Alcohol use: If you drink, keep it moderate
Alcohol use is a slippery slope. Moderate drinking can offer some
health benefits. But it's easy to drink too heavily, leading to
serious health consequences.
It sounds like a mixed message: Drinking alcohol may offer some health
benefits, especially for your heart. On the other hand, alcohol may
increase your risk of health problems and damage your heart.
So which is it? When it comes to drinking alcohol, the key is doing
soonly in moderation. Certainly, you don't have to drink any alcohol,
and if you currently don't drink, don't start drinking for the
possible health benefits. In some cases, it's safest to avoid alcohol
entirely — the possible benefits don't outweigh the risks.
Here's a closer look at the connection between alcohol and your health.
Health benefits of moderate alcohol use
Moderate alcohol consumption may provide some health benefits. It may:
Reduce your risk of developing heart disease
Reduce your risk of dying of a heart attack
Possibly reduce your risk of strokes, particularly ischemic strokes
Lower your risk of gallstones
Possibly reduce your risk of diabetes
Even so, the evidence about the possible health benefits of alcohol
isn't certain, and alcohol may not benefit everyone who drinks.
Moderate alcohol use may be of most benefit only if you're an older
adult or if you have existing risk factors for heart disease, such as
high cholesterol. If you're a middle-aged or younger adult, some
evidence shows that even moderate alcohol use may cause more harm than
good. In fact, if you're a woman and drink alcohol, talk to your
doctor about taking supplemental folate to help reduce the risk of
breast cancer associated with alcohol use. You can take other steps to
benefit your cardiovascular health besides drinking — eating a healthy
diet and exercising, for example.
Guidelines for moderate alcohol use
The 2010 Dietary Guidelines for Americans recommend that if you choose
to drink alcohol you do so only in moderation — up to one drink a day
for women or two drinks a day for men.
Examples of one drink include:
Beer: 12 fluid ounces (355 milliliters)
Wine: 5 fluid ounces (148 milliliters)
Distilled spirits (80 proof): 1.5 fluid ounces (44 milliliters)
Alcohol use: If you drink, keep it moderate
When to avoid alcohol use
Keep in mind that moderate use of alcohol doesn't mean that using
alcohol is risk-free. For example, if you binge drink — such as having
four or five drinks in the space of a few hours — you face serious
health problems. Likewise if you drink and drive.
Here are other situations in which the risks of alcohol use may
outweigh possible health benefits:
You're pregnant or trying to become pregnant
You take medications that can interact with alcohol
You've had a previous hemorrhagic stroke
You've been diagnosed with alcoholism or alcohol abuse
You have liver or pancreatic disease
You have heart failure or you've been told you have a weak heart or
dilated cardiomyopathy
You're planning to drive a vehicle or operate machinery
Some situations are less clear-cut. Use alcohol only with great care
and after consulting your doctor if:
You have a family history of alcoholism
You take prescription medications for a health problem
You use over-the-counter pain relievers or fever reducers
You have a family history of breast cancer
You have precancerous changes in your esophagus, larynx, pharynx or mouth
Consequences of heavy alcohol use
Although moderate alcohol use may offer some health benefits, heavy
drinking — including binge drinking — has no health benefits.
Excessive drinking can cause potentially serious health problems,
including:
Certain cancers, including breast cancer and cancers of the mouth,
pharynx, larynx, esophagus and liver
Pancreatitis
Sudden death if you already have cardiovascular disease
Heart muscle damage (alcoholic cardiomyopathy) leading to heart failure
Stroke
High blood pressure
Cirrhosis of the liver
Suicide
Accidental serious injury or death
Fetal alcohol syndrome and other health problems in an unborn child
Drink alcohol only in moderation — or not at all
The latest dietary guidelines make it clear that no one should begin
drinking or drink more frequently on the basis of potential health
benefits. So don't feel pressured to drink alcohol. But if you do
drink alcohol and you're healthy, there's probably no need to stop as
long as you drink responsibly and in moderation.
--
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