Chapter 4: Water, Solutions and Chemical Reactions
4.6. Body Fluids and Fluid Compartments
Learning Objectives
By the end of this section, you will be able to:
- Explain the importance of water in the body
- Contrast the composition of the intracellular fluid with that of the extracellular fluid
- Explain the importance of protein channels in the movement of solutes
- Identify the causes and symptoms of edema
The chemical reactions of life take place in aqueous solutions. The dissolved substances in a solution are called solutes. In the human body, solutes vary in different parts of the body, but may include proteins—including those that transport lipids, carbohydrates, and, very importantly, electrolytes. Often in medicine, an electrolyte is referred to as a mineral dissociated from a salt that carries an electrical charge (an ion). For instance, sodium ions (Na+) and chloride ions (Cl–) are often referred to as electrolytes.
In the body, water moves through semi-permeable membranes of cells and from one compartment of the body to another by a process called osmosis. Osmosis is basically the diffusion of water from regions of higher concentration to regions of lower concentration, along an osmotic gradient across a semi-permeable membrane. As a result, water will move into and out of cells and tissues, depending on the relative concentrations of the water and solutes found there. An appropriate balance of solutes inside and outside of cells must be maintained to ensure normal function.
Body Water Content
Human beings are mostly water, ranging from about 75 percent of body mass in infants to about 50–60 percent in adult men and women, to as low as 45 percent in old age. The percent of body water changes with development, because the proportions of the body given over to each organ and to muscles, fat, bone, and other tissues change from infancy to adulthood (Figure 4.6..1). Your brain and kidneys have the highest proportions of water, which composes 80–85 percent of their masses. In contrast, teeth have the lowest proportion of water, at 8–10 percent.

Fluid Compartments

Body fluids can be discussed in terms of their specific fluid compartment, a location that is largely separate from another compartment by some form of a physical barrier. The intracellular fluid (ICF) compartment is the system that includes all fluid enclosed in cells by their plasma membranes. Extracellular fluid (ECF) surrounds all cells in the body. Extracellular fluid has two primary constituents: the fluid component of the blood (called plasma) and the interstitial fluid (IF) that surrounds all cells not in the blood (Figure 4.6.2).
Intracellular Fluid
The ICF lies within cells and is the principal component of the cytosol/cytoplasm. The ICF makes up about 60 percent of the total water in the human body, and in an average-size adult male, the ICF accounts for about 25 liters (seven gallons) of fluid (Figure 4.6.3). This fluid volume tends to be very stable, because the amount of water in living cells is closely regulated. If the amount of water inside a cell falls to a value that is too low, the cytosol becomes too concentrated with solutes to carry on normal cellular activities; if too much water enters a cell, the cell may burst and be destroyed.

Extracellular Fluid
The ECF accounts for the other one-third of the body’s water content. Approximately 20 percent of the ECF is found in plasma. Plasma travels through the body in blood vessels and transports a range of materials, including blood cells, proteins (including clotting factors and antibodies), electrolytes, nutrients, gases, and wastes. Gases, nutrients, and waste materials travel between capillaries and cells through the IF. Cells are separated from the IF by a selectively permeable cell membrane that helps regulate the passage of materials between the IF and the interior of the cell.
The body has other water-based ECF. These include the cerebrospinal fluid that bathes the brain and spinal cord, lymph, the synovial fluid in joints, the pleural fluid in the pleural cavities, the pericardial fluid in the cardiac sac, the peritoneal fluid in the peritoneal cavity, and the aqueous humor of the eye. Because these fluids are outside of cells, these fluids are also considered components of the ECF compartment.
Composition of Body Fluids
The compositions of the two components of the ECF—plasma and IF—are more similar to each other than either is to the ICF (Figure 4.6.4). Blood plasma has high concentrations of sodium, chloride, bicarbonate, and protein. The IF has high concentrations of sodium, chloride, and bicarbonate, but a relatively lower concentration of protein. In contrast, the ICF has elevated amounts of potassium, phosphate, magnesium, and protein. Overall, the ICF contains high concentrations of potassium and phosphate (HPO42−HPO42−), whereas both plasma and the ECF contain high concentrations of sodium and chloride.

Glossary
extracellular fluid (ECF): fluid exterior to cells; includes the interstitial fluid, blood plasma, and fluids found in other reservoirs in the body
fluid compartment: fluid inside all cells of the body constitutes a compartment system that is largely segregated from other systems
interstitial fluid (IF): fluid in the small spaces between cells not contained within blood vessels
intracellular fluid (ECF): fluid in the cytosol of cells
License and attributions:
- Anatomy and Physiology, Second edition, 2022, Betts, J.G. et al. License: CC BY 4.0. Located at https://openstax.org/books/anatomy-and-physiology-2e/pages/26-1-body-fluids-and-fluid-compartments