By Heida Knapp Rinella
Eight, 8-ounce glasses.
Sixty-four ounces.
Two quarts.
A half-gallon.
Anyway you pour it, that's a lot of water.
Despite any punditry
you may have heard lately that you really don't need to drink that
much water each day, experts say you do
-- especially
in arid Southern Nevada.
"That's still published in our textbooks," said Susan
Meacham, director of nutrition sciences at the University of Nevada,
Las Vegas.
The recommendation, Meacham said, is based on a guideline
of 1
milliliter of water for every calorie burned during the course
of a day.
"For 2,000 calories that you're burning, you should be consuming
2,000 milliliters, which is about 2 liters, which is a little bit
more
than 2 quarts -- which is your eight glasses a day," she said.
Andreah Davi Werner, executive administrator of Weight Watchers
of Southern Nevada and Southern Utah, said the group recommends
-- "We
never say in Weight Watchers that you have to do this or you have
to do that" -- members drink six to eight 8-ounce glasses,
which is why you'll often see Weight Watchers members carrying
cups around.
Tom Higgins, a physician of emergency medicine and
medical toxicology at University Medical Center, prefers not
to set a concrete guideline,
though he said the average person probably doesn't consume enough
water.
"Just like everything else, there's never a completely simple answer," Higgins
said. "It's tough to say in general everybody should drink
eight glasses of water a day. The bottom line is you need to stay
re-hydrated.
"Those of us who aren't acclimated to the heat, those of
us who are working harder, should drink more."
And he has
bad news for those who think they can just let their bodies tell
them when they need to get some water:
"Once you become thirsty, you're already starting to get dehydrated."
"You really need to monitor your fluid consumption," Higgins
said. A guideline for whether you're consuming enough water, he
noted, is whether "you've urinated in the last several hours. That's
one of the ways we tell in medicine if a person is dehydrated;
we check to see if you're making urine. You need to go every two to
three hours if you're exercising and working out; the average person,
every three or four hours if they're just sitting around.
"If you're sweating profusely and working hard, drink fluids
regularly before you start, and then every 20 to 30 minutes while
you're
performing the activity."
Meacham pointed out that the body of the average
adult is 50 percent to 60 percent water; the bodies of infants are about
75 percent
water.
"Of course, you reduce about 10 percent for obese people,
about 20 percent for severely obese people, because fat displaces
water," she
said. "Women about 10 percent less, because of the body-fat
difference."
Why is it so important to maintain the levels
of water in our bodies?
"Because the functions of water are so important," Meacham said, "everything
from maintaining temperature to distributing nutrients throughout
the body to providing the shape and rigidity of our cells. It'll
be a lubricant in our joints. Water actually functions as a cushion
for body tissues.
"All the way around our organs and around every cell, there's
a layer of fluid. A solvent to dissolve sugars in the bloodstream,
digestive
tract, saliva. It's a source of trace minerals."
Consuming
too little water can cause big problems.
"Dehydration can cause everything from dizziness to lack
of coherence," Meacham
said. "Our thirst mechanism is very insensitive. By the
time we decide it's time to stop and get a bottle of water, we're
already
approaching a level of dehydration that would be physiologically
compromising."
The threat is most severe in infants and
the elderly, she said, and is the primary cause of hospitalization
among the elderly
in Nevada.
Werner said dehydration can manifest itself in ways
you may not notice.
"The days you feel flustered, the days you can't find anything,
are probably days when you haven't had enough water," she
said. "Clear
water, clear mind and clear thoughts really do go together."
As
for conventional wisdom that we get an ample supply of water
from foods, Werner said, "I would highly disagree. There's
also a high amount of sodium in food, so therefore it's absorbing
it. But
your body absolutely needs it."
And don't think that morning
coffee or Coke will help much.
"When we're truly trying to take on water, water is really the best," Meacham
said. "Tea and coffee, of course, contain caffeine, and
caffeine is actually dehydrating. Alcohol is dehydrating.
"Orange juice is a wonderful food, extremely high in everything
from folic acid to vitamin C to potassium; however, it's also very
high in sugar. For true fluid replacement, we should dilute our standard
orange juice 1 to 8. Sugar attracts water. When you put it in
your gut, you will actually be pulling water out of your gut. Coca-Cola,
Gatorade -- those are really high in sugar. They really must
be diluted, some two times, some four times."
Werner said she's often asked
by members if tea or Crystal Light will fill the bill.
"Are you going to take a shower in Crystal Light?" she
asked. "Do
you want to consider it water? What is this all about? If you
really want to help yourself, give your body the optimum chance;
give it
the water it needs. Water is a great positive part of your body
and your thought process."
Higgins said it is possible to
drink too much water, which leads to psychogenic polydypsia, or
water intoxication. "It's
not that common in people who don't have mental illness or aren't
actively
trying to flush their systems."
Meacham said there are various
reasons people don't drink enough water.
"I think particularly among the elderly, it's a matter of convenience," she
said; many older people may have problems "moving around
and getting rid of your water intake.
"Many of us are simply too busy; we don't take the time to consider
our body needs.
"Availability; water is heavy to carry around."
But
Werner said increasing water consumption often is simply a matter
of retraining yourself.
"It's just a matter of getting accustomed to thinking, `Oh,
I really feel like a glass of water,' " she said.
Increasing
water consumption can help in weight control, she added.
"It's also necessary to learn, `Is my body really hungry
or is my mind just thinking what I want?' " she said. "Water
will help. Take a drink, wait 15 minutes, and you may be satiated
and
full. It lends to the fullness and it really helps your body."
Werner
suggested adding fresh lemons to water to increase palatability,
and placing filled cups or bottles in various locations that
are part of your routine to increase convenience. |