Water: how much should you really drink?

Updated Six Habits Editorial Team
A person refilling a reusable water bottle at the kitchen tap before heading out
The short answerThe U.S. National Academies set adequate total water intake at about 3.7 liters (125 oz) a day for men and 2.7 liters (91 oz) for women from all sources, including food, which provides about 20% to 30% of fluid. The "8 glasses a day" rule has no clear scientific basis. The simplest guide is to drink when thirsty and keep your urine pale.

Key points

How much you need

The National Academies of Sciences, Engineering, and Medicine set “adequate intake” for total water, from drinks and food combined, at about 3.7 liters (125 oz) a day for men and 2.7 liters (91 oz) for women. The European Food Safety Authority recommends about 2.5 liters for men and 2.0 liters for women from all sources (EFSA, 2010). Needs rise with heat, physical activity, pregnancy and breastfeeding.

What the research says

A review of studies found that water affects many body functions, and even mild dehydration (a loss of 1% to 2% of body weight) can impair concentration, mood and physical performance (Popkin et al., 2010).

Choosing water instead of sugary drinks is one of the easiest ways to cut calories and lower diabetes risk (Imamura et al., 2015).

Where “8 glasses a day” came from

There is no clear scientific source for the rule of eight 8-ounce glasses. It ignores the water in food and other drinks and differences in body size and activity.

Practical guide

Frequently asked questions

Do coffee and tea count?

Yes. Moderate amounts of coffee and tea contribute to your fluid intake; their mild diuretic effect is small.

Can you drink too much water?

Yes, though it is rare. Drinking very large amounts in a short time, for example during endurance events, can cause dangerously low sodium (hyponatremia).

Sources

  1. EFSA Panel on Dietetic Products, Nutrition, and Allergies (2010). Scientific Opinion on Dietary Reference Values for water. EFSA Journal 8(3). doi:10.2903/j.efsa.2010.1459
  2. Popkin et al. (2010). Water, hydration, and health. Nutrition Reviews 68(8):439-458. doi:10.1111/j.1753-4887.2010.00304.x
  3. Imamura et al. (2015). Consumption of sugar sweetened beverages, artificially sweetened beverages, and fruit juice and incidence of type 2 diabetes: systematic review, meta-analysis, and estimation of population attributable fraction. BMJ :h3576. doi:10.1136/bmj.h3576

Prepared according to our evidence methodology and the principles of lifestyle medicine. For education only; it does not replace advice from your doctor.

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