Hydration
Proper hydration plays a crucial role in health and performance.
Water is the single largest nutrient in the body -- and one of the most important. Water is needed to regulate body temperature, keep skin moist, and transport oxygen and essential nutrients to cells. Yet, our bodies are also constantly losing water, as vapor in breath and as liquid from perspiration and urine, which must be replaced. A loss of just 1 – 2 percent of body water can put a strain on the cardiovascular system, and cause both health and performance to suffer.
Most people can get all the fluids they need from beverages and foods by simply letting thirst be their guide. However, children, athletes and older adults can be vulnerable to dehydration. Certain situations like extremes in climate and altitude can increase fluid losses. So it's important to understand hydration needs.
Articles
- American College of Sports Medicine Fluid Replacement Recommendations
- Climate & Altitude Can Affect Fluid Intake and Hydration Needs
- Hydration Quiz
- Monitoring Hydration Status and Recognizing Dehydration
- Hydration Guidelines: Highlights from the U.S. IOM/NAS Report on Hydration
- Hydration Checklist
- Leading Experts Sign Scientific Consensus Statement on the Importance of Hydration in Health
- How to Calculate Your Sweat Rate
- Hydration Considerations for Aging Adults
- Hydration Considerations for Children
- Hydration for Athletes: Understanding Dehydration and Overhydration
What Experts Say
- Hydration 101: More Than Just Water. An interview with Ann Grandjean, EdD
- Understanding Exercise-Associated Hyponatremia. An interview with Bob Murray, PhD
- Climatic Heat Stress and Exercising Children and Adolescents. American Academy of Pediatrics Policy Statement. Pediatrics, 2011;128 (3): e741
- Exercise and Fluid Replacement. Position Stand of the American College of Sports Medicine. Med Sci Sports Exer. 2007:39;377-390.
- Laying the Caffeine Dehydration Myth to Rest. An interview with Ann Grandjean, EdD
- Leading Experts Sign Scientific Consensus Statement on the Importance of Hydration in Health
- Academy of Nutrition and Dietetics Evidence Analysis Library - Hydration. A systematic review of the existing human research on hydration, including the effect of caffeinated beverages on hydration. (Subscription required)
- Physical Activity and Public Health in Older Adults. Recommendation From the American College of Sports Medicine (ACSM) and the American Heart Association (AHA). Circulation. 2007;116:1094-1105.
CPE Programs, Webinars & Podcasts
- Hydration & Physical Activity: Risks, Challenges and Benefits with Ronald Maughan, PhD and Bob Murray, PhD (Free CPE Program)
- Active Healthy Lifestyle Pyramid for Children and Adolescents with Marcella Gonzales-Gross, PhD
- Clarifying the Controversies Surrounding Caffeine and Health (Free CPE Program - IFIC)
- Exercise, Heat, Hydration and the Brain (Podcast - EHI)
- Hydration and Children (Podcast)
Printable Downloads
- Fluid Needs and Hydration Tips for Children
- Hydration Matters
- Nutrition for Athletes: A Guide to Eating for Health and Performance (IOC)
- Nutrition for Football: A Guide to Eating for Health and Performance (FIFA)
- A Guide to Nutrition and Hydration for Active Healthy Lifestyles (British Dietetic Association, English Institute of Sport, Sports Dietitians UK and European Hydration Institute)
- How Variety Can Help Hydration (EHI)
- Hydration for Adolescents and Adults (EHI)
- Hydration for Elderly People (EHI)
- Hydration for Hot Weather (EHI)
- Hydration for Infants and Children (EHI)
- Hydration for Pregnant and Breastfeeding Women (EHI)
- Hydration Tips during Physical Activity from The Coca-Cola Company
- Hydration: Does It Always Have to Be Water? (IFIC)
- Hydration: Fluids for Life (ILSI-NA)
- Measuring Hydration Status (EHI)
- Nutrition for Athletics: A Practical Guide for Track and Field (IAAF)
- Signs and Symptoms of Mild Dehydration (EHI)
Related References
- Climatic Heat Stress and Exercising Children and Adolescents. American Academy of Pediatrics Policy Statement. Pediatrics, 2011;128 (3): e741
- Exercise and Fluid Replacement. Position Stand of the American College of Sports Medicine. Med Sci Sports Exer. 2007:39;377-390.
- Academy of Nutrition and Dietetics Evidence Analysis Library - Hydration. A systematic review of the existing human research on hydration, including the effect of caffeinated beverages on hydration. (Subscription required)
- Are you drinking enough? Test drive our Hydration Calculator.
- Assessing Hydration Status: The Elusive Gold Standard. Armstrong LE. J Am Coll Nutr. 2007;26:575S-584S.
