint, water is a better choice than less healthy options like sugary sodas or fruit juices. But when it comes to hydration, any beverage can add water to your system, Dr. Hew-Butler said.... One popular notion is that drinking beverages with caffeine or alcohol will dehydrate you, but if that’s true, the effect is negligible, Dr. Topf said. A 2016 randomized controlled trial of 72 men, for instance, concluded that the hydrating effects of water, lager, coffee and tea were nearly identical....
You can also get water from what you eat. Fluid-rich foods and meals like fruits, vegetables, soups and sauces all contribute to water intake. Additionally, the chemical process of metabolizing food produces water as a byproduct, which adds to your intake too, Dr. Topf said....
But drinking more water, even when I’m not thirsty, will improve my health, right?No. Of course, people with certain conditions, like kidney stones or the more rare autosomal dominant polycystic kidney disease, may benefit from making an effort to drink a little more water than their thirst would tell them to, Dr. Topf said.
But in reality, most healthy people who blame feeling ill on being dehydrated may actually be feeling off because they’re drinking too much water....

The Source of the Myth

"No, You Do Not Have to Drink 8 Glasses of Water a Day," Aaron Carroll, New York Times, Aug. 24, 2015
If there is one health myth that will not die, it is this: You should drink eight glasses of water a day.
It’s just not true. There is no science behind it.
I was a co-author of a paper back in 2007 in the BMJ on medical myths. The first myth was that people should drink at least eight 8-ounce glasses of water a day. This paper got more media attention (even in The Times) than pretty much any other research I’ve ever done.
It made no difference. When, two years later, we published a book on medical myths that once again debunked the idea that we need eight glasses of water a day, I thought it would persuade people to stop worrying. I was wrong again.

Many people believe that the source of this myth was a 1945 Food and Nutrition Board recommendation that said people need about 2.5 liters of water a day. But they ignored the sentence that followed closely behind. It read, “Most of this quantity is contained in prepared foods.”....
Water is present in fruits and vegetables. It’s in juice, it’s in beer, it’s even in tea and coffee. Before anyone writes me to tell me that coffee is going to dehydrate you, research shows that’s not true either.
Although I recommended water as the best beverage to consume, it’s certainly not your only source of hydration. You don’t have to consume all the water you need through drinks. You also don’t need to worry so much about never feeling thirsty. The human body is finely tuned to signal you to drink long before you are actually dehydrated.
Contrary to many stories you may hear, there’s no real scientific proof that, for otherwise healthy people, drinking extra water has any health benefits. For instance, reviews have failed to find that there’s any evidence that drinking more water keeps skin hydrated and makes it look healthier or wrinkle free. 

A Bonus Source:


This Question and Answer article is from the University of Virginia. Here is a sample. You can read the complete article by clicking on this link:
January 27, 2020 UVA. 

Perhaps, more important than the conflicting scientific evidence is the strong marketing effect for sports beverages and bottled water that began in the 1990s, along with a recommendation from the American College of Sports Medicine in 1996 that focused on higher fluid intakes and drinking as much as tolerated. This recommendation also popularized the claim that you should drink before exercise and stay ahead of dehydration. The marketing efforts have been highly effective and I think are likely the greatest contributor to current behaviors. 

Q. Is there a recommended amount of water that a person should drink on a daily basis? Do how much you weigh and your overall level of physical activity play into it?

A. I am always hesitant to give a specific amount of fluid intake that is “right” for someone.  There are so many variables involved, such as your activity level, fitness, ambient temperature and sweat rate, that blanket recommendations don’t make much sense.

More important, we should recognize that dehydration is not a disease. If you are exercising or doing other daily activities and you are not drinking then, at some point, you get thirsty. Thirst is our bodies’ way of telling you to drink. Thirst has evolved in the animal kingdom over millions of years and is a very effective way to prevent dehydration.

The notion that you should drink to prevent thirst makes no sense. Humans don’t need to be told when and how much to drink (except in rare medical circumstances). Thirst is our innate hydration sensor.

The End. 


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