Chapter 3: Alcohol Controversy Flashcards
Myth or Truth: A shot of alcohol warms you up
Myth
Myth or Truth: Alcohol diverts blood flow to the skin, making you feel warmer, but it actually cools the body
Truth
Myth or Truth: Wine and beer are mild, they do not lead to addiction
Myth
Myth or Truth: Wine and beer drinkers worldwide have high rates of death from alcohol-related illnesses. It’s not what you drink, but how much that makes the difference
Truth
Myth or Truth: Mixing drinks is what gives you a hangover
Myth
Myth or Truth: Too much alcohol in any form produces a hangover
Truth
Myth or Truth: Alcohol is a stimulant
Myth
Myth or Truth: Alcohol depresses the brain’s activity
Truth
Myth or Truth: Alcohol is legal, therefore, it is not a drug
Myth
Myth or Truth: Alcohol is legal, but it alters body functions and is medically defined as a depressant drug
Truth
In the U.S.; Alcohol related deaths exceed 88,000 yearly; Among U.S. adults, 1 in 6 is a binge drinker (accounting for more than half of the 88,000 deaths annually)
Facts
no alcohol intake
abstinence
possibly at a special occasion or a social event
occasional drinking
per day limit: 1 drink for a woman / 2 drinks for a man
- may not drink every day
moderate drinking
4 drinks for a woman / 5 or more drinks for a man in a short period of time - usually within a few hours
- may not drink during the working days but may drink on the off work days
heavy episodic (binge) drinking
4 drinks for a woman / 5 or more drinks for a man in a short period of time - usually within a few hours
- may drink daily or almost daily
heavy drinking
Does Moderate Alcohol Use Benefit Health?
Science is mixed - most research evidence for health benefits is indirect, observational, or explained based upon other factors
Does Moderate Alcohol Use Benefit Health?
Some studies on moderate drinking by adults of legal age suggest reduced risk of heart attacks, strokes, and diabetes
Fruit that contains potassium and phytochemicals which work to maintain normal blood pressure and reduce inflammation
(used in wine making)
Grapes
_____ from any source in large amounts increases blood pressure and inflammation which increase risk of heart attack and stroke
Alcohol
- Names end in -ol
- Produced through a fermentation process which involves yeast and starches or sugars
- Act as lipid solvents
Alcohol
One standard drink is slightly more than a half ounce (0.6oz) of pure ethanol
Alcohol
a substance to which ethanol is metabolized on its way to becoming harmless waste products that can be excreted
Acetaldehyde
an enzyme system that breaks down alcohol
Alcohol Dehydrogenase (ADH)
dependency on alcohol marked by compulsive, uncontrollable drinking with negative effects on physical health, family relationships and social health
Alcoholism
a hormone produced by the pituitary gland in response to dehydration (or a high sodium concentration in the blood). It stimulates the kidneys to reabsorb more water and to excrete less.
Antidiuretic Hormone (ADH)
central-body fatness associated with alcohol consumption
Beer Belly
advanced liver disease, often associated with alcoholism; in which liver cells have died, hardened, turned an orange color, and permanently lost their function
Cirrhosis
a dose of any alcoholic beverage that delivers half an ounce of pure ethanol
Drink
the alcohol of alcoholic beverages, produced by the action of microorganisms on the carbohydrates of grape juice or other carbohydrate-containing fluids
Ethanol
an inflated sense of well-being and pleasure brought on by a moderate dose of alcohol and some by other drugs
Euphoria
an early stage of liver deterioration seen in several diseases, including nonalcoholic and alcoholic liver diseases, in which fat accumulates in the liver cells
Fatty Liver
an intermediate stage of alcoholic liver deterioration. Liver cells lose their function and assume the characteristics of connective tissue cells (become fibrous)
Fibrosis
substance to which methanol is metabolized on the way to being converted to harmless waste products that can be excreted
Formaldehyde
a common pattern of excessive alcohol use that elevates blood alcohol to 0.08% or above; typically, five or more drinks for men, four for women, in about two hours’s time.
Heavy Episodic Drinking aka Binge Drinking
alcohol produced in the body continually by all cells
Methanol
people who do not drink excessively and do not behave inappropriately because of alcohol. A moderate drinker’s health may or may not be harmed by alcohol over the long term
Moderate Drinkers
term used on beverage labels, such as wine or beer, indicating that the product contains less than 0.5% alcohol. The terms dealcoholized and alcohol removed mean the same thing. Alcohol free means that the product contains no detectable alcohol
Nonalcoholic
people who suffer social, emotional, family, job-related, or other problems because of alcohol; on the way to alcoholism
Problem Drinkers or Alcohol Abusers
statement of the percentage of alcohol in an alcoholic beverage
Proof
Liquor that is 100 proof is 50% alcohol and 90 proof is 45% alcohol, etc
cluster of symptoms involving nerve damage arising from a deficiency of the vitamin thiamin in alcoholism. Characterized by mental confusion, disorientation, memory loss, jerky eye movements, and staggering gait
Wenicke-Koraskoff Syndrome
College students who drank caffeine combined with alcohol were twice as likely to:
- be injured
- require medical attention
- ride with an intoxicated driver
- either take sexual advantage or someone or be the victim of sexual aggressiveness
depressant that slows down the brain and body
Alcohol
stimulant that speeds up the brain and body
Caffeine
Energy drinks can
- reduce symptoms of alcohol intoxication
- reduce fatigue / tiredness
Alcohol molecules can diffuse (pass through stomach walls to enter into body fluids)
Immediate Effect of Alcohol
True or False: A lethal dose of alcohol is possible
TRUE (depends on the speed and amount consumed)
First place of alcohol metabolism in the body?
