5 Potential Health Benefits of Alkaline Water

5 Potential Health Benefits of Alkaline Water
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If you’ve wandered down the bottled water aisle at the supermarket or scrolled through Instagram, you’ve likely come across alkaline water. But is there any difference between alkaline water and regular old H2O?

“First, it is important to understand that alkaline means that it neutralizes an acid,” says Rosa Becerra-Soberon, RDN, a registered dietitian-nutritionist in Durham, North Carolina. Experts measure alkaline substances and acids with the pH scale, which goes from 0 to 14. If something has a pH of less than 7, it’s acidic. If its pH is above 7, it’s alkaline (also called basic).

For comparison, most town tap water has a pH of about 7.5, bottled water is closer to 7.0, and alkaline water typically rests between 8.0 and 9.0.

 Compared with tap water, some believe you’ll score beneficial nutrients from alkaline water. Here’s how dietitians really feel about this trend, and whether alkaline water is worth it.

Alkaline Water Nutrition Facts

Here is a look at the potential contents of an 8-ounce (oz) bottle of alkaline water:

  • Calories: 0
  • Total fat: 0
  • Saturated fat: 0
  • Trans fat: 0
  • Cholesterol: 0
  • Sodium: 4.8 mg
  • Total carbohydrate: 0
  • Dietary fiber: 0
  • Total sugars: 0
  • Added sugars: 0
  • Protein: 0
  • Calcium: 24 mg
  • Magnesium: 4.8 mg
  • Copper: 0.017 mg
Natural alkaline water (also known as mineral water) runs over rocks and picks up minerals like calcium carbonate, magnesium, and potassium.

 These minerals naturally raise the water’s pH, creating alkaline water.

 You need these minerals for most areas of your body to function well, including your bones, heart, muscles, and brain.

“There are two types of alkaline water,” says Becerra-Soberon. “Natural from the springs, which is most alkaline bottled water at the store, and chemically processed.” Natural alkaline water is collected and bottled, whereas the processed version gets its higher pH through a device called an “ionizer,” which uses electricity to add hydrogen to the water.

Some claim added hydrogen offers a few of alkaline water’s benefits, but experts need more research to say for sure.

 If you’re drinking alkaline water for its minerals, choose the natural version, or a processed version with minerals added.

5 Possible Health Benefits of Alkaline Water You Should Know About

Some claim alkaline water can have some pretty impressive benefits, from better hydration to cancer prevention, but the research is mixed.

1. Alkaline Water May Help With Hydration

In one small study of 12 male university students, researchers found those who drank natural alkaline water (the kind with minerals) for three days before intense physical activity were better hydrated than those who drank tap water.

Drinking any kind of water is important for athletes, because dehydration can worsen performance, lower coordination, and cause muscle cramps.

 As long as you’re hydrating, drinking alkaline water can’t hurt, says Alex Oskian, RDN, a registered dietitian and a nutrition coach in Oak Creek, Wisconsin.

“If a product helps you consume more water, especially if the product isn’t harmful in nature, then hydration will improve since more water is consumed,” says Oskian. But more research is needed to show that alkaline water hydrates better than regular water.

2. Alkaline Water Might Combat Acid Reflux

Since alkaline substances neutralize acid, drinking alkaline water can combat the symptoms of high acidity in your stomach, but not for long.

 “The contents of the stomach are very acidic; so, consuming a product that will help reduce the acidity can provide some temporary relief,” says Oskian. “However, it likely will only be a temporary solution; maybe a few minutes at most.”
It’s important to know that alkaline water may be dangerous when consumed along with certain medications, such as proton pump inhibitors (PPIs).

Check with a healthcare provider before you combine alkaline water with any meds.

3. Alkaline Water May Prevent Bone Loss

As people age, many start worrying about bone loss, also known as osteoporosis, which can make bones brittle and more likely to fracture, especially in women after menopause.

 Your body needs to keep your blood pH between 7.35 and 7.45.

One way your body does this is by releasing calcium into your bloodstream, which leaves less to keep your bones strong.

In one study of 100 women (post-menopause), those who drank alkaline water daily for three months while taking supplements had stronger bone strength scores than those who took supplements only. “When combined with calcium supplementation and bone health medication, research does show drinking alkaline water provides some improvements for bone loss,” says Oskian. Research doesn’t tell us yet if alkaline water alone can do the same.

4. Some Claim That Alkaline Water Is Detoxifying

We are frequently exposed to toxins, either through our own body’s by-products or by what we eat or drink.

 Any increase in hydration can help your body flush out toxins, but studies haven’t yet proven that alkaline water does this better than any other kind, says Oskian.

5. Early Research Suggests Alkaline Water May Offer Cancer Protection

Some studies suggest cancer can’t grow well in alkaline environments, and some experts have asked whether an alkaline diet (including alkaline water) could make our bodies unfriendly to cancer, preventing its development.

The biggest problem with this theory is that alkaline water doesn’t change your blood pH, so drinking it is unlikely to affect cancer cells one way or another.

“More research is needed to support this specific claim,” says Oskian. “Currently, research and medical professionals do claim that food or water can’t change the body’s pH levels much since the system is tightly regulated.”

How to Incorporate Alkaline Water Into Your Lifestyle

Since the most important factor is to stay hydrated, you can incorporate alkaline water into your lifestyle by drinking it instead of regular water and other drinks.

You need 9 to 13 cups of water per day (depending on whether you're male or female and your activity level) to stay healthy.

 “If adding alkaline water as part of a balanced and healthier lifestyle allows you to increase water consumption, then why not?” says Becerra-Soberon.

