Are you one of the many Australians who enjoy a glass of wine or beer as one of their favourite pastimes? Enjoying a drink with mates can be seen as part of the Australian culture. You may be unaware that drinking above the recommended standard drinks a day and each week, may be harming your health.
A standard drink is 10g of alcohol. If you do choose to drink the maximum amount of alcohol recommended is 1.4 standard drinks a day or no more than 10 standard drinks a week. Sometimes we go to special events and drink over this, if this is only a single occasion and equals no more than 4 standard drinks this is considered ok but should not be a regular occurrence.
Risks to your health from drinking above the recommended limit go beyond being an unhealthy weight as its good to remember alcohol is not calorie free. Energy per gram of alcohol sits just under fat at 29kJ or 6.9 calories per gram compared to fat which has 37kJ or 8.8calories per gram. Having a beer gut is not just unattractive but also increases your risk of many lifestyle diseases including heart disease, type 2 diabetes and metabolic syndrome. Having a lifestyle which you drink more than the recommended maximum of standard drinks per day and week also can increase you risk of these cancers:
- breast
- oesophageal
- oropharyngeal
- lung
- gastric
- laryngeal
- hepatocellular
- endometrial
- pancreatic
- colorectal
It is important to note here that all individuals are different and need to consider their whole health profile when and if you choose to drink. For example women who are pregnant are encouraged not to drink any alcohol and if you have high blood pressure limiting or not drinking alcohol is recommended.
Here are a list of drinks and the number of standard drinks they equal:
Beer
Full strength 4.8% alc. vol
285 ml glass - 1.1 standard drinks
375 ml bottle or can - 1.4 standard drinks
425 ml glass - 1.6 standard drinks
24 x 375 ml case - 34 standard drinks
Mid strength 3.5% alc. vol
285 ml glass - 0.8 standard drinks
375 ml bottle or can - 1 standard drink
425 ml glass - 1.2 standard drinks
24 x 375 ml case - 24 standard drinks
Low strength 2.7% alc. vol
285 ml glass - 0.6 standard drinks
375 ml bottle or can - 0.8 standard drinks
425 ml glass - 0.9 standard drinks
24 x 375 ml case - 19 standard drinks
Wine
Red wine 13% alc. vol
100 ml standard serve - 1 standard drink
150 ml average restaurant serving - 1.5 standard drinks
750 ml bottle - 7.7 standard drinks
White wine 11.5% alc. vol
100 ml standard serve - 0.9 standard drink
150 ml average restaurant serving - 1.4 standard drinks
750 ml bottle - 6.8 standard drinks
Champagne
Champagne 12% alc. vol
150 ml average restaurant serving - 1.4 standard drinks
750 ml bottle - 7.1 standard drinks
Port
Port 17.5% alc. vol
60ml standard serve - 0.8 standard drinks
2 litre cask - 28 standard drinks
Take Home Message: If you choose to drink, drink to enjoy the occasion and aim not to become completely wasted. The taste should be enjoyed but just like a special treat like chocolate it is best enjoyed in moderation. Take the time to enjoy each sip and by savouring the moment and the flavour you may find it is easier to enjoy alcohol within the recommended limits.
References:
- Health AGDo. Standard Drinks Guide Canberra: Commonwealth of Australia; 2017 [updated September 2010; cited 2017 13/3/2017]. Available from: http://www.alcohol.gov.au/internet/alcohol/publishing.nsf/Content/drinksguide-cnt.
- Brien SE, Ronksley PE, Turner BJ, Mukamal KJ, Ghali WA. Effect of alcohol consumption on biological markers associated with risk of coronary heart disease: systematic review and meta-analysis of interventional studies. BMJ. 2011 Feb 22 [cited 2013 Sep 21];342:d636. Abstract available from: https://www.ncbi.nlm.nih.gov/pubmed/21343206
- Hvidtfeldt UA, Tolstrup JS, Jakobsen MU, Heitmann BL, Grønbaek M, O'Reilly E, Bälter K, Goldbourt U, et al. Alcohol intake and risk of coronary heart disease in younger, middle-aged, and older adults. Circulation. 2010 Apr 13 [cited 2013 Sep 21];121(14):1589-97. Abstract available from: https://www.ncbi.nlm.nih.gov/pubmed/20351238
- Reynolds K, Lewis B, Nolen JD, Kinney GL, Sathya B, He J. Alcohol consumption and risk of stroke: a meta-analysis. JAMA. 2003 Feb 5 [cited 2013 Sep 21];289(5):579-88. Abstract available from: https://www.ncbi.nlm.nih.gov/pubmed/12578491
- Song DY, Song S, Song Y, Lee JE. Alcohol intake and renal cell cancer risk: a meta-analysis. Br J Cancer. 2012 May 22 [cited 2013 Sep 21];106(11):1881-90. Abstract available from: https://www.ncbi.nlm.nih.gov/pubmed/22516951
- Rota M, Pasquali E, Scotti L, Pelucchi C, Tramacere I, Islami F, et al. Alcohol drinking and epithelial ovarian cancer risk. a systematic review and meta-analysis. Gynecol Oncol. 2012 Jun [cited 2013 Sep 21];125(3):758-63. Abstract available from: https://www.ncbi.nlm.nih.gov/pubmed/22449732
- Giacosa A, Adam-Blondon AF, Baer-Sinnott S, Barale R, Bavaresco L, Di Gaspero G, et al. Alcohol and wine in relation to cancer and other diseases. Eur J Cancer Prev. 2012 Jan [cited 2013 Sep 21];21(1):103-8. Abstract available from: https://www.ncbi.nlm.nih.gov/pubmed/22001915
- Schütze M, Boeing H, Pischon T, Rehm J, Kehoe T, Gmel G, Olsen A, Tjønneland AM, et al Alcohol attributable burden of incidence of cancer in eight European countries based on results from prospective cohort study. BMJ. 2011 Apr 7 [cited 2013 Sep 21];342:d1584. Abstract available from: https://www.ncbi.nlm.nih.gov/pubmed/21474525
- Li Y, Yang H, Cao J. Association between alcohol consumption and cancers in the Chinese population--a systematic review and meta-analysis. PLoS One. 2011 Apr 15 [cited 2013 Sep 21];6(4):e18776. Abstract available from: https://www.ncbi.nlm.nih.gov/pubmed/21526212
- Islami F, Tramacere I, Rota M, Bagnardi V, Fedirko V, Scotti L, et al. Alcohol drinking and laryngeal cancer: overall and dose-risk relation--a systematic review and meta-analysis. Oral Oncol. 2010 Nov [cited 2013 Sep 21];46(11):802-10. Abstract available from: https://www.ncbi.nlm.nih.gov/pubmed/20833578
- Tramacere I, Negri E, Pelucchi C, Bagnardi V, Rota M, Scotti L, et al. A meta-analysis on alcohol drinking and gastric cancer risk. Ann Oncol. 2012 Jan [cited 2013 Sep 21];23(1):28-36. Abstract available from: https://www.ncbi.nlm.nih.gov/pubmed/21536659
- Chen WY, Rosner B, Hankinson SE, Colditz GA, Willett WC. Moderate alcohol consumption during adult life, drinking patterns, and breast cancer risk. JAMA. 2011 Nov 2 [cited 2013 Sep 21];306(17):1884-90. Abstract available from: https://www.ncbi.nlm.nih.gov/pubmed/22045766
