Comments

1
Probably a function of body mass
2
The CDC is the same organization that recommends washing your hands after petting the family dog, which is no doubt religion that you could get behind, Charles.
3
That's a lot of alcohol.
4
This is science. It's just a completely standardized way of classifying alcohol consumption.

Is it a perfect fit for every person, in every situation? Absolutely not... just like all other very valid scientific measures out there (e.g., standardized measures of obesity) it's a benchmark that can serve as a control, not the be-all, end-all of discussion and interpretation.
5
I haven't had alcohol in thirty five years. I look a lot younger than my years. Wonder if there's a correlation?
6
What bar are you going to where you get 10 ounces of wine in your glass?!? I want to go there….

http://www.wine-searcher.com/m/2013/11/w…
7
Years ago the AMA said four drinks a week = alcoholism, so "Hi, my name is Leisha."
8
See also BMI. But, yes, if you drink every day you are a bit of a drinker.
9
It is interesting comparing various country's health service's takes on what constitutes an unhealthy level of alcohol consumption. I remember reading somewhere that the health service of Spain (or maybe Portugal) recommends no more than the equivalent of like 5 drinks a day or something like that, whereas in the states you are a full blown alcoholic if you have more than one. Definitely seems like the 'science' here is heavily tainted by the toxic puritanism that suffuses this society. From what I have seen there have been few conclusive studies that show that alcohol has any serious health effects for anyone other than bonafide drunks.
10
HI, LEISHA!

But seriously, how does this correlate with the whole "a glass of wine a day is GOOD for you!" thing?
11
14 Drinks a week is a moderate drinker (man) according to the CDC.

According to most studies, 2 drinks a day is the RECOMMENDED amount to achieve alcohol's health benefits.! The medical community is afraid to recommend drinking alcohol, however. You can probably chalk this up to USA's puritanical christian history.

Also, it is well know that patients under report the number of drinks they consume by roughly 50%, so the RECOMMENDED about is most likely closer to 3 or 4 drinks a day. This works for me.
12
Actually, moderate drinking is 2-4 for men and 0-1 for women, adjusted for BMI

4-5 times a week

Drink more than that? Not good
13
One assumes they have more data than merely number per week - such as, distribution over the week. "8 drinks a week" is nothing if the woman is having a beer or a glass of wine with her dinner every night, and another with lunch on Sunday. It might be quite a bit if they're having all eight on Saturday, every Saturday. Double those numbers for a man, as per the blockquote.

It's worth keeping in mind that a staggering proportion of alcohol sold is apparently sold to a relatively small number of people, who are functioning alcoholics. I rather think the people writing these studies have a more thorough knowledge of the data than the excerpted in the few lines above reflect.
14
I'd like to see the data they based this on.

Ha! Who am I kidding? They didn't base this on any fucking data of alcohol's health effects.
15
@5: Mortality studies show that male abstainers have the same life expectancy as men who have five drinks per day.

If health is your main concern, you should be drinking 2 or 3 glasses of red wine per day as that is the sweet spot. Your current unhealthy lifestyle puts you at risk for cardiac problems, stroke, and other potentially fatal conditions.

16
@9 the recommendations in the UK allow for higher daily consumption than the U.S. too, if I recall correctly.

The last time I went in for a checkup I asked what an acceptable level was and the doctor said 1-2 per day wouldn't be harmful. I didn't ask if she was factoring in my BMI or anything like that.

Moderation is never bad, but binge-drinking America seems to have a problem with that. I've experienced much better cultures for sure.
17
what @9 said. in Europe they'd laugh in your face at this definition.

says a "heavy drinker" who drinks 2/day, and has been know to drink a beer in the afternoon on the weekend, which would constitute a 3rd drink, bringing the total to 15.

shame! be ashamed!
18
There isn't a bar in Seattle that pours ten ounces of wine. That's almost half a bottle. The reason five ounces looks small in a modern giant-sized glass is because the glass is so huge. It's supposed to be that way; the giant bell of the glass gives your wine plenty of space to fill with wine stink (I think that's the technical term), and gives you room to get your schnozz in there and snuff it up.

