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Hydration in a heatwave: what it means for ageing

Hydration in a heatwave: what it means for ageing

To begin

Heatwaves take a toll on the body, but they do more than that. A study published in Nature Climate Change shows that repeated exposure to heat over two years increases biological age by 8 to 12 days. This effect is comparable to that of tobacco or alcohol on cells. Ageing accelerates measurably, particularly among the most exposed populations. In this context, hydration becomes an essential component of physical protection.

Heat stress wears down cells

Heat affects the body on several levels. It accelerates the degradation of telomeres —the DNA segments that protect the ends of chromosomes. The shorter they become, the more cells lose their ability to divide correctly. Heat also impairs the functioning of mitochondria, which produce cellular energy. This disruption increases the production of free radicals, thereby maintaining constant oxidative stress. Finally, heat alters DNA methylation, a process that regulates gene expression.

These combined effects promote cellular senescence, a state in which cells stop renewing themselves and release inflammatory signals into the body.

Hydration: a biological defence in its own right?

Water helps maintain a stable body temperature and supports all cellular functions.

In high heat, dehydration acts as a risk multiplier. It reduces blood volume, disrupts thermoregulation, and exacerbates oxidative stress. Without sufficient water and electrolyte intake, the body quickly enters a state of imbalance. This affects the heart, brain, kidneys, and overall metabolism. Hydration is not merely an accessory factor: it directly supports the body’s ability to withstand the wear and tear caused by heat.

Not all drinks have the same effect

Most drinks quench thirst in the moment, but their actual effect on hydration varies significantly. Some slow down dehydration and support temperature regulation. Others, conversely, disrupt hormonal mechanisms and increase fluid loss. The presence of sugar, alcohol, or caffeine profoundly alters a drink's effect on the body. During periods of intense heat, making the right choice is far from trivial: it can limit physiological strain and reduce the risk of complications.

Drinks to avoid in hot weather 🚫

Alcohol increases dehydration. It blocks the action of vasopressin, a hormone that limits water loss. The body eliminates more water than it absorbs. This happens quickly, even with a small amount. Alcohol also dilates blood vessels; while this may create a sensation of coolness, it actually promotes uncontrolled heat loss. In high heat, it heightens the risk of fainting, heart rhythm irregularities, and heatstroke.

High-sugar drinks, such as sodas, present another problem. Their sugar concentration draws water into the intestine, which reduces actual hydration. This mechanism, known as osmotic overload, strains the kidneys and leads to a false sense of quenched thirst. Their hydrating power is lower than that of water. When consumed cold, they also disrupt internal thermoregulation.

Drinks that support hydration and recovery ✅

Certain drinks boost the body's ability to handle heat. Milk, in particular, boasts an excellent hydration profile. Its composition of electrolytes, proteins, and lactose allows for slower and more complete absorption than water alone. It also helps replenish sodium and potassium lost through sweating.

Oral rehydration solutions, available in pharmacies, are designed to rapidly correct fluid deficits. They contain a precise blend of mineral salts and glucose, which facilitates the passage of water across the intestinal wall.

Cold herbal infusions, light salty broths, and sugar-free flavoured waters provide effective hydration with minimal side effects.

Made from fruit or plants, non-alcoholic cocktails can also help maintain good hydration, provided they remain low in sugar.

Comparison of drinks in hot weather

Not all drinks affect the body in the same way when exposed to heat. Here is a summary table to evaluate their suitability during a heatwave, taking into account their actual hydrating power and associated risks.

Scroll the table to read all columns.

DrinkHydrating powerRisk in hot weatherRecommended?
Water (still or low-mineral)HighLow✅ Essential
Milk (skimmed or whole)Very highVery low✅✅ Excellent
Electrolyte solutions (ORS)Very highLow (barring contraindications)✅✅ In case of heavy sweating
Cold infusions (unsweetened)HighLow✅ Yes
Low-sugar homemade mocktailMedium to highLow to moderate (depending on ingredients)✅ Consume in moderation
Pure fruit juice (undiluted)MediumModerate (sugar, acidity)⚠️ Dilute with water
Commercial sodasLowHigh (sugar, osmotic effect)❌ Avoid
Energy drinksVery lowVery high (caffeine, sugar, diuresis)❌❌ Strictly avoid
Drip coffee / espressoLow to moderateModerate (mild to medium diuretic effect)⚠️ In small quantities
Tea (cold-brewed, low-caffeine)Medium to highLow (if unsweetened and low-caffeine)✅ Good choice
Artisanal kombucha (low sugar)MediumLow to moderate (acids, residual sugar)✅ Occasional
Homemade water kefirMedium to highLow (fermented, minerals)✅ Natural hydrator
Electrolyte-enriched watersHighLow (good sodium/potassium balance)✅ Particularly useful
Beer, wine, spiritsVery lowVery high (alcohol = diuresis + vasodilation)❌❌ Strongly discouraged

Building an effective hydration routine for hot weather

During periods of intense heat, the goal is to limit fluid loss and prevent dehydration. Drinking water regularly remains essential, even if you do not feel thirsty. A glass every hour is often enough to maintain balance. Additionally, it is helpful to alternate with electrolyte-rich drinks, such as milk, diluted juice, or certain fortified waters.

The elderly, children, and exposed workers require special attention. In these groups, the sensation of thirst is often diminished, even though fluid needs remain high. It is also important to avoid very cold drinks, which can slow digestion and disrupt thermoregulation.

Creating a hydration routine does not require complex products, but rather choices suited to the situation: frequency, composition, temperature, and the absence of disruptive ingredients like alcohol or excessive sugar.

Several studies show that regular hydration, combined with adequate electrolyte intake, can mitigate the cellular effects of heat stress. While this won’t “rejuvenate” cells, it limits the acceleration of their degradation. Over the long term, these choices have a cumulative effect. Whether over the course of a single summer or several years, proper hydration can genuinely help slow down heat-induced biological ageing.

The impact of heat on biological ageing is now measured, documented, and recognised. It is not merely a matter of seasonal discomfort, but a phenomenon that gradually alters cellular function. In this context, hydration habits play a pivotal role. Choosing the right beverages, limiting alcohol, avoiding unnecessary sugars, and ensuring regular electrolyte intake helps reduce the heat's impact on the body. These are simple, accessible measures that protect the body on a daily basis.