Alcohol related conditions are one of the most
Avoid binge drinking
common causes of admission to hospital in the
Recent guidelines highlight the benefits of having a few alcohol
UK and heavy drinking contributes to about
free days a week. The guidance is aimed at helping break the
33,000 deaths a year. In Scotland, excessive
regular cycle of drinking and giving the body time to recover
drinking has become one of the most significant
between drinking days. Having alcohol free days doesn’t mean
health and social challenges. Deaths from liver
you can increase the amount you can safely drink on other days. You cannot save up the units and have them all at once.
disease in England have reached record levels,
This is why the recommendations are now based on daily rather
than weekly amounts and specify avoiding binge drinking. Research published in the British Medical Journal helps to
Recommended safe levels for alcohol
illustrate this. People in France and Northern Ireland were found to drink the same amount of alcohol each week. However,
If you drink alcohol keep within safe limits. This means a
French drinkers would spread their alcohol evenly over the
maximum of two to three units a day for women and three to
whole week, whereas the Irish drinkers would consume their
four units a day for men. It is also recommended to have a few
alcohol over a shorter time period i.e. one day. It was concluded
that the Irish drinkers who “binged” had nearly twice the risk of
What are units and what does ABV mean
suffering a heart attack or dying from heart disease compared to the French drinkers who drank in moderation.
Units express the quantity of pure alcohol in a drink. One unit equals 10mls or 8g of pure alcohol which is around the amount
Benefits of Alcohol in moderation
of alcohol that an average adult can process in an hour. The
A daily intake of 1-2 units of alcohol is associated with a lower
number of units is based on the size of the drink as well as its
risk of coronary heart disease (CHD) in men aged over 40-
alcohol strength ie. A pint of ordinary strength lager contains
45 and in women who have been through the menopause.
just over 2 units, whereas a pint of strong lager contains over 3
Scientists believe there are 2 main mechanisms by which alcohol
units. The alcohol strength of a drink is expressed as alcohol by
can help in CHD prevention. The main effect is an increase in
volume (ABV). Most drinks declare their ABV on the label.
high density lipoprotein (HDL) or good cholesterol which reduces
To work out the number of units in a drink multiply the %ABV
the risk of fatty plaques or atheroma building up in the arteries.
by the amount of the drink in millilitres. Then divide by 1000.
HDL helps to remove cholesterol from the blood and can help stabilize these plaques. Secondly, moderate alcohol intake may
Volume (i.e. 330mls lager) multiplied by %ABV (i.e. 5%) then
help prevent the formation of blood clots, reducing the level of
fibrinogen, a protein which is produced by the liver and increases
the likelihood of blood clotting. Other components of alcoholic drinks may provide further protection. Ones of interest are
Many websites provide drink calculators to help you work this out.
flavonoids found in red wine. More research is needed to confirm this before specific advice is given. HEART UK – The Cholesterol Charity 7 North Road, Maidenhead, Berkshire, SL6 1PE · Helpline 0845 450 5988 · E[email protected] · W www.heartuk.org.uk MFS-Q FACT SHEET • 03.05.12.MH
While drinking in moderation is thought to offer some
Alcohol and medicines
protection against heart disease, the effect is small and those
It may be necessary to avoid alcohol if you are taking certain
who do not drink at all are not advised to start. The safer,
medicines. This is because alcohol can interfere with the way
healthier ways to protect the heart is to follow a healthy, well
a drug is absorbed by the body or broken down in the liver.
balanced diet, low in saturated fat, regular physical activity and
Examples include sedatives (Diazepam) and ant-depressants
to reduce other risk factors such as smoking, raised cholesterol
(Prozac). Care should be taken with long term medications such
as Warfarin and anti-epileptic medication as alcohol may make
Those who have been diagnosed with a heart condition or who
them less effective. There are also certain types of antibiotics
have had heart surgery should check with their doctor for advice
which should not be taken with alcohol as the combination can
on drinking alcohol once their recovery is complete. People with
make you ill. There are no known interactions between statins
heart conditions such as cardiomyopathy, where the heart muscle
and alcohol but the recommendation is to stay within safe
is affected, may be advised to avoid drinking alcohol altogether.
guidelines as statins may occasionally result in an increase in liver enzymes. Health effects of excess alcohol
Ask your doctor or pharmacist if you are unsure about drinking
Usually the damage from drinking too much alcohol only
alcohol with any medicines you are taking, or check the patient
surfaces after a number of years. These include liver problems,
information leaflet that comes with medication.
reduced fertility, high blood pressure, strokes, increased risk of some cancers (including bowel, mouth, liver, throat,
For those who want to cut down but still enjoy alcohol, the
oesophageal and breast), abnormal heart rhythms (arrhythmias),
pancreatitis, cardiomyopathy (damage to heart muscle),
• Opting for a lower strength drink
decrease in blood glucose levels resulting from increased
• Using a smaller glass
insulin production, and mental health problems. Regular drinking
• Not drinking before you go out
can also cause sleep distruption, indigestion and headaches. • Trying a drink with a mixer i.e. white wine with soda or
About 4% of cancers worldwide is caused by drinking alcohol, and
6% of cancer deaths have been attributed to alcohol in the UK.
• Drinking alcohol with a meal only
The risk of developing cancer can increase with as little as 3 units
• Drinking at a later time
of alcohol a day. Individuals with cirrhosis of the liver, a condition
• If you normally drink to unwind try other ways to relax i.e.
often found in heavy drinkers often progresses to liver cancer.
taking a bath, walking the dog, visit friends, call a friend,
Drinking over the recommended safe levels is thought to result in:
Men 2-3 times and women about 1 and a half times more likely
Alcohol and Pregnancy
to get cancer of the mouth, neck and throat . Men were twice as likely to develop cirrhosis of the liver. The risk of women
The Food Standards Agency advise women who are pregnant
getting breast cancer increases by one fifth.
or trying to get pregnant to stop drinking altogether. For those who are pregnant, too much alcohol can seriously affect their
Gaining weight and an increase in waist circumference can also
result from drinking alcohol. This is because weight for weight alcohol contains almost twice as much energy as the same
For more information check out the sites below:
weight of sugar. It can also lead to increased triglycerides in the
Calorie values of regularly ordered alcoholic drinks: HEART UK – The Cholesterol Charity 7 North Road, Maidenhead, Berkshire, SL6 1PE · Helpline 0845 450 5988 · E[email protected] · W www.heartuk.org.uk MFS-Q FACT SHEET
The Florence Melton Adult Mini-School http://mcohen02.tripod.com/rhythms.html http://mcohen02.tripod.com/purim.htm Topic: Purim Key Idea: The festival of Purim , which derives its name from the word pur (lot), is celebrated on the 14th day of Adar. Cities that were walled in ancient times celebtrate a second day of Purim called Shushan Purim . The celebration of Pu
Alcohol related conditions are one of the most
Avoid binge drinking