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Does Any Liquid Count as Drinking Water? The Surprising Hydration Facts

4 min read

A 2016 study in the American Journal of Clinical Nutrition found that milk and oral rehydration solutions hydrated the body more effectively than water over a two-hour period. This surprising discovery has led many to question: does any liquid count as drinking water, or are some choices better than others?

Quick Summary

Not all liquids offer the same hydrating benefits, despite contributing to overall fluid intake. The body processes various beverages differently, with factors like electrolytes and sugar content affecting net hydration and fluid retention.

Key Points

  • Not All Liquids Are Equal: A liquid's hydrating power depends on its composition of electrolytes, sugar, and nutrients, not just its water content.

  • Milk Hydrates More Effectively: Milk (both skim and full-fat) has been shown to hydrate better than water over time due to its protein, fats, and electrolyte content.

  • Moderate Caffeine is Not Dehydrating: For regular consumers, moderate intake of coffee or tea does not cause significant dehydration, as the water in the drink outweighs the mild diuretic effect.

  • High Sugar Content Hinders Hydration: Beverages with high concentrations of sugar, like sodas and undiluted juices, can pull water from the body and offer fewer hydrating benefits.

  • Water is the Best Baseline: Plain, calorie-free water is the most consistent and healthiest choice for daily hydration needs, especially for general activity.

  • Sports Drinks Have a Specific Use: They are most beneficial for replenishing electrolytes and energy during prolonged, intense exercise, not for casual rehydration.

In This Article

The Simple Answer: Not All Liquids Are Equal

While all liquids contain water and contribute to your daily fluid intake, they are not all created equal when it comes to hydration effectiveness. A drink's ability to hydrate is influenced by its nutritional content, specifically electrolytes, carbohydrates, and proteins. These components can affect how quickly the fluid leaves the stomach and how long it is retained in the body.

Understanding Hydration Beyond Plain Water

For years, water has been considered the gold standard for hydration, and for good reason—it's calorie-free and readily available. However, a study from Scotland introduced a new metric called the Beverage Hydration Index (BHI), which compares the body's fluid retention from different drinks against still water. The results revealed that while water is great, certain beverages with a blend of nutrients and electrolytes can actually keep you hydrated for longer.

How Electrolytes and Nutrients Affect Retention

Electrolytes like sodium and potassium, along with proteins and fats, slow down the emptying of the stomach. This slower digestion allows for a more gradual and sustained absorption of fluid into the bloodstream, leading to less urine output and better overall fluid retention. Milk, for example, is rich in lactose, protein, and sodium, which explains why it performs so well on the BHI scale.

The Verdict on Common Beverages

Water (Still vs. Sparkling)

Plain water is the most direct way to hydrate, and studies show no significant difference in the hydrating effect of still versus sparkling water. It remains the best choice for everyday, general hydration without added sugars or calories.

Milk (Skim vs. Full-Fat)

Both skim and full-fat milk ranked higher than water on the BHI. The blend of protein, carbohydrates, fats, and electrolytes like sodium and potassium makes milk a highly effective rehydrating fluid, particularly after exercise.

Caffeinated Drinks (Coffee & Tea)

The belief that coffee and tea are dehydrating is largely a myth for regular consumers. While caffeine has a mild diuretic effect, the high water content of these beverages typically outweighs any fluid loss, especially when consumed in moderation (under 400mg per day).

Juices and Sugary Drinks

Fruit juices and sodas contribute to fluid intake, but their high sugar content can be problematic. Concentrated sugar can pull water from the body into the small intestine to dilute it, counteracting the hydrating effect. They also add unnecessary calories, so plain water is still the better choice for hydration.

Sports Drinks

For the average person, sports drinks are not necessary and contain extra sugar and calories. For high-intensity, prolonged exercise (over an hour) or heavy sweating, the electrolytes and carbohydrates they contain can aid in rapid rehydration and energy replenishment. However, water is sufficient for most daily activities.

