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Coffee is as Hydrating as Water… the TRUTH About Hydration
In this week’s episode of explaining why mechanisms are not more important than actual human outcome data, we examine the curious case of coffee & hydration. It has long been part of sport lore that you should avoid drinking coffee or any kind of caffeinated beverages if you train hard because these beverages dehydrate you
Why do people believe this? Because caffeine acts on the pituitary to inhibit ADH, a hormone that causes water to be resorbed in the kidney. This has led people to conclude that caffeine is a diuretic & should be avoided at all costs for optimal hydration. The reality, of course, is much more nuanced than that. While this mechanism exists, that does NOT mean it will actually cause an outcome
If we examine the HUMAN RANDOMIZED CONTROLLED TRIALS there are studies directly comparing coffee, tea, cola, & diet cola to water & other beverages. One such study demonstrated that coffee, tea, cola, & diet cola were equally as hydrating as water (PMID: 26702122). Even doses of caffeinated beverages up to 300mg have been shown to be as hydrating as water during exercise (PMID: 28868290). Only when we approach caffeine intake of 6mg/kg or over 500mg of caffeine from coffee (well over 40oz of coffee) do we see increased urine output compared to water, & even then it’s not a ton (PMID: 28868290)
So what beverages perform best for hydration? Oral rehydration solutions (ORS), milk, & orange juice all are better than water & not different from each other (PMID: 26702122). If you don’t do well with milk & don’t want a lot of sugar then an ORS may be your best bet, but many of them are suboptimal. Research shows to optimize an ORS you don’t need a lot of carbs but you do need some for optimal hydration (PMID: 34578811)
That is why my Electrolyte supplement from @outworknutritionofficial does contain a small amount of carbohydrate. Sure we could have better marketing to sell you of ‘calorie free’ or ‘sugar free’ but we care about putting out the best product possible, not marketing. Hit the link in my bio if you are interested in our Electrolyte supplement
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