The Internet is full of mixed messages about alcohol.
On the one hand, moderate amounts have been linked to health benefits.
On the other, it is addictive and highly toxic — especially when you drink too much.
The truth is that the health effects of alcohol vary between individuals and depend on the amount and type of alcohol consumed.
This article discusses how alcohol affects your health.
The main psychoactive ingredient in alcoholic beverages is ethanol.
Generally referred to as "alcohol," ethanol is the substance that makes you drunk.
Alcohol is one of the most popular psychoactive substances in the world. It can have powerful effects on your mood and mental state.
Some people drink small amounts at a time, while others tend to binge drink. Binge drinking involves drinking large amounts at a time to get drunk.
Summary Ethanol, the active ingredient in alcoholic drinks, is generally referred to as "alcohol." It can have powerful effects on your mental state.
Your liver is a remarkable organ with hundreds of essential functions.
One of its main roles is to neutralize various toxic substances you consume. For this reason, your liver is particularly vulnerable to damage by alcohol intake (3).
Liver diseases caused by alcohol consumption are collectively known as alcoholic liver diseases.
The first of these to appear is fatty liver, characterized by increased fat inside liver cells.
In heavy drinkers, binge drinking may cause your liver to become inflamed. In worst-case scenarios, liver cells die and get replaced with scar tissue, leading to a serious condition called cirrhosis (3, 6, 7).
Cirrhosis is irreversible and associated with many serious health problems. In advanced cirrhosis, a liver transplant may be the only option.
Summary Alcohol is metabolized by the liver, and frequent intake can lead to increased fat inside liver cells. Alcohol abuse can lead to cirrhosis, a very serious condition.
Excessive alcohol consumption can have numerous adverse effects on your brain.
Ethanol reduces communication between brain cells — a short-term effect responsible for many of the symptoms of being drunk.
Binge drinking may even lead to a blackout, a phenomenon characterized by memory loss, or amnesia, during a heavy drinking episode (8).
In worst-case scenarios, severe alcohol-induced brain damage may impair people's ability to lead an independent life.
Summary While alcohol intoxication is only temporary, chronic alcohol abuse can impair brain function permanently. However, moderate drinking may have benefits for brain health — especially among older adults.
Alcohol intake and depression are closely but complexly associated (19).
Many people facing anxiety and depression drink intentionally to reduce stress and improve mood. While drinking may provide a few hours of relief, it will worsen your overall mental health and spark a vicious cycle (23, 24).
Summary Alcohol abuse and depression are linked. People may start abusing alcohol due to depression or become depressed by abusing alcohol.
Obesity is a serious health concern.
Alcohol is the second most calorie-rich nutrient after fat — packing about 7 calories per gram.
However, studies investigating the link between alcohol and weight have provided inconsistent results (31).
It seems that drinking habits and preferences may play a role.
Summary The evidence on alcohol and weight gain is mixed. Heavy drinking and beer are linked to increased weight gain, while moderate drinking and wine are linked to reduced weight gain or even weight loss.
Heart disease is the leading cause of death in modern society.
It is a broad category of diseases, the most common of which are heart attacks and strokes.
The relationship between alcohol and heart disease is complex and depends on several factors.
There are several possible reasons for the beneficial effects of drinking moderately.
Moderate alcohol consumption may:
- Raise “good” HDL cholesterol in your bloodstream (41).
- Decrease blood pressure, a major risk factor for heart disease (42).
- Lower your blood concentration of fibrinogen, a substance that contributes to blood clots (43).
- Cut the risk of diabetes, another major risk factor for heart disease (44).
- Reduce stress and anxiety temporarily (41, 45).
Summary While moderate alcohol consumption may reduce your risk of heart disease, heavy drinking may increase it.
Type 2 diabetes affects about 8% of the world's population (46).
Characterized by abnormally high blood sugar, type 2 diabetes is caused by a reduced uptake of glucose, or blood sugar, by your cells — a phenomenon known as insulin resistance.