The second set of glasses are overfilled. You fill a wine glass to the widest part of the bell.

This is the purpose of wine glasses. The stem is to keep your hand from warming it up.

If all you want is a glass of wine without the foofaraw, use a small water glass or a tumbler or a friggin' jam jar. Unless I'm drinking something that costs more than $15, my preference is a nice sturdy Duralex Picardie 10.5 ounce tumbler, a few bucks at Cost Plus, filled to the dimples so I don't spill it down my shirt (I spill it down my shirt anyways). They're almost unbreakable (I break them anyways).

But you're still not going to get a ten ounce pour.
19
Alcoholism relates more to your ability to control your drinking than to your daily consumption. If you are drinking in the morning, crave alcohol, require alcohol to function normally, feel withdrawal symptoms when not drinking, or find yourself unable to control binge drinking then you might want to consider the possibility.
20
This makes me want a drink...
21
@19, what if I don't do anything of those things, but I do have to have an entire bottle of Kahlua as an enema every day at work?
22
@15

"If health is your main concern, you should be drinking 2 or 3 glasses of red wine per day as that is the sweet spot."

The statistics on this combine people that were binge drinkers and then stopped drinking with life-long abstainers. Beyond that, there is significant research that has found that "moderate" drinking of red wine doesn't actually have any serious health benefit and it's not obvious from the competing research just what is happening to cause the red wine to be helpful.

It's just as likely that rich people that happen to drink red wine and have good health practices and access to healthcare that there is some actual health benefit to drinking it. We might see the same statistics from expensive beers in another 40 years.
23
@5 I haven't had alcohol in 32 years, and I look older than my years. Honestly. Is there a correlation?
24
@15 My health was never the issue for me, although I think I'd be an alcoholic if I hadn't stopped when I did. The issue for me was the thought that my money was going to support recreational drug use that was addictive. I stopped smoking the same day. That was a money for addiction as well. I'm all for recreational use of drugs, can't stop people from doing it anyway, but big corporations profiteering from what little money I had just irritated the fuck out of me.
25
According to Canada's "Centre for Addiction and Mental Health"
"Guideline 1

Reduce your long-term health risks by drinking no more than:

10 drinks a week for women, with no more than 2 drinks a day most days
15 drinks a week for men, with no more than 3 drinks a day most days"

Canada's alcoholic beverages aren't as watered down as Yankland's. Canadians also live longer on average. Why wouldn't the US adopt recommendations that countries with higher longevity rates make? Other than being American, of course.
26
@21 - Then you have a very entertaining workplace.
27
@25 who'da thunk it, Canada.. surprisingly reasonable.
28
Somewhere I recall hearing that the UK equivalent of the CDC actually admitted they were "correcting" their "scientific" recommendations based on the under-self-reporting referred to by @11.

Yes, it is not precise. All the doctors I know - and I mean all (including my wife) - would be full-blown alcoholics by the CDC guidelines.

This is questionable. The claim that really cracked me up was the average of 30 years of longevity lost (YPLL) - as presented in this paper which principally claims that alcohol is responsible for 1/10 deaths of working-age adults (a demographic perfectly selected for a follow-up paper about the cost to society). The secret to creating these very scary statistics is talking about "Alcohol Attributable Deaths" (AAD).

This is policy pushing epidemiological junk.
29

Don't bug me...I just discovered the BevMo at Southcenter.

And they have Carta Blanca...this weekend will be good!

30
" I just want you to know no matter what you do, you're gonna die, just like everybody else." Rose Castorini
31
It's probably not a good sign if you are drinking every single day, whether is two glasses of wine or a gallon of vodka.
32
Moderate is the sweet spot.

The max recommendation in the UK amounts to about 2 12 oz beers a day for men, 1 for women. (I know because I read the labels on the beer I buy from Marks & Spencer.) That's pretty much the same as the top of the CDC moderate classification.

I don't know what the Dutch health ministry recommends, but my GP here advised me that 2 drinks a day was probably beneficial for an adult male of normal body mass.

