Saturday, May 28, 2016

Side Effects of Drinking Wine

1.   Effects on Bones :


Heavy alcohol consumption has been shown to have a damaging effect on the cellular processes that create bone tissue, and long-term alcoholic consumption at high levels increases the frequency of fractures.  Epidemiological studies (studies done by interviewing subjects and studying their health records) have found a positive association between moderate alcohol consumption and increased bone mineral density (BMD). Most of this research has been conducted with postmenopausal women, but one study in men concluded that moderate consumption of alcohol may also be beneficial to BMD in men.











2. Drinking Wine :Risk factor for specific cancers :

A: Cancers of the mouth, esophagus, pharynx, and larynx

 Oral cancer, Esophageal cancer, Head and neck cancer and Laryngeal cancer  Endoscopic image of patient with esophageal adenocarcinoma seen at gastro-esophageal junction.





National Cancer Institute states "Drinking alcohol increases the risk of cancers of the mouth, esophagus, pharynx, larynx, and liver in men and women, … In general, these risks increase after about one daily drink for women and two daily drinks for men. (A drink is defined as 12 ounces of regular beer, 5 ounces of wine, or 1.5 ounces of 80-proof liquor.) … Also, using alcohol with tobacco is riskier than using either one alone, because it further increases the chances of getting cancers of the mouth, throat, and esophagus."
The International Head and Neck Cancer Epidemiology (INHANCE) Consortium co-ordinated a meta-study on the issue. A study looking at laryngeal cancer and beverage type concluded, "This study thus indicates that in the Italian population characterized by frequent wine consumption, wine is the beverage most strongly related to the risk of laryngeal cancer."
A review of the epidemiological literature published from 1966 to 2006 concluded that:
·         The risk of esophageal cancer nearly doubled in the first two years following alcohol cessation, a sharp increase that may be due to the fact that some people only stop drinking when they are already experiencing disease symptoms. However, risk then decreased rapidly and significantly after longer periods of abstention.
·         Risk of head and neck cancer only reduced significantly after 10 years of cessation.
·         After more than 20 years of alcohol cessation, the risks for both cancers were similar to those seen in people who never drank alcohol.
A study concluded that for every additional drink regularly consumed per day, the incidence of oral cavity and pharynx cancers increases by 1 per 1000. The incidence of cancers of the esophagus and larynx increase by 0.7 per 1000.
A 2008 study suggests that acetaldehyde (a breakdown product of alcohol) is implicated in oral cancer.

B: Breast cancer:

Mastectomy  specimen containing a very large cancer of the breast (in this case, an invasiveductal carcinoma).
Alcohol is a risk factor for breast cancer in women.
 A woman drinking an average of two units of alcohol per day has an 8% higher risk of developing breast cancer than a woman who drinks an average of one unit of alcohol per day. A study concluded that for every additional drink regularly consumed per day, the incidence of breast cancer increases by 11 per 1000. Approximately 6% (between 3.2% and 8.8%) of breast cancers reported in the UK each year could be prevented if drinking was reduced to a very low level (i.e. less than 1 unit/week).[39] Moderate to heavy consumption of alcoholic beverages (at least three to four drinks per week) is associated with a 1.3-fold increased risk of the recurrence of breast cancer.

C: Colorectal cancer:

Colectomy  specimen  containing an invasive colorectal  carcinoma(the crater-like, reddish, irregularly-shaped tumor).
Drinking may be a cause of earlier onset of colorectal cancer. The evidence that alcohol is a cause of bowel cancer is convincing in men and probable in women.

The National Institutes of Health, the National Cancer Institute, Cancer Research, the American Cancer Society, the Mayo Clinic, and the Colorectal Cancer Coalition, American Society of Clinical Oncology  and the Memorial Sloan-Kettering Cancer Center  list alcohol as a risk factor.
A WCRF panel report finds the evidence "convincing" that alcoholic drinks increase the risk of colorectal cancer in men at consumption levels above 30 grams of absolute alcohol daily. The National Cancer Institute states, "Heavy alcohol use may also increase the risk of colorectal cancer"
A 2011 meta-analysis found that alcohol consumption was associated with an increased risk of colorectal cancer.

