Understanding pH and Alkaline Water
To grasp the effects of pH-9 water, it's essential to first understand the pH scale. The pH (potential of hydrogen) is a measure of how acidic or alkaline a substance is, ranging from 0 to 14. A pH of 7 is neutral, anything below 7 is acidic, and anything above 7 is alkaline. Regular drinking water typically falls around a neutral 7, while pH-9 water is measurably more alkaline. This alkalinity can occur naturally as water passes over mineral-rich rocks or can be created artificially through a process called electrolysis, which uses an ionizer to increase the water's pH. Advocates of alkaline water suggest that consuming a more alkaline substance can help neutralize acidity in the body, which they claim is a result of modern diets and stress.
Potential Health Benefits and Supporting Evidence
Proponents of alkaline water, including those with a pH of 9, link its consumption to several potential health improvements. Some of these are backed by preliminary research, while others lack robust scientific support.
Improved Hydration
Some studies suggest that alkaline water may offer superior hydration, especially after exercise-induced dehydration. One study in the Journal of the International Society of Sports Nutrition found that consuming alkaline water reduced blood viscosity more effectively than regular water following exercise. The theory suggests that smaller molecular clusters in alkaline water may be more easily absorbed by the body, although this idea is not universally accepted.
Relief for Acid Reflux
Research indicates that alkaline water, particularly at a pH of 8.8, can irreversibly deactivate pepsin, the enzyme responsible for reflux disease. A 2017 study even suggested that a combination of alkaline water and a plant-based Mediterranean diet could be as effective as traditional medication for laryngopharyngeal reflux. However, this relief is temporary, and the treatment does not address the root cause of the condition.
Antioxidant Properties
Artificially ionized alkaline water possesses a negative oxidation-reduction potential (ORP), which indicates its ability to act as an antioxidant. Proponents claim that this can help neutralize free radicals in the body, potentially mitigating cellular damage and slowing down the aging process. Some studies in mice have shown positive effects on DNA aging markers, but more human research is needed.
Support for Bone Health
Some research suggests a link between alkaline water and improved bone health, particularly in postmenopausal individuals. The hypothesis is that a higher mineral intake from alkaline water may reduce bone resorption—the process where minerals like calcium are leached from the bones to neutralize excess acidity in the body. A 2001 study on bone metabolism found that an alkaline load from mineral water helped improve calcium retention.
Potential Risks and Limitations
Despite the anecdotal benefits, health professionals often caution against regular, long-term consumption of high-pH alkaline water, especially without medical supervision. The body has a highly effective system, managed by the kidneys and lungs, to maintain blood pH within a very tight range (7.35–7.45). This natural homeostasis means that drinking alkaline water does not significantly alter the body's overall pH, and attempting to force a change can cause problems.
Potential risks and side effects associated with excessive alkaline water intake include:
- Disruption of Stomach Acidity: The stomach relies on a highly acidic environment to digest food and kill harmful bacteria. Regular consumption of alkaline water can temporarily neutralize this acidity, potentially impairing digestion and increasing susceptibility to infection.
- Mineral Imbalance: While alkaline water often contains minerals, an excess of certain ones, like calcium and magnesium, can interfere with the absorption of others, such as iron and zinc, leading to mineral deficiencies.
- Metabolic Alkalosis: Though rare from water alone, consuming excessive amounts of alkaline substances can lead to metabolic alkalosis, a condition that can cause symptoms like nausea, vomiting, muscle twitching, and confusion.
- Kidney Strain: The kidneys are responsible for regulating the body's pH balance. Regularly drinking high-pH water puts extra strain on the kidneys and may be particularly risky for individuals with pre-existing kidney conditions.
- Interference with Medication: Strongly alkaline water can react with certain medications, potentially reducing their effectiveness or creating adverse effects. Always consult a doctor if you take prescription medication and are considering alkaline water.
Natural vs. Artificial Alkaline Water
It is important to differentiate between naturally alkaline water, which gets its pH from naturally dissolved minerals, and artificially ionized water. Some experts express concerns that artificial ionization processes can introduce contaminants or concentrate existing ones, particularly if the source water is not adequately filtered first. Naturally sourced mineral water is generally considered safer, though even this should be consumed in moderation.
Comparison Table: pH 9 Water vs. Regular Tap Water
| Feature | pH 9 Alkaline Water | Regular Tap Water (pH 6.5-8.5) | 
|---|---|---|
| pH Level | High (around 9) | Neutral to slightly alkaline | 
| Mineral Content | Enriched with alkaline minerals (calcium, magnesium) | Varies by source, may or may not contain significant minerals | 
| Symptom Relief | Possible temporary relief for acid reflux | No specific symptomatic relief | 
| Hydration | May offer slight hydration benefits post-exercise | Effectively hydrates the body | 
| Antioxidant Effect | Often has negative ORP (ionized types) | Usually has a neutral ORP | 
| Safety Concerns | Potential side effects with high intake or kidney issues | Generally safe for most people | 
| Long-term Evidence | Limited, often controversial | Well-established safety profile for consumption | 
Conclusion
While some preliminary studies and anecdotal reports suggest potential benefits for specific conditions like acid reflux and exercise-induced dehydration, a significant body of scientific evidence supporting widespread health claims for pH-9 water is still lacking. The body is naturally equipped to regulate its pH, and regular consumption of highly alkaline water could potentially disrupt essential biological processes and cause side effects, particularly for those with underlying health issues. For most healthy individuals, regular filtered tap water is a perfectly safe and effective way to stay hydrated. Anyone considering the long-term use of alkaline water, especially those with pre-existing medical conditions, should consult with a healthcare professional before making the switch. For more information on health claims and risks, consult reputable medical sources like the Mayo Clinic.