Abstract
Desalinated water, mainly RO, but recently also produced from air humidity by condensation, is extremely low in minerals, comparable to rain water or distilled water, and even when pH-adjusted such water has low mineral content. Reduced mineral intake, due to drinking de-mineralized water, is not automatically compensated by one’s diet. Especially not since there are scientific studies that show decreasing levels of a number of essential minerals in vegetables. Animal studies showed that mean haemoglobin content of red blood cells was approximately 19% lower in animals receiving non-supplemented de-mineralized water compared to animals given tap water. Higher mortality in acute myocardial infarction patients was found in regions where the drinking water was desalinated water, attributed especially by reduced magnesium intake. “Water intoxication”, or delirium caused by hyponatraemia, may occur following intense physical efforts, like a marathon or working hard, and ingestion of several litres of low-mineral water. Early symptoms include tiredness, weakness, headache, brain oedema, convulsions and in severe cases coma and finally death. Electrolyte imbalance, hyponatraemia, hypokalaemia, hypocalcaemia and hypomagnesemia are the most common co-morbidities in cancer patients, which underlines the importance of minerals from drinking water. Declining dental health was reported in populations consuming desalinated water, due to low Ca and F levels in water. Drinking low-mineral water in the long run will increase the risk of acidosis, acidified tissues, as indicated by pH < 6 in urine. Thus, metabolic acidosis was reported in infants whose drinks were prepared from distilled or low-mineral bottled water. Acidosis may be a precursor to many diseases, e.g. cardiovascular diseases, diabetes, osteoporosis and cancer. Minerals in water are also needed to prevent corrosion and dissolution of pipe material, which makes the water unhealthy, and they are also needed for partial protection against uptake or transportation in the body of toxic elements, e.g. lead (Pb) and uranium (U).
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References
Basnyat B, Sleggs J, Spinger M (2000) Seizures and delirium in a trekker: the consequences of excessive water drinking? Wilderness Environ Med 11:69–70
Bernardi D, Dini FL, Azzarelli A, Giaconi A, Volterrani C, Lunardi M (1995) Sudden cardiac death rate in an area characterized by high incidence of coronary artery disease and low hardness of drinking water. Angiology 46:145–149
Brossia S (2018) Chapter 23: Corrosion of pipes in drinking water systems. In: Handbook of environmental degradation of materials, 3rd edn. Elsevier, Amsterdam, pp 489–505
Brown CM, Borberini L, Dullo AG, Montani JP (2005) Cardiovascular responses to water drinking: does osmolality play a role?. Am J Physiol Regul Integr Copm Physiol 289:1687–1692
Catling LA, Abubakar I, Lake IR, Swift L, Hunter PR (2008) A systematic review of analytical observational studies investigating the association between cardiovascular disease and drinking water hardness. J Wat Health 6:433–442
CDC (1994) Hyponatremic seizures among infants fed with commercial bottled drinking water – Wisconsin. MMWR 43:641–643
DGfE, (Deutsche Gesellschaft für Ernährung) (1993) Drink distilled water?. Med Mo Pharm 16:146
DSIR (Department of Scientific and Industrial Research) (1964) Report of the government chemist 1963. HMSO, London, pp 26–27
Eisenberg MJ (1992) Magnesium deficiency and sudden death. Am Heart J 124:544–549
Forrest Robey I (2012) Examining the relationship between diet-induced acidosis and cancer. Nutr Metab (Lond) 9:72
Garzon P, Eisenberg MJ (1998) Variation in the mineral content of commercially available bottled waters: implication for health and disease. Am J Med 105:125–130
Haring BSA, van Delft W (1981) Changes in the mineral composition of food as a result of cooking in “hard” and “soft” waters. Arch Environ Health 36(1):33–35
Huang Y, Wang J, Tan Y, Wang L, Lin H, Lan L, Xiong Y, Huang W, Shu W (2018) Low-mineral direct drinking water in school may retard height growth and increase dental caries in schoolchildren in China. Environ Int 115:104–109
Huang Y, Ma X, Tan Y, Wang L, Wang J, Lan L, Oiu Z, Luo J, Zeng H, Shu W (2019) Consumption of very low Mineral water is associated with lower bone mineral content in children. J Nutr. Published 02 August 2019, https://doi.org/10.1093/jn/nxz161
Iwami O, Watanabe T, Moon CS, Nakatsuka H, Ikeda M (1994) Motor neuron disease on the Kii Peninsula of Japan: excess manganese intake from food coupled with low magnesium in drinking water as a risk factor. Sci Total Environ 149:121–135
Jacqmin H, Commenges D, Letenneur L, Barberger-Gateau P, Dartigues J-F (1994) Components of drinking water and risk of cognitive impairment in the elderly. Am J Epidemiol 139:48–57
