AJP - Regu AJP: Heart and Circulatory Physiology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


Am J Physiol Regul Integr Comp Physiol 283: R993-R1004, 2002. First published August 8, 2002; doi:10.1152/ajpregu.00365.2002
0363-6119/02 $5.00
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
283/5/R993    most recent
00365.2002v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Valtin, H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Valtin, H.
Vol. 283, Issue 5, R993-R1004, November 2002

INVITED REVIEW
"Drink at least eight glasses of water a day." Really? Is there scientific evidence for "8 × 8"?

Heinz Valtin
(With the Technical Assistance of Sheila A. Gorman)

Department of Physiology, Dartmouth Medical School, Lebanon, New Hampshire 03756

Despite the seemingly ubiquitous admonition to "drink at least eight 8-oz glasses of water a day" (with an accompanying reminder that beverages containing caffeine and alcohol do not count), rigorous proof for this counsel appears to be lacking. This review sought to find the origin of this advice (called "8 × 8" for short) and to examine the scientific evidence, if any, that might support it. The search included not only electronic modes but also a cursory examination of the older literature that is not covered in electronic databases and, most importantly and fruitfully, extensive consultation with several nutritionists who specialize in the field of thirst and drinking fluids. No scientific studies were found in support of 8 × 8. Rather, surveys of food and fluid intake on thousands of adults of both genders, analyses of which have been published in peer-reviewed journals, strongly suggest that such large amounts are not needed because the surveyed persons were presumably healthy and certainly not overtly ill. This conclusion is supported by published studies showing that caffeinated drinks (and, to a lesser extent, mild alcoholic beverages like beer in moderation) may indeed be counted toward the daily total, as well as by the large body of published experiments that attest to the precision and effectiveness of the osmoregulatory system for maintaining water balance. It is to be emphasized that the conclusion is limited to healthy adults in a temperate climate leading a largely sedentary existence, precisely the population and conditions that the "at least" in 8 × 8 refers to. Equally to be emphasized, lest the message of this review be misconstrued, is the fact (based on published evidence) that large intakes of fluid, equal to and greater than 8 × 8, are advisable for the treatment or prevention of some diseases and certainly are called for under special circumstances, such as vigorous work and exercise, especially in hot climates. Since it is difficult or impossible to prove a negative---in this instance, the absence of scientific literature supporting the 8 × 8 recommendation---the author invites communications from readers who are aware of pertinent publications.

fluid intake; optimal fluid intake; daily water intake; water balance


This article has been cited by other articles:


Home page
J Hum LactHome page
N. Lee, Z. M. Chang, A. Anderson, C. G. Mojab, and M. Johnson
Comments on "Epidural analgesia during labor and delivery" article by Chang and Heaman.
J Hum Lact, February 1, 2006; 22(1): 11 - 11.
[PDF]


Home page
Obstet GynecolHome page
M. Heit, L. Blackwell, S. Thomas, and R. Ouseph
Prevalence and Severity of Urinary Incontinence in Kidney Transplant Recipients
Obstet. Gynecol., February 1, 2004; 103(2): 352 - 358.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Renal Physiol.Home page
A. Raman, D. A. Schoeller, A. F. Subar, R. P. Troiano, A. Schatzkin, T. Harris, D. Bauer, S. A. Bingham, J. E. Everhart, A. B. Newman, et al.
Water turnover in 458 American adults 40-79 yr of age
Am J Physiol Renal Physiol, February 1, 2004; 286(2): F394 - F401.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
O. Skott
Body sodium and volume homeostasis
Am J Physiol Regulatory Integrative Comp Physiol, July 1, 2003; 285(1): R14 - R18.
[Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Visit Other APS Journals Online