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First published: 11.Oct.2018
Overview: Fluid intake: are water, coffee and tea equivalent?
Millions of people around the world enjoy drinking coffee and tea on a daily basis, yet they often hear that drinking them doesn't count towards their daily quota of liquids.
They wonder if drinking only tea and coffee will dehydrate them or if drinking pure water is a better option than tea, coffee, or other beverages.
The most common answer to these questions is that both coffee and tea contain caffeine which is a diuretic and increases urine output by the kidneys making them lose fluids.
However, science has disproved this notion, and contrary to popular belief, drinking tea or coffee in "normal" amounts will not dehydrate you.
Today's article looks into the scientific facts behind hydration.
Actually, you obtain about 20% of your daily fluid requirements from the food you eat and the remaining 80% from the fluids that you drink.
And by fluids, we mean precisely that: all non-alcoholic beverages.
Alcohol is a diuretic
Alcohol is a diuretic, a substance that increases your body's urine output.
Calculations indicate that for each unit of alcohol imbibed (1 unit = about 8 g alcohol, roughly 1 ⁄ 3 oz.) your body loses about 80 ml (2.9 oz.) of water.
One unit is the alcohol is far less than you would imagine:
One single measure of whisky.
One-third of a pint of beer.
Half a standard glass of red wine
Recommended Daily Water intake
The current daily water intake recommendations of the National Academy of Medicine (NAM) for adults aged over 19 are:
91 ounces of total water for women (2.7 liters)
125 ounces of total water for men (3.7 liters)
So, in addition to the water content of your solid foods, you would have to drink about 80% of the Recommended Daily Water Intake as actual fluids (water, soft drinks, sodas, milk, fruit juice, coffee, tea, or other herbal infusions).
Is caffeine a diuretic?
Caffeine is an alkaloid found in many beverages and foods (cola sodas, coffee, tea, South American mate, cocoa, energy drinks, and chocolate).
Caffeine has a well-known mild diuretic effect which was first described in 1949 by James Davis and Nathan Shock (1).
However, there seem to be several factors that influence its diuretic effects such as habituation and a minimum threshold.
Caffeine's diuretic threshold
Maughan (2003) (2) sets the diuretic threshold at 250 - 300 mg of caffeine, which is "equivalent to the amount found in 2-3 cups of coffee or 5-8 cups of tea."
The U.S. Food and Drug Administration (FDA) (3) sets a level of 400 milligrams a day (about four or five cups of coffee) as one that is not dangerous or has negative effects for healthy adults; there is no level specified for children.
The FDA also considers caffeine as "generally recognized as safe" (GRAS) for use in cola-type beverages up to a level of 0.02%, or 200 parts per million. So a 12 oz can of cola soda has not more than 71 mg of caffeine.
Regarding higher doses of caffeine found in some dietary supplements or energy drinks, the FDA (4) describes its negative side effects as follows:
1,200 mg: Toxic effects such as tachycardia, ventricular arrhythmia, and seizures.
10,000 to 14,000 mg: life-threatening dose. But, lower doses can also be life-threatening in children or other sensitive populations.
The following table shows the average (values can vary quite a bit) caffeine content in one cup or glass of some common caffeinated beverages:
Seal (2017) (5) had two groups of healthy adults drink coffee with a "low caffeine" and a "high caffeine" content and the team found that those who drank 6 mg per kg of body weight experienced a greater diuretic effect than those drinking half that amount.
They concluded that "3 mg kg-1 [of caffeine] do[es] not disturb fluid balance in healthy casual coffee drinking adults at rest."
Based on the average weight of the group this sets the threshold at 238 mg of caffeine per day for a "non-diuretic" effect.
Bhalla and Gupta (2018) (6) found that the safe level for healthy adults is 300 mg of caffeine daily.
Wikoff (2017) (7) agreed, but with a slightly higher level (400 mg/day) and recommended a lower intake of 300 mg/day for pregnant women and around 2.5 mg/kg day in teens and children.
Habituation: Regular consumption is the key to a lower diuretic effect
The first study on diuresis caused by caffeine was done back in 1928 by Eddy Downs (8); he found that caffeine has a diuretic effect. However, consuming caffeine regularly leads to a tolerance that counters the diuretic effect.
