Hydration has become one of the most misunderstood and overly complicated topics in diving, fitness and general health and living discussions. As a scuba instructor and certified fitness trainer, I'm often asked questions relating to drinking water, sports drinks, and other food and beverage intake as related to safety in diving and performance in exercise.
Hydration has been such a fad for so long that I believe we have a generation of youth who have never exercised without a water bottle and cell phone in hand.
The human body is an incredibly complicated mechanism for sure. My athletic performance suffers when I consume water or any other fluids beyond a glass prior to exercise. During a 45 to 1 hour minute gym workout, I will normally only take couple sips of water from a fountain if my exercise intensity has made me thirsty. Prior to a 30 minute to a 1 hour run, I'll normally drink a Monster Java or a can of Coke or Pepsi. My body discovered a love affair with caffeine prior to cardio 20 years ago in college. If I do high intensity interval training on a track, drinking anything prior to working out doesn't seem to help. Instead, I need to consume juice, water or G2 well in advance of a sprint/recovery jog/sprint/recovery jog style workout.
In diving, dehydration most likely aggravated a case of minor DCS after a 180 foot air dive in 1989. I had been having stomach/intestinal trouble with diarrhea the morning of the dive. After taking am Immodium I felt like I could enjoy the day and decided to dive. The 180 was not the original plan. We changed it underwater while diving a blue hole. I surfaced with tingles and minor joint pain in my knee, elbow and shoulder after deco. At first I felt like I had been stabbed with an ice pick, then the joints had a dull ache. I reported it to the boat captain who refused to put me on oxygen because I probably just had "the worries" and if I had really been bent I would be screaming in pain. You have to remember that things were more black and white in the 1980's. Most diving instructors never heard terminology like "sub-clinical DCS". Now, DAN talks about "PADI-itis" in which a middle-aged diver who seldom exercises and dives on vacation once or twice a year reports "fatigue" and "body aches" and wants oxygen and a chamber after lugging bags from his home, through the airport, into the hotel and out on to the boat the day after arrival with little rest.
My friend, Jim Wyatt, one of the most active cave instructors in Florida hydrates for deep dives well in advance, but you don't see him pounding water at the last minute. Another friend and cave instructor, John Orlowski, like myself, rarely drinks water. He tells a story about realizing that he was really thirsty so he decided to drink some tap water. His wife, Shelley who used to teach a lot of cave trimix courses, returned home to find him drinking water. She was a nurse who wanted to put him on O2. Since John never drank water she figured he must be bent and trying to load water to help aid gas elimination. "No, I'm just thirsty!" John replied.
While I'm not going to say hydration isn't important. It's also a bit of a myth that we are all walking around dehydrated. We live in a world with growing obesity partly because portion sizes have become so large. Compare our servings today to what was on a plate in the 1940's or 1950's as well as plate sizes themselves. I just drank a glass of milk in which the glass actually would be two cups or two servings. A standard "glass" of water is really two or more servings. We are getting more water in our diets in many forms today while diving nitrox than divers were getting in the 1950's and 1960's while diving below 100 feet on air.
Yet, divers are pounding water for a 60 foot dive on Nitrox 32. I could hear so many people reading this saying, "Better safe than sorry," but it's one thing to want a little more hydration for a 200 or 300 foot trimix dive and literally be pounding water in the hours leading up to the dive than for the average dive. Back in the day 300 foot dives were done safely on air and hydration wasn't really a thought.
Consuming water is a good habit. Even too much of a good thing can be bad. Too much water can lead to reducing needed sodium. By following the simple old-fashioned advice of eating a balanced diet of fruits, vegetables, whole grains, fish, poultry, and occasional red meat while consuming milk, juice, water and other flavored beverages from coffee to tea and sports drinks, the average person will be nourished and hydrated enough for safe diving. There are always exceptions and those with special diet needs, food allergies or who choose lifestyles such as vegetarianism or veganism may need to adjust their intakes accordingly.
While there are many great articles on hydration needs a quick search located this:
The Truth About Water.