NEXUS | Nutrition Knowledge Hub | Water

What is water?

Water is an essential nutrient. One oxygen atom and two hydrogen atoms join together to make up a water molecule (1). Pure water is an odorless, tasteless, and color less liquid fundamental for all life on earth (2).

What is water's function in the body?

Water helps your body maintain the right balance of fluids, which keeps cells and organs working properly. Proper functioning and regulation of internal systems in the human body are maintained through a delicate balance of fluids and electrolytes (3). Imbalanced fluids and electrolytes can put individuals at risk for organ system dysfunction (3). Sodium, the body’s most abundant electrolyte, helps regulate water movement in and out of cells (3). When water intake is inadequate, cells can lose water and shrink, which may compromise physiological function. 

Consequently, staying hydrated is essential because water helps your body (4):

  • Regulate normal body temperature
  • Support urination, bowel movements, and perspiration
  • Lubricate and cushion joints
  • Protect sensitive tissues, including the spinal cord

What are the different types of water?

Teen drinking bottled water at sunny outdoor running event start line
Clear glass of sparkling water on wooden table, bubbles rising, sunlit outdoor background

Bottled water
Bottled water is water sealed in containers with no additional ingredients, other than limited fluoride supplementation (5). The FDA classifies four types of bottled water based on source (5):

  • Artesian well water is sourced from an aquifer, and when tapped, the surrounding
    pressure from the layers of rock pushes water to the surface.
  • Mineral water comes from an underground source and includes a high amount of naturally occurring minerals and trace elements, which cannot be added later.
  • Spring water naturally flows to the surface from an underground formation and can only be collected from the spring or a borehole. If the water needs an external force to be collected, it must have the same quality as the water that would naturally flow to the surface.
  •  Well water comes from an aquifer through a hole bored or drilled from underground.

Sparkling water

Sparkling water–along with seltzer water, club soda, soda water, and tonic water–are considered soft drinks and, therefore do not follow bottled water regulatory requirements (5). Sparkling water has carbon dioxide bubbles infused into still water. However, some carbonated soft drinks come with additional ingredients, such as tonic water, which includes quinine and sugar (6). Sparkling water can be a good alternative to sugary carbonated drinks as they are just as hydrating as non-carbonated water if they do not contain any sugar or other additives. 

Four clear lab tubes in a rack holding gradient blue solutions from light to dark
Spoonful of white sugar dissolving into a glass of water against a blue background

Alkaline water

Alkaline water has a pH of approximately 8 or 9. A pH below 7 is considered acidic, and a pH above 7 is alkaline or basic. The EPA recommends municipal water to be around 6.5 to 8.5, with most averaging at 7.5. A potential benefit of alkaline water is to reduce acid reflux, as it can counteract acid from the stomach (7). However, this is only temporary, as the fluid in the stomach is very acidic (7).

Non-water products marketed for hydration
With the rise of hydration powders, electrolyte drink mixes, and sports drinks, there is a growing perception that they are needed to be properly hydrated. Electrolyte supplementation is most appropriate for individuals performing prolonged vigorous exercise (8). Notably, this supplementation can be accomplished by adding salt and fruit juice to water (9) or, in part, with coconut water to replace potassium (9). Sugar in sports drinks can provide quick energy, but most people in the U.S. consume sugar in excess of recommendations (8).

For exercise of lower intensity or performed for less than an hour, plain water is often adequate for rehydration (8). The electrolytes and water needed for most individuals can come from a healthy and diverse diet (8).

What are good sources of water?

Municipal water (tap water)
In the United States, the public water system serves 9 out of 10 people (10). Tap water in the U.S. mostly comes from rivers, lakes, reservoirs, and underground (10). Municipal drinking water must meet all safety water standards set by the U.S. Environmental Protection Agency, including the removal of chemicals and harmful germs (10,11). If water quality does not meet EPA standards, utility providers must inform the public (10). If consumers have concerns about their municipally supplied tap water, the Consumer Confidence Report can be reviewed.

Private groundwater well
An alternative to the public water system is a private groundwater well. Groundwater can be naturally filtered depending on the area's geology (12). However, private water systems are not regulated or monitored in the same way as municipal water (12). To make sure it is safe to drink, private well water should be tested every year (12).

