What’s a Healthy Number of Drinks to Have Per Day, Per Week?
The
one article you need to read to keep your cancer risk from alcohol to a
minimum.
In a new
large study published in PLOS Medicine, researchers
asked more than 99,000 older adults about their drinking habits over nine
years. The key finding: Knocking back just two or three glasses of booze a day
increases your risk for cancer.
That’s
perhaps news to you, since some 70 percent of
Americans don’t realize their drinking habits could contribute to their cancer
risk, according to a survey conducted by the American Society of Clinical
Oncology.
But
roughly 5 to 6 percent of new
cancers or cancer deaths worldwide are directly tied to alcohol use. For
perspective, in the United States, about 19 percent of new
cancer cases are linked to smoking and up to 9.5 percent to
obesity.
Interestingly,
though, the new PLOS Medicine study reports that sipping on one or two drinks
per day isn’t that bad. Still, keeping it to three drinks a week is healthiest.
In fact,
light drinkers had a lower risk for cancer than people who completely
abstained.
If you’re
confused by the amount of information out there on how much alcohol to include
in your weekly indulgence, we’re spelling it out for you below.
So, is one drink better than none?
Light
drinkers being at the lowest risk for cancer sounds like great news for those
of us who love our nightly vino. But Noelle LoConte, MD,
oncologist at the University of Wisconsin Carbone Cancer Center, is quick to
point out that a reduced risk doesn’t equal zero risk.
“A small
amount of drinking may help your heart and only slightly increases your cancer
risk, so those people appear ‘healthier.’ But even light alcohol consumption in
no way protects you from cancer,” LoConte clarifies.
The study
authors themselves point out that their findings don’t mean people who don’t
drink should start a nightcap habit. These nondrinkers might have a higher
disease risk than light drinkers because medical reasons keep them from
drinking to start with. Or they’re recovering from alcohol use disorder and
have already done damage to their systems, adds LoConte, who wasn’t part of the
study.
But
nevertheless, this study does confirm that if you enjoy a glass of red or a
beer with your buds, it’s not going to totally tank your health — provided you
stick to what docs consider healthy (or moderate or light). Here’s what we
know:
The benefits of booze
Research
shows imbibers may have better immune systems, stronger bones, and a lower diabetes
risk for
women.
The most
prolific body of research, though, is around protecting your heart. A 2015 study review
confirms light drinking might actually help protect against coronary artery
disease, which contributes to stroke and heart failure.
Alcohol
benefits your heart by reducing inflammation, the hardening and narrowing of
your arteries, and the formation of blood clots — all factors associated with
coronary artery disease, explains Sandra Gonzalez, PhD,
instructor in the department of family and community medicine at Baylor College
of Medicine.
But, as
research in BMC Medicine points
out, the benefit only holds for those who stick to moderate drinking and don’t
go overboard.
Let’s define healthy
In order
for alcohol use to be considered low-risk and healthy, you have to stay within
or under both the recommended daily and weekly limits, Gonzalez adds.
The Dietary
Guidelines for Americans defines
moderate alcohol consumption as one drink per day for women and two drinks per
day for men.
We know —
that seriously changes your level of excitement for book club and wine night.
And,
unfortunately, you can’t choose a weekly count over the daily. “You can’t
‘batch’ your drinks. Not drinking anything for five days so you can have six on
Saturday. It’s zero or one, or zero or two per day, period,” says LoConte.
More
drinks than that — specifically, more than four or five for women and men,
respectively, usually within two hours — is considered binge drinking.
Regularly
knocking ’em back comes with a whole laundry
list of health risks like
higher risk for heart disease, stroke, liver disease, alcohol use disorder,
and, as that new study highlighted, cancer and premature death.
But some research reports
that even just one night of overdoing it can cause bacteria to leak from your
gut and increase levels of toxins in your blood. This can affect your immune
system and actually make you sick.
