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ALCOHOL

COMPARISON OF ANTIOXIDANT POTENTIALS OF RED WINE, WHITE WINE, GRAPE JUICE AND ALCOHOL

Several alcoholic and non-alcoholic beverages have been investigated with regard to their possible effects on the body antioxidant system. It has been reported that red wine is more active as an antioxidant than either white wine or grape juice, and that ethyl alcohol fails to show any protective effect in this regard, suggesting that the antioxidant activity of the red wine does not arise from its alcohol content.

Therefore, a study was carried out to compare the antioxidant potential (AOP) and non-enzymatic superoxide radical scavenger activity (NSSA) values of red wine, white wine, grape juice and ethyl alcohol. It was found that red wine, white wine and grape juice exert strong antioxidant activity in similar degrees and all produce significant effects on serum AOP and NSSA values. AOP values (nmol/mlh) of red wine, white wine and grape juice were 20.8 ?4.2, 23.2 ? 4 and 24.6 ? 4.8, respectively. NSSA values (U/ml) of red wine, white wine and grape juice were 30.4 ? 6.8, 26.8 ? 5.6 and 32.6 ? 5.8, respectively. However, ethyl alcohol did not have either AOP or NSSA, nor did it have an effect on serum AOP or NSSA values. The results suggest that red wine, white wine and grape juice all have high antioxidant potential to protect cellular structures against peroxidation reactions owing to their rich phenolic contents.

Durak, I. Et al
CURR. MED. RES. OPIN. 1999, 15(4)316-20

ASSOCIATION OF EARLY-STAGE PSORIASIS WITH SMOKING AND MALE ALCOHOL CONSUMPTION

The interaction between genetic and environmental factors seems to play a role in the causes of psoriasis. Therefore, a study was carried out to determine the association of psoriasis with smoking habits and alcohol consumption. The study group consisted of patients with a first diagnosis of psoriasis made by a dermatologist and a history of skin manifestations of no longer than 2 years after the reported disease onset. It was found that the risk for psoriasis was higher in ex-smokers and in current smokers than in patients who had never smoked. The relation with smoking was stronger and more consistent among women than men. Smoking was strongly associated with pustular lesions with an adjusted odds ratio of 10.5 for those smoking more than 15 cigarettes per day. No significant overall association with alcohol consumption was found after controlling for smoking habits. However, the risk seemed to vary according to sex, with a moderate association being found in men.

Naldi, L. et al
ARCH. DERMATOL. 1999, 135 (12) 1479-84


A PROSPECTIVE STUDY OF FOLATE INTAKE AND THE RISK OF BREAST CANCER

Low folate intake has been associated with higher risk of colon cancer in epidemiologic studies, particularly in the presence of alcohol consumption. Alcohol is a known folate antagonist and thus could plausibly increase the requirement for folate intake. Therefore, a study was carried out to assess the association between folate intake and risk of breast cancer, and whether higher folate intake may reduce excess risk among women who consume alcohol.

A total of 3483 cases of breast cancer were documented. Total folate intake was not associated with overall risk of breast cancer. However, among women who consumed at least 15 G/D of alcohol, the risk of breast cancer was highest among those with low folate intake. This risk was strongest among women with total folate intake of less than 300?g/d. Current use of multivitamin supplements, the major source of folate, was associated with lower breast cancer risk among women who consumed at least 15 g/d of alcohol. Thus, the findings suggest that the excess risk of breast cancer associated with alcohol consumption may be reduced by adequate folate intake.

Zhang, S. et al
J.A.M.A. 1999, 281 (17) 1632-7

ALCOHOL AND CANCERS OF THE UPPER DIGESTIVE TRACT

Researchers in Denmark have found that subjects who drank 7-21 beers or spirits a week, but no wine, had a 3 times higher risk of oropharyngeal and oesophageal cancers than teetotal subjects. However, wine drinkers were found to have a lower risk than teetotallers. Those who drank over 21 units of alcohol a week had a 5 times higher risk than teetotallers. So stick to wine in moderation.

Gronaek M. et al,
BR. MED. J. 1998, 317, 844-7

ALCOHOL AND FERTILITY

A follow-up study involving 430 couples aged 20-35 years found that a woman’s alcohol intake is associated with decreased fertility even among women with a weekly alcohol intake of five or fewer drinks.

Jenson et al
BMJ no7157 pp505-510

MORTALITY AND LIGHT TO MODERATE ALCOHOL CONSUMPTION AFTER MYOCARDIAL INFARCTION

Although heavy alcohol consumption increases total mortality, light to moderate consumption decreases cardiovascular and all-cause mortality in healthy people. A prospective study of men with a history of previous myocardial infarction was carried out to determine the effect of moderate alcohol intake in relation to mortality. The subjects were men in the Physicians Health Study cohort who had a previous myocardial infarction, but no history of cancer, stroke, or liver disease.

Out of the 5358 subjects, during a mean follow-up of 5 years, 920 men died. After adjustment for several potential confounders, moderate alcohol intake was associated with a significant decrease in total mortality. Compared to men who rarely or never drank alcohol, those who drank 1-4 drinks per month had a relative risk for total mortality of 0.85; for 2-4 drinks per week, the relative risk was 0.72; for 1 drink per day 0.79; and for 2 or more drinks per day 0.84. Therefore, men with previous myocardial infarction who consume small to moderate amounts of alcohol have a lower total mortality.

Muntwyler, J. et al
LANCET 1998, 352 (9144) 1882-5


ALCOHOL AND MORTALITY - IS THERE A U-SHAPED RELATION IN ELDERLY PEOPLE?

In several large population studies abstainers and heavy drinkers have shown a higher mortality than moderate drinkers. Therefore, a study was carried out to assess the relation between alcohol intake and mortality among seven cohorts of middle-aged and elderly Danes.

It was found that the effect of alcohol intake on mortality did not differ between middle-aged (50-64 years) and elderly subjects (>64 years old). There was a U-shaped risk function in both age groups which persisted also when adjusting for age, sex, smoking habits, level of education and body mass index. Abstaining women had a relative risk of 1.29 as compared with light drinkers (1-6 drinks per week), while the relative risk for abstaining men was 1.22 as compared with light drinkers. On the other hand, heavy drinking women (>28 drinks per week) had a relative risk of 1.23 and heavy drinking men (>69 drinks per week) had a relative risk of 2.11, both compared with light drinkers. Therefore, among the middle-aged and elderly, a light alcohol intake is associated with lower mortality than abstension or heavy drinking.

Gronbaek,M. et al
AGE & AGEING 1998, 27 (6) 739-44

CHEAP AND CHEERFUL CABERNET

Scientists have found that the best wines to help prevent heart disease are recently produced Chilean cabernet sauvignons, followed by French Graves or Spanish Merlot. The reason is because they contain the largest area of grape skins, and therefore the highest levels of flavonol antioxidants. Because of the warm climate, the grapes are able to ripen fully, making the flavonol levels that much higher.

Spanish cherry tomatoes have double the amount of flavonols found in English cherry tomatoes, and ten times the amount in Dutch beefsteak tomatoes.

THE TIMES, 4th February 1999.

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