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PBRC                                                                                    Publication # 59


              Alcohol Awareness                                                              October 2009




 Alcohol — Negative Effets
It is common for
                          stimulates the activity    Parkinson’s disease
people to drink
                          of enzymes that pro-       and Alzheimer’s dis-
alcoholic beverages
                          mote free radical pro-     ease, and vitamin defi-
while socializing. The                                                         Inside this issue:
                          duction. Further, alco-    ciencies.
question is, how
                          hol can alter the levels
much alcohol is too                                  Binge Drinking
                          of certain metals in                                                      2
much?                                                                           About Alcohol
                          the body, and reduce       Binge drinking is de-
Alcohol metabolism        the levels of agents       fined as having more
                          that can eliminate free                              Risks from Alco-
causes free radical                                  than three or four                             2
formation in the body     radicals. The resulting                              hol Consumption
                                                     drinks in a short peri-
                          state is known as          od of time.                Did You Know
Free radicals are         oxidative stress which                                                    3
small and highly                                                                    That...
                          can lead to cell injury.   Binge drinking may
reactive molecules                                   increase a persons        About Pennington 4
that are naturally        Due to the oxidative       risk of a stroke,
generated in small        stress and cell injury     cardiomyopathy,
amounts during the        caused by alcohol,         fetal heart syndrome,
body’s metabolic          drinking can increase      or cardiac
reactions and can         your risk for many         arrhythmia.
react with and            types of cancers,          Binge drinking has also
damage cellular fats,     stroke and heart           been shown to lead to
proteins, or DNA*.        disease.                   increased risk for
Alcohol promotes                                     cardiovascular disease
                          It can also increase
the generation of free                               and hypertension.
                          your risk for diabetes,
radicals, particularly
                          neurodegenerative          * NIH
in the liver. It also
                          diseases, including



Alcohol — Cardiovascular Benefits
The American Heart        day. Men metabolize        (2003) found that all
Association recom-        alcohol faster and they    types of alcoholic
mends that women          have larger body mass      beverages have the
drink no more than        and can therefore          same potential to re-
one alcoholic drink       metabolize a higher        duce the risk of having
per day. Higher in-       dose. These values are     a heart attack.
take has been linked      guidelines for alcohol     Moderate alcohol
to an increased risk      consumption as it          consumption has been
of breast cancer. It is   relates to decreasing      linked to increasing
recommended that          the risk of a heart        HDL (good cholester-
men consume no            attack. A large study      ol) levels by about
more than two             by the New England         twelve percent!
alcoholic drinks per      Journal of Medicine
Page 2
                       Alcohol Awareness

                       Sources: American Heart Association
                                National Institutes of Alcohol Abuse and Alcoholism



