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Is sodium in water unhealthy? Separating fact from fiction in your daily hydration

7 min read

Food is the primary source of dietary sodium for most people, contributing significantly more than the water we drink. However, understanding whether the sodium content in your water is unhealthy is important for specific populations, including those on restricted diets or with pre-existing health conditions.

Quick Summary

For most healthy people, the sodium in water is not a health risk, but it can impact those with specific medical conditions like hypertension. Sodium levels vary greatly depending on the water source and treatment methods.

Key Points

  • Water is a minor source of sodium: For most healthy people, drinking water contributes a negligible amount to their overall sodium intake compared to food.

  • Monitor intake for sensitive populations: Individuals with hypertension, heart or kidney disease, or those on strict low-sodium diets should be mindful of water's sodium content.

  • Water softeners add sodium: The ion exchange process in water softening replaces hardness minerals with sodium, increasing the water's sodium level.

  • Mineral water varies: Sodium content in bottled water is highly variable, especially in mineral water, so checking the label is essential.

  • Reverse osmosis is effective: Reverse osmosis and distillation systems can significantly reduce or nearly eliminate sodium from water.

  • Regular testing is key: The only accurate way to determine the sodium concentration in your tap or well water is to have it professionally tested.

  • High sodium can raise blood pressure: Excessive sodium intake, from all sources combined, causes fluid retention and can increase blood pressure.

In This Article

Sodium in Water vs. Food: A Broader Perspective

While we often focus on the salt shaker and processed foods, the fact remains that water does contain some amount of sodium. Sodium is an essential mineral for proper nerve and muscle function, and for regulating fluid balance in the body. However, the key issue lies in the total daily intake. The World Health Organization (WHO) recommends less than 2,000 mg of sodium per day, yet many populations consume far more. A healthy individual's sodium consumption from water is typically a very small fraction of their total daily intake. However, the contribution can become more significant for individuals on highly sodium-restricted diets or those consuming water with unusually high sodium concentrations. It is this overall picture of dietary habits, coupled with the water source, that determines if sodium in water is a health concern.

Where does the sodium in water come from?

Sodium enters water from a variety of sources, both natural and man-made. Natural sources include mineral deposits that dissolve into groundwater as it passes through the earth. High concentrations can occur in coastal areas due to saltwater intrusion. Man-made sources can include the use of road salt for de-icing, fertilizers, septic systems, and malfunctioning water softeners. Water treatment chemicals, such as sodium fluoride or sodium hypochlorite, can also add small amounts of sodium to public water supplies.

Who Needs to Watch Their Water's Sodium Levels?

While most healthy people don't need to worry about the sodium content of their drinking water, there are specific groups for whom it is a critical consideration. These individuals should be vigilant about their total sodium consumption, including the contribution from their water source.

  • Individuals on Sodium-Restricted Diets: People following a low-sodium diet, often to manage conditions like high blood pressure, heart disease, or kidney problems, should pay close attention to all sources of sodium. Even a seemingly small amount from water can impact their health goals.
  • Infants: The recommended daily intake of sodium for infants is much lower than for adults. Health professionals recommend using bottled water with very low sodium content to prepare infant formula, especially if the local water supply is known to be high in sodium.
  • People with Hypertension: Individuals with salt-sensitive hypertension may experience significant blood pressure increases with higher sodium intake. A high-sodium diet, including water, can cause the body to retain fluid, increasing blood volume and putting more pressure on blood vessels.

Water Type vs. Sodium Content: A Comparison

To better understand how your water source affects your sodium intake, here is a comparison of typical sodium levels in different types of drinking water. Note that these are average figures, and specific brand or local municipal water reports may vary.

Water Type Typical Sodium Content (mg/L) Considerations for High-Risk Individuals
Tap Water < 20 - 50 mg/L Generally very low, but can be higher in some regions; check local reports.
Softened Water Varies widely based on hardness Significantly increased sodium; use an unsoftened tap or RO system for drinking.
Mineral Water 10 - 100+ mg/L Check the label, as levels vary by brand; some can be high.
Spring Water < 20 mg/L Generally low in sodium.
Distilled Water Near 0 mg/L Sodium is removed through the distillation process.
Reverse Osmosis (RO) < 10 mg/L Highly effective at removing sodium, making it a good choice for restricted diets.

Water Softeners and Sodium: An Important Distinction

One of the most common ways that sodium can be significantly increased in household drinking water is through the use of a water softener. Water softeners operate on an ion exchange principle, replacing the hardness minerals, calcium and magnesium, with sodium ions. The harder the water, the more sodium is required to soften it. For individuals on sodium-restricted diets, this can be a major source of concern. The solution is often to install a separate tap that provides unsoftened water for drinking and cooking or to use a point-of-use reverse osmosis (RO) filter on the drinking water line.

Managing Your Water-Based Sodium Intake

For those who need to manage their sodium intake from water, several strategies are available:

  • Test Your Water: The first step is to know your water's sodium content. You can obtain a report from your municipal water provider or have a private well tested by a certified laboratory.
  • Use a Filtration System: Installing an under-sink reverse osmosis system is an effective way to remove sodium and many other contaminants from your drinking water. Distillation is another option that removes dissolved minerals, including sodium.
  • Choose Low-Sodium Bottled Water: If your tap water is high in sodium, opt for bottled spring water or check labels for low-sodium mineral water.
  • Install a Bypass Line: If you use a water softener, ensure you have a bypass line that provides unsoftened water for drinking and cooking.

