Originally published on InBody Blog by Ryan Walters
You buy a brand new car. You’re excited. You vow to take incredibly good care of it forever. As part of your promise to your new car, you decide that you’ll never miss an oil change every 3 months (or 3,000 miles).
Why is changing your car’s oil so important? Oil lubricates all the moving parts and keeps the engine running smoothly. Without oil, your car couldn’t run. It’s no surprise that many people refer to engine oil as the “blood” of the car.
That’s a pretty strong metaphor, calling oil “blood.” On one hand, it shows how important people feel oil is, but on the other, it shows the universal acceptance of the significance placed on the word “blood.” There’s no fluid more important.
With your car, have to change the oil every three months, so you’re forced to think about your car’s “blood” at least 4 times a year. But what about your own blood? Do you think about that 4 times a year? You know you need to make sure your car’s insides are running smoothly, but what about yours?
As it turns out, your blood makes up part of something called your total body water. It’s no small thing; your overall weight can be 45-65% due to total body water, depending on age, gender, and fitness level. In other words, you are made up of mostly of water. But how much do you really know about it?
Body Water, Defined
Your body water can be found inside not only in your blood, but in your muscles, your fat, your organs, and inside every cell in your body. To account for all this, your body water can be divided into two basic groups.
Extracellular Water (ECW)
Extracellular water is the water located outside your cells. The water in your blood falls into this category. Roughly 1/3 of your body water is attributed to ECW, and this water is found in your interstitial fluid, transcellular fluid, and blood plasma.
Extracellular water is important because it helps control the movement of electrolytes, allows oxygen delivery to the cells, and clears waste from metabolic processes.
Intracellular Water (ICW)
Intracellular water is the water located inside your cells. It composes 70% of the cytosol, which is a mix of water and other dissolved elements. In healthy people, it makes up the other 2/3 of the water inside your body.
The intracellular water is the location of important cellular processes, and although it has many functions, a very important one is that it allows molecules to be transported to the different organelles inside the cell. Essentially, the ICW picks up where the ECW left off by continuing the pathway for fuel to be transported to the cells.
Balance is the Key
When it comes to your body water and you, the most important thing to strive for is balance. Unlike car oil, your body water doesn’t need to be replaced every three months. Instead, your ICW:ECW must remain at the same levels with respect to each other.
A healthy body water distribution has been estimated at a 3:2 ratio of ICW:ECW. If your body water falls out of balance, this can signal changes in your health and body composition. Whether these changes are positive or negative depend on which type of water becomes unbalanced.
Having slightly more ICW than normal isn’t necessarily a bad thing, in fact, it can signal healthy changes!
Increased muscle mass is due to the enlargement of the number and size of muscle cells. When the muscle cells become enlarged, they are able to take in (and require) more ICW in order to power their cellular functions. Research has shown that resistance exercise can lead to increased intracellular water in humans. Increased ICW as a result of exercise is a sign of increased Lean Body Mass, which is a very good thing and has positive health benefits, including:
Increased Energy Use
Your Basal Metabolic Rate (BMR) is the amount of calories you burn at rest. It is the baseline for the calories you need every day in order for your body to operate and maintain daily functions. With increased Lean Body Mass, your energy needs will increase as a result of a higher BMR. If you don’t increase your daily calorie intake, but increase your Lean Body Mass/BMR, you will create a calorie deficit – which can lead to fat loss.
Your Lean Body Mass is sometimes described as your fat free mass. Your Lean Body Mass accounts for all your weight due to water, muscle mass, bone, and protein. One of the easiest ways to influence the amount of Lean Body Mass you have is to increase your muscle mass. Generally, increased muscle mass leads to increased strength.
Increased Immune System
Increased Lean Body Mass through exercise has been associated with increased immune system functionality. This will help your body fight off illnesses more easily.
If your ECW increases in relation to your ICW, this is something you should take special note of. Unlike ICW, you do not want to see your ECW increasing beyond normal levels. Excess ECW can indicate health risks, including:
During inflammation, the body sends additional blood flow to the damaged area. This causes an increase of extracellular water in a particular area. Inflammation occurs when part of the body gets damaged or bruised and is a normal bodily response to injury. This is called acute inflammation, and is a temporary increase in ECW.
