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Low-Mineral Water and Children’s Health: Insights from Scientific Research

A scientific review published in Frontiers in Nutrition (2023) has raised important questions about the long-term health effects of consuming very low-mineral or demineralized water — particularly among children. The paper highlights growing evidence that drinking water lacking essential minerals such as calcium and magnesium may negatively influence cardiovascular development and metabolic health during early life.

The Role of Minerals in Water and Health

While the importance of hydration is widely recognized, the study emphasizes that the composition of the water we drink matters just as much. Natural mineral waters, rich in calcium, magnesium, contribute more than simple hydration — they play a key role in supporting cellular and metabolic functions. In contrast, water with extremely low mineral content, such as distilled or reverse-osmosis-treated water without remineralization, may disturb electrolyte balance and limit essential mineral intake.

The review notes that children are particularly vulnerable to these effects due to their rapid growth and higher nutritional demands. Calcium and magnesium are vital for bone development, nerve transmission, and heart rhythm regulation; therefore, insufficient intake from water sources may have long-term health implications.

Evidence Linking Low-Mineral Water to Cardiovascular and Metabolic Risks

Magnesium and calcium act as cofactors in numerous enzymatic reactions essential to cardiovascular and metabolic function. Magnesium, for example, plays a central role in maintaining vascular tone and preventing endothelial dysfunction — an early indicator of atherosclerosis. Calcium contributes to normal muscle contraction and signal transmission, both of which are crucial for healthy cardiac activity. A lack of these minerals in demineralized water may increase susceptibility to disorders related to electrolyte imbalance and impaired lipid metabolism.

 

The researchers examined multiple studies exploring how different mineral compositions in drinking water influence cardiovascular outcomes. Evidence suggests that low-mineral water may be associated with altered lipid metabolism — including higher total cholesterol and LDL (“bad” cholesterol) levels — in both children and adults. Conversely, water enriched with magnesium and calcium appears to have protective effects, helping to regulate blood pressure and support vascular health.

Some of the studies reviewed also found that children consuming very low-mineral water showed higher indicators of oxidative stress and metabolic strain compared with those drinking mineral-rich water. While these findings warrant further research, they underscore the potential importance of maintaining adequate mineral levels in everyday drinking water.

Children as a Sensitive Population

The review emphasizes that children represent a particularly sensitive population when it comes to water mineralization. Their bodies absorb minerals differently and depend on consistent intake to sustain proper growth and development. Even moderate reductions in dietary magnesium or calcium — when combined with mineral-free water — could contribute to early metabolic irregularities or cardiovascular stress. The authors therefore recommend that water intended for infant and child consumption should meet minimum mineral content standards to ensure nutritional adequacy.

Toward Healthier Hydration

Although further studies are needed to confirm these associations, the review highlights an important consideration for both public health authorities and water treatment providers: mineral composition should not be overlooked when evaluating drinking water quality. Ensuring that purified water is properly remineralized could represent a simple yet impactful measure to help safeguard cardiovascular health, particularly in growing children.

Reference: Frontiers | Consumption of very low-mineral water may threaten cardiovascular health by increasing homocysteine in children