                       About alcohol


                       Alcohol consumption can have           Liver disease                   Do not mix alcohol and med-
                       detrimental effects and even a                                         ications, either over the coun-
                       moderate intake can lead to            Porphyria                       ter or prescription.     Alcohol
                       serious side effects in certain                                        is a depressant that slows
                                                              Heart Failure
                       individuals. People should not                                         down brain activity and reduces
                       consume alcohol if you have            Pregnancy or if you think       inhibitions. Some medications
                       the following:                         you may become pregnant         cause you to become sleepy,
                                                                                              drowsy, or lightheaded. Drink-
                           Personal or family history         If you take aspirin    reg-     ing alcohol while taking medi-
                           of alcoholism                      ularly; it may cause blood      cines can intensify these ef-
                                                              to become too thin with         fects. Alcohol can reduce the
                           Uncontrolled high blood
Alcoholism                                                    alcohol consumption.            effectiveness of some medica-
                           pressure
contributes to                                                                                tions, and it can combine with
                                                              If you use medication that      other         medications to
hepatitis, cirrhosis       High blood triglyceride
                                                              can have adverse                cause or      increase side ef-
of the liver,              levels
                                                              reactions when mixed            fects.
malnutrition,
                           Pancreatitis                       with alcohol.
pancreatitis,
stomach ulcers,
fetal alcohol          Risks from alcohol consumption*
syndrome, heart
disease, and some
                        It is important to understand     alcohol. Babies with FAS have       Alcoholic hepatitis
cancers.
                        that excessive alcohol intake     distinctive facial features, they
                        is linked to weakening of the     are born small, and many have       More common in women than
                        heart muscle, hemorrhagic         behavioral impairments as well.     in men.
                        stroke, cirrhosis of the liver,   The brain damage that occurs
                                                                                              Brain disease
                        pancreatitis, certain types of    with FAS is lifelong resulting in
                        cancers, trauma, suicide, and     learning, memory, attention,        Loss of mental function,
                        homicide. Alcohol has also        and problem solving                 reduced brain size, and chang-
                        been shown to increase blood      impairment. It is not known if      es in the function of brain cells.
                        pressure. The following are       there is any safe drinking level    Cancer
                        serious conditions that can       during pregnancy; nor is
                                                                                              Many studies report that heavy
                        occur with alcohol                there any stage of pregnancy in
                                                                                              drinking increases the risk of
                        consumption.                      which drinking—at any level—
                                                                                              breast cancer, cancers of the
                                                          is known to be risk free. If a      digestive track and of the head
                        Fetal Alcohol Syndrome
                                                          woman is pregnant, or               and neck.
                        Fetal alcohol syndrome (FAS)
                                                          wants to become
                        is the most common known                                              Heart disease
                                                          pregnant, she should not
                        preventable cause of mental
                                                          drink alcohol.                      Chronic heavy drinking is a
                        impairment that occurs when a
                                                                                              leading cause of cardiovascular
                        pregnant woman consumes       * CDC
                                                                                              disease.
Page 3




Publication # 59

Did You Know That...

  One ’drink’ is defined as:    including those who drank      HDL cholesterol.
                                less than once a week,
      12 ounces of beer         also had a decreased risk      As we age, it takes longer
                                of heart attack.               for us to metabolize any
      5 ounces of wine                                         given amount of alcohol.
                                 Men who drank two
      1.5 ounces of spirits                                    Large consumption of
                                drinks per day were fifty
                                percent less likely to die     alcohol may raise
                                of any cause, when             triglyceride levels and lead
                                compared to those who          to high blood pressure,
                                drank once per week or         heart failure, and
                                less.                          increased caloric intake.

                                Women who drank                Drinking more alcohol
                                alcohol about one to six       increases the risk for
                                drinks per week or less        alcoholism, breast cancer,
                                were twenty-eight              high blood pressure,
                                percent less likely to die     obesity, suicide and
                                                                                               Liver is the most
       Alcohol may protect      of any cause, when             accidents.
  against heart attacks by
                                                                                               affected organ by
                                compared to those who
                                                               Heavy drinking is defined       alcohol due to its
  inhibiting constriction of    drank less frequently.
  the coronary arteries,                                       as having more than one         central role in
  which limits clot formation   Alcohol, or a substance        drink a day for women
                                                                                               metabolizing it.
  and decreases the level of    such as resveratrol, which     and more than two dinks
  homocysteine, an amino        is found in red wine, may      a day for men.
  acid that is commonly         prevent platelets in the
                                                               Drinking more than
  linked to an increased risk   blood from sticking to one
                                                               three drinks per day has
  of heart attack.              another. This may reduce
                                                               a direct toxic effect on the
                                clot formation, thus
  In a study from the journal                                  heart and other organs.
                                decreasing the risk of a
  Addiction, 427 men who        heart attack.                  Heavy drinking can
  recently had a nonfatal                                      damage the heart and lead
  heart attack were             The best known beneficial
                                                               to high blood pressure,
  compared with 905 similar     effect of alcohol is that it
                                                               alcoholic cardiomyopathy,
  men who had never had a       causes a small increase in
                                                               congestive heart failure,
  heart attack. The men         the levels of HDL
                                                               and stroke.
  who drank alcohol daily in    cholesterol (good
  the previous two years,       cholesterol); however,         Heavy drinking can cause
  were 59% less likely to       regular physical activity is   cirrhosis of the liver and
  have a heart attack than      another way to raise HDL       destruction of liver cells.
  life long abstainers. Those   cholesterol levels. Niacin
  who drank alcohol less        supplements may also
  frequently than daily,        cause a further increase in
Facts About Alcohol                                     bloodstream. Individuals with a defect in   activity which can impede alcohol
                                                        alcohol dehydrogenase enzyme                metabolism. Individuals who have im-
Metabolism*:                                            metabolize alcohol slowly, it can build     paired alcohol metabolism are at a low
                                                        in the bloodstream, and it’s metabolic      risk of becoming an alcoholic due to the
Alcohol has 7 calories a gram. Alcohol                  intermediate can lead to unpleasant         unpleasant side effects, however, those
gets priority in metabolism over                        symptoms such as facial flushing,           that metabolize alcohol effectively are at
carbohydrate and fat. This priority is                  light-headedness, palpitations, and         a higher risk of becoming alcoholics.
one of the reasons that alcoholics can                  nausea. Alcohol metabolism may be           Alcohol absorption varies with the
get fatty liver. Fat has the last in priority           reduced in individuals from Native          concentration of alcohol in the
for metabolism and it can build up in the               American, Japanese, Chinese, and            beverage, the rate at which alcohol is
liver. Alcohol metabolism is controlled                 Korean backgrounds, mainly due to vari-     consumed, and the presence of food in
by an enzyme alcohol dehydrogenase.                     ation in the amount and activity of alco-   the stomach or whether alcohol is
Some individuals have low level of alco-                hol dehydrogenase enzyme, making it         consumed together with meals.
hol dehydrogenase enzyme and alcohol                    less effective. Some Caucasian groups as
can therefore build up in the                           well have variations in the enzyme          * http://pubs.niaaa.nih.gov/



