May 15

Heavy Drinkers and Risky Behaviour

Heavy Drinkers Engage in Array of Unhealthy Behaviors

New research suggests that heavy drinking is just one part of a constellation of unhealthy and unwise behaviors, HealthDay News.

Researchers who surveyed 7,884 hospital patients in Oregon and Washington found that risky drinkers — those who had an average of three or more alcoholic drinks daily

  • were more likely to have poor eating habits and
  • not wear seatbelts, and
  • were less likely to see their doctors regularly.
  • They also were less likely to think that they could change their own health behaviors.

"People should not only be concerned about heavy drinking, but also these other health-related practices," said study author Carla Green of the Kaiser Permanente Center for Health Research.

Moderate drinkers were more likely to report good health than either heavy drinkers or abstainers or light drinkers, the study also found.

The findings were published in the journal Addiction Research and Theory.

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May 09

Deadly Perils of the Booze Diet

Korean lady A woman in her 30s in Gwangju (Korea) recently died while on a so-called booze diet. She was under extreme pressure to lose weight, and after 10 days of only drinking alcohol for dinner while skipping breakfast and lunch, her system packed up.

Those on a liquor diet drink alcohol to lose weight, skipping breakfast and lunch and eating only side dishes with a drink for dinner. Some then throw up to ruin their appetite for the next morning. The method may appeal to those who want to lose weight fast, but it is perilous. "It’s such a dreadful way to lose weight," says Prof. Cho Kyung-hwan of the Department of Family Medicine at Korea University’s Anam Hospital. "It should never be recommended, and no one should listen when it is."

Two out of every 10 Koreans have less than the normal amount of the enzyme that breaks down alcohol, which is why their face reddens or they keel over after just one glass. If such people go on a booze diet, they can die. But even those who have enough enzymes are in danger as the booze diet badly hurts their stomach and esophagus.

Full story at; Deadly Perils of the Booze Diet

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May 07

Factors Affecting Survival During Alcohol Withdrawal

Hospital room scene uid 1344261 In a Spanish hospital, 7% of patients died during 539 episodes of withdrawal.

Most patients who are experiencing alcohol detoxification do not require acute care or specific treatments. For the few with symptoms that are severe enough to require hospitalization, mortality has decreased substantially since the introduction of benzodiazepines more than 40 years ago, but deaths still occur.

To determine risk factors for death, researchers in Spain reviewed medical records for 539 hospitalizations (436 patients) for alcohol withdrawal during 16 years at a single hospital. All patients received clomethiazole, a sedative with efficacy for alcohol withdrawal (not approved for use in the U.S.)

Alcohol withdrawal was the reason for hospitalization in 62% of cases; in the rest, withdrawal developed after admission for other causes. In the 539 cases, 71% of patients had or developed delirium tremens (DTs), 41% developed seizures, and 7% died.

In a multivariable analysis, the following factors were associated with death:

  • hepatic steatosis,
  • cirrhosis,
  • DTs at diagnosis of withdrawal,
  • comorbidities (e.g., hypertension, heart disease, bronchial pathology, diabetes, epilepsy), and
  • need for intensive care unit admission and intubation, particularly in the presence of pneumonia.

Laboratory test results were not significant predictors.

Comment: The report confirms that people with more-severe alcohol withdrawal and medical comorbidities are those most likely to die. Early recognition, prompt pharmacological management, and continued monitoring likely can lower risk.

— Richard Saitz, MD, MPH, FACP, FASAM. Published in Journal Watch General Medicine April 13, 2010. Citation: Monte R et al. Analysis of the factors determining survival of alcoholic withdrawal syndrome patients in a general hospital. Alcohol Alcohol 2010 Mar/Apr; 45:151.

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May 04

Peers Influence Older Adults Drinking Habits

Peer Influence, Other Social Factors Can Affect Drinking Among Older Adults

As with underage drinking, social factors can help predict excessive drinking among older adults, according to new research from Rudolf H. Moos of the Department of Veterans Affairs Health Care System in Palo Alto, Calif.

Moos and colleagues studied 719 men and women ages 55 to 65 over a 20-year period and found that those with more money, a more active social life, and friends who approved of drinking were more likely to engage in risky or excessive drinking.

"Older adults who engage in high-risk alcohol consumption tend to select friends who are more likely to drink and to approve of drinking," said Moos.