I'm not sure the CDC's way off here.
33
The noise about "what is healthy?" is so frustrating. Particularly when people like seandr say things that are clearly, overwhelmingly false like "5 drinks a day has no effect on mortality". It's absolutely ridiculously wrong -- 5 drinks a day literally doubles your chance of dying, one of the worst things you can possibly do for your health. I'm linking to one abstract but there are literally hundreds of them confirming the "j-shaped curve" of alcohol consumption -- 1 drink a day slightly reduces an average person's risk of heart disease and stroke but anything beyond that gets exponentially unhealthy. http://www.ncbi.nlm.nih.gov/pubmed/24033…

The effect of red wine versus other alcohol is so small as to be just about useless. The health benefits of alcohol overall are relatively small and usually unsustainable as well -- if you can actually limit yourself to one drink every day, great, but hardly anyone does that, and if you deviate from that, the alcohol damages your health instead of helping it.

Switching out any red meat or chicken or egg or dairy for any vegetable or fruit or legume is the easiest and greatest change you can make for your health -- heart disease, stroke, cancer, diabetes, neurological diseases, etc. Focusing on drinking alcohol to improve your health instead is like focusing on driving with your hands on a 10-2 position on the steeling wheel to be a safer driver, while at the same time you're driving drunk and texting and not wearing a seatbelt.

http://nutritionfacts.org/video/uprootin…
34
@Sam Levine: The mortality stats combine all forms of alcohol, not just red wine, so wealth isn't likely the driving factor behind that pattern. Given chronic under-reporting of drinking, these studies may underestimate ideal alcohol consumption. They also include drinkers who die from things like driving drunk or starting fights in a bar, which skew the results if you're interested in how alcohol impacts health independent of stupid (avoidable) decisions.

Also, we have biological models of alcohol's various benefits and costs, so these claims do not rest solely on correlational data. And of course, alcohol has been an important part of the human diet for at least 12,000 years, which is plenty of time for human DNA and bacterial biomes to evolve around it.
35
@11 I believe your SLOG handle alone qualifies you as an expert on this subject. Your recommendations sound quite sensible.
36
@ 5, I've been drinking for almost 30 years and I look younger than my age. So, no - no correlation.

@ 33, you never point out that reducing all those animal foods is just as healthy as cutting them out entirely, but you always link to studies that find just that.
37
Oh, and amen to everyone pointing out that no glass of wine is poured to 10oz (also known as 1 1/4 cups, also known as just two ounces fewer than the amount if beer in a can or bottle).
38
* amount OF beer
39
@raku: 1 drink a day is optimal for women. For men, it's 2 or 3 drinks a day. The benefit of drinking for women goes away at 2 or 3 drinks, and 5 drinks for men.
40
Maybe they're just trying to protect the womenfolk ?

http://www.cdc.gov/alcohol/fact-sheets/a…
Short-Term Health Risks
Excessive alcohol use has immediate effects that increase the risk of many harmful health conditions. These immediate effects are most often the result of binge drinking and include the following—
*Risky sexual behaviors, including unprotected sex, sex with multiple partners, and increased risk of sexual assault. These behaviors can result in unintended pregnancy or sexually transmitted diseases.

but, really, it's entirely a US puritanical thing because of the implication that drinkers under 21 in canada, europe, etc are violating a "should not" disguised as health-related:
According to the Dietary Guidelines for Americans, if you drink alcoholic beverages, do so in moderation, which is defined as no more than 1 drink per day for women and no more than 2 drinks per day for men.5 However, there are some persons who should not drink any alcohol, including those who are:
*Younger than age 21.
41
My test to see if I’m an alcoholic is easy. Do I have a place to live? Do I have a job that pays all my bills? Do I have healthy relationships? Do I get a clean bill of health at my yearly physical? As long as I can answer yes to those 4 questions, I don’t really care how much I drink or what agency says it’s too much.
42
A bottle of wine is one serving. Everyone knows that.

Also, the mortality rate is still 100%, so I'm gonna go ahead and drink a 12 pack tonight,CDC be damned.

To be fair, I drink Rainier, so It's really just the equivalent of 6 real beers.
43
Curiously absent from definition women who drink 2 a day or men who drink 3 drinks a day. What's alcoholic limbo, Mudede ?

