My previous post discussed the $100 million government study on “moderate” alcohol consumption that the alcohol industry was furtively funding and designing to give favorable results, a study that fortunately was scuttled after the New York Times exposed the scandal. One of the comments to my post (thanks, “Last Lemming”!) pointed to an important 2018 publication from just a few days ago in the major medical journal, The Lancet, which combined hundreds of studies and conducted massive analysis to determine the mathematically optimum amount of daily alcohol one should consume. The answer: ZERO. Not one ounce, not half a glass of wine, not even a teaspoon, but zero.
The study is Max G. Griswold et al. (a huge list is buried in that “et al.”), “Alcohol use and burden for 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016,” The Lancet, August 23, 2018, https://doi.org/10.1016/S0140-6736(18)31310-2. Here is the summary:
Alcohol use is a
leading risk factor for death and disability, but its overall
association with health remains complex given the possible protective
effects of moderate alcohol consumption on some conditions. With our
comprehensive approach to health accounting within the Global Burden of
Diseases, Injuries, and Risk Factors Study 2016, we generated improved
estimates of alcohol use and alcohol-attributable deaths and
disability-adjusted life-years (DALYs) for 195 locations from 1990 to
2016, for both sexes and for 5-year age groups between the ages of 15
years and 95 years and older.
694 data sources of individual and population-level alcohol
consumption, along with 592 prospective and retrospective studies on the
risk of alcohol use, we produced estimates of the prevalence of current
drinking, abstention, the distribution of alcohol consumption among
current drinkers in standard drinks daily (defined as 10 g of pure ethyl
alcohol), and alcohol-attributable deaths and DALYs. We made several
methodological improvements compared with previous estimates: first, we
adjusted alcohol sales estimates to take into account tourist and
unrecorded consumption; second, we did a new meta-analysis of relative
risks for 23 health outcomes associated with alcohol use; and third, we
developed a new method to quantify the level of alcohol consumption that
minimises the overall risk to individual health.
alcohol use was the seventh leading risk factor for both deaths and
DALYs in 2016, accounting for 2·2% (95% uncertainty interval [UI]
1·5–3·0) of age-standardised female deaths and 6·8% (5·8–8·0) of
age-standardised male deaths. Among the population aged 15–49 years,
alcohol use was the leading risk factor globally in 2016, with 3·8% (95%
UI 3·2–4·3) of female deaths and 12·2% (10·8–13·6) of male deaths
attributable to alcohol use. For the population aged 15–49 years, female
attributable DALYs were 2·3% (95% UI 2·0–2·6) and male attributable
DALYs were 8·9% (7·8–9·9). The three leading causes of attributable
deaths in this age group were tuberculosis (1·4% [95% UI 1·0–1·7] of
total deaths), road injuries (1·2% [0·7–1·9]), and self-harm (1·1%
[0·6–1·5]). For populations aged 50 years and older, cancers accounted
for a large proportion of total alcohol-attributable deaths in 2016,
constituting 27·1% (95% UI 21·2–33·3) of total alcohol-attributable
female deaths and 18·9% (15·3–22·6) of male deaths. The level of alcohol
consumption that minimised harm across health outcomes was zero (95% UI
0·0–0·8) standard drinks per week.
use is a leading risk factor for global disease burden and causes
substantial health loss. We found that the risk of all-cause mortality,
and of cancers specifically, rises with increasing levels of
consumption, and the level of consumption that minimises health loss is
zero. These results suggest that alcohol control policies might need to
be revised worldwide, refocusing on efforts to lower overall
So much for the myth of healthy moderate alcohol consumption. If it’s
health you want, don’t touch the stuff at all. If you do choose to
drink, please don’t repeat the myth that you are just drinking a healthy
amount. The healthy amount is zero. Anything above that can be expected
to bring net harm to your health. Don’t mislead others with the bad science of the past.
Of course, you may not experience any ill effects, just like some
smokers manage to live surprisingly long. Health consequences are
statistical matters with huge variance. But the expectation, based on
extensive data, is that any alcohol increases the risk of overall harm.
The healthy choice is zero.
A serious amount of education is needed now to reverse the decades of bad science that have given us the myth that a little alcohol is a healthy choice. A little alcohol is healthy in the same way that a little tobacco smoke is healthy since both have the same optimum level. Zero. Now get out there and let people know!
Update, Sept. 4, 2018: An associated article at The Lancet is “No level of alcohol consumption improves health” by Robyn Burton and Nick Sheron, also published on Aug. 23, 2018. This discusses the Global Burden of Disease 2016 study and explains that it is “most comprehensive estimate of the global burden of alcohol use to date.” The study reveals that alcohol’s impact is significantly greater than previously recognized. In fact, it is “a colossal global health issue.”
The conclusions of the study are clear and unambiguous: alcohol is a
colossal global health issue and small reductions in health-related
harms at low levels of alcohol intake are outweighed by the increased
risk of other health-related harms, including cancer. There is strong
support here for the guideline published by the Chief Medical Officer of
the UK who found that there is “no safe level of alcohol consumption”. The findings have further ramifications for public health policy, and
suggest that policies that operate by decreasing population-level
consumption should be prioritised.
For your convenience in sharing this information, I’ve prepared two TinyUrl.com shortcuts for the two links at The Lancet. The shortcut to the study itself is https://tinyurl.com/liquorbad and a shortcut to the brief associated article is https://tinyurl.com/boozebad.
Speaking of shortcuts, this blog can be reached via https://tinyurl.com/mormanity or just Mormanity.com. Oh, that’s right — I was finally able to use my Mormanity trademark to require a serial cybersquatter to relinquish Mormanity.com, so that domain is no longer serving up objectionable ads, but now redirects to my blog here. Have plans to develop it as a standalone site, and your suggestions for improvements are welcome.