Salt Water and 'Salt Stomping': What a Pinch of Salt in Your Water Actually Does

Drinks with more sodium can stay in the body longer than plain water, but no trial has tested the pinch-of-salt version, and most people already eat too much salt. Standing on salt before bed has no trials at all.

Key takeaways

From 15 sources
  • In a trial of 72 men, an oral rehydration solution and milk kept more of a litre of fluid in the body than still water; a sports drink did no better than water1.
  • Americans already average about 3,400 mg of sodium a day, above the daily limit of less than 2,300 mg cited by the FDA, which is about a teaspoon of table salt2; the American Heart Association's ideal limit for most adults is 1,500 mg11.
  • Across 34 trials, eating about 4.4 g less salt a day lowered systolic blood pressure by about 4 mm Hg4.
  • Low blood sodium in marathoners tracked with drinking too much: 13% of Boston finishers tested had it, and the type of fluid they drank was not a risk factor6.
  • Salt stomping, standing barefoot on a tray of salt, has no published trials; a 2017 review called claims that magnesium salts absorb through the skin scientifically unsupported8.

What this article covers

1 evidence profile

The evidence, graded

Pulled from the trial tables in our evidence profiles. Grades follow our evidence-grading policy.

Graded findings

2 rows
  1. Grade D6-hour cycling in the heat: water vs saline vs no fluidNo effect Water and saline gave no significant differences in heart rate, body temperature, plasma sodium or perceived exertion; plasma sodium fell during both. With no fluid, participants stopped about 1.5 hours early.Electrolytes and sodium (salt tablets and electrolyte drinks) · Crossover RCT · n=8 · 1991 · PMID 1921673
  2. No effectBlood sodium and finishing time in an IronmanNo effect Sodium tablets did not change post-race serum sodium, finishing time, weight change, rectal temperature or blood pressure compared with placebo or no supplement. Sodium was not needed to prevent hyponatremia in those who took none.Electrolytes and sodium (salt tablets and electrolyte drinks) · RCT · n=413 · 2006 · PMID 16505084

Does salt help water hydrate you?

The best test of hydrating better is how much of a drink the body keeps. In a 2016 UK trial, 72 healthy men drank 1 L of still water or other common drinks over 30 minutes, 13 drinks in all, and their urine was collected for 4 hours1. Urine output was lower than with water after an oral rehydration solution, full-fat milk and skim milk, so more of those drinks stayed in the body1. Cola, tea, coffee, lager, orange juice, sparkling water and a sports drink were no different from water1.

The trial was funded by a grant from the European Hydration Institute; its lead author chaired that institute's scientific advisory board, and a second author had received other hydration research funding from it1. A 2015 investigation by The Times reported that Coca-Cola spent millions setting up the institute and is a founding partner13, and the trial's cola, diet cola and sports drink were Coca-Cola products1. It also tested men who were already well hydrated and fasted, not people sweating heavily1.

What it does not show is that a pinch of salt in tap water performs like an oral rehydration solution, which is a specific medical formula. We found no trial of the social media version. In a small 1991 study, eight people cycled for 6 hours in the heat three times; replacing sweat losses with saline or with plain water made no significant difference to heart rate, body temperature or blood sodium, while drinking nothing ended the ride early10.

Most people already eat plenty of salt

The US Food and Drug Administration puts average American intake at about 3,400 mg of sodium a day, against a daily limit of less than 2,300 mg, about one teaspoon of table salt2. The American Heart Association recommends no more than 2,300 mg and an ideal limit of no more than 1,500 mg a day for most adults11. More than 70% of that sodium comes from packaged and prepared foods rather than the salt shaker2.

The National Academies set an Adequate Intake of 1,500 mg a day for adults and advise reducing intake above 2,300 mg a day, and they note that most US and Canadian groups already eat more than both3.

In a meta-analysis of 34 trials with 3,230 people, cutting salt by about 4.4 g a day for at least four weeks lowered blood pressure by about 4.2/2.1 mm Hg, with larger falls in people with high blood pressure (5.4/2.8 mm Hg) than in people without it (2.4/1.0 mm Hg)4.

In a trial of 20,995 adults in rural China who had either a past stroke or were aged 60 or older with high blood pressure, swapping regular salt for a substitute that was 25% potassium chloride lowered the stroke rate (rate ratio 0.86) over about 4.7 years5. A daily salt drink pushes in the opposite direction. See our article on potassium and blood pressure.

When extra salt makes sense

Sodium replacement matters when sweat losses are large and long, such as hours of endurance exercise or hard work in the heat. The American College of Sports Medicine advises customized fluid plans because sweat rates and sweat electrolyte content vary widely between people7.

Even then, the bigger danger for recreational marathoners has been drinking too much. At the 2002 Boston Marathon, 13% of 488 runners tested at the finish had low blood sodium and 0.6% had critically low levels6. Weight gain during the race and finishing times over 4 hours were the strongest risk factors, while the composition of the fluids runners drank was not associated with risk6.

In a randomized Ironman trial, salt tablets did not change blood sodium or finishing time; our salt tablets article covers that trial, and electrolyte drinks vs water covers everyday use.

Salt stomping: standing on salt

We found no published study of standing on salt for sleep, stress or inflammation. The ritual borrows from grounding and from Epsom salt baths. Any calm people feel is more plausibly explained by a quiet, screen-free bedtime routine than by the salt.

