Health effects
Distillation removes all minerals from water, and the membrane methods of reverse osmosis and nanofiltration remove most to all minerals. This results in demineralized water which is not considered ideal drinking water. The World Health Organization investigated the health effects of demineralized water in 1980, and its experiments in humans found that demineralized water increased diuresis and the elimination of electrolytes, with decreased serum potassium concentration. Magnesium, calcium, fluoride, and other nutrients in water can help to protect against nutritional deficiency. Demineralized water may also increase the risk from toxic metals because it more readily absorbs them, and because the presence of calcium and magnesium in water can prevent absorption of lead and cadmium. Recommendations for magnesium have been put at a minimum of 10 mg/L with 20–30 mg/L optimum; for calcium a 20 mg/L minimum and a 40–80 mg/L optimum, and a total water hardness (adding magnesium and calcium) of 2–4 mmol/L. At water hardness above 5 mmol/L, higher incidence of gallstones, kidney stones, urinary stones, arthrosis, and arthropathies have been observed. For fluoride the concentration recommended for dental health is 0.5–1.0 mg/L, with a maximum guideline value of 1.5 mg/L to avoid dental fluorosis.[17]
Water filtration devices are becoming increasingly common in households. Most of these devices do not distill water, though there continues to be an increase in consumer-oriented water distillers and reverse osmosis machines being sold and used. Municipal water supplies often add or have trace impurities at levels which are regulated to be safe for consumption. Much of these additional impurities, such as volatile organic compounds, fluoride, and an estimated 75,000+ other chemical compounds[18][19][20] are not removed through conventional filtration; however, distillation and reverse osmosis eliminate nearly all of these impurities.
The drinking of purified water has been both advocated and discouraged for health reasons. Purified water lacks minerals and ions, such as calcium, which are normally found in potable (drinking) water, and which have important biological functions such as in nervous system homeostasis. Some percentage of our daily consumption of these minerals and ions come from our drinking water, but most of them come from the food we eat, making DI water perfectly fine to drink if one has food in his or her system. The lack of naturally-occurring minerals in distilled water has raised some concerns. The Journal of General Internal Medicine[21]published a study on the mineral contents of different waters available in the US. The study found that "drinking water sources available to North Americans may contain high levels of calcium, magnesium, and sodiumand may provide clinically important portions of the recommended dietary intake of these minerals". It encouraged individuals to "check the mineral content of their drinking water, whether tap or bottled, and choose water most appropriate for their needs". Since distilled water is devoid of minerals, supplemental mineral intake through diet is needed to maintain proper health.
The consumption of "hard" water (water with minerals) is associated with beneficial cardiovascular effects. As noted in the American Journal of Epidemiology, consumption of hard drinking water is negatively correlated with atherosclerotic heart disease.[22] Since distilled water is free of minerals, it will not have these potential benefits.