D: Liver cancer:

Hepatocellular carcinoma in an individual that was hepatitis Cpositive. Autopsy specimen.
Alcohol is a risk factor for liver cancer, through cirrhosis.  "Cirrhosis results from scar formation within the liver, most commonly due to chronic alcohol use."

"Approximately 5 percent of people with cirrhosis develop liver cancer. Cirrhosis is a disease that develops when liver cells are replaced with scar tissue after damage from alcohol abuse, …"
The NIAAA reports that "Prolonged, heavy drinking has been associated in many cases with primary liver cancer." However, it is liver cirrhosis, whether caused by alcohol or another factor, that is thought to induce the cancer."
"The chances of getting liver cancer increase markedly with five or more drinks per day" (NCI).
A study concluded that for every additional drink regularly consumed per day, the incidence of liver cancer increases by 0.7 per 1000.
In the United States, liver cancer is relatively uncommon, afflicting approximately 2 people per 100,000, but excessive alcohol consumption is linked to as many as 36% of these cases by some investigators  "Overall, 61% of HCC were attributable to HCV [hepatitis C virus], 13% to HBV [hepatitis B virus], and 18% to heavy alcohol drinking." A study in the province of Brescia, northern Italy concluded, "On the basis of population attributable risks (AR), heavy alcohol intake seems to be the single most relevant cause of HCC in this area (AR: 45%), followed by HCV (AR: 36%), and HBV (AR: 22%) infection." 

E: Lung cancer:

Alcohol intake of more than 2 drinks per day is associated with a small increased risk of lung cancer.  Commenting on a study by Freudenheim et al., R. Curtis Ellison MD writes, "This study, like others, suggests a weak, positive association between consuming larger amounts of alcohol (>2 drinks a day) and lung cancer risk."

F: Skin cancer:

High alcohol intake is associated with the development of malignant  melanoma.  i.e. skin cancer

G: Stomach cancer:

"Statistically significant increases in risk also existed for cancers of the stomach, colon, rectum, liver, female breast, and ovaries."
"While alcohol has been extensively studied as a cause of stomach cancer there is no conclusive evidence that it increases risk. However, results from at least three studies suggest that heavy alcohol consumption may increase the risk of stomach cancer in heavy smokers."

Consumption of 50g or more per day increases risk.

H: Endometrial cancer:

Alcohol has been identified as a risk factor for endometrial cancer. Data however, on the association of alcohol intake and endometrial cancer is conflicting. Where data exists for an association low to moderate intake of alcohol, (less than two drinks per day) is not associated with an increased risk but an association has been suggested for higher alcohol intake. "Our results suggest that only alcohol consumption equivalent to 2 or more drinks per day increases risk of endometrial cancer in postmenopausal women."  "In conclusion, our results suggest that low alcohol consumption (up to one drink per day) is unlikely to substantially influence risk of endometrial cancer."


I: Gallbladder cancer:

Alcohol has been suggested as a risk factor for gall bladder cancer. Evidence suggests that a high intake of alcohol is associated with gall bladder cancer.  Men may be at a higher risk of alcohol-related gallbladder cancer than women.

J: Ovarian cancer:

"Thus, the results of this study suggest that relatively elevated alcohol intake (of the order of 40 g per day or more) may cause a modest increase of epithelial ovarian cancer risk.". "Associations were also found between alcohol consumption and cancers of the ovary and prostate, but only for 50 g and 100 g a day."[83] "Statistically significant increases in risk also existed for cancers of the stomach, colon, rectum, liver, female breast, and ovaries."
"Thus, this pooled analysis does not provide support for an association between moderate alcohol intake and ovarian cancer risk."

K: Prostate cancer:

"Data from the Health Professionals Follow-Up Study showed only a weak association between overall alcohol intake and prostate cancer risk."
Alcohol consumption of 50 g and 100 g per day is  associated with cancers of the ovary and prostate. However, one study concludes, that moderate alcohol consumption increases the risk of prostate cancer. Liquor, but not wine or beer, consumption was positively associated with prostate cancer."
A meta analysis of studies published in 2009 found that consumption of only 2 standard drinks per day increased the cancer risk by 20%.