From the publication 5 of that CDC link:
http://www.cnpp.usda.gov/Publications/Di…
key definitions for alcohol

what is moderate alcohol consumption?
Moderate alcohol consumption is defined as up to 1 drink per day for women and up to 2 drinks per day for men.

what is heavy or high-risk drinking?
Heavy or high-risk drinking is the consumption of more than 3 drinks on any day or more than 7 per week for women and more than 4 drinks on any day or more than 14 per week for men.

what is binge drinking?
Binge drinking is the consumption within 2 hours of 4 or more drinks for women and 5 or more drinks for men.
44
you know, i told myself 1, maybe 2 beers a day is not unreasonable. but my body has other ideas. stupid body.
45
Alcohol's main health benefit at low doses is for heart disease, which is almost entirely preventable with diet. The research that says 2-4 drinks for men is misleading for ideal health, because it's all done on older white American men with average (terrible) American diets, who are typically about to drop dead of heart attacks anyway, so alcohol's benefit is inflated. See Bill Clinton, who was about to drop dead from a heart attack 10 years ago, until he changed his diet, and now he's in excellent health. http://www.cnn.com/2011/HEALTH/08/18/bil…

If you break down who benefits from alcohol with more than 1 drink a day, it's really only "average" men who are 55+. Even 1 drink a day is slightly harmful for many people under 45.

http://alcoholresearchuk.org/downloads/f…

Not in that link, but people with healthy lifestyle and diets (high plants, low animals) get heart disease benefit from a little bit of alcohol as well, but since their risk is already low, the risks of alcohol (eg, cancer) outweigh the benefit by a healthy margin.
46
"They also include drinkers who die from things like driving drunk or starting fights in a bar, which skew the results if you're interested in how alcohol impacts health independent of stupid (avoidable) decisions."

This is the problem with nearly all these studies; and they deliberately include those (and the choice of what is included is a political decision as much as "scientific") because without them the effects aren't nearly as pronounced. It's very hard to get "clean data" on which one might do an alternative analysis.

I have access to the full article from which @33's linked abstract is taken; this isn't even for 'alcohol related' mortality and morbidity; it's just aggregate mortality. They control for some other variables, but it in no way teases out what actually kills you: alcohol enhanced stupidity, aka "Hold My beer", dementia or liver disease. And even then, the crossover isn't exactly clear - the data isn't presented as Raku purports - your mortality risk doesn't double until you are drinking 5+ drinks at a sitting, all 7 days of the week.

For drinking <5 drinks at a sitting, the j-curve doesn't cross back over the teetotaler 'control' until you're doing it 5 days a week.

For these kinds of debates, it would be useful to control the data for various types of 'alcohol related mortality' - ie, let's look at liver disease, cardiac disease, dementia and cancer (oral, esophogeal, stomach, etc.) vs. "happened to be drunk while doing X".
47
I will go on the high plants, low animals diet, or as I like to call it the "reefer and weasel" diet.
48
@42,
A bottle of wine is one serving. Everyone knows that.
Agreed!
49
46: I hesitated to post the link to that abstract, because one study in a vacuum is nearly always useless -- looking at a single study is why some people think vaccines cause autism or high cholesterol is healthy. Regardless, it says exactly what I said it did. We're talking about "per day" drinking. I don't know if you're suggesting that if you space 5 drinks equally throughout the day -- 1 drink every 4.8 hours -- would be healthy instead of disasterous. I doubt anyone of the 7 billion people on the planet does that, though.

Obviously, doing a randomized, controlled experiment on alcohol consumption would be ideal. But that's never been done with alcohol for obvious ethical reasons. It's also never been done on cigarette smoking for the same reasons -- that does not mean the overwhelming evidence isn't that smoking is harmful.

