The Safety of Bottled Water for Children: An Overview
Many parents select bottled water for their children, assuming it is a safer choice compared to tap water. However, research reveals some potential dangers, particularly concerning the plastic packaging itself. While the FDA regulates bottled water, parents should be aware of specific issues that can affect their children differently than adults.
Chemical Migration from Plastic
The plastic utilized in most single-use water bottles is polyethylene terephthalate (PET). When these bottles are exposed to heat or stored for extended periods, chemicals can leach into the water. Common concerns include:
- Antimony: This heavy metal can leach from PET plastic and may cause heart and stomach problems.
- Endocrine-Disrupting Chemicals (EDCs): Certain plastics and their additives, like BPA (although often replaced by other plasticizers like BPS), can mimic hormones and disrupt the endocrine system. This may impact children's development.
- Phthalates: These plasticizers can also migrate into the water and have been associated with reproductive system issues.
The Threat of Microplastics and Nanoplastics
An emerging concern is the presence of microplastics and nanoplastics. A 2024 study by Columbia and Rutgers researchers found an average of 240,000 tiny plastic particles per liter of bottled water, with 90% being nanoplastics. These particles are small enough to enter cells and tissues, including the human placenta and even the blood-brain barrier. Potential health impacts for children include inflammation, neurotoxicity, and developmental issues. Children also ingest more microplastics due to hand-to-mouth behaviors.
Mineral Content and Infants
For infants under 12 months, the mineral content must be carefully considered. High levels of sodium or sulfate found in some natural mineral waters can be unsafe for a baby's developing kidneys. The sodium level should be below 20 mg/L. Likewise, excessive fluoride can lead to dental fluorosis in developing teeth.
Age-Specific Water Consumption Guidelines
- Under 6 months: Breast milk or formula prepared with cooled, boiled tap water should be used. Water intoxication is a risk for very young infants.
- 6-12 months: Small sips of cooled, boiled tap water can be introduced during mealtimes. Water should be offered from an open cup or straw cup, not a bottle, to support oral motor skills and prevent excessive intake.
- 12+ months: Once a toddler is on a varied diet, they can transition to tap water. Whole cow's milk can be introduced as a main drink.
Bottled Water vs. Tap Water: A Comparison for Parents
| Feature | Bottled Water | Tap Water (Municipal) | 
|---|---|---|
| Regulation | FDA regulations for food products. Standards can be less strict than public tap water. | EPA regulations via the Safe Drinking Water Act. Rigorously tested and monitored. | 
| Plastic Risk | High potential for chemical leaching (BPA, phthalates, antimony) and microplastic/nanoplastic contamination, especially with heat exposure. | Minimal to no plastic risk, depending on household plumbing. Some microplastics can enter via environmental pollution. | 
| Mineral Levels | Varies widely by brand and source. Mineral content can be too high (e.g., sodium, sulfate) for infants. | Generally consistent based on regional source and treatment. Local reports available annually. | 
| Fluoride Content | Inconsistent or removed during purification, potentially requiring separate supplementation for dental health. | Often fluoridated to levels recommended for preventing tooth decay, unless a filter removes it. | 
| Cost | 100 to 300 times more expensive per liter than tap water. | Very low cost, often just a few cents per liter. | 
| Environmental Impact | High carbon footprint from production and transport. Significant plastic waste, with low recycling rates and long decomposition times. | Minimal environmental impact from production, though distribution requires energy. Less waste generated. | 
Reducing Risks Associated with Bottled Water
If using bottled water, such as during travel or a tap water advisory, these precautions are recommended:
- Check the label: For infants, choose a brand with low mineral content (sodium under 20 mg/L).
- Use it for formula safely: If preparing formula for a baby under 12 months, always boil the water first, regardless of the source, to kill any bacteria.
- Store it properly: Keep bottled water in a cool, dark place and out of direct sunlight or a hot car to minimize chemical leaching.
- Don't reuse single-use bottles: They are not designed for reuse and can degrade, increasing the risk of chemical and bacterial contamination.
- Consider filtration: If tap water quality is a concern, a home water filtration system is a more consistent and cost-effective alternative to bottled water.
Conclusion: Making Informed Choices About Kids' Hydration
While bottled water may offer convenience, the possible health risks associated with plastic packaging, especially microplastics and chemical leaching, raise significant concerns for children's developing bodies. For many families, properly filtered tap water is a safer, more economical, and environmentally friendly choice. For infants under 12 months, it is essential to follow strict guidelines regarding boiling and mineral content. By understanding the science and taking simple precautions, parents can ensure their kids are safely and effectively hydrated. To learn more about local tap water quality, contact your municipality or visit the EPA's website for consumer confidence reports.
Additional Considerations for Parents
- Always check water labels for infants, particularly for sodium content.
- Boil bottled water before giving it to babies under 12 months, as it is not sterile.
- Use reusable stainless steel or glass bottles to reduce chemical exposure from plastic.
- Store plastic bottles correctly, away from heat and direct sunlight.
- Prioritize filtered tap water as the primary source for older children.