Kondratyuk VA (1989) On the health significance of microelements in low-mineral water. (In Russian). Gig Sanit 2:81–82
Kozisek F (2005) Health risks from drinking demineralized water. In: Nutrients in drinking water. World Health Organization, Geneva, pp 148–163
Kozisek F, Rosborg I (2008) Water hardness may reduce the toxicity of metals in drinking water. In: International Conference “METEAU – Metals and Related Substance in Drinking Water”, Antalya, 24–26 October 2007; Proceedings book; Cost Action 637. Brussels 2008; p 224–226
Kültz D (2001) Cellular osmoregulation: beyond ion transport and cell volume. Zoology 104(3–4):198–208
Levander OA (1977) Nutritional factors in relation to heavy metal toxicants. Fed Proc 36:1683–1687
Melles Z, Kiss SA (1992) Influence of the magnesium content of drinking water and of magnesium therapy on the occurrence of preeclampsia. Magnes Res 5:277–279
Mousa H, Jalamneh H, Hani IB, Zawahreh M (2010) Evaluation of Ca content of drinking water supplies and its effect on Ca deficit in Jordan. Desalin Water Treat 21(1–3):181–188
Nadeenko VG, Lenchenko VG, Krasovskii GN (1987) Combined effect of metals during their intake with drinking water. (In Russian). Gig Sanit 12:9–12
Nriagu J, Darroudi F, Shomar B (2016) Health effects of desalinated water: role of electrolyte disturbance in cancer development. Environ Res 150:191–204
Ovadia YS, Troen AM, Gefel D (2013) Seawater desalination and iodine deficiency: is there a link? IDD newsletter August 2013 Israel. Barzilai Medical Center, Ashkelon and School of Nutrition Science, The Hebrew University, Jerusalem
Rapant S, Fajčíková K, Cvečková Z, Ďurža A, Stehlíková B, Sedláková D, Ženišová Z (2015) Chemical composition of groundwater and relative mortality for cardiovascular diseases in the Slovak Republic. Environ Geochem Health 37:745–756
Rapant S, Cvečková V, Fajčíková K, Dietzová Z, Stehlíková B (2017a) Chemical composition of groundwater/drinking water and oncological disease mortality in Slovak Republic. Environ Geochem Health 39:191–208
Rapant S, Cvečková V, Fajčíková K, Sedláková D, Stehlíková B (2017b) Impact of calcium and magnesium in groundwater and drinking water on the health of inhabitants of the Slovak Republic. Int J Environ Res Public Health:21
Rosanoff A (2013) Changing crop magnesium concentrations: impact on human health. Plant Soil 368(1):139–153
Rosborg I, Gerhardsson L, Nihlgård B (2002) Inorganic constituents of well water in one acid and one alkaline area of South Sweden. Water Air Soil Pollut 142:261–277
Rowell C, Kuiper N, Shomar B (2015) Potential health impacts of consuming desalinated bottled water. J Water Health 13(2):437–445
Rylander R (2008) Drinking water constituents and disease. J Nutr 138:423–425
Schlezinger M, Amitai Y, Goldenberg I, Shechter M (2016) Desalinated seawater supply and all-cause mortality in hospitalized acute myocardial infarction patients from the acute coronary syndrome Israeli survey 2002–2013. Int J Cardiol 220:544–550
Seawater desalination, Huntington Beach Facility (2018) http://hbfreshwater.com/desalination-101/desalination-worldwide
Verd VS, Domingues SJ, Gonzale S, Quintia M (1992) Association between Ca content of drinking water and fractures in children. (In Spanish). An Esp Pediatr 37:461–465
Verma CKC, Kushwaha LT (2014) Demineralization of drinking water: is it prudent? Med J Armed Forces India 70:377–379
WHO (1980) Guidelines on health aspects of water desalination. ETS/80. WHO, World Health Organization, Geneva, p 4
WHO (2005) Nutrients in drinking water. World Health Organization, Geneva
Yang CY (1998) Ca and Mg in drinking water and risk of death from cerebrovascular disease. Stroke 29:411–414
Yang CY, Tsai SS, Lai TC, Hung CF, Chiu HF (1999a) Rectal cancer mortality and total hardness levels in Taiwan’s drinking water. Environ Res 80:311–316
Yang CY, Chiu HF, Cheng MF, Tsai SS, Hung CF, Lin MC (1999b) Esophageal cancer mortality and total hardness levels in Taiwan’s drinking water. Environ Res 81:302–308
Yang CY, Chiu HF, Tsai SS, Cheng MF, Lin MC, Sung FC (2000a) Calcium and magnesium in drinking water and risk of death from prostate cancer. J Toxicol Environ Health 60:17–26
Yang CY, Chiu HF, Cheng BH, Hsu TY, Cheng MF, Wu TN (2000b) Calcium and magnesium in drinking water and the risk of death from breast cancer. J Toxicol Environ Health 60:231–241
Yang CY, Chiu HF, Chang CC, Wu TN, Sung FC (2002) Association of low birth weight with calcium levels in drinking water. Env Res Section A 89:189–194
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Rosborg, I., Kozisek, F., Ferrante, M. (2019). Health Effects of De-mineralization of Drinking Water. In: Rosborg, I., Kozisek, F. (eds) Drinking Water Minerals and Mineral Balance. Springer, Cham. https://doi.org/10.1007/978-3-030-18034-8_7
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DOI: https://doi.org/10.1007/978-3-030-18034-8_7
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