Kitchen sink with water running from curved black faucet; vase with purple flowers on sill.
Mossy stone well with a rusted hand pump in a lush green grassy field

Water in common foods
Water can come from more than beverages, as this chart outlines the water content of various foods.

 

Bar chart: water percentage in foods, strawberries highest, beef lowest

 

How much water should be included in the diet?

Water intake comes mostly from beverages and foods (4). Foods with high water content, such as strawberries and squash, can add about 20% of an adult's water intake (8). Daily water needs depend on age, sex, and pregnancy status. The table details recommendations for total water from beverages and total water intake, including all water consumed from beverages, food, and water.

Life Stage
Recommended Water Intake in Liters
0-6 months0.7 L (From human milk)
7-12 months0.8 L total water (from human milk, foods, and beverages), 0.6 L from formula or human milk, juices, and water
1-3 years1.3 L of total water. 0.9 L from total beverages, including water.
4-8 years1.7 L of total water. 0.9 L from total beverages, including water.
Males 9-13 years2.4 L of total water. 1.8 L from total beverages, including water.
Females 9-13 years2.1 L of total water. 1.6 L from total beverages, including water.
Males 14-18 years3.3 L of total water. 2.6 L from total beverages, including water.
Females 14-18 years2.3 L of total water. 1.8 L from total beverages, including water.
Males 19-70 years3.7 L of total water. 3 L from total beverages, including water.
Females 19-70 years2.7 L of total water. 2.2 L from total beverages, including water.
Pregnancy 14-50 years3.0 L of total water. 2.3 L from total beverages, including water.
Lactation 14-50 years3.8 L of total water. 3.1 L from total beverages, including water.

Note: Total water includes all water consumed from beverages, food, and water.
Data source: Institute of Medicine

How is water intake calculated?

Although general water intake guidelines can be helpful, individual hydration needs vary based on several factors such as a person's activity level, environmental temperature, and certain medical conditions (15). For a more personalized estimate, online calculators can help determine your recommended water intake. To calculate your Dietary Reference Intake (DRI) based on the USDA guidelines, visit the USDA DRI Calclulator (16).

What happens when too little water is consumed?

Dehydration can occur when too little water is consumed. This occurs when the body lacks sufficient fluid that it needs. Causes of dehydration can be due to fluid loss, insufficient fluid intake, or both (17). This can result from vomiting, diarrhea, and excess sweating when exercising or exposure to hot climates (4). Severe dehydration can be life-threatening.

Man on park bench covering face with gray towel, outdoor photo.

Symptoms of dehydration range from mild to life-threatening, including (17):

  •  Muscle cramps
  • Thirst
  •  Headache
  • Dry or sticky mouth
  •  Dry, cool skin
  •  Dark yellow urine
  • Reduced urination
  • Seizures
  • Permanent brain damage
  • Death

What happens when too much water is consumed?

Water intoxication or hyponatremia can occur when too much water is consumed. Drinking too much water can dilute the sodium in the body and overwhelm the kidneys (18). This leads to symptoms such as (18):

  • Confusion
  • Muscle cramps or weakness
  • Headache
  • Nausea or vomiting
  • Fatigue

In severe cases, consuming excessive amounts of water can lead to water intoxication, which may cause seizures and or even death (18). To prevent this, fluid intake should generally not exceed one liter per hour (18).

What is the relationship between water consumption and health?

Stainless-steel drinking fountain on a bright yellow post, outdoor photo

Some studies have investigated whether water can support the prevention of diet-related diseases. A meta-analysis of six observational studies of adults assessed water intake and type 2 diabetes risk, finding that greater intake of plain water was related to lower risk of type 2 diabetes (19). However, it is possible that this relationship is driven by individuals drinking water in lieu of sugar-sweetened beverages or other beverages containing calories. 

Alternatively, many people have concerns about drinking public water sources when they’re unsure whether it is safe. Public water sources go through a series of processes to remove germs and chemicals that would pose public health risks (20). To ensure these processes are effective, public water providers monitor water quality and publicly publish their findings determining water safety (10). In the case that public or well water sources are not safe or inaccessible, such as during emergencies or natural disasters, bottled water can be a key resource.

Where can I learn more about water?

Acknowledgments

Sulin Gonzalez, MPH contributed to this entry.