Charles J. Holahan, a professor in the department of psychology at the University of Texas at Austin said the findings "demonstrate that a spouse and friends can make a constructive difference in later life drinking. However, a spouse and friends can also unwittingly become caught up as facilitators in the process of later life drinking."

The study is available online in the journal Alcoholism: Clinical and Experimental Research.

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May 02

When Does Moderate Drinking Become A Problem? : NPR

When Does Moderate Drinking Become A Problem? : NPR.

How Much Alcohol Is Safe?

Ducote says he’s a big guy who tolerates more alcohol than most. When he goes out with friends or watches a football game, he’ll often have three to four drinks. But sometimes he does wonder if he’s consumed too much. At that point, he says, he’ll usually just take a break and not drink at all for a few days.

Experts describe Ducote’s drinking habits as being in “gray zone”: more than what’s considered safe, but less than what’s considered risky. Health experts consider two drinks per day as a safe amount of consumption for men, and one drink per day as safe for women.

Rethinking Drinking: Alcohol And Your Health

Psychologist Will Corbin defines risky drinking as binge drinking, more than five drinks for a man and more than four drinks for a woman over a two-hour period.

Corbin says some people can probably drink within the range of safe drinking and binge drinking without getting into too much trouble. But others may be at higher risk for alcohol abuse if they get up to two, three, even four drinks per day.

Full story and MP3 at NPR

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Apr 29

College Drinking Consequences

A crowd of college students at the 2007 Pittsb...

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A Snapshot of Annual High-Risk College Drinking Consequences

The consequences of excessive and underage drinking affect virtually all college campuses, college communities, and college students, whether they choose to drink or not.

Annual statistics:

  • Death:  1,825 college students between the ages of 18 and 24 die from alcohol-related unintentional injuries, including motor vehicle crashes
  • Injury:  599,000 students between the ages of 18 and 24 are unintentionally injured under the influence of alcohol
  • Assault:  696,000 students between the ages of 18 and 24 are assaulted by another student who has been drinking
  • Sexual Abuse:  97,000 students between the ages of 18 and 24 are victims of alcohol-related sexual assault or date rape
  • Unsafe Sex: 400,000 students between the ages of 18 and 24 had unprotected sex and more than 100,000 students between the ages of 18 and 24 report having been too intoxicated to know if they consented to having sex
  • Academic Problems: About 25 percent of college students report academic consequences of their drinking including missing class, falling behind, doing poorly on exams or papers, and receiving lower grades overall
  • Health Problems/Suicide Attempts: More than 150,000 students develop an alcohol-related health problem, and between 1.2 and 1.5 percent of students indicate that they tried to commit suicide within the past year due to drinking or drug use.
  • Drunk Driving: 3,360,000 students between the ages of 18 and 24 drive under the influence of alcohol
  • Vandalism: About 11 percent of college student drinkers report that they have damaged property while under the influence of alcohol
  • Property Damage: More than 25 percent of administrators from schools with relatively low drinking levels and over 50 percent from schools with high drinking levels say their campuses have a "moderate" or "major" problem with alcohol-related property damage
  • Police Involvement: About 5 percent of 4-year college students are involved with the police or campus security as a result of their drinking, and  110,000 students between the ages of 18 and 24 are arrested for an alcohol-related violation such as public drunkenness or driving under the influence.
  • Alcohol Abuse and Dependence: 31 percent of college students met criteria for a diagnosis of alcohol abuse and 6 percent for a diagnosis of alcohol dependence in the past 12 months, according to questionnaire-based self-reports about their drinking
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Apr 24

Alcohol Increases Breast Cancer Repeat Risk

Alcohol consumption increases risk of breast cancer recurrence

Moderate to heavy consumption of alcoholic beverages (at least three to four drinks per week) is associated with a 1.3 times increased risk of breast cancer recurrence. Women who are post-menopausal or overweight may be most susceptible to the effects of alcohol on recurrence. Drinking less than three drinks per week was not associated with an increased risk.

Based on these findings, Marilyn L. Kwan, Ph.D., staff scientist in the Division of Research at Kaiser Permanente, Oakland, Calif., suggested, "women previously diagnosed with breast cancer should consider limiting their consumption of alcohol to less than three drinks per week, especially women who are postmenopausal and overweight or obese."