- Dehydration and Cognitive Performance. Grandjean AC and Grandjean NR. J Am Coll Nutr. 2007;26:549S-554S.
- Dehydration and rehydration in competitive sport. Maughan R, Shirreffs S. Scand J Med Sci Sports. 2010;20 Suppl 3:40-7.
- Dehydration influences mood and cognition: a plausible hypothesis? Benton D. Nutrients. 2011;3:555–573.
- Development of hydration strategies to optimize performance for athletes in high-intensity sports and in sports with repeated intense efforts. Maughan R, Shirreffs S. Scand J Med Sci Sports. 2010;20 Suppl 2:59-69.
- Dietary Reference Intakes for Water, Potassium, Sodium, Chloride, and Sulfate. (2004) Institute of Medicine (IOM) Food and Nutrition Board.
- Exercise, Heat, Hydration and the Brain. Maughan RJ, Shirreffs SM, and Watson P. J Am Coll Nutr. 2007;26:604S-612S.
- Fluid replacement requirements for child athletes. Rowland T. Sports Med. 2011;41(4):279-88.
- How Primary Care Providers Might Review Evidence on Hydration. Kolasa KM, Lackey CJ, and Weismiller DG. J Am Coll Nutr. 2007;26:570S-574S.
- Human hydration indices: acute and longitudinal reference values. Armstrong LE, Pumerantz AC, Fiala KA, Roti MW, Kavouras SA, Casa DJ, Maresh CM. Int J Sport Nutr Exerc Metab. 2010;20(2):145-53.
- Hydration and Disease. Manz F. J Am Coll Nutr. 2007;26:535S-541S.
- Hydration and Health Promotion. Kolasa KM, Lacke CJ and Grandjean AC. Nutrition Today 2009 44(5) 190-201.
- Hydration and Health Promotion: A Brief Introduction. Buyckx, ME J Am Coll Nutr. 2007;26:533S-534S.
- Hydration and Physical Performance. Murray B. J Am Coll Nutr. 2007;26:542S-548S.
- Hydration at the Work Site. Kenefick RW and Sawka MN. J Am Coll Nutr. 2007;26:597S-603S.
- Hydration in Children. Manz F. J Am Coll Nutr. 2007;26:562S-569S.
- Hydration Needs throughout the Lifespan. Campbell SM. J Am Coll Nutr. 2007;26:585S-587S.
- ILSI North America Conference on Hydration and Health Promotion. J Am Coll Nutr 2007; 26: 529S-623S.
- Limitations of Data on Fluid Intake. Fulgoni,VL J Am Coll Nutr. 2007;26:588S-591S.
- Nutrition for sports performance: issues and opportunities. Maughan RJ, Shirreffs SM. Proc Nutr Soc. 2012 71:112-119.
- Physical Activity and Public Health in Older Adults. Recommendation From the American College of Sports Medicine (ACSM) and the American Heart Association (AHA). Circulation. 2007;116:1094-1105.
- Role of Whole Foods in Promoting Hydration after Exercise in Humans. Sharp RL. J Am Coll Nutr. 2007;26:592S-596S.
- The effect of caffeinated, non-caffeinated, caloric and non-caloric beverage on hydration. Grandjean, AC. J Am Coll Nutr. 2000;19:591-600.
- The Effect on Hydration of Two Diets, One with and One without Plain Water. Grandjean AC, et. al. J Am Coll Nutr 2003; 22(2):165-173.
- Urinary indices during dehydration, exercise, and rehydration. Armstrong LE, Soto JA, Hacker Jr FT, Casa DJ, Kavouras SA & Maresh CM. Int. J. Sport Nutr. 1998; 8:345–355.
- Water as an essential nutrient: the physiological basis of hydration. Jequier E, Constant F. Eur J Clin Nutr. 2010;64(2):115-23.
- Water, Hydration and Health. Popkin M, D'Anci K, Rosenberg I. Nutr Rev. 2010;68(8):439-58.
Related Websites
- FamilyDoctor.org (AAFP)
- Academy of Nutrition and Dietetics (AND)
- American Academy of Pediatrics (AAP)
- American Beverage Association (ABA)
- American College of Sports Medicine (ACSM)
- EU Platform for Diet, Physical Activity and Health (EU)
- European Food Information Council (EUFIC)
- European Hydration Institute (EHI)
- Exercise is Medicine (EIM)
- Global Strategy on Diet, Physical Activity and Health (WHO)
- U.S. Physical Activity Guidelines 2008 (DHHS)
Interactive Tools
Special Considerations
♦ Athletes and the Physically Active
♦ Extreme Altitudes and Temperatures