L: Small intestine cancer:


A study of small intestine cancer patients reported that alcohol consumption was associated with  adenocarcinomas  and malignant carcinoid tumors.
"In men and women combined, a significant 3-fold increased risk in heavy drinkers (80+g ethanol/day) relative to more moderate drinkers and non-drinkers was observed."
"Alcohol and tobacco consumption did not increase the risk of adenocarcinoma of the small intestine. … While the present data are inconsistent with a major effect of tobacco or alcohol, a moderate association between these factors and small bowel cancer may have been obscured by the play of chance." 

M:Leukemia:

Intake of alcohol during pregnancy has been associated with childhood leukemia. A review published by the National Cancer Institute placed maternal alcohol consumption during pregnancy in the category of "suggestive" but concluded that the risk was not important.

N: Pancreatic cancer:

Whilst the association between alcohol abuse and pancreatitis is well established the association between alcohol consumption and pancreatic cancer is less clear. Overall the evidence suggests a slightly increased risk of pancreatic cancer with chronic heavy alcohol consumption but the evidence remains conflicting with a number of studies finding no association., but no increased risk for people consuming up to 30g of alcohol a day.
Some studies suggest a relationship, the risk increasing with increasing amount of alcohol intake. The risk is greatest in heavy drinkers,  mostly on the order of four or more drinks per day. There appears to be no increased risk for people consuming up to 30g of alcohol a day, which is approximately 2 alcoholic beverages/day, so most people who take alcohol do so at a level that "is probably not a risk factor for pancreatic cancer". A pooled analysis concluded, "Our findings are consistent with a modest increase in risk of pancreatic cancer with consumption of 30 or more grams of alcohol per day".

O: Cervical cancer:

A study concluded "that alcoholic women are at high risk for in situ and invasive cervical cancer" but attributed this to indirect, lifestyle-related reasons.

Ductal carcinoma in situ (DCIS) breast cancer:

"DCIS patients and control subjects did not differ with respect to oral contraceptive use, hormone replacement therapy, alcohol consumption or smoking history, or breast self-examination. Associations for LCIS were similar."

P: Vaginal cancer:

A study concluded that alcoholic women are at high risk for cancer of the vagina. In both studies, indirect, lifestyle-related reasons were cited.

3.Cardiovascular system Disorder:



Studies have shown that heavy drinkers put themselves at greater risk for heart disease and developing potentially fatal cardiac arrhythmias. Excessive alcohol consumption can cause higher blood pressure, increase cholesterol levels and weakened heart muscles. Studies have shown that moderate wine drinking can improve the balance of low-density lipoprotein (LDL or "bad" cholesterol) to high-density lipoprotein (HDL "good" cholesterol), which has been theorized as to clean up or remove LDL from blocking arteries. The main cause of heart attacks and the pain of angina is the lack of oxygen caused by blood clots and atheromatous plaque build up in the arteries. The alcohol in wine has anticoagulant properties that limits blood clotting by making the platelets in the blood less prone to stick together and reducing the levels of fibrin protein that binds them together.

Professional cardiology associations recommend that people who are currently nondrinkers should not start drinking alcohol.

4.Dementia and mental functions:

 Long-term effects of heavy drinking can inhibit new brain cell development and increase the risk for developing major depressive disorders. Studies have linked moderate alcohol consumption to lower risk of developing Alzheimer's and dementia though wine's role in this link is not yet fully understood.[9] A 2009 study by Wake Forest University School of Medicine suggest that moderate alcohol consumption may help healthy adults ward off the risks of developing dementia but can accelerate declining memory for those already suffering from cognitive impairment. The reason for the potential positive benefit of moderate consumption is not yet identified and may even be unrelated to the alcohol but rather other shared lifestyle factors of moderate drinkers (such as exercise or diets). If it is the moderate consumption, researchers theorize that it may be alcohol's role in promoting the production of "good cholesterol" which prevents blood platelets from sticking together. Another potential role of alcohol in the body may be in stimulating the release of the chemical acetylcholine which influences brain function and memory.

5. Diabetes:
Research has shown that moderate levels of alcohol consumed with meals does not have a substantial impact on blood sugar levels. A 2005 study presented to the American Diabetes Association suggest that moderate consumption may lower the risk of developing Type 2 diabetes.

