Water: How much? Why? Of all the elements our bodies
need to function, it's the most vital.
In Dallas, where I live, summer is
brutally hot. Down here, we're constantly looking for ways to stay cool: air
conditioning, fans, spray bottles, canopies, you name it. But many of us neglect
one of nature's best cooling systems -- perspiration.
During hot summers and intense exercise, sweating
controls your body's temperature. But you have to supply plenty of water. In
fact, because the body is 60% water, proper hydration is vitally important in
more ways than many people realize.
Adequate water is necessary in every living cell
to regulate chemical reactions. Water helps the body break down and absorb
nutrients from foods. It cushions tissues, lubricates joints and transports
waste products to the kidneys, where they're eliminated in urine. And it helps
bowel function: In some people, simply drinking more water ends constipation.
Unfortunately, many of us don't get enough water.
Women might cut back to avoid long lines in public restrooms. Men with prostate
enlargement (which increases frequency of urination) often restrict fluids to
help them sleep through the night. Kids don't stop playing to run to a drinking
fountain. Busy adults don't interrupt work to fill a glass.
By the time you feel thirsty, you're already in
water deficit.
How much water we need is determined by how much
we lose through urine, perspiration and respiration. Generally, people should
drink at least 6 to 8 cups of water daily. Because I work out a lot, I drink far
more, closer to 14 cups.
Your need increases if you sweat more, spend more
time outdoors or exercise. Some studies show athletes can lose up to 8 pounds of
sweat in an hour! The American College of Sports Medicine recommends drinking
500 milliliters (just over 2 cups) of water two hours before a prolonged bout of
outdoor exercise, and another 500 milliliters 15 to 20 minutes before exercise.
While working out, drink at regular intervals to replace water lost in sweat.
Right now I imagine many of you trying to figure
out whether you need to buy measuring cups. Relax. Just pay attention to your
body. As you become dehydrated, your kidneys reabsorb as much water as possible,
which concentrates the urine, darkening it. If you're adequately hydrated, the
kidneys don't concentrate the urine as much, so it remains diluted and clear.
When my patients ask me whether they need to drink more water, I just tell them
to look at their urine. If it's diluted, their body is happy. If it is
concentrated, their body wants more water.
One caveat: Many people think tea, coffee and
caffeinated colas are as good as water at replacing fluid. Not so! Caffeine is a
diuretic, which means it decreases the kidneys' capacity to concentrate urine.
Consequently, tea, coffee and colas lead to dehydration, in spite of urine that
appears diluted. (Alcohol and prescription medicines called diuretics have the
same effect.) So, if you drink caffeine, limit it to two servings a day. Also,
remember that those caffeine drinks don't count when tallying your daily water
intake. And don't go wild with the ice: 40- to 50-degree water is best.
A few simple
hydration habits
Make it convenient. I keep a 36-ounce
mug in my desk drawer at work. When I get to the office in the morning, I
fill the mug with water and drink it all before seeing my first patient. I
repeat that at lunch and before I go home.
Make it tasty. A lot of people say, "Tedd,
I would drink more water, but I don't like it!" Easy solution: Add a slice
of lime, lemon or orange, or even a sprig of mint, for a desirable flavor.
Take it with you. Convenience stores
have racks of refrigerated, bottled waters. Take advantage.
Drink in airplanes. It's possible to
lose up to a pint of water during every hour of air travel. Frequent fliers
say drinking ample water makes the trip better. Limit or eliminate caffeine
and alcohol. Dehydration increases the risk of clots in the leg veins while
flying.
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SOURCE: Contributing Editor Tedd Mitchell, M.D.,
is director of the Wellness Program of the renowned Cooper Clinic.
Issue Date: August
19, 2001
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