Eight glasses of water a day. Says who?
People say: “Everyone needs 8 glasses a day” We read the study.
Cross-sectional study. 5,604 people. single measurement period per person (isotope elimination over days); no health follow-up.
One snapshot in time. Nobody was told what to do. A clue, not proof.
Who: 5,604 people (3,729 female, 1,875 male) aged 8 days to 96 years from 23 countries (published abstract; author manuscript and press releases say 26), from industrialised populations to hunter-gatherers and subsistence farmers
5,604 people, from babies to 96-year-olds.
Water goes into your body and out again.
Scientists followed that water through each body.
- Young men≈4.3 La day
- Young women≈3.4 La day
Water turnover ranged from ~1 to ~6 L a day. Authors: one size does not fit all
Not all that water came from drinks.
More to know, from our read of the paper:
- Water turnover is NOT the same as how much you need to drink: ~10% is metabolic water, 2-3% each from breathed-in vapour and skin; intake from food + drinks is ~85% of turnover
- The study did NOT measure how much water came from food vs drinks; the authors say no study has adequately addressed this (self-report surveys suggest 20-50% from food, likely underestimated)
- Did not assess hydration status: cannot say whether participants were adequately hydrated
- Equation explains only 47.1% of the variation in turnover; values are averages under normal conditions, not for illness (e.g. diarrhoea)
- Does not show that drinking less (or more) changes health; it does not recommend drinking less
One size does not fit all.
- Hot day or lots of sport? About 1 more litre!
Scientists tracked how much water moves through the body each day (in and out) in 5,604 people aged 8 days to 96, using a harmless water tracer instead of asking people (a measurement study). It ranged from about 1 to 6 litres a day: about 4.3 L for men and 3.4 L for women in their 20s, and about 3 L over 70. Heat and sport each added about 1 litre. Not all of that water comes from drinks (some comes from food, and the body makes a little), so this does not say how much you must drink. The authors say 8 glasses a day for everyone is not backed by objective evidence: one size does not fit all.
Yamada et al. (2022). Variation in human water turnover associated with environmental and lifestyle factors. Science.
Design: Cross-sectional study · cross-sectional measurement study (pooled IAEA doubly labelled water database; deuterium isotope turnover measured objectively, not self-reported); describes how much water flows through the body, NOT how much anyone must drink
Goals:
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