                                    About Pennington
Mission:
To promote healthier lives through research and education in
nutrition and preventive medicine.                                                 Pennington Nutrition Series No 59, 2009
                                                                                   Authors:
The Pennington Center has several research areas, including:

     Clinical Obesity Research                                                     Beth Kalicki
     Experimental Obesity
     Functional Foods                                                              Heli J. Roy, PhD, RD
     Health and Performance Enhancement
     Nutrition and Chronic Diseases
     Nutrition and the Brain
     Dementia, Alzheimer’s and healthy aging                                       Division of Education
     Diet, exercise, weight loss and weight loss maintenance
                                                                                   Pennington Biomedical Research Center
The research fostered in these areas can have a profound impact
on healthy living and on the prevention of common chronic                          8/10
diseases, such as heart disease, cancer, diabetes,
hypertension and osteoporosis.

 The Division of Education provides education and
information to the scientific community and the public about
research findings, training programs and research areas, and
coordinates educational events for the public on various health                                 Pennington Biomedical
issues.                                                                                            Research Center
                                                                                                  6400 Perkins Road
 We invite people of all ages and backgrounds to participate in
the exciting research studies being conducted at the                                            Baton Rouge, LA 70808
Pennington Center in Baton Rouge, Louisiana. If you would like                                      (225) 763-2500
to take part, visit the clinical trials web page at www.pbrc.edu                                     www.pbrc.edu
or call (225) 763-3000.