Practical Tips on Consuming Alkaline Water

You’ll pay more for alkaline water, but if you decide to give it a try, you can check out Essentia, which uses an ionization process to make the water alkaline, or Flow, which is an alkaline spring water. You can also try an alkaline infuser, like the GoFiltr Alkaline Filter to make your own alkaline water at home.

Alkaline water has a good safety track record, but some personal water ionizers can boost your water’s pH level much higher than you think, sometimes over a pH of 12. Over time, alkaline water can cause health issues like low potassium and abnormal heart rhythms.

 Alkaline water may also raise blood pH, causing changes in potassium levels, which can be dangerous for those with kidney disease.

“I can’t necessarily stand behind the claims that alkaline water can or will improve different things as a result of drinking only alkaline-specific water alone,” says Oskian. “[But] I am a huge promoter of consuming water in general.”

Keep drinking water, whether it’s alkaline, tap, or any other kind, and stay hydrated.

The Takeaway

  • Alkaline water has grown popular. Some promoters tout spectacular health claims, from better hydration to prevention of bone loss or cancer.
  • Research has yet to show that alkaline water actually offers these benefits.
  • If symptoms from conditions like persistent acid reflux are a concern, consult with a healthcare provider for appropriate treatment rather than self-treating with alkaline water.
  • Staying hydrated in general is a good thing, so keep drinking alkaline water if you like it, regardless of any benefits it may have.
Reyna-Franco-bio

Reyna Franco, RDN

Medical Reviewer

Reyna Franco, RDN, is a New York City–based dietitian-nutritionist, certified specialist in sports dietetics, and certified personal trainer. She is a diplomate of the American College of Lifestyle Medicine and has a master's degree in nutrition and exercise physiology from Columbia University.

In her private practice, she provides medical nutrition therapy for weight management, sports nutrition, diabetes, cardiac disease, renal disease, gastrointestinal disorders, cancer, food allergies, eating disorders, and childhood nutrition. To serve her diverse patients, she demonstrates cultural sensitivity and knowledge of customary food practices. She applies the tenets of lifestyle medicine to reduce the risk of chronic disease and improve health outcomes for her patients.

Franco is also a corporate wellness consultant who conducts wellness counseling and seminars for organizations of every size. She taught sports nutrition to medical students at the Albert Einstein College of Medicine, taught life cycle nutrition and nutrition counseling to undergraduate students at LaGuardia Community College, and precepts nutrition students and interns. She created the sports nutrition rotation for the New York Distance Dietetic Internship program.

She is the chair of the American College of Lifestyle Medicine's Registered Dietitian-Nutritionist Member Interest Group. She is also the treasurer and secretary of the New York State Academy of Nutrition and Dietetics, having previously served in many other leadership roles for the organization, including as past president, awards committee chair, and grant committee chair, among others. She is active in the local Greater New York Dietetic Association and Long Island Academy of Nutrition and Dietetics, too.

Abby McCoy, RN

Author

Abby McCoy is an experienced registered nurse who has worked with adults and pediatric patients encompassing trauma, orthopedics, home care, transplant, and case management. She is a married mother of four and loves the circus — that is her home! She has family all over the world, and loves to travel as much as possible.

McCoy has written for publications like Remedy Health Media, Sleepopolis, and Expectful. She is passionate about health education and loves using her experience and knowledge in her writing.

EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
  1. pH and Water. U.S. Geological Survey. October 22, 2019.
  2. LeWine HE. Is Alkaline Water Better? Harvard Health Publishing. February 23, 2024.
  3. Shaw I et al. Acid–Base Balance: A Review of Normal Physiology. BJA Education. October 2022.
  4. Water, bottled, plain. U.S. Department of Agriculture. October 31, 2024.
  5. Johnson-Arbor K. Is Alkaline Water Good for You? National Capital Poison Center.
  6. Alkalinity and Water. U.S. Geological Survey. August 7, 2018.
  7. Minerals. MedlinePlus. July 17, 2024.
  8. Here’s Why Alkaline Water Doesn’t Live Up to the Hype. Cleveland Clinic.
  9. Water Ionizers (Electrolyzers). Molecular Hydrogen Institute. February 5, 2023.
  10. LeBaron TW et al. Electrolyzed–Reduced Water: Review II: Safety Concerns and Effectiveness as a Source of Hydrogen Water. International Journal of Molecular Sciences. December 2022.
  11. Steffl M et al. The Effects of High Mineral Alkaline Water Consumed Over Three Consecutive Days on Reaction Time Following Anaerobic Exercise — a Randomized Placebo‐Controlled Crossover Pilot Study. Journal of Human Kinetics. March 2021.
  12. Nairn R. Sports and Hydration for Athletes: Q&A with a Dietitian. Johns Hopkins University.
  13. Dhaliwal SK. What Causes Bone Loss? MedlinePlus. May 20, 2024.
  14. Fasihi S et al. Effect of Alkaline Drinking Water on Bone Density of Postmenopausal Women with Osteoporosis. Journal of Menopausal Medicine. August 2021.
  15. Aronica L et al. Genetic Biomarkers of Metabolic Detoxification for Personalized Lifestyle Medicine. Nutrients. February 2022.
  16. Liska D et al. Narrative Review of Hydration and Selected Health Outcomes in the General Population. Nutrients. January 2019.
  17. Hamaguchi R et al. Clinical Review of Alkalization Therapy in Cancer Treatment. Frontiers in Oncology. September 2022.
  18. Wada H et al. Meaning and Significance of “Alkalization Therapy for Cancer”. Frontiers in Oncology. July 2022.
  19. Hopkins E et al. Physiology, Acid Base Balance. StatPearls. September 12, 2022.
  20. Hydrating for Health. National Institutes of Health. May 2023.