Teasing out the harmful effects of alcohol to make it look more healthy is ridiculous. But anyway, there are literally hundreds of studies that take every risk and benefit into account (some breakdown is at the last link I provided), which is why the vast majority of scientists don't recommend increasing anyone's alcohol intake, except for some people at high risk of heart disease who don't already drink and refuse to change their lifestyle/diet.
50
Oh, yes, @42 & @48 - I also concur, though I honestly can't handle more than 3/4 of serving anymore. 1/2 a serving is just right.
51
@31: why is it not a good sign if you drink alcohol every day? is it a bad sign? a neutral one?
52
@51,

I really don't understand the problem. A glass of wine or beer with dinner is normal adult behavior. And, ideally, you're eating dinner once a day.
53
@47 I have no idea what that means, but it got a snort of amusement out of me.
54
What if you're a woman who is the size of the average man? The 9" and 80 lbs I have on many women must make a difference, no?
55
I am a woman who is the size of an average man. My cat died and I was the victim of a car collision this week. I took my two drinks today as both my week's allotment and my "heavy drinker" entitlement. I also solved today's Seattle Times sudoku and Ada's Aenigma while on rum.
The damage to my liver cannot measure up to my grief and my personal achievement this week.
56
54- Yes, absolutely. Different recommendations for genders are based on averages because it's easy to compare averages between people who tick an "F" or "M" box, and harder when you deal with variables like height and weight and body fat and hormone levels. Unless something is directly related to genitals or secondary sex characteristics or strict gender roles, actual gender is pretty much never the actual cause of averages being different between the two.

The one major difference for alcohol health effects between most women and men besides size is that more alcohol is associated with more risk of breast cancer -- in women and men, but in most men the risk is small to begin with. Women and men have essentially the same benefits and risks -- a little bit of drinking reduces heart disease risk if you have risk to begin with, and as you drink more the risk of all kinds of health problems goes way up.
57
maybe ur drinkin level is a lil unhealthy. but if it's super fun, maybe it's worth retaining. try to make up for it in other ways!
58
This is very pertinent for the guy who only posts on Slog after he's been drinking.
59
"One in 10 deaths among adults between the ages of 20 and 64 are due to excessive alcohol consumption, the CDC says in a report released Wednesday. That means some 88,000 people die a year as a result of drinking too much. The majority of those are men -- about 70%."

Anyone know what they're referencing here? Drunk driving + Liver disease + Pancreatitis deaths or something?
60
@59 If it's the US, probably "hey watch me play Russian roulette with my gun! Hold my beer"
61
@42,

As a proud, militant, emoticon hating nazi bastard, I really can't think of anything else to say but

:)
62
I obviously didn't mean to imply that I'm a nazi, but rather that I'm nazi-esque in my distaste for emoticons. Not sure if that was clear or not. I'm drunk now!
63
Aside from the thing about 10oz pours (which is about 40% of a bottle), I am dosconcerted to find myself in agreement with Mudede.
64
@17

"Europeans" are not some kind of abstract concept that you can invoke when you are short of data and ideas. Some Europeans read here. The face they laugh in is yours, Max Solomon.
65
In France the health benefits of moderately drinking wine are largely considered as just another con from the wine industry. We don't believe in that. Also, we don't need to be convinced there are health benefits in red wine drinking, in order to drink red wine. It's more of a matter of pleasure, and individual taste, than a matter of "sin" or "health" (which is another kind of moral order, see raku).

Besides, drinking wine is a social thing. Sharing one or two bottles over a meal with a friend is part of enjoying the meal, as long as nobody gets impaired. It's fairly usual to bring a bottle of wine when invited. Some people don't like the taste of alcohol and don't drink, even at convivial meals : that also is quite accepted.

What is not accepted at meals is moralizing assholes, even if the name of their moral is "health", even if they push for others to drink more instead of less.

Drinking more than one glass a meal, while alone, would be considered the beginnings of alcoholism. Drinking oneself to drunkenness is bad manners when done in company, (except where it's expected : among students in medecine, and in the military) - and it's raging alcoholism when done alone.

As for where the medical profession puts the bar between moderate drinking and excessive drinking, that's up to them. But it would be silly of y'all to believe that there are stark differences between medical experts of different parts of the world. Science is international already, folks.

Please wait...

Comments are closed.

Commenting on this item is available only to members of the site. You can sign in here or create an account here.


Add a comment
Preview

By posting this comment, you are agreeing to our Terms of Use.