Coconut water is tested head-to-head against plain water and sports drinks in athletes.

As you may know, I’ve previously reviewed the evidence on coconut oil and coconut milk that suggests neither is good for you, but what about coconut water? When I first learned about athletes using coconut water as a type of natural Gatorade, I did a medical literature search for athletes and coconut but only came up with a study of “canine athletes.” It turns out that feeding coconut oil to drug- or bomb-sniffing dogs can sometimes wipe out their ability to smell at all (!), but what about coconut water and human athletes? That’s the topic of my video Coconut Water for Athletic Performance vs. Sports Drinks.

Studies on coconut water as an electrolyte replacement beverage date back decades, when coconut water was compared to other beverages and found to be “more suitable to be used as an oral rehydration.” However, the beverages it was compared to were Pepsi, Coke, Sprite, and 7UP. You don’t really know how rehydrating coconut water is…until you put it to the test. Coconut water was found to help in cases of mild dehydration due to childhood diarrhea, “despite not having a balanced electrolyte composition,” meaning its sodium-to-potassium ratio was off. 

Coconut water contains so much potassium that people with kidney disease who drink two quarts of it but don’t have normal kidney function that would otherwise flush away the excess can run into “life-threatening hyperkalemia,” too much potassium in the blood. People may not realize how much potassium coconut water has, so even if your doctor advised you to stay away from high potassium foods, you may drink coconut water, not realizing its high potassium content, and run into problems. Even one quart of coconut water a day may be too much for someone whose kidneys have been compromised by diabetes, for example. It’s the same with cream of tartar: People don’t realize it is roughly 20 percent pure potassium. So, if they listen to websites claiming it’s a “‘natural’ remedy for a variety of conditions,” even young people with healthy kidneys can run into problems if they take spoonful of it. Cream of tartar overdose deaths date back to the 1800s.

What about rehydration after exercise with fresh young coconut water? Yes, it can help replace fluid loss from diarrhea, but what about fluid loss from strenuous exercise? Subjects exercised for 90 minutes in 90-degree Fahrenheit temperatures until they lost up to 3 percent of their body weight. The researchers then had them drink coconut water, a sports beverage, or plain water and found no significant difference in rehydration for any of them, as you can see at 2:35 in my video. Subsequent study findings were more mixed. One showed a sports drink beat out water for hydration, but coconut water didn’t, while another study found that both the sports drink and coconut water beat out water, but not each other.

Athletes care about rehydration because they care about performance, but what had been missing was a study not just on measures of hydration, but on physical performance, too. Researchers finally did just that, comparing water, coconut water, coconut water from concentrate, and a standard sports drink. They put people on a treadmill and timed how long they could go before they collapsed, and discovered no significant difference between any of the drinks. Plain water did just as well as coconut water. In fact, plain water did even better because those drinking the coconut water “reported feeling more bloated and experienced greater stomach upset.” This was all done at room temperature, at about 70 degrees. What happens about when it’s even warmer, more than 90 degrees Fahrenheit? In that scenario, the coconut water did seem to beat out plain water, “result[ing] in a longer time to exhaustion.” But, time to exhaustion isn’t the same as performance. Although “treadmill time to exhaustion is routinely used in laboratory studies, the use of a time trial test as the measure of exercise performance may be more appropriate.” There had never been a head-to-head water versus coconut water time trial…until now.

Cyclists completed a 10-kilometer ride in 971 seconds after drinking coconut water. On plain water, however, they were about five seconds faster. In other words, there was no significant difference between the two drinks. This was the first study to examine the use of coconut water during exercise and showed that coconut water “may likely be no more beneficial than plain water.” How would the coconut water industry spin this? It was the one funding the very study that found no difference between plain water, coconut water, and sports drinks. So, did the authors conclude VitaCoco is no better than water? No. Instead, they said coconut water is just as good as “a typical sports drink”! “For most athletes and coaches, this finding is likely of most importance.” Of course, the authors failed to note that plain water didn’t only do as well as coconut water, but it actually did better because there was twice as much stomach upset in the coconut water groups. 

If all the beverages did equally well, this isn’t only a refutation of any special properties of coconut water, but sports drinks, too. If they do no better than water, are sports drinks just a waste of money? I discuss that in Are Sports Drinks Safe and Effective?.

KEY TAKEAWAYS

Coconut water was found to be a more suitable rehydration beverage than Pepsi, Coke, Sprite, and 7UP, and, despite its unbalanced sodium-to-potassium ratio, helpful in cases of mild dehydration caused by childhood diarrhea.
People advised to avoid high potassium food and drink, such as those with diseased or compromised kidneys, should avoid coconut water (and cream of tartar).
When coconut water, a sports drink, and plain water were tested in subjects who exercised for an hour and a half at a temperature of 90 degrees Fahrenheit until they lost up to 3 percent of their bodyweight, the researchers found no significant difference rehydration.
Subsequent studies had mixed results.
Comparing water, coconut water, coconut water from concentrate, and a standard sports drink, at room temperature (70 degrees Fahrenheit), plain water did better than coconut water, which caused feelings of bloat and greater stomach upset, but coconut water beat out plain water at temperatures exceeding 90 degrees Fahrenheit, resulting in longer time to exhaustion.
A time trial test pitting coconut water against plain water resulted in no significant difference between the two beverages, showing that coconut water “may likely be no more beneficial than plain water.”

I alluded to these videos about coconut oil: Coconut Oil and the Boost in HDL “Good” Cholesterol and What About Coconuts, Coconut Milk, and Coconut Oil MCTs?.

My other videos on coconut oil include:

Does Coconut Oil Cure Alzheimer’s?
Does Coconut Oil Clog Arteries?
Flashback Friday: Coconut Oil and Abdominal Fat
Is Coconut Oil Good For You?

What if you just put it on your skin? See Eczema Treatment with Coconut Oil, Mineral Oil, vs. Vaseline.

Flashback Friday: How Much Should You Exercise? Great question! Watch the video and find out.

How Many Glasses of Water Should We Drink a Day? Got a video on that, too.

In health,

Michael Greger, M.D.

PS: If you haven’t yet, you can subscribe to my free videos here and watch my live presentations:

2019: Evidence-Based Weight Loss
2016: How Not To Die: The Role of Diet in Preventing, Arresting, and Reversing Our Top 15 Killers
2015: Food as Medicine: Preventing and Treating the Most Dreaded Diseases with Diet
2014: From Table to Able: Combating Disabling Diseases with Food
2013: More Than an Apple a Day
2012: Uprooting the Leading Causes of Death