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Alcohol awareness

  • 1. PBRC Publication # 59 Alcohol Awareness October 2009 Alcohol — Negative Effets It is common for stimulates the activity Parkinson’s disease people to drink of enzymes that pro- and Alzheimer’s dis- alcoholic beverages mote free radical pro- ease, and vitamin defi- while socializing. The Inside this issue: duction. Further, alco- ciencies. question is, how hol can alter the levels much alcohol is too Binge Drinking of certain metals in 2 much? About Alcohol the body, and reduce Binge drinking is de- Alcohol metabolism the levels of agents fined as having more that can eliminate free Risks from Alco- causes free radical than three or four 2 formation in the body radicals. The resulting hol Consumption drinks in a short peri- state is known as od of time. Did You Know Free radicals are oxidative stress which 3 small and highly That... can lead to cell injury. Binge drinking may reactive molecules increase a persons About Pennington 4 that are naturally Due to the oxidative risk of a stroke, generated in small stress and cell injury cardiomyopathy, amounts during the caused by alcohol, fetal heart syndrome, body’s metabolic drinking can increase or cardiac reactions and can your risk for many arrhythmia. react with and types of cancers, Binge drinking has also damage cellular fats, stroke and heart been shown to lead to proteins, or DNA*. disease. increased risk for Alcohol promotes cardiovascular disease It can also increase the generation of free and hypertension. your risk for diabetes, radicals, particularly neurodegenerative * NIH in the liver. It also diseases, including Alcohol — Cardiovascular Benefits The American Heart day. Men metabolize (2003) found that all Association recom- alcohol faster and they types of alcoholic mends that women have larger body mass beverages have the drink no more than and can therefore same potential to re- one alcoholic drink metabolize a higher duce the risk of having per day. Higher in- dose. These values are a heart attack. take has been linked guidelines for alcohol Moderate alcohol to an increased risk consumption as it consumption has been of breast cancer. It is relates to decreasing linked to increasing recommended that the risk of a heart HDL (good cholester- men consume no attack. A large study ol) levels by about more than two by the New England twelve percent! alcoholic drinks per Journal of Medicine
  • 2. Page 2 Alcohol Awareness Sources: American Heart Association National Institutes of Alcohol Abuse and Alcoholism About alcohol Alcohol consumption can have Liver disease Do not mix alcohol and med- detrimental effects and even a ications, either over the coun- moderate intake can lead to Porphyria ter or prescription. Alcohol serious side effects in certain is a depressant that slows Heart Failure individuals. People should not down brain activity and reduces consume alcohol if you have Pregnancy or if you think inhibitions. Some medications the following: you may become pregnant cause you to become sleepy, drowsy, or lightheaded. Drink- Personal or family history If you take aspirin reg- ing alcohol while taking medi- of alcoholism ularly; it may cause blood cines can intensify these ef- to become too thin with fects. Alcohol can reduce the Uncontrolled high blood Alcoholism alcohol consumption. effectiveness of some medica- pressure contributes to tions, and it can combine with If you use medication that other medications to hepatitis, cirrhosis High blood triglyceride can have adverse cause or increase side ef- of the liver, levels reactions when mixed fects. malnutrition, Pancreatitis with alcohol. pancreatitis, stomach ulcers, fetal alcohol Risks from alcohol consumption* syndrome, heart disease, and some It is important to understand alcohol. Babies with FAS have Alcoholic hepatitis cancers. that excessive alcohol intake distinctive facial features, they is linked to weakening of the are born small, and many have More common in women than heart muscle, hemorrhagic behavioral impairments as well. in men. stroke, cirrhosis of the liver, The brain damage that occurs Brain disease pancreatitis, certain types of with FAS is lifelong resulting in cancers, trauma, suicide, and learning, memory, attention, Loss of mental function, homicide. Alcohol has also and problem solving reduced brain size, and chang- been shown to increase blood impairment. It is not known if es in the function of brain cells. pressure. The following are there is any safe drinking level Cancer serious conditions that can during pregnancy; nor is Many studies report that heavy occur with alcohol there any stage of pregnancy in drinking increases the risk of consumption. which drinking—at any level— breast cancer, cancers of the is known to be risk free. If a digestive track and of the head Fetal Alcohol Syndrome woman is pregnant, or and neck. Fetal alcohol syndrome (FAS) wants to become is the most common known Heart disease pregnant, she should not preventable cause of mental drink alcohol. Chronic heavy drinking is a impairment that occurs when a leading cause of cardiovascular pregnant woman consumes * CDC disease.