The anti-bacterial nature of alcohol may reduce the risk of infection by the Helicobacter pylori bacterium that has been associated with stomach cancer as well as gastritis and peptic ulcers.
The anti-bacterial nature of alcohol has long been associated with soothing stomach irritations and ailments like traveler's diarrhea where it was a preferred treatment to the less palatable bismuth treatments. The risk of infection from the bacterium Helicobacter pylori, strongly associated with causing gastritis and peptic ulcers as well as being closely linked to stomach cancer, appears to lessen with moderate alcohol consumption.A German study conducted in the late 1990s showed that non-drinkers had slightly higher infection rates of Helicobacter pylori than moderate wine and beer drinkers.
Wine's positive effects on the metabolism of cholesterol has been suggested as a link to lower occurrences of gallstones among moderate drinkers since cholesterol is a major component of gallstones.

6.Headaches:
There are several potential causes of so-called "red wine headaches", including histamines/tyramines and the breakdown of some phenolic compounds in wine that carry the chemical messenger for serotonin. One culprit that is regularly dismissed by allergists as an unlikely cause of red wine headaches is sulfites which are used as a preservative in wine. Wine, like other alcoholic beverages, is a diuretic which promotes dehydration that can lead to headaches (such as the case often experienced with hangovers). In 2006, researchers from the University of California, Davis announced finding from genetic mapping that amino acids in wine that have been slightly modified by the fermentation process may be the cause of wine related headaches. The research suggest changes in fermentation techniques may help alleviate the risk for wine drinkers sensitive to these amino acids.

7. Sleep Deficiency :
Many people feel a bit drowsy when consuming wine. This happens because alcohol is not digested but moves directly through the stomach lining and wall of the small intestine into the bloodstream. Once alcohol gets into the bloodstream, it goes into every cell of the body, depressing cellular activity. But this drowsy feeling is short-lived and one or more drinks before bedtime can result in a lighter sleep versus deeper, more restful sleep. Staying physically active and reducing your alcohol consumption can help you get better sleep.
8. Obesity :
For some people, one glass of wine can turn into a whole bottle. One 5 ounce glass of dry wine has on average about 100 calories. A 12 ounce wine cooler is higher with about 180 calories on average. But some fortified wines and dessert wines containing distilled spirits have even more calories. So while one to two glasses of wine at about 200 calories can fit into your daily caloric goals, keep in mind that drinking is linked to increased consumption of food and a decreased rate of exercise. Half a bottle of wine everyday over a week period adds up to 1,750 of mostly nutrient-free calories.
9. Heart Disease :
Moderation is important. Up to one drink a day for women and two drinks a day for men may provide the associated health benefits, like lowering risk for heart disease. But when drinking habits become higher, you can put yourself at risk of heart disease. Too much alcohol intake can lead to a rise in blood pressure, result in heart failure or lead to a stroke. Additionally, high intake can result in increased triglycerides and an irregular heartbeat. For those really interested in a healthy heart, focusing on eating well and exercising has been shown to improve heart health at higher rates than the addition of a glass of wine daily.
10. Fertility :
Although the potential harmful effects of alcohol during pregnancy, such as birth defects or low birth weights, are well known, less well-known are the effects on males. For men, excessive alcohol intake can result in lowered testosterone levels, slowed motility of the sperm and erectile dysfunction. So it is important for both men and women who are attempting to conceive to reduce or even stop their intake of alcohol.
10. Pancreatitis :
Excessive alcohol intake, including wine, can lead to acute pancreatitis. If you already have chronic pancreatitis, it can worsen the symptoms. An article in the July 2007 Journal of Pancreatology states "Although the association between alcohol consumption and pancreatitis has been recognized for over 100 years, it remains still unclear why some alcoholics develop pancreatitis and some do not. Surprisingly little data are available about alcohol amounts, drinking patterns, type of alcohol consumed and other habits such as dietary habits or smoking in respect to pancreatitis preceding the attack of acute pancreatitis or the time of the diagnosis of chronic pancreatitis." But reducing or abstaining from alcohol may prohibit recurrent acute pancreatitis and reduce the amount of pain caused during chronic pancreatitis.

 

Wine : Side Effects on Your Body