Ladies,
we know it’s unfair men are allotted one more glass a night. The
recommendations for men and women are different because, well, physiologically
we’re different. “Some of it’s based on body size, but it’s more complicated
than that. For example, men generally weigh more than women and have less water
in their bodies. As a result, alcohol in a woman’s body is less diluted,
creating greater exposure to the toxic effect of alcohol and its byproducts,”
Gonzalez explains.
Tricks for drinking a
healthy amount
- Consuming more
then two to three drinks per day ups your risk for cancer and heart
problems.
- To keep your
cancer risk low, cap yourself at one drink per day for women and two for
men. Stick to the daily limit. Just because you didn’t drink yesterday
doesn’t mean you get two to four drinks today.
- One drink is considered to be 12 ounces of regular beer, 1.5 ounces of liquor, or 5 ounces of wine.
What’s the healthiest way to spend your one
drink?
We’ve
long heard the horn tooted for wine’s health benefits but many studies suggest
beer may actually be just beneficial. And what’s healthiest is really less
about the type of alcohol and more about how much you’re consuming, says
Gonzalez.
The most
important thing to remember here: One serving size is 14 grams of pure alcohol.
That’s:
- 12 ounces of
regular beer
- 5 ounces of wine
- 1.5 ounces of
80-proof liquor
And we’d
bet money what you think is one glass of wine — about half full, right? — is
way more than either of these doctors would consider one glass of wine.
“People
are often surprised when we describe what a standard drink actually is. Many
times, they’re being served drinks that exceed standard measures at
restaurants, bars, or at home,” says Gonzalez.
In fact,
a 2017 study in the BMJ reports the size of the average wine glass has nearly
doubled in size in the past 25 years, which means our 2018 half-full pour is
more like 7 to 10 ounces than 5.
Luckily
beer comes in a set size with the amount right on the label. But when drinking
wine and liquor, you should be measuring, Gonzalez adds.
“It’s
portion control applied to alcohol,” LoConte points out.
Tricks for drinking less without even noticing
Consider
buying wine glasses that look more like what your grandmother would sip out of
and less like what Olivia Pope guzzles from. Another study found
even if you measure out a five-ounce pour, the bigger the glass, the more
likely you are to have a second.
“One
strategy to drink less and enjoy your one glass more is to make your drink last
longer by turning it into a cocktail,” says Autumn Bates,
a certified clinical nutritionist and recipe developer based in Los Angeles.
That way, you’ll have a full glass to savor and feel less deprived and in need
of another.
Bates’ go
to: Using a sugar-free effervescent sparkling water as a base, muddle in fresh
herbs (such as mint, lavender, or rosemary), and top with 5 ounces of wine or
1.5 ounces of liquor of your choice. If you need a little more flavor or
sweetness, add a splash of freshly squeezed juice.
Tricks for drinking a
healthy amount
- Be sure to measure
out that booze, especially wine.
- Buy smaller wine
glasses. Larger ones up your chances of drinking more.
- Mix
in sparkling water to make your drink last longer.
Need some
starter ideas? Here are three of Bates’ favorite cocktails.
Strawberry
Mint Sangria
Combine 1
bottle of red wine, 2 sliced limes, 1/2 cup fresh mint, and 2 cups halved
strawberries. Allow this mixture to sit in the fridge for at least 6 hours or
overnight. Split the pitcher among six wine glasses (or pour one-sixth of the
pitcher for a single serving) and top each with 3 oz. sparkling water.
Paloma
Party
Combine 1
oz. tequila, 1/4 cup freshly squeezed grapefruit juice, juice of 1/2 lime, and
3 oz. sparkling water in a glass filled with ice. Garnish with lime and
grapefruit wedges.
Classic
Italian Spritz
Combine
3.5 oz. prosecco, 1.5 oz. Aperol, juice of 1/2 lime, and 3 oz. sparkling water
in a wine glass filled with ice. Garnish with a lime peel if you’d like.
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