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Should drinking water be alkaline or neutral?

5 min read

Pure, neutral water has a pH of 7, but the human body’s pH is tightly regulated by complex internal mechanisms. This raises the question: should drinking water be alkaline or neutral to better support your health?

Quick Summary

The debate over alkaline versus neutral water centers on pH levels and health claims. Scientific evidence supporting many alkaline water benefits is limited, and the body maintains its own pH balance regardless of water type.

Key Points

  • Body Regulates Its Own pH: The human body, specifically the kidneys and lungs, has robust systems to maintain a stable blood pH between 7.35 and 7.45, regardless of what you drink.

  • Limited Scientific Evidence: Most claims about alkaline water's benefits, such as preventing chronic disease or significantly altering body pH, are not supported by strong scientific research.

  • Potential Risks Exist: Highly artificial alkaline water or excessive consumption can interfere with stomach acid, affect nutrient absorption, and place strain on the kidneys, especially for those with kidney conditions.

  • Purity Over pH: Ensuring your water is clean and free of contaminants through proper filtration is a more important health consideration than its pH level.

  • Neutral Water is Effective: For most healthy people, plain, neutral water (around pH 7) provides all the hydration needed and is the most natural, affordable, and scientifically sound option.

  • Natural vs. Artificial: Naturally occurring alkaline water often contains beneficial minerals, but artificially ionized water may lack these and can have other drawbacks.

In This Article

The Science of pH and the Human Body

What is pH?

Acidity and alkalinity are measured on the pH scale, which runs from 0 to 14. A pH of 7 is considered neutral, with anything below 7 being acidic and anything above 7 being alkaline (or basic). The scale is logarithmic, meaning each whole number represents a tenfold change in acidity or alkalinity. For example, a substance with a pH of 6 is ten times more acidic than one with a pH of 7. While pure water has a pH of 7, the pH of tap or bottled water can vary depending on its source, mineral content, and purification methods.

Your Body's Natural pH Regulation

Your body possesses a sophisticated system to maintain a very tight pH range, particularly for your blood, which stays between 7.35 and 7.45. The kidneys and lungs work constantly to regulate this balance. Drinking water, whether alkaline or neutral, does not significantly alter your body's overall pH. For instance, the stomach's natural environment is highly acidic (pH 1.5-3.5) to aid digestion and kill pathogens. When you drink alkaline water, the stomach simply produces more hydrochloric acid to neutralize it, a temporary effect that does not impact your blood's pH.

Alkaline Water: Claims, Evidence, and Risks

The Promises of Alkaline Water

Proponents of alkaline water claim it offers various health benefits, many of which are based on the idea that it can neutralize excess acid in the body, which they link to disease. Common marketing claims include:

  • Improved hydration
  • Neutralizing body acidity
  • Support for bone health
  • Relief from acid reflux symptoms
  • Detoxification and anti-aging properties
  • Increased energy levels

What Science Says (or Doesn't)

For many of the health claims surrounding alkaline water, robust scientific evidence is lacking or inconclusive. Some small studies have shown promising, but not definitive, results in specific areas:

  • Hydration: A small 2016 study found alkaline water might improve hydration slightly better than regular water post-exercise. However, this is not definitive, and most experts agree that consistent hydration is more about volume than pH.
  • Acid Reflux: A 2017 study found that alkaline water combined with a plant-based diet was as effective as medication for acid reflux symptoms, though it's unclear if the water or diet was the main factor.
  • Bone Health: Some research suggests alkaline water may protect against bone loss in certain groups, but more studies are needed.
  • Long-Term Benefits: Most generalized claims, such as preventing chronic disease or altering overall body pH, are not supported by strong scientific research.

Potential Risks of Alkaline Water

While generally considered safe for healthy individuals in moderation, artificially alkalized water can carry risks, especially when consumed in large quantities over a long period or by individuals with specific health conditions.

  • Digestive Issues: Consuming large amounts of alkaline water can interfere with the stomach's natural acidity, potentially causing bloating, gas, or disrupting nutrient absorption.
  • Kidney Strain: The kidneys play a critical role in regulating the body's acid-base balance. Overloading them with high-pH water can put extra strain on them, which is particularly risky for individuals with existing kidney disease.
  • Medication Interactions: Some studies suggest alkaline water can react with certain medications, potentially creating toxic byproducts. Consult a doctor if you take prescription medication.

