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How bad is carbonation for the body?: Separating fact from fizzy fiction

5 min read

According to a study in the American Journal of Clinical Nutrition, sparkling water is just as hydrating as still water, debunking the myth that carbonation dehydrates. The truth about how bad is carbonation for the body is much less alarming than many believe, with most health risks linked to what's added to the bubbles, not the fizz itself.

Quick Summary

This article explores the health impacts of carbonation, clarifying that pure carbonated water is generally harmless. It separates health issues caused by additives like sugar and phosphoric acid from the effects of carbon dioxide, addressing concerns about digestion, bone density, and dental health.

Key Points

  • Plain Carbonation is Generally Safe: Pure carbonated water is not inherently bad for your health and is as hydrating as still water.

  • Additives are the Real Culprit: Most health issues associated with fizzy drinks, like dental erosion and weight gain, are caused by added sugars, phosphoric acid, and artificial sweeteners, not the carbonation itself.

  • Dental Risks are Minimal with Plain Seltzer: While slightly acidic, plain sparkling water poses a very low risk to tooth enamel compared to sugary sodas.

  • No Link to Bone Weakness: The myth that carbonation causes osteoporosis is false; it was wrongly attributed to carbonation when phosphoric acid and caffeine in colas were the actual concerns.

  • Digestive Effects are Individual: For some, carbonation can cause bloating and gas, especially with conditions like IBS or GERD, but for others, it can improve digestion and feelings of fullness.

  • Choose Plain Over Flavored: To avoid hidden sugars, sodium, and sweeteners, always opt for plain, unsweetened sparkling water and read the labels carefully.

In This Article

What is Carbonation, Actually?

Carbonation is a simple process where carbon dioxide ($CO_2$) gas is infused into water under pressure. This creates the familiar effervescence in many popular drinks. When you open a can or bottle, the pressure drops, and the $CO_2$ escapes, creating bubbles. This process makes the drink slightly more acidic as the $CO_2$ reacts with water to form carbonic acid. This slight acidity is what gives carbonated beverages a refreshing, prickly sensation on the tongue.

The Truth About Carbonation's Health Effects

Most of the health concerns associated with carbonated beverages are actually linked to the ingredients added, not the carbonation itself. While plain carbonated water is largely benign, the presence of sugar, artificial sweeteners, and acids in sodas can have significant negative effects on your body.

Dental Health: Is Enamel at Risk?

One of the most persistent myths is that all carbonation is inherently bad for your teeth. This misconception stems from the damage caused by sugary soft drinks. The reality is that plain carbonated water has a very low risk of eroding tooth enamel compared to acidic, sugary sodas.

  • Pure Carbonation: The carbonic acid in plain sparkling water is weak and has minimal impact on enamel. The pH is only slightly acidic, and rinsing your mouth with plain water afterward can further mitigate any risk.
  • Sugary Sodas: The real danger comes from the combination of sugar and higher acidity levels from added ingredients like citric and phosphoric acid. The sugar feeds bacteria in your mouth, which produce more acid, leading to significant enamel erosion and cavities.

Bone Density: A Myth Debunked

For years, fizzy drinks have been blamed for weakening bones and contributing to osteoporosis. However, research has largely debunked this, showing that carbonation itself is not the culprit.

  • The Cola Link: Studies that found a link between soft drink consumption and lower bone mineral density specifically pointed to cola beverages. These drinks often contain phosphoric acid, which some researchers believe can interfere with calcium absorption, and caffeine, which can increase calcium excretion.
  • Not All Carbonated Drinks: Importantly, these studies found no similar effect from non-cola carbonated drinks, like plain seltzer or sparkling water. The issue lies with specific ingredients in certain types of soft drinks, not the carbonation process as a whole.

Digestive System: Bloating, Gas, and More

Carbonation's effects on the digestive system are highly individual. While it can cause discomfort for some, it can aid digestion for others.

  • For Sensitive Individuals: The gas from carbonated drinks can lead to bloating, burping, and gas, especially for people with irritable bowel syndrome (IBS) or gastroesophageal reflux disease (GERD). The added pressure can aggravate symptoms in those with sensitive digestive tracts.
  • For General Digestion: Conversely, some people find that carbonated water helps relieve indigestion and constipation. It can also increase feelings of fullness, which may aid in weight management.

Kidney Health: The Cola Connection

Similar to bone health, concerns about carbonated drinks harming the kidneys are specifically tied to certain ingredients. High consumption of cola beverages, both regular and diet, has been linked to an increased risk of chronic kidney disease. This is attributed to the phosphoric acid in colas, which can promote kidney stone formation. Plain carbonated water, however, is not associated with this risk and is a perfectly healthy hydrating option.

