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Moderate Alcohol Consumption, Good News with a Caveat

Auburn, January 22, 2003 --- With each passing study the message is becoming as crystal clear as a freshly scrubbed wine goblet -- moderate alcohol consumption is good for some people.  It may even reduce the risk of coronary artery disease.

But the operative word here is “some.”  And for this reason, most of the nation’s health care professionals continue to preach temperance in many cases.  Yes, moderate alcohol consumption may help some people, but it isn’t for everyone.  In some cases, it may even do more harm than good.

At Auburn University, Dr. Robert Keith, Alabama Cooperative Extension System nutritionist and Auburn University professor of nutrition and foods, is impressed like most health professionals by the increasingly unambiguous findings of these studies.  But he’s sticking with his old advice.

“If you’ve been having a drink or two a day throughout the week for most of your adult life, there is probably no reason to stop it,” Keith says.  “But there’s a big difference between telling someone to keep doing what he’s been doing and advising someone else to start a drinking habit.”

This, Keith says, is especially true for young adults.

“There’s a very fine line here,” he says.  “If you’ve got a male, say, between the ages of 40 and 50 who has several risk factors for cardiovascular disease, he would probably benefit from having a little bit – mind you, a little bit – of alcohol in his daily diet.”

“That would be as much as one beer or a glass of wine at least once a day.”

“On the other hand, a young adult who’s pretty fit and not obese and has a good cholesterol profile will derive very few advantages from moderate alcohol consumption.”

The problem – and the reason why health experts such as Keith are loathe to issue a blanket recommendation for alcohol --  is that once you begin consuming more than a couple of drinks a day, you end up increasing other risks,  such as high blood pressure, liver disease and breast cancer, a risk that increases even among women who drink moderately, Keith says. 

Generally speaking, people best suited for moderate alcohol consumption tend to be those between the ages of 40 and 50 with cholesterol problems, arterial blockages or blood that clots too easily.

Studies have repeatedly shown that alcohol has both anticlotting properties as well as an effect on increasing HDL, the so-called good cholesterol, both of which are considered major factors behind coronary artery disease. 

A recent Israeli study, for example, involving men aged 46 to 72, showed that consuming only one daily serving of a 12-ounce beer produced significant changes in blood chemistry, including decreased cholesterol levels, increased antioxidant levels, and a decrease of fibrinogen, a clot-producing agent.  These positive effects showed up in 21 of the 24 patients who drank beer in the course of the study.

Yet, even these factors do not add up to a strong enough case for issuing a blanket recommendation for alcohol consumption.  

Instead, Keith says, alcohol should be treated like any other drug.  And people who are considering increasing their levels of consumption should first seek their doctor’s advice.

(Source: Dr. Robert Keith, Alabama Cooperative Extension System Nutritionist, 334-844-3273.)

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