  • 3. Page 3 Publication # 59 Did You Know That... One ’drink’ is defined as: including those who drank HDL cholesterol. less than once a week, 12 ounces of beer also had a decreased risk As we age, it takes longer of heart attack. for us to metabolize any 5 ounces of wine given amount of alcohol. Men who drank two 1.5 ounces of spirits Large consumption of drinks per day were fifty percent less likely to die alcohol may raise of any cause, when triglyceride levels and lead compared to those who to high blood pressure, drank once per week or heart failure, and less. increased caloric intake. Women who drank Drinking more alcohol alcohol about one to six increases the risk for drinks per week or less alcoholism, breast cancer, were twenty-eight high blood pressure, percent less likely to die obesity, suicide and Liver is the most Alcohol may protect of any cause, when accidents. against heart attacks by affected organ by compared to those who Heavy drinking is defined alcohol due to its inhibiting constriction of drank less frequently. the coronary arteries, as having more than one central role in which limits clot formation Alcohol, or a substance drink a day for women metabolizing it. and decreases the level of such as resveratrol, which and more than two dinks homocysteine, an amino is found in red wine, may a day for men. acid that is commonly prevent platelets in the Drinking more than linked to an increased risk blood from sticking to one three drinks per day has of heart attack. another. This may reduce a direct toxic effect on the clot formation, thus In a study from the journal heart and other organs. decreasing the risk of a Addiction, 427 men who heart attack. Heavy drinking can recently had a nonfatal damage the heart and lead heart attack were The best known beneficial to high blood pressure, compared with 905 similar effect of alcohol is that it alcoholic cardiomyopathy, men who had never had a causes a small increase in congestive heart failure, heart attack. The men the levels of HDL and stroke. who drank alcohol daily in cholesterol (good the previous two years, cholesterol); however, Heavy drinking can cause were 59% less likely to regular physical activity is cirrhosis of the liver and have a heart attack than another way to raise HDL destruction of liver cells. life long abstainers. Those cholesterol levels. Niacin who drank alcohol less supplements may also frequently than daily, cause a further increase in
  • 4. Facts About Alcohol bloodstream. Individuals with a defect in activity which can impede alcohol alcohol dehydrogenase enzyme metabolism. Individuals who have im- Metabolism*: metabolize alcohol slowly, it can build paired alcohol metabolism are at a low in the bloodstream, and it’s metabolic risk of becoming an alcoholic due to the Alcohol has 7 calories a gram. Alcohol intermediate can lead to unpleasant unpleasant side effects, however, those gets priority in metabolism over symptoms such as facial flushing, that metabolize alcohol effectively are at carbohydrate and fat. This priority is light-headedness, palpitations, and a higher risk of becoming alcoholics. one of the reasons that alcoholics can nausea. Alcohol metabolism may be Alcohol absorption varies with the get fatty liver. Fat has the last in priority reduced in individuals from Native concentration of alcohol in the for metabolism and it can build up in the American, Japanese, Chinese, and beverage, the rate at which alcohol is liver. Alcohol metabolism is controlled Korean backgrounds, mainly due to vari- consumed, and the presence of food in by an enzyme alcohol dehydrogenase. ation in the amount and activity of alco- the stomach or whether alcohol is Some individuals have low level of alco- hol dehydrogenase enzyme, making it consumed together with meals. hol dehydrogenase enzyme and alcohol less effective. Some Caucasian groups as can therefore build up in the well have variations in the enzyme * http://pubs.niaaa.nih.gov/ About Pennington Mission: To promote healthier lives through research and education in nutrition and preventive medicine. Pennington Nutrition Series No 59, 2009 Authors: The Pennington Center has several research areas, including: Clinical Obesity Research Beth Kalicki Experimental Obesity Functional Foods Heli J. Roy, PhD, RD Health and Performance Enhancement Nutrition and Chronic Diseases Nutrition and the Brain Dementia, Alzheimer’s and healthy aging Division of Education Diet, exercise, weight loss and weight loss maintenance Pennington Biomedical Research Center The research fostered in these areas can have a profound impact on healthy living and on the prevention of common chronic 8/10 diseases, such as heart disease, cancer, diabetes, hypertension and osteoporosis. The Division of Education provides education and information to the scientific community and the public about research findings, training programs and research areas, and coordinates educational events for the public on various health Pennington Biomedical issues. Research Center 6400 Perkins Road We invite people of all ages and backgrounds to participate in the exciting research studies being conducted at the Baton Rouge, LA 70808 Pennington Center in Baton Rouge, Louisiana. If you would like (225) 763-2500 to take part, visit the clinical trials web page at www.pbrc.edu www.pbrc.edu or call (225) 763-3000.