The Real Culprits: Added Ingredients

Most of the negative health impacts commonly blamed on carbonation are actually caused by other components in soft drinks. Here’s a breakdown of the typical additives and their effects:

  • Sugar and High-Fructose Corn Syrup: Excess sugar intake is a leading cause of obesity, type 2 diabetes, fatty liver disease, and heart disease. Sugary sodas offer empty calories with no nutritional value.
  • Artificial Sweeteners: Found in diet sodas, these can cause stomach issues like diarrhea in some people. Some studies also suggest they may alter the gut microbiome.
  • Phosphoric Acid: Found primarily in dark colas, this additive has been linked to kidney stones and can interfere with calcium absorption.
  • Sodium: Club soda often has added sodium, which can contribute to high blood pressure and negatively impact kidney health in high amounts.
  • Caffeine: Many carbonated energy drinks and colas contain caffeine, which can cause dehydration and increase blood pressure. Excessive caffeine can also negatively affect bone health.

Comparison of Carbonated Beverages

Feature Plain Sparkling Water Sugary Soda Diet Soda
Dental Health Minimal risk of erosion; no sugar to feed bacteria High risk of erosion and cavities due to sugar and high acidity Moderate to high risk of erosion due to acidity
Bone Health No evidence of negative impact; some mineral waters may be beneficial Potential negative impact linked to phosphoric acid and caffeine Potential negative impact linked to phosphoric acid and caffeine
Digestive Impact Can cause bloating/gas in sensitive people, but may aid digestion for others May worsen symptoms of GERD and cause bloating May cause digestive issues like diarrhea due to artificial sweeteners
Weight Gain Risk Zero calories; can aid weight management by promoting fullness High calorie content contributes to weight gain and obesity Zero calories, but some evidence links artificial sweeteners to weight gain
Hydration As hydrating as still water Can contribute to dehydration due to high sugar and caffeine content As hydrating as still water, but caffeine is a diuretic

Making Healthy Carbonation Choices

If you enjoy the fizz, making smart choices is key to minimizing any potential health risks. Consider the following tips:

  • Read the Label: Always check for added sugars, artificial sweeteners, and high sodium content. The best choice for regular consumption is plain, unsweetened sparkling water.
  • Use a Straw: Using a straw can help minimize direct contact between acidic beverages and your tooth enamel.
  • Rinse with Plain Water: After drinking a carbonated beverage, rinse your mouth with plain water to help wash away any lingering acids and protect your enamel.
  • Listen to Your Body: If you experience bloating, gas, or acid reflux symptoms, it may be a sign that carbonated beverages are not a good fit for your digestive system. It is best to stick to still water in these cases.
  • Moderation is Key: While plain sparkling water is a safe choice, excessive consumption of any flavored or additive-laden carbonated drink should be avoided.

Conclusion

While the crisp effervescence of a carbonated drink is refreshing, it is the additives, not the bubbles, that pose the most significant health risks. Plain carbonated water is a safe, calorie-free alternative to sugary sodas, offering similar hydration benefits to still water. Concerns regarding bone density and dental erosion are primarily linked to other ingredients like phosphoric acid and sugar, not the carbonation process. By being mindful of ingredients and opting for natural, unsweetened options, you can enjoy the fizz without compromising your health.

For more information on the health effects of different types of sparkling water, read this detailed breakdown from Healthline.

Frequently Asked Questions

Plain carbonated water does not cause weight gain as it is calorie-free. However, sugary sodas and sweetened beverages are high in empty calories, which can lead to weight gain and obesity.

Plain carbonated water is minimally erosive to tooth enamel, especially compared to sugary sodas. The real dental damage comes from the sugar and high acidity found in many flavored carbonated drinks.

No, carbonation does not weaken your bones. Studies linking lower bone density to fizzy drinks were specifically tied to cola consumption, which contains phosphoric acid and caffeine, not to the carbonation process.

Yes, for some sensitive individuals, the carbon dioxide gas in fizzy drinks can cause bloating, burping, and gas. This is particularly true for those with digestive conditions like IBS or GERD.

Diet sodas eliminate the sugar-related risks but still contain other potentially harmful additives. Artificial sweeteners can cause digestive upset in some, and the high acidity can still pose a risk to tooth enamel.

The healthiest carbonated beverage is plain, unsweetened, unflavored seltzer or sparkling water. It provides hydration without added sugars, sodium, or artificial ingredients.

Carbonation itself does not harm the kidneys. However, high intake of colas, which contain phosphoric acid, has been associated with an increased risk of kidney stones and chronic kidney disease.

References

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Medical Disclaimer

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