Marysville Appeal-Democrat

Think before you drink

- By W. Gifford-jones M.D. and Diana Gifford-jones

The festive season is a time for social gatherings and alcohol often aides the merrymakin­g. Yet recent headlines advise to avoid alcohol at any time of year. The claim is that there is no safe level of alcohol consumptio­n. But the truth about alcohol is more nuanced, and recommenda­tions for abstinence can be misleading.

The recent research concluded that even moderate alcohol consumptio­n – about one drink a day – is dangerous for your health. But the study took a narrow look. Many studies of alcohol use neglect to consider the healthy benefits of socializin­g. But when people are socially connected, they make healthier choices, have better physical and mental health, and cope better with everyday pressures, meaning less anxiety and depression.

Was it going to far to advocate for a pub in every hospital? Imagine being confined within four white walls and worried about your health. A caring hospital pub and the doctor’s blessing could ease the mind and blood pressure too.

There’s some judgement needed. Like most things, the pros and cons of alcohol are not defined in two neat categories of good and evil. There are many factors to consider, not least of which is the state of one’s mental health.

The highly respected Mayo Clinic acknowledg­es the health benefits of moderate alcohol consumptio­n.

The list includes lower risk of diabetes and of developing and dying of heart disease. The risk of ischemic stroke, caused when the arteries to the brain become blocked restrictin­g blood flow, is also lessened.

Harvard University’s

T.H. Chan School of Public Health presents an excellent synopsis of the science on moderate drinking in a section of its website called

The Nutrition Source. “Moderate drinking seems to be good for the heart and circulator­y system, and probably protects against type 2 diabetes and gallstones,” it says.

“The active ingredient in alcoholic beverages, a simple molecule called ethanol, affects the body in many different ways. It directly influences the stomach, brain, heart, gallbladde­r, and liver. It affects levels of lipids (cholestero­l and triglyceri­des) and insulin in the blood, as well as inflammati­on and coagulatio­n. It also alters mood, concentrat­ion, and coordinati­on.”

Let there be no doubt, when alcohol consumptio­n moves past moderation, there is little good to come of it. The Nutrition Source makes this clear with a few poignant statistics. Alcohol plays a role in one in three cases of violent crime. Alcohol abuse costs about $249 billion a year. And the staggering human cost of accidents involving alcohol, especially car crashes, is impossible to measure. This societal problem should have been fixed long ago by breathalys­ers attached to every ignition switch.

The Nutrition Source weighs the research on alcohol and cardiovasc­ular disease, noting it makes common sense that there would be benefits. “Moderate amounts of alcohol raise levels of high-density lipoprotei­n (HDL, or “good” cholestero­l), and higher HDL levels are associated with greater protection against heart disease.” This and other effects “tend to prevent the formation of small blood clots that can block arteries in the heart, neck, and brain, the ultimate cause of many heart attacks and the most common kind of stroke.”

It’s all summed up in Harvard’s bottom line. “Given the complexity of alcohol’s effects on the body and the complexity of the people who drink it, blanket recommenda­tions about alcohol are out of the question.”

Many things in life involve nuances. So be informed, prudent, and open-minded. Companions­hip and the pleasure of a drink before or with dinner may be just the ticket to a long and happy life.

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