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    The Slim Down

    A 60 second guide to alcohol and your health

    Nutritionist Rachel Anne Hill lays bare the cold hard facts about booze and your health.

    How does alcohol affect appearance?

    Alcohol dehydrates the body, particularly the skin which can increase fine lines and wrinkles.  Dehydration often triggers the body to try and hold onto fluids which can be seen as puffiness in the face and bloating of the stomach.  

    Even small amounts of alcohol can deprive the skin of certain vital vitamins and nutrients too as it inhibits the body’s ability to absorb them and it can also dilate blood vessels resulting in red bumps, thread veins and spots.  This may eventually lead to a condition called Rosacea, a skin disorder that starts with a tendency to blush and flush easily and can eventually lead to facial disfigurement.

    At 7 calories per gram, alcohol is second only in calories per gram to pure fat.  It also automatically lowers blood sugars which increases appetite  - hence the reason why the French invented the aperitif and why kebab houses, Indian restaurants and chip shops have a tendency to fill up as the pubs, bars and clubs start to empty. 

    This ‘double whammy’ effect can wreak havoc on the waistline so choose your drinks wisely. 

    [Related feature: How drinking, smoking and eating junk food can affect your appearance]


    How does alcohol affect my body?

    From sober to drunk……

    After 1 to 3 units or just 1 large glass of wine you will be more talkative, your heart rate increases and you will experience a warm feeling or flush caused by alcohol in the blood making small blood vessels in the skin expand.  You are likely to feel a little more confident and sociable.

    After 4-6 units equal to 2 large glasses of wine you may feel light headed and your co-ordination and reaction times will be impaired.   Your ability to make decisions will also decrease.  All of these effects are caused by alcohol slowing down the nerve cells ability to function. Driving will be illegal and dangerous.

    After 7-9 units (3 large glasses of wine) your reaction times are considerably reduced, vision becomes blurry and speech is slurred. Drinking more than eight units at a time seriously overloads the liver.  Staying off the booze for a few days afterwards should help it to repair itself but at this stage a hangover is pretty much guaranteed.

    Drinking more than 10 units (3 large glasses of wine or more) will affect cells all over the body.  Memory will become impaired, your behaviour will be considerably altered and frequent visits to the loo will be needed as the body tries to pass the alcohol out by mixing it with water resulting in chronic dehydration which causes headaches, stomach upsets, increased blood pressure and dry, dull skin. 

    [Related feature: The 10 worst female health habits]


    What are the health benefits associated with drinking alcohol?
    Alcohol consumed in moderation is thought to help reduce the risk of heart disease.  It's still not entirely clear how it does this but it is now known that a large proportion of the risk reduction is due to moderate alcohol intake raising 'good' cholesterol concentrations in the blood and so reducing the risk of blood clots. Red wine, in particular is believed to be of benefit as it also contains flavonoids.  These act as antioxidants which help to reduce the build up of atherosclerosis (when fat builds up on the inner walls of arteries).

    How much is it safe to drink?
    Current government guidelines state that alcohol consumption should be no more than 21 units a week for men and 14 units a week for women.

    It is better for health to spread alcohol units (up to the maximum recommended) throughout the week, than to drink large amounts in a single day or weekend. Therefore women should aim to consume no more than 2 units a day; men 3 units a day.

     [Related feature: 10 foods to feed your face younger]

    What is a unit?
    One unit is 10 ml of pure alcohol - the amount of alcohol the average adult can process within an hour.  However, that length of time will vary considerably depending on a number of factors such as a person’s gender, height, weight and the length of time since their last meal.

    As a rough guide, one unit of alcohol is equivalent to a small glass of wine, half a pint of beer or one single measure of spirits.  However, keeping track of your intake in this way can be misleading as the alcohol content and/or the size of your drink can soon push the number of units you consumed upwards.

    For example, robust wines from countries such as Australia, South America and South Africa are becoming increasingly popular but many of these new world wines can contain as much as 17% ABV* whereas most other wines are between 12% and 14%. Continental lagers can also be considerably higher in alcohol content than other similar beers, sometimes by as much as 50%. 

    And don’t forget about size either. Although spirits used to be commonly served in 25ml measures, which are one unit of alcohol, many pubs and bars now serve them in 35ml or 50ml measures.  Wine glasses have also shot up in size from the traditional 125ml glass to the 250ml glasses found today in most wine bars.  These larger glasses can be nearly three units of alcohol or more in just one glass. So if you have just two or three drinks, you could easily consume a whole bottle of wine - and almost three times your guideline daily units of alcohol – without even realising.

    What are the risks associated with drinking too much?
    There are both short term and long term health risks associated with drinking too much alcohol.

    Short term health risks are largely associated with the increased risk of accident brought about by the ability of alcohol to impair judgement and reduce balance, co-ordination and reflexes.  If drunk to excess vomiting, particularly whilst asleep can induce choking which can cause suffocation and death.  This is a risk most commonly found in young adults as a result of binge drinking. 

    Longer term health problems include liver, brain and heart damage, gastritis (inflammation of the stomach lining), increased risk of diabetes, heart attacks, high blood pressure, raised cholesterol and cancers, particularly breast and mouth cancer.  It can also increase anxiety, sleeping problems, mood swings and depression and cause memory loss and dementia.

    *N.B. (ABV stands for alcohol by volume, or sometimes just the word “vol” appears on the label so, wine that says “17 ABV” on its label contains 17% pure alcohol.

