- Charles Elder, MD, MPH, Charles Elder, MD, MPH, combines his clinical practice expertise with an interest in applying complementary medicine to mainstream medical care. His research focuses on complementary and integrative medicine (CIM), particularly in the areas of pain management and Ayurvedic medicine.
- Marie Spano, RD, CSSD, CSCS, a sports nutritionist
- Martha Soffer, ayurvedic panchakarma expert, ayurvedic chef, herbal rasayanist, master ayurvedic pulse diagnostician, and founder of Surya Spa
- Mira Manek, Ayurvedic expert, author of Safforn Soul and Prajna: Ayurvedic Rituals for Happiness
- Sahara Rose, Ayurvedic expert and author of Discover Your Dharma
First and foremost, Ayurvedic practitioners believe the temperature of anything you eat or drink can play a role in digestion—not just water. "Cold liquid actually slows down the entire digestive system by constricting blood flow to the stomach and intestines and slowing enzyme secretion, which in turns can cause lymphatic stagnation and a slower metabolism," says Surya Spa founder Martha Soffer. "Room temperature and warm water, however, have the opposite effect, helping increase circulation to your digestive system, and stimulating your 'agni', or digestive fire."
While a strong "agni" is generally linked to good overall health, a weakened "agni" or digestive upset can interfere with our ability to process food properly, and cause the accumulation of toxins called "ama" in Ayurveda, which can eventually lead to disease, says internist and integrative medicine doctor Charles Elder, MD, MPH. Dr. Elder, who has researched Ayurveda, compares drinking ice-cold water with a meal to dumping ice on an active bonfire: It's generally counterproductive, and requires more energy expenditure on the part of digestive fire to stay lit (that is, working well).
"If you drink water that's about the same temperature as your body, you're not disrupting the body's optimal state or interfering with food absorption." —Mira Manek, Ayurveda expert
Ayurvedic principles that guide optimal drinking water temperature also have roots in maintaining homeostasis in the gut. "Warm water is easier to digest because it's closer to the temperature of your internal organs," says Ayurvedic expert Sahara Rose, author of Eat Feel Fresh: A Contemporary Plant-Based Ayurvedic Cookbook. It's the same reason why Ayurveda expert Mira Manek suggests drinking water that's around 98°F, and not much colder or hotter: "If you drink a liquid that's about the same temperature as your body, you're not disrupting the body's optimal state or interfering with food absorption."
As for the medical research about whether cold or hot water helps (or hurts) digestion, there is some evidence that warm water can help promote gut motility (aka passing things efficiently through the gut) based on a small study tracking the bowel movements of 60 patients who had recently undergone abdominal surgery. And another study comparing the GI effects of food intake at varying temperatures in 50 patients with functional dyspepsia (a condition causing slower-than-usual movement of food from the stomach to the small intestine) found a similar speed-up benefit of consuming warm versus cold items: Hot meals "significantly accelerated gastric emptying." This isn't conclusive proof that hot water would also help digestion in people without any preexisting conditions, but it does provide some baseline evidence to support the Ayurvedic practice of shunning cold water.
When it comes to basic hydration, however, there's likely not much added benefit to drinking hot versus cold water. In fact, according to Go Ask Alice, a resource from Columbia University, cold water actually leaves the stomach faster, allowing for faster rehydration. And the American College of Sports Medicine recommends that water ingested before, during, and after exercise or athletic competition be cooler than room temperature (i.e., less than 72°F), a position that is backed by research.
Torn? You might try drinking room-temperature water with and around meals and cooler water after exercise to see how you feel. But really, it might not matter all that much one way or the other, says sports dietitian Marie Spano, MS, RD. "What's most important is to drink whatever temperature of water will encourage you to drink the most of it."
Originally published September 20, 2018; with reporting from Erica Sloan.
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