What is the daily recommended intake of water in ounces (oz)?

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Last updated: May 25, 2025View editorial policy

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From the Guidelines

The recommended daily water intake is at least 8 cups (64 ounces) of liquid, with some studies suggesting that even more may be beneficial, as stated in the American Cancer Society guidelines 1.

Factors Affecting Water Intake

The amount of water an individual needs can vary depending on several factors, including:

  • Weight: roughly half an ounce to an ounce of water per pound of body weight
  • Activity level: adding 16-20 ounces for every hour of exercise
  • Climate: hotter environments require more
  • Health status: pregnancy, breastfeeding, illness, and certain medications increase needs

Recent Guidelines

According to the most recent guideline from 2022, the European Food Safety Authority (EFSA) recommends an Adequate Intake (AI) of 2.0 L/day for women and 2.5 L/day for men of all ages, with 80% of these fluid needs coming from drinks 1.

Practical Approach

A practical approach to determining individual water needs is to drink enough so that urine is pale yellow, indicating proper hydration. It is essential to note that individual fluid needs are related to energy consumption, water losses, and kidney function, and may need to be adjusted accordingly 1.

From the Research

Daily Water Intake

  • The daily water intake is not explicitly mentioned in the provided studies 2, 3, 4, 5, 6.
  • These studies focus on the management of heart failure and chronic kidney disease, discussing topics such as fluid overload, congestion, and the use of diuretics and other therapies.
  • There is no direct information on the recommended daily water intake in ounces.

Related Information

  • The studies emphasize the importance of managing fluid balance in patients with heart failure and chronic kidney disease 4, 5, 6.
  • They discuss the challenges of assessing fluid status and the need for a multimodal approach to volume management in CKD 4.
  • However, they do not provide specific guidance on daily water intake for the general population or for patients with these conditions.

Lack of Direct Evidence

  • There are no research papers among the provided evidence that directly address the question of daily water intake in ounces 2, 3, 4, 5, 6.
  • The studies focus on the clinical management of heart failure and chronic kidney disease, rather than providing general health recommendations.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Kidney Dysfunction in Heart Failure: Core Curriculum 2025.

American journal of kidney diseases : the official journal of the National Kidney Foundation, 2025

Research

Renal function, electrolytes, and congestion monitoring in heart failure.

European heart journal supplements : journal of the European Society of Cardiology, 2019

Research

Management of Heart Failure Patient with CKD.

Clinical journal of the American Society of Nephrology : CJASN, 2021

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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