Previous research has shown that consumption of alcohol is associated with an increased risk of breast cancer, but there are limited studies to date about alcohol’s role in patient prospects and survival among those already diagnosed with breast cancer. Kwan and colleagues examined the effects of alcohol on cancer recurrence and mortality in the Life After Cancer Epidemiology (LACE) Study.

Information on wine, beer and liquor consumption was documented via questionnaire. Each year, participants also filled out information on health outcomes, including recurrence of breast cancer, which was then verified by their medical records.

After eight years of follow-up, Kwan and colleagues found 349 breast cancer recurrences and 332 deaths. Among drinkers (50 percent of the study population), wine was the most popular choice of alcohol (90 percent), followed by liquor (43 percent) then beer (36 percent). Increased risk of cancer recurrence was most predominant among those who consumed two or more glasses of wine per day.

The increased risk of recurrence appeared to be greater among participants who were postmenopausal and overweight or obese, and was present regardless of type of alcohol. Alcohol consumption was not associated with overall mortality.

“These results can help women make a more informed decision about lifestyle choices after a diagnosis of breast cancer," said Kwan.

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Apr 18

Alcohol Damages Memory

This image shows a red wine glass.

Image via Wikipedia

ALCOHOL DAMAGES DAY-TO-DAY MEMORY FUNCTION

  • Researchers know that heavy alcohol use damages retrospective memory.
  • New research shows that heavy alcohol use also damages day-to-day memory, which
  • includes prospective memory (remembering to do things at some future point in time) and everyday memory (remembering to complete daily activities).
  • This damage occurred within drinking limits suggested by U.K. government guidelines.

Research has shown that heavy alcohol use clearly damages

  • retrospective memory, that is, the learning, retention and retrieval of previously presented materials. Less is known about the effects of alcohol on day-to-day memory function, specifically,
  • prospective memory (remembering to do things at some future point in time) and
  • everyday memory (remembering to complete daily activities).

A study in the June issue of Alcoholism: Clinical and Experimental Research uses Internet-based technology to find that heavy alcohol consumption has a negative impact on day-to-day memory.

  • “Prospective memory impairments include things like forgetting to send someone a birthday card on time, or forgetting what you’re going to say in the middle of a sentence,” said Jonathan Ling.
  • “Everyday memory failures include telling someone a story that you’ve told them before, or forgetting where things are normally kept.

Obviously we all forget things from time to time, however, heavy users of alcohol make noticeably more of these mistakes than either non- or low-users of alcohol.” Ling added that most of what is known about heavy drinkers’ retrospective memory function is based on laboratory research, and even less is known about alcohol’s effects on normal memory-related tasks that people perform from day-to-day.

For this study, researchers collected data from 763 participants (465 female, 298 males) using a specially created Web site. Memory was assessed using two self-report questionnaires: Respondents also self-reported their level of use of alcohol and other drugs.

The results indicate an amount-dependent effect of alcohol use on day-to-day memory function. “We found that heavy users of alcohol reported making consistently more errors than those who said that they consumed little or no alcohol,” said Ling.

  • “A typical heavy user of alcohol reported over 30% more memory-related problems than someone who reportedly did not drink, and
  • almost 25% more problems than those who stated they drank only small amounts of alcohol.

More specifically, those participants who reported higher levels of alcohol consumption were more likely to miss appointments, forget birthdays and not pay bills on time. Deficits in everyday memory included problems with remembering whether they had done something like locking the door or switching off the lights, or forgetting where they put items like house keys.”

Colin Martin, said “This study is important because it extends our knowledge of alcohol-related memory impairment to everyday situations that most people can identify with, in contrast to laboratory-based memory tasks.”

“We also found a significant increase in reported memory problems by people who claimed to drink between 10 and 25 units each week in comparison to non-drinkers,” added Ling. One unit of alcohol is the equivalent of 10 ml of ethanol; roughly half a pint of beer or one small glass of wine. Current U.K. guidelines for maximum safe units per week are 21 units for women and 28 units for men. “This is an important finding, as it indicates that even if people are using alcohol within the limits suggested by U.K. government guidelines, these individuals still report experiencing memory problems.”

