06.02.2026

Cardiologists explain: the correct way to drink water after 60 to take care of the heart.

By Vitia

Drinking water is an essential health habit, but from the age of 60 the way you hydrate can make the difference between protecting your heart or putting it at risk. What the body once tolerated without problems can become a silent factor in heart, kidney and circulatory overload over time.

Over the years, the arteries lose elasticity, the heart works with less margin for error, and the kidneys filter more slowly. In this context, it is not only how much water you drink that matters, but how, when and what type of water you consume.

Below are the six most dangerous hydration mistakes after 60 and why you should avoid them.

1. Drinking ice water: the hidden thermal shock

Drinking very cold water, especially after walking, straining or being in the sun, causes a sudden impact on the body. The body works at a stable temperature, and when almost frozen water is introduced, an intense stimulus is generated on the vagus nerve, which regulates the heart rate.

This shock can lead to:

  • Abrupt drop in heart rate (bradycardia)
  • Coronary artery spasms
  • Chest pain, dizziness, or even fainting

In older people, this reflex can trigger angina, syncope, or arrhythmias.

Recommendation: drink water at room temperature or just cool. If it is cold, keep it in your mouth for a few seconds before swallowing.

2. Drinking large amounts at once: the renal flood

When you go several hours without hydrating and then drink a liter or two quickly, you put an excessive load on your kidneys and heart. After the age of 60, the kidneys can no longer process large volumes in a short time.

This causes:

  • Sudden increase in blood volume
  • Overload of the heart
  • Swelling of the legs and feet
  • Dilution of sodium in the blood (hyponatremia), which can cause confusion, dizziness, or fainting

Recommendation: hydrate constantly, in small sips every 15–20 minutes. No more than one large glass at a time.

3. Drinking water before bed: a nighttime risk

Drinking fluids just before bed favors the need to get up during the night to go to the bathroom. With age, the production of the hormone that reduces nighttime urination decreases, which increases this problem.

This can generate:

  • Interruption of deep sleep
  • Increased risk of dizziness when getting up
  • Nighttime falls and hip fractures

Recommendation: stop drinking liquids at least 2 hours before sleeping. If there is dry mouth, just moisten the mouth with a small sip.

4. Waiting until you’re thirsty: the biological trap

With aging, the brain mechanism that activates the feeling of thirst loses sensitivity. When you feel thirsty, dehydration is already set in.

The blood becomes thicker, which:

  • Raises blood pressure
  • Increases the effort of the heart
  • Promotes the formation of clots
  • Increases the risk of heart attack or stroke

Recommendation: drink out of habit and schedules, not thirst. Associate water with daily routines.

5. Drinking water without minerals: the “empty water” mistake

Over-filtering, reverse osmosis, or distilled water remove essential minerals. This type of water, far from nourishing, can draw minerals from the body itself, such as magnesium and potassium.

This directly affects the heart, which works thanks to the electrical balance of these minerals, favoring:

  • Palpitations
  • Arrhythmias
  • Nighttime cramps

Recommendation: choose waters of medium mineralization that provide calcium and magnesium. If you use heavily filtered water, remineralize it slightly.

6. Drinking plenty of water during meals: digestive dilution

Drinking large amounts of water while eating dilutes gastric juices, which hinders digestion, generates gas, and causes abdominal bloating.

In addition, a distended stomach can press on the diaphragm and affect the heart, triggering:

  • Palpitations after eating
  • Postprandial tachycardia
  • A feeling of tightness in the chest

Recommendation: drink water 30 minutes before meals. During the meal, chew well and limit water to small sips only if necessary.

Practical tips and recommendations

  • Drink water at room temperature
  • Prefers small, frequent sips
  • Set hydration schedules
  • Avoid drinking large amounts at once
  • Don’t drink water right before bedtime
  • Choose water with natural minerals
  • Separates hydration from meals
  • Listen to your body’s signals, not just thirst

After 60, staying well hydrated doesn’t mean drinking more, but drinking better. Small changes in the way you consume water can reduce the burden on your heart, improve digestion, protect your kidneys, and prevent avoidable accidents. Respecting these guidelines is not living in fear, but with intelligence and care for a body that still has a lot to offer.



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