"You really should drink more water" - a well intended but mildly irritating
piece of advice delivered to each one of us from time to time. Around 60 percent
of the body is made up of fluid, making it more vital than food for our
nutrition. Hunger strikers have survived for 60-70 days without a bite, but
deprived of water (and salt) this would be less than a week.
Two liters or 8x240ml cups are the standard recommended amounts for the adult
population. This is a useful, but highly generalized figure and precise
calculations depend on age, weight and body temperature. Allowing 35ml fluid per
kg body weight for those between 18-60 years (30ml for those over 60 years)
gives a more accurate figure in addition to replacing excess losses through
sweating, respiration, diarrhea etc. Also try to ensure your urine remains pale
yellow to colorless throughout the day.
I'm probably not helping my reputation as a dietitian by confessing that I
find plain water a little tedious - adding a slice of lemon or icing in the
freezer certainly makes it more palatable, and cold drinks are absorbed more
quickly through the stomach.
Contrary to popular belief, tea and coffee do count. Avoid relying on these
as they have a mildly diuretic effect - especially if you are unaccustomed to
caffeinated drinks. Green tea is lower in caffeine, and there are a huge variety
of caffeine-free herbal, flower and fruit teas available here. The Chinese habit
of carrying around a flask of cold tea is certainly a good idea.
Fruit juice is another option but limit to 1-2 cups per day - it is rich in
vitamin C but contains large amounts of natural sugar and citric acid. Diluting
juice is advisable and especially important with children to protect their
teeth.
Also full of sugar, soda is calorific and certainly detrimental to dental
health. Reduced sugar squash drinks are a good option, although I have yet to
find them in Beijing. A glass of milk or soy milk each day will help with both
fluid and calcium intake.
Choosing fluid-dense food options also helps. Soups and broths are, of
course, primarily liquid, and in the hot weather you can experiment with cold
soups such as Gazpacho, Vichyssoise and chilled cucumber soup. Include a crisp
salad with main courses - cucumbers, tomatoes and radishes are particularly
good.
For a fluid-filled dessert, try granitas, sorbets and jellies. For a real
thirst quencher, indulge in a towering shaved ice dessert at Bellagios. Fruit is
a brilliant option, and snacking on any type will really help with meeting the
milliliters. The so-named watermelon contains 96 percent water, making it an
especially good choice.
Dehydration can be a potentially lethal condition especially when accompanied
by vomiting and diarrhea. Fluid, sodium, and other electrolytes may need to be
replaced in hospital with intravenous fluids. Early signs of dehydration include
low urine output, increased thirst, dry mouth and decreased blood pressure.
Conversely it is possible to drink too much water leading to water intoxication
whereby levels of salt and other electrolytes become too diluted. Earlier this
year in California, a woman died following a water-drinking radio contest in
which she consumed 7.5 liters in a very short period of time.
This nutrition-related column is written by Nina Lenton, a qualified
dietitian living in Beijing and working at Bayley and Jackson Medical Center.
Contact her at nina.lenton@bjhealthcare.com.
(China Daily 07/19/2007 page14)