Understanding Alkaline Water and Hydration
Alkaline water is characterized by a pH level higher than standard tap water, typically ranging from 8 to 9.5. This higher pH is due to a greater concentration of alkaline minerals like calcium, potassium, and magnesium. While regular water has a neutral pH of 7, alkaline water proponents suggest that its higher pH and enhanced mineral content offer benefits that regular water does not, such as superior hydration and acid neutralization.
The human body has remarkable systems in place, primarily involving the kidneys and lungs, to maintain a tightly controlled blood pH level of approximately 7.4. This means that the pH of the water you drink, whether acidic or alkaline, is not going to significantly alter your overall body pH. The stomach's powerful acidic environment, essential for digestion, will also neutralize the alkalinity of the water upon consumption. This regulatory system is the main reason that drinking standard alkaline water does not lead to dehydration.
The Dehydration Myth and What Science Says
Contrary to the myth, there is no scientific evidence suggesting that normal consumption of alkaline water causes dehydration in healthy individuals. In fact, several studies have explored the hydrating effects of alkaline water, particularly in athletic populations. A 2016 study published in the Journal of the International Society of Sports Nutrition found that consuming high-pH, electrolyzed alkaline water after exercise-induced dehydration significantly reduced whole blood viscosity compared to drinking standard water. While this specific study's funding source raises some questions about potential bias, the findings suggest that alkaline water can effectively aid in rehydration.
Another study involving combat sport athletes showed that drinking highly mineralized alkaline water over three weeks enhanced hydration status and acid-base balance, leading to improved anaerobic performance. The study found that compared to regular water, the alkaline water group had a greater decrease in urine specific gravity, indicating improved hydration.
The Real Risk: Overhydration, Not Dehydration
The confusion between dehydration and the risks associated with excessive fluid intake may be the root of this myth. The true danger is not being dehydrated by alkaline water, but rather becoming overhydrated, also known as water intoxication or hyponatremia, from drinking too much of any water. This happens when excess water dilutes the body's sodium levels, causing an electrolyte imbalance.
Symptoms of overhydration include headaches, nausea, vomiting, confusion, and muscle cramps. While healthy individuals are unlikely to reach this state by accident due to their body's thirst signals, those with certain medical conditions, especially kidney problems, should be cautious with high-pH (above 9.8) alkaline water, as it can potentially lead to hyperkalemia (high blood potassium levels).
Alkaline Water vs. Regular Water: A Comparison
To better understand the differences and similarities, a comparison can be helpful:
| Feature | Regular Water (Tap/Purified) | Alkaline Water | 
|---|---|---|
| pH Level | Typically around 7 (neutral). | Ranging from 8 to 9.5. | 
| Mineral Content | Varies by source, but generally lower levels of alkaline minerals. | Enhanced with minerals like calcium, potassium, and magnesium. | 
| Hydration | Effectively hydrates the body under normal circumstances. | Claims of superior hydration, with some studies suggesting enhanced post-exercise rehydration. | 
| Cost | Generally more affordable and accessible. | Can be significantly more expensive, especially bottled or via home ionizers. | 
| Scientific Backing | Hydration benefits are well-established and scientifically proven. | Health claims are controversial, with limited evidence for many benefits. | 
Symptoms to Watch For: Dehydration vs. Overhydration
It's important to recognize the signs of both dehydration and overhydration to ensure you're maintaining proper fluid balance. Here are some key indicators:
Signs of Mild to Moderate Dehydration
- Thirst and dry mouth
- Dark yellow, strong-smelling urine
- Less frequent urination
- Headaches and fatigue
- Dizziness or lightheadedness
- Muscle cramps
Signs of Overhydration (Hyponatremia)
- Headaches and confusion
- Nausea and vomiting
- Muscle weakness and cramping
- Swelling in the hands, feet, or lips
- Urinating frequently or producing clear, colorless urine
Conclusion
In short, the fear that alkaline water will cause dehydration is a myth based on misinformation. For the average, healthy person, alkaline water hydrates just as effectively as regular water. While some studies suggest potential benefits for specific populations like athletes, the evidence for many of the more extravagant health claims remains limited. The body's own regulatory systems are robust enough to handle the minor pH differences. The true hydration lesson lies in listening to your body's thirst signals and avoiding excessive intake of any fluid, which can lead to the dangerous condition of overhydration. For the most part, staying hydrated with regular water is a safe, effective, and economical choice. However, if you enjoy the taste and feel of alkaline water, moderate consumption is generally considered safe for most people.