Angelos Vlahoyiannis

Angelos is a Sports Dietitian. He graduated with honors in both his undergraduate and postgraduate studies. His research is focused on nutrition, exercise and sleep.

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June 19, 2021

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Lemon and Water

A nyone who has a relative amount of self-respect and spent their free time looking for famous diets - which usually fail - has definitely stumbled upon an article that deifies drinking lemon water.
Whether it's articles written by TV personalities or people that invent these famous diets, they have one thing in common. They fail. Let me start by saying that lemons are quite nutritious, like all fruits. However, sometimes, when it comes to diet, I notice that we like to overdo it, promoting our scientific knowledge, even if it does not exist.
So let's take a look at the claims for water with lemon, and if they really help.

Claim No1. "Water with lemon will help you lose weight."

 

If you want to know more about this, read our article or watch our video about detox diets. Here I will give you just the ways that lemon water can make you lose weight.

 

  • Way no. 1: drink water with lemon and do not eat anything.
  • Way no. 2: drink water with lemon and diet at the same time.

 

Of course, if you do not eat anything, or if you are on a diet, you will lose weight anyway, so you do not even need to drink water with lemon. So myth or fact? Clearly a myth.

 

Claim No2. "Lemon water detoxifies the body."

 

If you did not see the video for the detox diets that I mentioned before click here to read at least the article. Yes, nutrients and other bioactive ingredients in food can help our liver enzymes which in turn help us in detoxification.

 

Such substance is limonin, which yes, you guessed it, is present in lemons (1). However, the appropriate doses that help the human body to detoxify remain unclear, as well as the potential health effects. So myth or fact? I will say myth, because we do not know if this concentration in water helps in detoxification and if it helps to what extent.

 

Claim No3. "Water with lemon helps digestion."

 

Stomach acids responsible for in digestion and the truth is that lemon juice seems to increase their secretion (2). However, its effect on digestion is not clear.

 

Another perspective is that citric acid improves digestion by "supplementing", the acids already present in the stomach.

However, in addition to conditions such as hypochlorhydria, the stomach can produce as much gastric acid as it needs (3). Again, I have to mention that acidic foods can reduce the rate of gastric emptying, which can lead not only to better digestion on its own, but especially to better absorption of some micronutrients (4). However, I did not find any clinical trial regarding the effect of lemon juice on nutrient absorption.

 

Claim No4. "It rejuvenates you".

 

Yes. Lemon water is refreshing. But does it rejuvenate you? A common claim is that citric acid in lemon contains a large number of negative ions and this number balances the positive ions.

The number of positive ions is categorized by people who trade devices that produce negative ions, which promise to cure diseases, fatigue, or even bad mood.

 

However, in clinical trials the only effect that was found was a negative association with depression, but the quality of the research and the reliability for bias were two main factors that left me very suspicious (5).

 

An additional way that water with lemon could improve mood is in case someone suffers from vitamin C deficiency. Scurvy, can cause emotional disorders, and we have some data that vitamin C can improve mood in individuals with low levels of vitamin C (6).

 

However, be assured that lemon water contains less vitamin C than most fruits you eat.

 

Claim No5. "Lemon water protects against acidic diets."

 

The main idea came from the fact that a typical American diet, for example, can make the blood so acidic that it promotes the development of various diseases.

 

Having high or low blood pH can actually be harmful and even deadly. However, if you exclude some serious diseases, such as liver failure, cancer, or severe poisoning, your blood pH is very narrowly regulated and within the healthy range of your body's existing factory system (7).

 

Claim No6. "It does nothing wrong anyway, so consume it."

 

If you exclude the possibility of drinking too much and the concentration of lemon juice to the water is so high that it damages your tooth enamel, you will probably get harmed.

Take home point:
  • Like any fruit, lemon has its own phytochemical profile.
  • It stands out for its acidity, high citric acid content, and that is not the point.
  • Due to our already low tolerance to lemon, we certainly do not rely essentially on meeting our nutritional needs from lemon consumption.
  • Lemon water is definitely not a panacea for any disease.

References

    1. Reicks, M. M., & Crankshaw, D. (1993). Effects of D-limonene on hepatic microsomal monooxygenase activity and paracetamol-induced glutathione depletion in mouse. Xenobiotica23(7), 809-817.
    2. Cherng, S. C., Chen, Y. H., Lee, M. S., Yang, S. P., Huang, W. S., & Cheng, C. Y. (2006). Acceleration of hepatobiliary excretion by lemon juice on 99mTc-tetrofosmin cardiac SPECT. Nuclear medicine communications27(11), 859-864.
    3. Kassarjian, Z., & Russell, R. M. (1989). Hypochlorhydria: a factor in nutrition. Annual review of nutrition9(1), 271-285.
    4. Hunt, J. N., & Knox, M. T. (1972). The slowing of gastric emptying by four strong acids and three weak acids. The Journal of physiology222(1), 187-208.
    5. Perez, V., Alexander, D. D., & Bailey, W. H. (2013). Air ions and mood outcomes: a review and meta-analysis. BMC psychiatry13(1), 1-20.
    6. Gariballa, S. (2014). Poor vitamin C status is associated with increased depression symptoms following acute illness in older people. Int. J. Vitam. Nutr. Res84(1-2), 12-17.
    7. Hamm, L. L., Nakhoul, N., & Hering-Smith, K. S. (2015). Acid-base homeostasis. Clinical Journal of the American Society of Nephrology10(12), 2232-2242.
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Angelos Vlahoyiannis

Angelos is a Sports Dietitian - Nutritionist. He graduated on his undergraduate and postgraduate studies with honors, and he is currently Doctoral Candidate at the University of Nicosia. Awarded by the Greek Society for Biochemistry and Physiology of Exercise in the 2018 National Conference, Angelos continues to research Nutrition deeply.

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