     
    • Tony  •  Telford, England  •  3 months ago
      This Friday will be 6 months that I have abstained from alcohol. given that I was a chronic alcoholic for years, I'm not that confident that i haven't caused long term damadge. However, the short term issues are amazing. I know that I took things to extreme and therefore can't be an example but i had huge bouts of depression , i couldn't sleep for longer than two hours, I constantly had bruises/cuts etc upon waking up and I suffered from a lot of anxiety attacks.Over the last six months all of these have been helped, I still have down days but the depression is no where near as bad, anxiety has gone, I sleep fantastically and obviously don't fall over as much!
      The other issues that hould be raised in this article are the long term effects that abusing alcohol has on the more importnat things in life, relationships & secutiry.
      My relationships have completley turned around, particularly with my 7 yo daughter who love having her dad back to normal and I can actually concentrate and get on at work, not have all the sick days that I had and I spend a lot less each month.
      Alcohol, is unlike smoking, as no matter how much you smoke you are still very much at risk from disease. Alcohol, is dependant upon your attitudes and amounts.
      • lilbird 3 months ago
        Well done on getting your life back! So many people are unaware of the true cost of heavy drinking. You should be very proud of yourself, and I know your daughter will thank you for it. :o)
      • Amy 3 months ago
        Well done Tony. I really admire the way you are not looking at things through rose tinted specs and you have a fantastic chance now to be the best Dad in the world. I really do wish you the best of luck in your future and once again, well done.
      • Finney 3 months ago
        Well done.
    • stevo  •  3 months ago
      I,m just off out to get 6 cans of stella, stuff it, I like a can watching football, what the hell is wrong with that.
      • Ruth 28 days ago
        Sorry to be a party pooper but a pint can of stella contains 3 units so if you drink two then you will have had a binge!!!
    • Achmed The Dead Terrorist  •  3 months ago
      There's nothing wrong with sobriety.........in moderation.
      • Ponder 3 months ago
        Well said Skull. One needs to be drunk to understand how we always let the government get away with murder.
    • RON  •  London, England  •  3 months ago
      A nice glass of red win or two goes down great with the evening meal and with the governments we have one needs a regular drink or two or thee or four etc etc.
    • Mark  •  3 months ago
      Is it not normal to have one bottle of wine to your self and feel ok?
    • A Yahoo! User  •  Manila, Philippines  •  3 months ago
      wow, a very god information for dissemination
    • Garry  •  3 months ago
      I just like it that way!!!
    • Phil  •  London, England  •  3 months ago
      That took longer than 60 seconds..... i'm not happy!
      • Ste Lulla Doyle 3 months ago
        bit like my sex life, now i know why i'm fat, i'll have to stop eating and drink more..
    • Josh  •  Manchester, England  •  3 months ago
      Why is this titled "A 60 second guide to alcohol and your health" That cant be read in 60secs!
      • beefheart 3 months ago
        Because after the first 60 seconds you will realise you don't care and go and get a drink.
      • Josh 3 months ago
        That is some wisdom right there. Kudos to whoever thought of that title then.
      • STEVEN 3 months ago
        because the writer presumes that you've already had a few, therefore slowing down your ability to read
    • mouse  •  3 months ago
      so much for the bad points, as an aston villa supporter it helps to numb the pain............
    • Laszlo  •  3 months ago
      Just lost my best friend she was 41 years old. She died last week and will be buried this Friday the 17th. She died from drinking to much Alcohol her liver and kidneys failed. The addiction was to much for her. I sob my heart out everyday and miss her sooo much. Just beware dont drink to much. Its not worth dying for.
    • Paul  •  London, England  •  3 months ago
      Having read all that, I've decided I'm not going to drink any more.
      I'm not going to drink any less either.
    • Nadya  •  Bournemouth, England  •  3 months ago
      As we Russians say - If you don't drink and don't smoke, you will die healthy.
    • Alan  •  Eastleigh, England  •  3 months ago
      we all give up smoking and alcohol and live longer! that is if we don't get stabbed.
    • jo  •  3 months ago
      i rarely drink and i find the people who do usually have something to say about, mostly negative, they usually attempt to pressure me to drink, or diss it, tellin me its boring not to have a good drink... boring?... really?... im out clubbing, usually the last off the dance floor, chatty to everyone, how is that boring? i just think the people who say it are jealous that without a drink inside them they wouldn't have the confidence that i have, they need a drink to have a chat n a dance or whatever. i think it would make them feel better about themselves if everyone was on their level. but they dont mind saving on the taxi fare when i do the driving.
    • lilbird  •  London, England  •  3 months ago
      My dad was just 52 when he died of alcohol related illnesses, and had been very ill for years before he died. He wasn't an alcoholic as such - he just enjoyed a drink down the pub with his mates. When the doctor told him to stop drinking after his first heart attack (aged just 45) he had no problem stopping - but by then the damage had been done. I remember him always being breathless, and just a short walk would leave him exhausted. I remember the oxygen cylinders being delivered, and him being too ill to manage a flight of stairs...He died a month before my 15th birthday.

      I enjoy a drink, but I'm always careful about the amount I drink, and I always give my body a rest for a few days after drinking, to give it the chance to repair itself. I see people now drinking themselves into oblivion for the sake of a good night out, and wonder if they are aware of the reality that their lifestyle may lead to.
    • Biker B  •  Manchester, England  •  3 months ago
      I would love to have all MPs body fat index published, and the Bar in the HOC closed down.
    • K M  •  London, England  •  3 months ago
      Good piece, informative and straight to the point.
    • know-it-all  •  Brighton, England  •  3 months ago
      drink up were off ....yeh off to cause trouble on the streets and become a noisy nightmare pratt,or watch men and women urinating openly in the street or sleeping in their own vomit because they are so out of it , or just screaming at a nurse in a and e because someone took offence at their drivell and bottled them round the head ,not to mention the time and money wasted on policing these retards , come on drink up were off , yeh off our nuts ! welcome to britain folks aint it swell !!!
    • Darryl  •  3 months ago
      Surely, if a glass of red wine a day is good for you, a bottle must be superb?