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Do we need eight glasses of water a day?

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Publication Date:02/04/2008

 

We all need water to survive, but is it necessary to drink eight glasses a day? And does drinking lots of water improve the appearance of your skin, or help to flush toxins out of your body? A new study has looked behind the myths about water consumption, to see what the science really says.

What do we know already?

Water is vital for our bodies. Without it, none of us could survive more than a few days. But it's often claimed that drinking lots of water has additional health benefits, such as getting rid of toxins, stopping weight gain or preventing headaches. Are any of these true? Doctors have reviewed the research to find out.

What does the new study say?

There's very little scientific evidence for any of the supposed health benefits of drinking a lot of water. Of course, you should drink when you feel thirsty. As long as you drink enough fluids to keep your body working properly, it's uncertain if there are any extra benefits to drinking when you're not thirsty.

It's often said that we need to drink eight glasses of water a day. A thorough review of the research found there was no evidence to support this and concluded that no one really knows precisely how much water we need. It's certainly true that our bodies need plenty of fluid, but this can come from milk, fruit juice, soft drinks and even the food we eat.

Water does have some advantages though. It contains no calories, which is useful if you're watching your weight, and there's no sugar in water, so it won't damage your teeth.

Tea, coffee and some soft drinks contain caffeine, which encourages your body to get rid of water in your urine. A healthy adult will get more water from these drinks than they lose, but it's a good idea to also drink some non-caffeinated drinks each day.

There's very little evidence about whether drinking extra water helps your kidneys clear toxins from your body. In the short term, extra water might help your body get rid of some substances, such as salt. But there's no research to tell us whether this would produce any real health benefits.

It's not clear whether getting plenty of water helps your other organs either. If you drink extra water, your body might just get rid of it in your urine. Some research suggests that water is more likely to stay in your body if you drink it slowly over several hours, rather than gulping it down quickly.

For people on a diet, it's sometimes suggested that drinking water can help fill you up, meaning you eat less. Again, there's surprisingly little evidence as to whether drinking water will help reduce calorie intake for people who are overweight. One small study found that people ate less when they were given food that contained more water, but drinking water separately with food made no difference.

Some people say they get headaches when they're dehydrated. One small study suggested that drinking plenty of water might help migraine sufferers get fewer headaches, but it only looked at 15 people, so it's hard to rely on the results.

Being very dehydrated can make your skin less elastic, but if you're healthy, there's no evidence that drinking lots of water improves the appearance of your skin.

Where does the study come from?

The study was done by researchers from the University of Pennsylvania in Philadelphia. It appeared in the Journal of the American Society of Nephrology, published by the American Society of Nephrology.

What does this mean for me?

Clearly, you need to make sure you get enough fluid to keep your body working properly. But there's hardly any scientific evidence on specific health benefits that might come from drinking water.

It’s important you drink when you are thirsty and that you don’t get dehydrated. Apart from feeling thirsty, symptoms of dehydration include:

  • Having dark-coloured urine
  • Not producing much urine
  • Having a dry mouth
  • Feeling tired or confused (but this only happens with severe dehydration).

You'll need to drink more in hot weather or if you're doing strenuous exercise. Your doctor may advise you to drink lots of water if you're at risk of getting some medical conditions, such as kidney stones.

What should I do now?

For a healthy adult, it's enough to drink when you're thirsty. The Food Standards Agency, the government body that advises on food and nutrition, recommends you drink six to eight glasses of fluid (not necessarily water) each day.

From:

Negoianu D, Goldfarb S. Just add water. Journal of the American Society of Nephrology. Published online 2 April 2008.

© BMJ Publishing Group Limited ("BMJ Group") 2007. All rights reserved

This information does not replace medical advice. If you are concerned you might have a medical problem please ask your Boots pharmacy team in your local Boots store, or see your doctor.

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