References

  1. City of Fort Worth. What is Water Made of? Fort Worth. n.d. Accessed July 18, 2025. https://www.fortworthtexas.gov/departments/water/sdw/water-made
  2. U.S. Geological Survey. Water Properties. USGS. n.d. Accessed July 18, 2025. https://www.usgs.gov/special-topics/water-science-school/science/water-properties
  3. Chapter 15 Fluids and Electrolytes. Ernstmeyer K, Christman E, editors. Nursing Fundamentals [Internet]. Chippewa Valley Technical College; 2021. Accessed July 11, 2025. https://www.ncbi.nlm.nih.gov/books/NBK591820/
  4. CDC. About Water and Healthier Drinks. Healthy Weight and Growth. Published January 2, 2024. Accessed July 11, 2025.https://www.cdc.gov/healthy-weight-growth/water-healthy-drinks/index.html
  5. FDA. Bottled Water Everywhere: Keeping it Safe. U.S. Food & Drug Administration. Accessed July 19, 2025. https://www.fda.gov/consumers/consumer-updates/bottled-water-everywhere-keeping-it-safe
  6. Cleveland Clinic. Is Sparkling Water Good for You? Health Essentials. Published February 15, 2022. Access July 27, 2025. https://health.clevelandclinic.org/is-sparkling-water-healthy
  7. Oliveira N. Water. The Nutrition Source. Updated: February 26, 2025. Accessed July 11, 2025. https://nutritionsource.hsph.harvard.edu/water/#general-recommendations-for-daily-water-intake
  8. Merschel M. Electrolytes can give the body a charge, but try not to overdo it. American Heart Association. Published June 19, 2024. Accessed July 19, 2025.
    https://www.heart.org/en/news/2024/06/19/electrolytes-can-give-the-body-a-charge-but-try-not-to-overdo-it
  9. Nairn R. Sports and Hydration for Athletes: Q&A with a Dietitian. Johns Hopkins Medicine. Accessed July 19, 2025. https://www.hopkinsmedicine.org/health/wellness-and-prevention/nutrition-and-fitness/sports-and-hydration-for-athletes
  10. CDC. About Drinking Water. Drinking Water. Published January 30, 2025. Accessed July 19, 2025. https://www.cdc.gov/drinking-water/about/index.html
  11. International Bottled Water Association. Municipal Water (Tap Water). IBWA. Accessed July 19, 2025. https://bottledwater.org/types-of-water-municipal-water/
  12. CDC. Drinking Water Sources: An Overview. Drinking Water. Published January 10, 2024. Accessed July 19, 2025. https://www.cdc.gov/drinking-water/about/drinking-water-sources-an-overview.html
  13. USDA. FoodData Central. Agricultural Research Service. n.d. Accessed July 15, 2025. https://fdc.nal.usda.gov/
  14. Institute of Medicine. Dietary Reference Intakes: The Essential Guide to Nutrient Requirements. Washington, DC: The National Academies Press; 2006. Accessed July 15,2025. https://doi.org/10.17226/11537.
  15. Harvard Medical School. How much water should you drink? Harvard Health Publishing. Accessed July 19, 2025. https://www.health.harvard.edu/staying-healthy/how-much-water-should-you-drink
  16. National Agricultural Library. DRI Calculator for Healthcare Professionals. U.S. Department of Agriculture. n.d. Accessed July 11, 2025. https://www.nal.usda.gov/human-nutrition-and-food-safety/dri-calculator
  17. Kaneshiro N. Dehydration. Medline Plus. Reviewed August 5, 2023. Accessed July 10, 2025. https://medlineplus.gov/ency/article/000982.htm#:~:text=Dehydration%20occurs%20when%20your%20body,is%20a%20life%2Dthreatening%20emergency.
  18. University Hospitals. Can You Drink Too Much Water? The Science of Health. Published January 18, 2024. Accessed July 19, 2025. https://www.uhhospitals.org/blog/articles/2024/01/can-you-drink-too-much-water
  19. Janbozorgi N, Allipour R, Djafarian K, Shab-Bidar S, Badeli M, Safabakhsh M. Water intake and risk of type 2 diabetes: A systematic review and meta-analysis of observational studies. Diabetes Metab Syndr. 2021;15(4):102156. doi:10.1016/j.dsx.2021.05.029
  20. CDC. How Water Treatment Works. Published February 6, 2024. Accessed May 28, 2026. https://www.cdc.gov/drinking-water/about/how-water-treatment-works.html

 

Last Reviewed on: 5/28/2026