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Water balance and the effect of osmosis on cells

Homeostasis and response · Hormonal coordination in humans · note 4 of 11

Spec 4.5.3.3
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Water balance and the effect of osmosis on cellsSpec 4.5.3.3

In short

Water balance means controlling how much water the body loses. Water leaves via the lungs when we breathe out, and water, ions and urea are lost in sweat, but only the kidneys can adjust the amounts lost, removing excess water, ions and urea in urine. Cells that gain or lose too much water by osmosis do not function efficiently.

The body loses water in several ways.

  • Water leaves the body via the lungs during exhalation.
  • Water, ions and urea are lost from the skin in sweat.
  • Excess water, ions and urea are removed via the kidneys in the urine.

There is no control over water, ion or urea loss by the lungs or skin. Only the kidneys can adjust the amounts lost, which is why they are central to controlling the water level.

Effect of osmotic changes on cells

Water moves into and out of cells by osmosis. If body cells lose or gain too much water by osmosis they do not function efficiently. If the fluid around the cells is too dilute, water moves into the cells; if it is too concentrated, water moves out of the cells.

Exam tip:

Name osmosis and say which way the water moves, for example: ‘water moves out of the cells by osmosis, so they shrink and cannot work properly’.

Written and checked against the AQA GCSE Biology (8461) specification · Updated October 2026

Frequently asked questions

What does insulin do to blood sugar?

Insulin lowers blood sugar (blood glucose concentration). The pancreas produces insulin when blood glucose is too high, for example after a meal. Insulin causes glucose to move from the blood into the cells, and in liver and muscle cells excess glucose is converted to glycogen for storage. Blood glucose then falls back to the normal level.

What is the difference between insulin and glucagon?

Higher tier Insulin lowers blood glucose and glucagon raises it. Both are made by the pancreas. Insulin is released when blood glucose is too high and makes glucose move from the blood into cells. Glucagon is released when it is too low and causes glycogen to be converted into glucose and released into the blood. They work in a negative feedback cycle.

Why are hormones called chemical messengers?

Hormones are called chemical messengers because they are chemicals secreted by glands directly into the bloodstream, which carries them to a target organ where they produce an effect. Compared with nerve impulses, hormones act more slowly but their effects last longer. They reach every part of the body but only affect their target organ.

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