Izzo (1983) (9) and Maughan and GRiffin (2003) (2) agree with Downs. Their studies found that even though caffeine has a diuretic action it is much lower in individuals who consume coffee or tea regularly: "previous caffeine exposure may decrease its diuretic effectiveness" (9) and "A profound tolerance to the diuretic and other effects of caffeine develops, however, and the actions are much diminished in individuals who regularly consume tea or coffee" (2).
Caffeine does not interfere with hydration
There is no scientific evidence backing the recommendation to stay away from caffeine if you want to keep hydrated.
Maughan (2003) summarizes this very clearly: "The most... valid of the published studies offers no support for the suggestion that consumption of caffeine-containing beverages as part of a normal lifestyle leads to fluid loss in excess of the volume ingested or is associated with poor hydration status. Therefore, there would appear to be no clear basis for refraining from caffeine containing drinks in situations where fluid balance might be compromised" (2).
This same finding is echoed by Killer, Blannin, and Jeukendrup (2014) (13), who debunk the notion that coffee causes dehydration and should be avoided to maintain an optimal fluid balance.
Killer and her colleagues concluded that despite a higher excretion of sodium through urine in the coffee drinkers: "there were no significant differences... of hydration status between trials. suggest[ing] that coffee, when consumed in moderation by caffeine habituated males provides similar hydrating qualities to water."
Zhang's team (2014) (10) ratified this finding when they studied athletes drinking around 300 mg of caffeine. They reported a "minor diuretic effect" which was slightly stronger in women than in men and that exercise reverted this effect.
They also concluded that "Concerns regarding unwanted fluid loss associated with caffeine consumption are unwarranted".
Bhalla and Gupta (2018) (6) also found that a daily intake of 300 mg of caffeine did not cause "...any fluid electrolyte imbalance and that [it] did not lead to excessive fluid loss in healthy adults."
Tea is also on your permitted drinks list
Tea and coffee hydrate you
Did you know that an average cup of tea or coffee is almost 99% water?
Fact: "The amount of soluble solids in brewed coffee varies quite a bit, from 1-2% " (11). So drinking tea or coffee is a great way to hydrate yourself, tea also has its fair share of antioxidants and other additional health benefits (15).
And if it does increase your loss of fluids due to its diuretic effect, the water intake that comes with the caffeine more than compensates the loss:
Seal's research (5) indicated that ingesting 537 mg of caffeine made you lose around 257 ml of liquid due to increased urination. But 537 mg is roughly the caffeine content of 4.9 cups of coffee or 13 cups of tea, meaning that you'd drink between 980 and 2,530 ml of water, while only losing 257 ml.
Zhang (10) found that 300 mg of caffeine resulted in an extra loss of 109 ml of fluids. But you'd have to drink around 544 to 1,418 ml of fluid to absorb that amount of caffeine.
So drinking tea and coffee will not dehydrate you, it will also provide you with a net gain of fluid.
What about Colas or Diet Colas?
Grandjean et al., (2000) (12) looked into how different beverages influenced hydration in healthy adult men. Their subjects drank carbonated, caffeinated caloric and non-caloric colas, soft drinks and, coffee.
The authors wrote: "This preliminary study found no significant differences in the effect of various combinations of beverages on hydration status of healthy adult males. Advising people to disregard caffeinated beverages as part of the daily fluid intake is not substantiated by the results of this study."
Tucker et al., (2015) (14) reached a similar conclusion comparing combinations of beverages: cola and diet cola (both of which have caffeine), water, and orange juice.
They found that "beverages of varying composition are equally effective in hydrating the body."
Closing Comments
If you drink coffee or tea or other caffeinated drinks such as cola sodas regularly your body is most likely accustomed to the extra caffeine and the diuretic effect is minimal.
All the scientific studies cited above found that drinking tea, coffee, or cola drinks will not cause excessive fluid loss or upset your hydration. They confirm that water and the other caffeinated beverages are equal in their hydrating effects.
(2) R J Maughan, J Griffin, (2003). Caffeine ingestion and fluid balance: A review. Journal of Human Nutrition and Dietetics 16(6):411-20 December 2003 DOI: 10.1046/j.1365-277X.2003.00477.x
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