15 pointsby stringfood2 hours ago4 comments
  • 1shooner2 hours ago
    >It turns out that two drinks per day, which might be considered ‘moderate’ from a social standpoint, is associated with a substantially elevated risk of a premature death caused by alcohol, they explain.

    Two drinks sounds moderate to me. Averaging two drinks a day does not.

    • jerlaman hour ago
      NIH would define this as "heavy alcohol use". According to their estimates, only 5.5% of adults did this in the past month:

      https://www.niaaa.nih.gov/alcohols-effects-health/alcohol-to...

      (Search for "Prevalence of Past-Month Heavy Alcohol Use")

      Some interesting stats in there. Like only 85% of adults have drank ever in their lifetime.

    • adjejmxbdjdnan hour ago
      Alcohol education classes promote (or used to promote…I had to attend one a couple of decades ago in college), the 1-2-3 system.

      Not more than 1 unit an hour, don’t average more than 2 units a day over a week, and never exceed 3 units a day.

      The caveat here is that a unit is much less than a regular serving size. A pint of beer is usually closer to 2 units.

      So the recommendation was to not average more than a pint of beer a day, and to never drink more than about 1.5 pints in a day.

      It’s much more stringent than people imagine.

      • triceratops31 minutes ago
        A pint of beer a day is a lot. It's almost 500 calories - a meal by itself.

        I don't see how that's "stringent".

      • bluefirebrandan hour ago
        > It’s much more stringent than people imagine

        Only from a perspective of "drinking any amount of alcohol daily is normal"

        I realize that I'm a pretty extreme outlier in that I don't drink alcohol almost at all anymore.

        Even when I did drink, drinking any amount daily would have been unfathomable to me. A couple of drinks on Friday and over the weekend was plenty. Maybe one drink after work on a weeknight if I went out with coworkers or something

        I don't really get why people love it so much, honestly

        • triceratops31 minutes ago
          I agree with everything you wrote except that last paragraph.
    • triceratops2 hours ago
      2 drinks a day is approaching Mad Men levels of alcohol consumption.
      • 4fterd4rk32 minutes ago
        The typical glass of wine you'd be served at a dinner party is actually two "standard" drinks. So... no. Not at all. Not even close.
        • triceratops28 minutes ago
          The article says 5oz (approximately 150ml) of wine is one standard drink. Unless you're being served nearly half a wine bottle (300ml of a standard 750ml bottle) in a single glass at a dinner party, you're wrong about that.

          And if your dinner parties really are like that, cheers friend. Fun times.

          • 4fterd4rk21 minutes ago
            haha I stand by my statement
      • ChrisLTD2 hours ago
        more like 2 drinks per meal in Mad Men
        • triceratops2 hours ago
          2 and 6 are the same order of magnitude.
          • Clamchop17 minutes ago
            They're within an order of magnitude of each other but they're not _in_ the same order of magnitude. 2 would be in the 0th order and 6 would be in the 1st.

            But even if it weren't so, I'm not sure what your point is. Do you have a reason for thinking that orders of magnitude is a good way to compare alcohol consumption?

  • utdoctor2 hours ago
    You can spend your entire life minimizing risk, maximizing safety, and avoiding discomfort, or you can actually live. Either way you’re going to end up dead.

    Moderation > abstinence in most things.

    • franciscojsan hour ago
      I wonder what's the impact of abstinence in terms of not participating in social events that generate around alcohol consumption. Some cultures rely heavily on drinks for social bonding and such.
      • projektfu33 minutes ago
        I know what the impact of drinking is on socializing before 10 AM. It just doesn't happen very often at all.

        After a few drinks, the value of socialization drops considerably and a lot of it is just hanging around because you don't want to go home and feel the effects of the alcohol.

      • sublinear5 minutes ago
        I'm not an anthropologist, so I won't handle this topic with gloves. Culture is a shared ignorance. They have to be this way, almost by definition, else they wouldn't have any appeal.

        The way we discuss health today is different from even 50 years ago. The debate about alcohol isn't new, but things like fitness trackers and smartwatches are. People can now prove it to themselves in real time that "feeling like shit" is not "all in their head", and that it's not a matter of "just drink water" or "eat something".

        On the flip side, this cultural step forward comes with a step back. There's a lot of money to be made with this health anxiety.

      • bluefirebrandan hour ago
        In my experience, a social life that requires drinks for social lubricant goes away very quickly if you aren't drinking. It's an extremely fine veneer of socialization, not real connections
    • seethishat39 minutes ago
      This is true. Everything is in a constant state of decline (including our health). Enjoy it while you can.
    • bluefirebrandan hour ago
      Why is abstinence "not living" but drinking is?

      I'm not really anti drug or alcohol, but I am absolutely anti "substance use is the only way to truly live", even in moderation

      I spent my twenties drinking moderately, and I barely drink at all in my 30s. I don't miss it even a bit and I'm way more alive now than I was then.

      • arealaccountan hour ago
        I guess if you enjoy drinking, and would miss it in its absence, then you can call it "not living"
        • bluefirebrand3 minutes ago
          I dunno, that seems simplistic imo

          I was diagnosed as celiac only a year ago. Many of my favorite meals and desserts contain gluten because I didn't know I was celiac. I can't have those things anymore. I do miss them, but I don't think I'm "not living" now that I have to avoid them

          I'm just living differently and much more carefully about what I eat

      • sublinear16 minutes ago
        Whether you drink is probably irrelevant to why you feel more alive. Life experience opens up a ton of opportunities.
  • 4fterd4rk31 minutes ago
    And going outside increases your risk of getting hit by a car
  • Mathnerd3142 hours ago
    So I'm looking at Figure 2 of the study and it shows that risk is negative (I.e. it's a benefit) below 7 drinks per week or 1 drink per day. And then they say "There was no protective net effect of alcohol observed at any level of alcohol consumption." And then they discuss the observed protective effects and just say "this body of evidence [that we used] has substantial limitations". They also say "Readers should therefore consider both the point estimates and their associated CIs when interpreting the risk thresholds presented in this study." but then their CI indicates only 2+ drinks per day can cause statistically significant issues.

    Overall, a very boring study. It would be more interesting if they published the code and we could play with the numbers, seeing as all the data they used is public, but we can't even do that.