Alcoholic Beverages

Alcohol acts as a diuretic, inhibiting a hormone that regulates urine output, which leads to increased fluid loss. Higher alcohol concentrations result in greater dehydration. While a beer might contain a lot of water, the diuretic effect means it is not a good choice for rehydration.

Beverage Primary Hydrating Factor BHI Score (vs. Water) Considerations
Plain Water Water Volume 1.0 (Baseline) Optimal for daily, calorie-free hydration.
Skim Milk Electrolytes, Protein ~1.44 (Higher) Excellent for rehydration post-exercise due to nutrient content.
Oral Rehydration Solution Electrolytes, Glucose ~1.50 (Highest) Designed for rapid fluid and electrolyte replacement, e.g., after illness.
Orange Juice Water, Electrolytes ~1.39 (Higher) High in sugar; best in moderation or diluted.
Coffee Water Volume ~1.0 (Similar) Moderate intake is fine for regular drinkers; high doses may have mild diuretic effect.
Sports Drink Electrolytes, Carbs ~1.0 (Similar) Only beneficial for intense exercise; high sugar for casual use.
Diet Cola Water Volume ~1.0 (Similar) Contains sweeteners and no nutritional benefit.
Lager Beer Water Volume ~1.0 (Similar) Alcohol's diuretic effect can counteract hydration.

The Bottom Line: Your Best Hydration Strategy

To maintain optimal hydration, it's crucial to understand that not all liquids are equal. Plain water should be your primary fluid source for daily intake due to its zero calories and efficient delivery. When engaging in strenuous activity or when sick, electrolyte-rich beverages like milk or oral rehydration solutions can be more effective for fluid retention. Caffeinated drinks and juices are fine in moderation but don't offer the same pure hydrating benefits as water, and sugary drinks should be limited. Understanding the difference between simply consuming fluid and effectively hydrating your body is the key to making smarter beverage choices. You can read more about how electrolyte-enhanced water and regular water compare in different scenarios on Healthline.(https://www.healthline.com/nutrition/electrolyte-water)

Conclusion

While many liquids contribute to your body's fluid balance, the idea that any liquid is a perfect substitute for drinking water is a myth. Different beverages are processed differently, with factors like electrolytes, sugar, and protein influencing how much fluid your body retains. For consistent, everyday hydration, plain water remains the best, healthiest choice. For specific situations like post-exercise recovery or illness, milk and oral rehydration solutions can offer superior rehydration. The key is to be mindful of your choices, prioritize water, and understand how other liquids fit into a balanced hydration plan.

Frequently Asked Questions

For regular coffee and tea drinkers, moderate amounts (typically less than 400mg of caffeine per day) are not significantly dehydrating. The water content in these beverages largely offsets the mild diuretic effect of the caffeine.

Yes, fruit juice contributes to your total fluid intake, but it is not an optimal hydrating liquid due to its high sugar content. It's best consumed in moderation or diluted with water to avoid excess calories and sugar.

Studies using the Beverage Hydration Index show milk is more hydrating than water because it contains protein, fat, and electrolytes like sodium and potassium. These components slow down the rate at which fluid leaves the stomach, prolonging hydration.

For most people, plain water is all that is needed for proper hydration. Sports drinks are only beneficial for those engaging in high-intensity exercise for over an hour, where they can help replenish electrolytes and carbohydrates lost through sweat.

Yes, alcoholic beverages act as a diuretic, causing increased urination and fluid loss. Higher alcohol concentrations have a greater dehydrating effect. While drinks like beer contain water, the alcohol compromises the hydrating effect.

Yes, approximately 20% of your daily water intake comes from solid foods, especially those with high water content like fruits and vegetables (e.g., watermelon, cucumbers).

Yes, research has shown no significant difference in the hydrating effect between still and sparkling water, so both are equally effective choices for hydration.

It is a good practice to drink a glass of water alongside caffeinated beverages like coffee or tea. This helps ensure consistent hydration and helps mitigate any potential, albeit mild, diuretic effects.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.