Water balance regulation

The human body uses and loses water every day. How does the body regulate its water balance?

The maintenance of a correct water balance (the net difference between water gain and water losses) is essential to good health.

It is all the more essential as there is no real water storage in the body: the water we lose needs be replaced, and humans cannot survive more than a few days without water.1,2

We lose water on a daily basis.

  • Through the respiratory tract (by breathing)
  • Through the gastro-intestinal tract (faeces)
  • Through the skin (perspiration and sweating)
  • Through the kidneys (urine excretion)

Lifestyle and environmental conditions have a significant impact on an individual’s own level of water loss, but on average, a typical adult loses about 2.6 litres (L) per day.3

A body made up of molecules

Table: Average daily water loss from different organs in adults3


A table showing average daily water loss

Additional water losses via sweat will be induced by physical exercise and/or a hot environment and could contribute to water losses of up to several litres.

We gain water through fluid and food intake and metabolic water production mainly through food nutrient utilization by the body. Metabolic water production represents 0.3 L per day, on average, and water from foods can vary greatly according to dietary habits. Our remaining requirement needs to be provided by fluids. 


  1. Institute of Medicine (IOM). Dietary Reference Intakes for Water, Potassium, Sodium, Chloride, and Sulfate. Washington, DC: National Academies Press,2004.
  2. EFSA. Scientific Opinion on Dietary Reference Values for water. Available at: http://www.efsa.europa.eu/en/scdocs/scdoc/1459.htm. Accessed April 2010.
  3. Shirreffs SM. Markers of hydration status. J Sports Med Phys Fitness 2000;40:80-4.
  4. Bouby N, Fernandes S. Mild dehydration, vasopressin and the kidney: animal and human studies. Eur J ClinNutr. 2003;57:S39-46.
  5. Armstrong LE. Hydration assessment techniques. Nutr Rev. 2005;63:S40-54.


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Expert Working Group

Our Expert Working Group meet regularly to discuss the importance of healthy hydration and to develop strategies to encourage patients and the general public to adopt healthier hydration practices.

Prof. Max Lafontan
INSERM Unit 858, University of Toulouse, France
Prof. David Haslam
Watton-at-Stone, Hertfordshire / National Obesity Forum, UK
Prof. Hardinsyah
Bogor Agricultural University, Indonesia
Prof. Jean-François Duhamel
CHU de Caen, France
Dr. Simón Barquera
National Institute of Public Health, Cuernavaca, Mexico
Prof. Lawrence E. Armstrong
University Professor, specialist in sports physiology and expert in hydration, Connecticut, USA

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