Neutral Water: The Standard for Hydration

The Role of Neutral Water

Neutral water, with a pH of 7, is the foundation of healthy hydration. It is the most natural form of water and what our bodies are accustomed to. For most people, consuming neutral water is sufficient for all hydration needs, as the body does not need assistance regulating its pH. The primary health goal of drinking water should be to provide consistent, clean fluid intake, and neutral water effectively supports cellular functions, digestion, nutrient transport, and waste removal without interference.

Purity vs. pH

Experts agree that focusing on the purity of your water is far more important than its pH level. A water filter that removes contaminants, pathogens, and heavy metals is a much more worthwhile investment for overall health than an expensive alkaline ionizer. Many systems, like reverse osmosis, provide neutral or slightly acidic water, which can then be remineralized if desired.

Comparison: Alkaline vs. Neutral Water

Feature Alkaline Water (pH > 7) Neutral Water (pH ~7)
pH Level Higher (typically 8-9) Neutral (around 7)
Mineral Content Often artificially enriched or contains naturally dissolved minerals Contains minerals depending on the source; often added post-filtration
Scientific Evidence Limited; many claims lack strong, long-term human studies Backed by widespread scientific understanding of hydration
Cost Often more expensive due to special processing, filtering, or branding Generally affordable and widely accessible
Regulation Naturally occurring is generally safe, but artificial versions are not fully regulated for health claims. EPA recommends a safe range of 6.5 to 8.5 for public water systems.
Taste Some people report a smoother, sweeter taste Clean and standard water taste, depends on source and filtration
Side Effects Potential digestive issues, especially for those with kidney disease Generally none, provided the water is clean and filtered

So, Should You Drink Alkaline or Neutral Water?

For the vast majority of healthy people, the decision between alkaline and neutral water is a matter of preference and cost, not medical necessity. There is insufficient evidence to prove that alkaline water offers significant health advantages over regular, clean water. Your body is fully equipped to maintain its natural pH balance without intervention from special waters. The best strategy for optimal hydration is to focus on drinking sufficient amounts of clean, filtered water, regardless of whether it's perfectly neutral or slightly alkaline. For those with specific health concerns, such as severe acid reflux, consulting a healthcare provider is essential before making a significant change to your diet. For a deep dive into the science, the Mayo Clinic provides excellent, expert-reviewed information on this topic: Alkaline water: Better than plain water? - Mayo Clinic.

Conclusion: Listen to Your Body, Not the Hype

In the end, the most important aspect of hydration is consistency. Rather than getting caught up in expensive trends or unproven health claims, prioritize access to safe, clean drinking water. Your body's natural regulatory systems are robust and capable. Focusing on the purity and volume of your water intake will provide far greater health returns than a slight, temporary change in its pH level. For most, the most practical, affordable, and scientifically sound choice remains plain, neutral water.

Frequently Asked Questions

pH is a scale from 0 to 14 that measures a substance's acidity or alkalinity. While pure water has a neutral pH of 7, the pH of drinking water can affect its taste and how it interacts with plumbing. However, your body's internal pH is regulated separately.

No, drinking alkaline water does not significantly change your body's pH. Your body has strong homeostatic mechanisms involving the lungs and kidneys that keep blood pH in a very narrow, healthy range.

Some small studies suggest alkaline water might offer a slight hydration advantage for some athletes, but the evidence is not conclusive. Overall hydration is more dependent on the volume of water consumed rather than its pH.

While anecdotal reports and some small studies exist, most claims lack strong, conclusive scientific evidence. Some research suggests it might help with acid reflux symptoms and possibly bone health, but more research is needed.

Yes, especially with artificially processed or highly alkaline water. Potential risks include interfering with stomach acid, digestive issues, and increased strain on the kidneys, particularly for those with pre-existing kidney disease.

Individuals with kidney disease or impaired kidney function should avoid drinking alkaline water without consulting a doctor, as it can be especially risky for them. Also, those on certain medications should exercise caution.

You can test your water's pH using simple pH test strips or a digital pH meter. These are widely available and can provide a quick reading to satisfy your curiosity.

The pH of tap water varies by location, influenced by its source and local treatment. It is often slightly alkaline, within the EPA's recommended range of 6.5 to 8.5, to prevent pipe corrosion.

References

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Medical Disclaimer

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