Martin concurred. “Interested readers may wish to reflect on the relevance of government recommended safe drinking limits, since decreased memory performance was observed even within what is generally acknowledged as safe drinking levels,” he said. “Recommended levels may be safe for the liver, but we can’t be sure that they represent safe limits for optimum brain function.”

Article is based on the following published research: Ling, J., Heffernan, T.M., Buchanan, T., Rodgers, J., Scholey, A.B., Parrott, A.C. (June 2003). Effects of alcohol on subjective ratings of prospective and everyday memory deficits. Alcoholism: Clinical and Experimental Research, 27(6), 970-975.

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Apr 11

Alcohol Most Harmful Drug

alcohol

Image via Wikipedia

A group of British scientific experts has concluded that when combining its effects on the individual and on society, alcohol far outpaces other substances as the most harmful drug, the Associated Press reported Nov. 1.

The Independent Scientific Committee on Drugs, meeting via an interactive workshop, used multicriteria decision analysis to evaluate drugs’ effects on the body and their impacts on society, including effects on families and on costs in areas such as health care and corrections. Heroin, crack cocaine and methamphetamine were ranked in the analysis as the most lethal drugs to the individual, but alcohol, heroin and crack were judged most harmful to others.

The combined harm score for alcohol was the highest, at 72 out of a possible 100, followed by heroin (55) and crack (54).

The authors explained that the rankings, based on 16 criteria, do not correspond to how drugs are currently classified in the United Kingdom. For example, last year the British government increased penalties for possession of marijuana, a drug that ranked far below alcohol and other illegal drugs in the experts’ assessment of overall harm.

“What governments decide is illegal is not always based on science,” said Wim van den Brink, professor of psychiatry and addiction at the University of Amsterdam.

Yet study co-author Leslie King, an adviser to the European Monitoring Centre for Drugs, urged against interpreting the results as a call for alcohol prohibition. “Alcohol is too embedded in our culture and it won’t go away,” King said.

The findings were published online Nov. 1 2010 in The Lancet.

From Join Together

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Apr 09

Responsible drinking

beerIt’s Your Health

Alcohol is a drug: a depressant that slows down your body’s central nervous system. Depending on how much you drink, alcohol can affect your concentration, speech, balance, vision, coordination, judgment and overall health.

The effects of alcohol depend on many factors:

  • your sex (male or female)
  • your body size
  • how much you usually drink
  • how quickly you drink
  • your mood
  • the amount you have eaten
  • your past experiences with drinking

Short-term effects of too much alcohol

If you have too much to drink you may experience many short-term effects, including:

  • drowsiness
  • dizziness
  • slurred speech
  • loss of coordination skills
  • inability to think and judge clearly
  • inability to estimate distances and decreased reaction times

Long-term Effects of Too Much Alcohol

You may be drinking too much on a long-term basis if you notice any of the following:

  • the need to drink more to feel the same ‘high’
  • a lot of money is being spent on alcohol
  • poor appetite, jumpiness, insomnia or sweating when not drinking
  • blackouts when drinking or not remembering drinking
  • bouts of confusion or memory loss

The health risks of too much alcohol

Long-term heavy drinking can cause many chronic health problems, including:

  • liver damage
  • heart disease
  • stomach ulcers
  • blood vessel disorders
  • impotency in men
  • menstrual irregularities in women
  • some types of cancer

Fetal Alcohol Spectrum

Recent studies have suggested that drinking even a moderate amount of alcohol when pregnant may damage the fetus, causing a range of health problems including Fetal Alcohol Spectrum Disorder. The bottom line is, the safest option during pregnancy, or when planning to become pregnant, is to not drink alcohol at all.

Of the estimated 3,000 deaths each year from motor vehicle crashes, approximately 40 per cent are attributed to alcohol. Heavy drinking can also lead to serious professional, family, financial and legal problems, any of which can affect your health.

Additional tips:

  • Limit the amount of alcohol you drink. Your risk of injury increases with each additional drink.
  • Eat something before drinking, or drink with meals. It is important not to drink on an empty stomach.
  • Try alternating alcoholic beverages with caffeine-free non-alcoholic drinks to limit the amount you drink in any three-hour period.
  • Drink only if you want to. Don’t feel pressured into accepting a drink.
  • Don’t drive. Take a taxi or public transportation, walk, or decide who will be the designated driver before the party starts.

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