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Moderate drinking can lower the risk of several heart conditions, according to a study that will further fuel the debate about the health implications of alcohol consumption. The study of 1.93 million people in the UK aged over 30 found that drinking in moderation – defined as consuming no more than 14 units of alcohol a week for women and 21 units for men – had a protective effect on the heart compared with not drinking.
The authors of the study, from the University of Cambridge and University College London, welcomed the findings but cautioned: “While we found that moderate drinkers were less likely to initially present with several cardiovascular diseases than non-drinkers, it could be argued that it would be unwise to encourage individuals to take up drinking as a means of lowering their risk. “This is because there are arguably safer and more effective ways of reducing cardiovascular risk, such as increasing physical activity and smoking cessation, which do not incur increased risks of alcohol-related harm such as alcohol dependence, liver disease and cancer.”
An independent review of evidence, which formed the basis for last year’s change in the official advice on alcohol consumption, lowering the recommended limit for men from 21 units to 14, making it the same as the guideline for women, found that the benefits of drinking for heart health only apply for women aged 55 and over and the greatest benefit is seen when they limit their intake to about five units a week, equivalent to about two standard glasses of wine. The new study found that heavy drinking resulted in an increased risk of a range of heart diseases compared with moderate drinking, but carried a lower risk of heart attack and angina.
The authors cautioned that this did not mean they were less likely to experience a heart attack in future, just that they were less likely to present these conditions at first diagnosis, compared with moderate drinkers. Also, as the study is observational, no firm conclusions can be drawn about cause and effect.
Dr James Nicholls, the director of research and policy development at Alcohol Research UK, said that given the increased risk of other health conditions from drinking, moderate alcohol consumption within existing guidelines was unlikely to curtail or lengthen life expectancy overall. “While the findings provide convincing evidence for protective effects, the authors sensibly point out that this doesn’t mean it would be wise to take up drinking in order to lengthen one’s life – not least because any protective effects tend to be cancelled out by even occasional bouts of heavier drinking,” he said.
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