Stay Hydrated



According to the U.S. Geological Survey, approximately 71 percent of the earth’s surface is composed of water. Similarly, 60 to 70 percent of the average adult human body is composed of water. If you’re a 120-pound female, you’re made of at least 72 pounds, or 36 quarts, of water. If you’re a 175-pound male, you’re carrying around at least 105 pounds, or 52 to 53 quarts, of water. In either case, that’s a lot of liquid. But that water isn’t in your body for ballast. It’s there for work. Water provides the medium in which all our physiological processes take place. In other words, water makes our lives possible.

This makes sense when we consider that the proportion of water on earth and in our bodies is approximately the same. Water is the conduit that makes things happen. From the perspective of complex biological organisms, without water there are no organs, no tissues, and no cells. And if there are no cells, there is no life.

Thus, water is essential to our survival. But our internal supply of water is dynamic. We use up more or less water depending on our activities. Of course, being more physically active causes more water to be consumed in metabolic processes such as releasing energy from ATP adenosine triphosphate) molecules.1 Rebuilding ATP supplies requires water as well. Additionally, your kidneys maintain dynamic control over the amount of water in your blood as one of the primary means of regulating blood pH, which must be in a very narrow range of 7.35 to 7.45. Even minor deviations from optimal pH levels can result in symptoms such as fatigue, headache, increased heart rate, muscle pain, and jaundice. Maintaining sufficient water intake is as important a requirement for good health as is regular exercise, a healthy diet, and obtaining necessary rest.

The question naturally arises, how much water should I drink each day? Drinking sufficient water takes a little bit of effort, but there is a big payoff. In fact, the recommendation to drink more water is possibly the most important nutritional advice one could receive. If one is not drinking enough water, any other nutritional improvements will have less of an impact. Specifically, take your body weight and divide it in half. That’s the number of ounces of fluid you need per day. You can use water, juice, soup, herbal teas, anything which is mostly fluid. Because they are “diuretics” or eliminate fluid from your body, alcohol and caffeinated beverages don’t count as part of your daily fluid. In fact you have to add fluid to make up for their deleterious effect. Example: I weigh 122 pounds. 122 x 1/2 = 61, i.e. I need 61 oz of fluid per day. If I have a cup of caffeinated coffee for breakfast, now I need 69 oz. of fluid today. If I have a glass of wine with dinner, then I need to add another 8 oz. to make up for it (78 total for today).

Importantly, you can never really drink too much water, as your kidneys will immediately excrete the excess. But obtaining too little water is always a danger. Hikers and those living or working at altitude know that by the time you feel thirsty (or your mouth feels dry), it’s too late.2,3 The solution is to make sure you’re hydrated throughout the day. Such actions will help your metabolic processes and overall physiology maintain a steady state. The result will be increased energy levels all day long and improved long-term health and well-being.

Over the past few months, I’ve noticed a lot more of my friends, patients and loved ones complaining about pain in their neck, back, and joints.

And it makes sense… with everyone staying home, people just aren’t moving around as much these days.

So…I did a little research and came up with a quick routine to help improve joint comfort and better mobility.

It only takes about 30-seconds to do, but it will make a HUGE impact on how you feel all day long.

All you need is an empty glass and the alarm on your phone.

Every time you sit down — whether it’s to work, to watch a show, or to simply read through your emails — set an alarm for 30 minutes. When the timer goes off, walk to the kitchen and get a drink of water. DON’T just keep a glass of water next to you (I’ll tell you why in a second…)

First, I’m going to explain WHY you’re getting water:

Believe it or not, a lot of joint and back pain is actually due to dehydration.

In-between each vertebra is a disk that acts as a cushion for your spine. The inner layers of these disks are filled with water…and when we bend our spines to sit, the disks compress and some of that water leaks out.

This isn’t a problem if you’re properly hydrated; those disks will simply get refilled by your body. But if you don’t drink enough water, that won’t happen…and your vertebrae will be left grinding against each other, causing you an extreme amount of stiffness and pain. It’s estimated that roughly 70% of Americans don’t drink enough water — which means there’s a good chance you’re dehydrated without even knowing it. By reminding yourself to drink more water, you’ll decrease back pain and improve your overall health.

So… Why not just keep a glass of water next to you?

You won’t be surprised when I tell you: Humans just weren’t meant to sit around a house all day! As strange as it sounds, moving around is one of the best ways to decrease back and joint pain. In fact, a 2011 study conducted in Minneapolis showed that people who sit less also experience much less back and neck pain. Researchers challenged sedentary workers to stand up more frequently  — reducing their sit-time by 66 minutes a day. After 7 weeks of this, participants reported 54% less back and neck pain.

When it comes down to it, you and I weren’t designed to sit for more than  30 minutes at a time. When you sit down for hours and hours at time, it’s a recipe for back and joint pain. By setting an alarm and making yourself get up to drink a glass of water, you’ll give your body two of the most important tools it needs to keep your joints healthy and happy.




1. Graham MJ, et al: Low-Volume Intense Exercise Elicits Post-exercise Hypotension and Subsequent Hypervolemia, Irrespective of Which Limbs Are Exercised. Front Physiol  2016 May 31. doi:  10.3389/fphys.2016.00199

2. Thornton SM: Increased Hydration Can Be Associated with Weight Loss. Front Nutr  2016 Jun 10. doi:  10.3389/fnut.2016.00018

3. Johnson EC: Hormonal and Thirst Modulated Maintenance of Fluid Balance in Young Women with Different Levels of Habitual Fluid Consumption. Nutrients 2016 May 18. doi:  10.3390/nu8050302