Chronic inflammation, however, is something more serious that isn’t always readily detected. It is marked by long-term swelling/ECW increases caused by cellular stress and dysfunction, chronic inflammation can lead to serious diseases if allowed to persist over time, including renal failure, cancer, and heart disease.
Renal Disease (Kidney Failure)
One of the kidneys’ major functions is to filter body water and remove toxins produce in the body. One important substance that the kidneys filter out is sodium, an element that is found in salt.
When your diet includes more sodium than your kidneys can filter out, which occurs in people who have failing kidneys, your extracellular water levels will increase. In some cases, this increased extracellular water shows in visible swelling throughout the body and is a condition known as edema. Edema can cause additional strain on the body by contributing to weight gain, blood pressure, and other complications.
Unhealthy Fat Mass Levels (Obesity)
Obese individuals are characterized by having too much fat mass, which among other things, leads to body water disruption due to excess ECW. This is because excess visceral fat can trigger production hormones that can lead to the disruption of a bodily system called RAAS. This excess ECW causes stress in the body due to its effects on the internal organs, which can exacerbate obesity and cause a dangerous cyclic effect.
Since it’s so important to keep an eye on your body water balance, you’ll need to know how you can determine yours. There are two major methods to measure and determine your body water content. These are the dilution method and the BIA method.
The dilution method involves ingesting a known dose of heavy water (deuterium oxide) and allowing it to distribute around the body. Once the water has had time to settle, the amount of heavy water is compared with the amount of normal water. The proportion will reflect the amount of total body water. To determine ECW, sodium bromide is used instead of heavy water.
The dilution method is recognized as a gold standard for measuring total body water; however, these tests would need to be done at a hospital under the guidance of a trained physician. This test takes several hours to complete during which any fluid of any type going in or out of the body has to be carefully recorded.
For these reasons, you’re unlikely to have this test performed unless your doctor needs to know your total body water with absolute certainty because of a serious health complication.
The second, more accessible method to determine body water content is bioelectrical impedance analysis (BIA). For most people who do not have serious medical issues, this method is much more practical than the dilution method.
A small electrical current is applied to the body, and the opposition that current experiences (impedance), is measured. From that impedance result, a BIA device can report total body water. Advanced BIA devices are able to reflect the difference in ICW and ECW as well, which can reveal the ICW:ECW balance.
Bringing Yourself Back Into Balance
Maintaining a balanced ratio of approximately 3:2 is ideal for optimal health. If you find that your body water is beginning to fall out of balance, there are some things you can do. Fortunately, these tips aren’t anything you already haven’t heard before: maintain a healthy diet and exercise regularly.
Avoiding excess ECW is ideal. From a dietary standpoint, one simple change that can work to reduce excess ECW is reducing the amount of sodium (salt) in your diet. Sodium is located primarily in your ECW, and when excess sodium is introduced into the body, the body’s natural response is to draw water out of your cells at the expense of your ICW. Reducing your sodium intake has a number of positive health benefits, so this tip can be considered simply a best practice for optimal health in addition to being a tactic for reducing high ECW.
On the flip side, increasing ICW can be achieved by increasing your Lean Body Mass/increasing muscle mass through exercise. As the muscle cells increase in size, they will require more water to maintain their function. Exercise has the additional benefit of combating obesity, and as fat mass is reduced, ECW increases due to obesity will decline over time.
As you can see, body water can be an important indicator of your overall health. Without your body water, your body would not be able to function – but more importantly – without proper body water balance your body will begin to have problems. Like your car, you need your fluids maintained at proper levels to function at your best.
Unfortunately, unlike your car, you can’t change your body water every three months. What you can do is work to maintain a healthy lifestyle. If you can achieve a healthy lifestyle, your body water will fall back into balance naturally. The first step would be to find out where your body water levels are today, so you can start planning for a healthier life now.
Your car is important, but so is your body. You can always get a new car, but you will only ever have one body. Shouldn’t you put more thought into your own body water than your car?