Stomach (before absorption)
Produces alcohol dehydrogenase (ADH)
Stomach
Who produces more alcohol dehydrogenase (ADH); Men or women?
Men produce more - which means women absorb more alcohol from each drink
____ tend to contain more lean muscle tissue and a greater body water volume – this allows alcohol to be more diluted
Men
______ tend to contain less lean muscle tissue and a smaller body water volume - this makes alcohol more concentrated
Women
Roughly 5% of alcohol is excreted by the
kidneys in urine
Roughly 5% of alcohol is excreted by the
lungs
test that accurately reveals the percent of alcohol in the blood by measuring the percent of alcohol in a person’s breath
Breathalyzer
Place of alcohol metabolism (after absorption)
Liver
about 1/2 ounce of blood ethanol per hour is metabolized by the liver
Rate of Alcohol Clearance
factors which may affect the rate of alcohol clearance
persons body size, food and fluid intake, fasting, gender, general health, and previous drinking experience
factors which do not affect the rate of alcohol clearance
walking, exercising, consuming sources of caffeine, aspirin or other pain reliving compounds, consuming nasty mixtures of foods or beverages, breathing pure oxygen, drinking more alcohol, or taking vitamins
- acetaldehyde
- damaging free radicals, increasing oxidative stress, increasing inflammation
Toxic substances that are generated by alcohol metabolism
fatty liver is yellowish in color, larger than a normal liver, filled with excess fat
- excess fat interferes with oxygen and nutrients being delivered to other liver cells
- fatty liver and fibrous stage can be reversed; if good nutrition and alcohol consumption is stopped in time
Organ damage to liver
scar tissue develops within the liver
Liver Fibrosis
liver is swollen, filled with dead cells and scar tissue. The liver can no longer do many of its normal functions. If alcohol intake is stopped now, the liver will not be able to repair itself even with good nutrition.
Cirrhosis
mild (to severe at its worse) form of drug withdrawal
- common signs/symptoms: headache, pain, nausea, depression, anxiety, fatigue, and reduced cognitive ability and reaction time
Hangover
lack of the antidiuretic hormone causes
dehydration of the brain
as liquids are consumed and the body rehydrates, brain cells rehydrate which results in pain
headache
Heart and Skeletal Muscles
- weakness and deterioration
- heart may ultimately bloat and weigh roughly 2x what a normal heart would weigh
- blood pressure increases (hypertension)
- increase risk of heart attach
Long-term excessive alcohol intake effects
Brain
- dehydration of the brain cells occurs, brain tissues shrink
- brain tissue is mostly lipid and alcohol is a lipid solvent brain cells die off and brain tissue shrinks
- Increased risk of brain hemorrhages and strokes
- brain cells are damaged and die off due to increased oxidized damage with free radicals (from alcohol metabolism) attacking brain cells and generating inflammation
Long-term excessive alcohol intake effects
Appetite for food may remain and excess alcohol consumed along with food intake. Appetite for food intake may diminish with alcohol replacing food intake
Long-term excessive alcohol intake on nutrition
Malnutrition – Excess Calories: Low density calories consumed contain alcohol and possibly sugars (carbohydrate - 4 calories per gram)
- Fattening power of alcohol (7 calories per gram)
- Liver metabolizes alcohol’s energy for use and stores fat (often in the central abdominal area -“beer belly”)
Long-term excessive alcohol intake on nutrition
Excessive urine production causes losses in:
- Water
- Minerals such as magnesium, potassium, calcium, zinc, etc
- Vitamins such as all of the water-soluble vitamins (all the B vitamins and vitamin C) and vitamin K
Long-term excessive alcohol intake on nutrition
Small Intestine’s absorption prevented from absorbing numerous nutrients
Long-term excessive alcohol intake on nutrition
Malnutrition - Deficiencies
- Dehydration
- Wenicke-Korsakoff Syndrome (severe thiamin deficiency)
- Significant folate deficiency preventing new cells from forming
Long-term excessive alcohol intake on nutrition
Alcohol prevents use of nutrients such as vitamins A and D and folate
Long-term excessive alcohol intake on nutrition