In most cases, drinking water contributes only a minor amount of sodium to the diet. However, for those with health conditions like hypertension or kidney disease, or for preparing infant formula, monitoring this intake becomes important. Fortunately, readily available solutions like reverse osmosis and low-sodium bottled water make it easy to manage.

Conclusion: A Balanced Perspective

For the majority of people, the sodium in their drinking water is not a health issue and is vastly overshadowed by the sodium consumed from food. The human body requires sodium for vital functions, and normal levels in water are not harmful. However, awareness is crucial for certain sensitive groups. By understanding your water source and making informed choices—such as testing your water or installing an effective filtration system—you can ensure your daily hydration supports your overall health goals. For more on the complex relationship between salt and blood pressure, refer to publications from organizations like Harvard Health.

Understanding the Basics of Sodium in Water

To further clarify common questions about this topic, consider the following points:

  • Sodium is an essential nutrient: The body needs sodium to function correctly, but excessive intake is the problem.
  • Food is the main culprit: The vast majority of people's sodium intake comes from processed foods, restaurant meals, and cooking, not water.
  • At-risk populations vary: While healthy adults are not impacted, those with conditions like hypertension and kidney disease, as well as infants, must be more cautious.
  • Testing is recommended: If you have concerns about your water's sodium level, a test is the only reliable way to know for sure.
  • Boiling doesn't help: It's a common myth that boiling removes sodium; in reality, it concentrates the sodium as water evaporates.

By taking a measured approach and considering your personal health needs, you can determine if the sodium content of your drinking water is a factor that requires attention.


Aspect High Sodium Water Low Sodium Water
Impact on Blood Pressure Can elevate blood pressure in salt-sensitive individuals. Minimal impact on blood pressure, especially for healthy people.
Effect on Taste May have a noticeably salty or brackish taste, especially above 180 mg/L. Typically has a neutral or clean taste.
Source Naturally occurring in some areas, or added via water softeners and contamination. Most tap water, naturally low-mineral water sources, or filtered water.
Recommended For Not recommended for those on strict low-sodium diets. Suitable for infants and individuals on sodium-restricted diets.
Removal Method Requires advanced filtration like reverse osmosis or distillation. Does not require additional sodium removal.

Managing Your Water-Based Sodium Intake

For those who need to manage their sodium intake from water, several strategies are available:

  • Test Your Water: The first step is to know your water's sodium content. You can obtain a report from your municipal water provider or have a private well tested by a certified laboratory.
  • Use a Filtration System: Installing an under-sink reverse osmosis system is an effective way to remove sodium and many other contaminants from your drinking water. Distillation is another option that removes dissolved minerals, including sodium.
  • Choose Low-Sodium Bottled Water: If your tap water is high in sodium, opt for bottled spring water or check labels for low-sodium mineral water.
  • Install a Bypass Line: If you use a water softener, ensure you have a bypass line that provides unsoftened water for drinking and cooking.

In most cases, drinking water contributes only a minor amount of sodium to the diet. However, for those with health conditions like hypertension or kidney disease, or for preparing infant formula, monitoring this intake becomes important. Fortunately, readily available solutions like reverse osmosis and low-sodium bottled water make it easy to manage.

Conclusion: A Balanced Perspective

For the majority of people, the sodium in their drinking water is not a health issue and is vastly overshadowed by the sodium consumed from food. The human body requires sodium for vital functions, and normal levels in water are not harmful. However, awareness is crucial for certain sensitive groups. By understanding your water source and making informed choices—such as testing your water or installing an effective filtration system—you can ensure your daily hydration supports your overall health goals. For more on the complex relationship between salt and blood pressure, refer to publications from organizations like the WHO and American Heart Association, such as the Harvard Health article.

Frequently Asked Questions

For most healthy people, drinking softened water is not a health concern. However, for individuals on sodium-restricted diets, the added sodium from the water softener can be an issue. They should use a separate tap for unsoftened water or install a point-of-use filter, like reverse osmosis, for their drinking water.

If you have a public water supply, you can request an annual water quality report from your municipality. For private wells, you will need to send a water sample to a certified laboratory for testing.

For healthy adults, it is unlikely that consuming water with normal sodium levels will cause sickness. However, those on very strict sodium-restricted diets may experience health issues if water contributes significantly to their total intake. Elevated sodium can also cause an unpalatable, salty taste.

Yes, many types of bottled water contain sodium, though the amount varies. Mineral water can have higher sodium content than spring water, depending on the source. Always check the nutrition facts on the label to be sure.

For people on sodium-restricted diets, many health agencies recommend that drinking water contain less than 20 mg of sodium per liter. However, this is not a health-based limit for the general population.

No, boiling water does not remove sodium. In fact, as water evaporates during boiling, the concentration of any remaining minerals, including sodium, will slightly increase.

Yes, distilled water is purified by boiling and collecting the steam, which removes almost all dissolved minerals, including sodium. This makes it an ideal option for those on low-sodium diets who need to eliminate all sources of sodium.

References

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Medical Disclaimer

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