Summary Moderate alcohol consumption may reduce symptoms of type 2 diabetes by enhancing the uptake of blood sugar by your cells.
Cancer is a serious disease caused by abnormal growth of cells.
The cells lining your mouth and throat are especially vulnerable to the harmful effects of alcohol.
Your risk increases the more you consume. More than four drinks daily appear to cause a fivefold increase in your risk of mouth and throat cancer, as well as an increase in your risk of breast, colon and liver cancer (58, 59, 61, 62).
Summary Drinking alcohol may increase your risk of certain cancers, especially mouth and throat cancer.
Alcohol abuse during pregnancy is the leading preventable cause of birth defects in the US (63).
In fact, it may have adverse effects on development, growth, intelligence and behavior — which may affect the child for the rest of its life (63).
Summary Alcohol abuse is one of the world's most common causes of birth defects. The fetus is particularly vulnerable early in pregnancy.
It may be hard to believe, but alcohol may help you live longer.
Simultaneously, alcohol abuse is the third main cause of preventable death in the US, as it’s a large factor in chronic diseases, accidents, traffic crashes and social problems (67).
Summary Moderate alcohol consumption may increase life expectancy, while alcohol abuse is a strong risk factor for premature death.
Some people become addicted to the effects of alcohol, a condition known as alcohol dependence or alcoholism.
An estimated 12% of Americans are believed to have been dependent on alcohol at some point in their life (68).
Alcohol dependence is one of the main causes of alcohol abuse and disability in the US and a strong risk factor for various diseases (69).
Numerous factors can predispose people to problematic drinking, such as family history, social environment, mental health and genetics.
Many different subtypes of alcohol dependence exist, characterized by alcohol cravings, inability to abstain or loss of self-control when drinking (70).
As a rule of thumb, if alcohol is adversely affecting your quality of life, you may have a problem with alcohol dependence or alcoholism.
Summary Alcohol consumption can lead to alcohol dependence, or alcoholism, in predisposed individuals.
Heavy drinking is the most common form of drug abuse.
Chronic alcohol abuse can have catastrophic health effects, impacting your entire body and causing a range of health problems.
Getting your alcohol consumption under control, or abstaining completely, should be your first priority.
Summary Chronic alcohol abuse can wreak havoc on your body and brain, increasing your risk of many diseases.
What you drink matters less than how much you drink.
However, some alcoholic drinks are better than others.
Red wine appears to be particularly beneficial because it is very high in healthy antioxidants.
That said, consuming high amounts does not provide greater health benefits. Heavy drinking causes health problems — regardless of the type of beverage.
Summary Red wine may be one of the healthiest alcoholic beverages, probably due to its high concentration of antioxidants.
Recommendations for alcohol intake are usually based on the number of standard drinks per day.
The problem is, most people have no idea what qualifies as a “standard drink.” To worsen matters, the official definition of a standard drink differs between countries.
In the US, one standard drink is any drink that contains 0.6 fluid ounces (14 grams) of pure alcohol (ethanol).
This image shows the standard drink amount for some popular alcoholic drinks:
Photo Source: National Institute on Alcohol Abuse and Alcoholism.
Moderate drinking is defined as one standard drink per day for women and two for men, while heavy drinking is defined as more than three drinks per day for women and four for men (79).
Drinking patterns are also important. Binge drinking is a form of alcohol abuse and can cause harm.
Summary Moderate drinking is defined as one standard drink per day for women and two for men.
At the end of the day, the effects of alcohol range from a positive impact on your wellbeing to a health catastrophe.
Drinking small amounts — especially of red wine — is linked to various health benefits.
On the other hand, alcohol abuse and alcohol addiction are linked to severe negative effects on both physical and mental health.
If you enjoy alcohol and don’t binge, there is no compelling reason to avoid it. Just keep in mind that your cancer risk may increase — regardless of how much you are drinking.
However, if you tend to drink excessively or notice that alcohol causes problems in your life, you should avoid it as much as possible.
Because alcohol impact depends entirely on the individual, it's good for some and disastrous for others.