Does Alcohol Have a Place In a Healthy Diet?

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A number of recent news stories have reported that drinking alcoholic beverages has health benefits—some even imply that one or two drinks a day is a government-endorsed route to better health. Other stories say that alcohol abuse is related to many of the major causes of death in America.

The 1995 Dietary Guidelines advise: If You Drink Alcoholic Beverages, Do So In Moderation. This is virtually the same advice that has been given since 1980. The 1995 Dietary Guidelines added the comment that many individuals throughout the ages have drunk alcoholic beverages in moderation to enhance the enjoyment of meals. The Guidelines also note that there is some recent scientific evidence that for some individuals moderate alcohol consumption may reduce the risk of heart disease.

However, alcohol also has undisputed drug effects, which can be harmful under many circumstances. Some people, in particular, should not drink at all. Alcohol carries with it the risk of dependency and excess consumption, which can cause serious health problems. Therefore, the Dietary Guidelines recommend only that those who do drink alcoholic beverages do so in moderation. They do not recommend that those who do not consume alcohol begin drinking.

So…What’s the Bottom Line?

The Dietary Guidelines for Americans present information on the pros and cons of alcohol consumption. While there may be some health benefits with moderate alcohol consumption, the Dietary Guidelines clearly emphasize that dependency and excess can cause serious health problems. While moderate alcohol consumption may have some effects that reduce the risk of heart disease, there are other ways of achieving reduction in risk.

There are many factors that reduce the risk of heart disease, including a healthy diet, moderate exercise, avoidance of smoking, and maintenance of a healthy weight. These behavior changes carry less potential for negative consequences. As one person put it, ‘‘people don’t get addicted to fruits and vegetables and don’t get into accidents after eating too many apples.’’ Thus, the correct interpretation of the Dietary Guideline on alcohol is, if you don’t drink, this guideline is not a reason to start; however, if you drink alcoholic beverages, do so in moderation, with meals, and when consumption does not put you or others at risk.

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