The magnesium idea does not hold up well either. Epsom salt is magnesium sulfate, and a 2017 review of transdermal magnesium, including sprays, flakes and salt baths, concluded that promoting magnesium absorption through the skin is scientifically unsupported, while oral magnesium is well documented8. The review authors declared no conflicts of interest, although two of the four list an institute at the same street address as Protina, a German maker of oral magnesium products, and one uses a protina.de email address814.

Coarse crystals can scrape skin, so people with foot wounds, diabetes-related nerve damage or poor circulation have good reason to skip it. For magnesium taken by mouth, see our guide to the best magnesium supplement.

Who should not add salt to their water

For some people, extra salt is a clear bad idea:

  • High blood pressure: the blood-pressure benefit of eating less salt was largest in people with hypertension4, and the American Heart Association's ideal limit for most adults is 1,500 mg of sodium a day11.
  • Heart failure: the body often retains fluid, care teams may limit fluids, and the American Heart Association advises limiting sodium12. A daily salt drink adds both sodium and fluid, so it belongs with the cardiology team, not a trend.
  • Kidney disease: NIDDK notes that excess sodium makes the body hold fluid, raising blood pressure and straining the kidneys and heart, and that many people with chronic kidney disease need a sodium limit below the general one, set by their clinician15.
  • Lithium: its prescribing information says lithium makes the kidneys lose sodium, asks patients to keep a normal salt and fluid intake, and says extra salt and fluid during heavy sweating should be given only under careful medical supervision9. Any deliberate change in salt intake belongs with the prescriber.
  • Anyone eating a typical diet: with average intake already above the daily limit, a daily salt drink mostly adds sodium you do not need2.

Bottom line

For most people at rest, plain water hydrates fine, and a pinch of salt adds to a sodium total that is already too high12. Salt has a real role during long, sweaty exercise, and salt stomping is a bedtime ritual with no trial evidence behind it.

Quick answers

Common questions

3 answers
Is pink Himalayan or Celtic salt healthier than table salt?

Specialty salts are still mostly sodium chloride, and their trace minerals come in very small amounts. Our iodine and specialty salt article covers what they do and do not contain.

Does salt water help you absorb water?

In the beverage hydration trial, oral rehydration solution and milk were retained better than water, but a sports drink was not1. No trial has tested a pinch of salt in water.

Does standing on Epsom salt help you sleep?

No trial has tested it, and a review found claims of magnesium absorption through the skin scientifically unsupported8.

Keep reading

Full evidence profiles

Every graded study, studied doses, interactions and safety

Related articles

4 articles

Browse the full Supplement & Nutrient Encyclopedia or all supplement articles.

References

15 sources. Numbers in the text link here.

Sources cited in this article

15 sources
  1. 1A randomized trial to assess the potential of different beverages to affect hydration status: development of a beverage hydration index.Am J Clin Nutr, 2016 · PMID 26702122
  2. 2Sodium in Your Diet: Use the Nutrition Facts Label and Reduce Your IntakeU.S. Food and Drug Administration, 2024
  3. 3Dietary Reference Intakes for Sodium and Potassium: Report HighlightsNational Academies of Sciences, Engineering, and Medicine, 2019
  4. 4Effect of longer term modest salt reduction on blood pressure: Cochrane systematic review and meta-analysis of randomised trials.BMJ, 2013 · PMID 23558162
  5. 5Effect of Salt Substitution on Cardiovascular Events and Death.N Engl J Med, 2021 · PMID 34459569
  6. 6Hyponatremia among runners in the Boston Marathon.N Engl J Med, 2005 · PMID 15829535
  7. 7American College of Sports Medicine position stand. Exercise and fluid replacement.Med Sci Sports Exerc, 2007 · PMID 17277604
  8. 8Myth or Reality-Transdermal Magnesium?Nutrients, 2017 · PMID 28788060
  9. 9Lithium carbonate tablets and capsules (Hikma Pharmaceuticals USA): prescribing information (5.3 Hyponatremia)U.S. National Library of Medicine, DailyMed, 2026
  10. 10Fluid replacement during prolonged exercise: effects of water, saline, or no fluid.Med Sci Sports Exerc, 1991 · PMID 1921673
  11. 11How Much Sodium Should I Eat Per Day?American Heart Association, 2025
  12. 12Lifestyle Changes for Heart FailureAmerican Heart Association, 2025
  13. 13Fizzy drinks giant pays millions to diet expertsThe Times, 2015
  14. 14Brand overview (company address, Adalperostrasse 37, Ismaning)Protina Pharmazeutische GmbH, 2026 · protina.com
  15. 15Healthy Eating for Adults with Chronic Kidney DiseaseNational Institute of Diabetes and Digestive and Kidney Diseases, 2025

Electrolytes and sodium (salt tablets and electrolyte drinks) and other dietary supplements are not intended to diagnose, treat, cure or prevent any disease, and these statements have not been evaluated by the FDA. Talk to your clinician or pharmacist before starting a supplement, especially if you take prescription medicines. This page has no product or affiliate links.

Educational only. Not medical advice. Some links earn us a commission: kymatahealth.com/affiliate-disclosure.