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Drinking alcohol, even in moderation, 'a dementia risk'

2012-07-18 09:32:28

By Michelle Roberts Health editor, BBC News online

Drinking even "moderate" amounts of alcohol increases dementia risk, US

research suggests.

The findings, presented at an international conference, challenge the notion

that some alcohol could be good for ageing brains.

People who stick to recommended alcohol limits are still at risk, as well as

bingers and heavy drinkers, according to the work.

The study tracked the health over 20 years of 1,300 women in their mid-60s.

The risk, ranging from mild cognitive impairment to full blown dementia, was

higher among those who reported drinking more alcohol.

Start Quote

Many people will drink to relax and it's important to keep an eye on the amount

of alcohol we consume

Dr Marie Janson Alzheimer's Research UK

Women who switched from abstinence to drinking over the course of the study

also increased their risk.

Those who drank alcohol "in moderation", meaning seven to 14 alcoholic drinks a

week, were also more likely to develop problems with memory and brain

functioning that can be a warning sign of future dementia.

The lower end of this range falls within the UK's recommended limit for women,

but since alcohol measures in the US are larger than in the UK, 14 drinks a

week would exceed this UK weekly cut off.

And since the study only looked at women, it is not possible to say if the same

link will apply in elderly men.

Researcher Tina Hoang, of the Veterans Health Research Institute in San

Francisco, said: "In this group of older women, moderate alcohol consumption

was not protective.

UK Alcohol limits

Men - 3-4 units a day

Women - 2-3 units a day

One unit of alcohol is 8g or about half a pint of lager, a small glass (125ml)

of wine or a 25ml of spirits

"Clinicians should carefully assess their older patients for both how much they

drink and any changes in patterns of alcohol use."

She told the Alzheimer's Association International Conference that it might be

that brains become more vulnerable to the effects of alcohol as we age.

Some UK experts have recommended alcohol limits should be even tighter for

older people for this reason.

Alternatively, the researchers say the link could be caused by factors that

drive people to drink - stress or bereavement, for example.

US alcohol limits

The US Government definition of "a drink" is 14g of alcohol

Men - no more than 2 drinks a day

Women - no more than one drink a day

At the same meeting, another group of US researchers presented more work

showing the potential harms of binge drinking.

Among the 5,075 men and women they studied, those who reported heavy bouts of

drinking - at least one episode per month - were more likely to experience

dementia-like problems.

Fortnightly binges doubled the risk.

Drinking alcohol can cause your blood pressure and blood cholesterol to rise

which, in turn, can damage the blood vessels supplying the brain, causing

problems like vascular dementia.

Men are advised to drink no more than three to four units of alcohol a day, and

women no more than two to three units a day. A unit of alcohol is equal to

about half a pint of normal strength lager, a small glass of wine or a pub

measure (25ml) of spirits.

Dr Marie Janson, of Alzheimer's Research UK ,said: "In a country with major

concerns over binge drinking, these new findings should be taken seriously by

people of all ages.

"There is mounting evidence linking alcohol consumption to cognitive decline,

but this research delves deeper by examining the effects of different drinking

patterns in more detail.

"These researchers found that in older people, even moderate drinking may have

a harmful effect, in contrast to some previous research suggesting that

moderate drinking may bring benefits.

"Such differing findings underline the need for more in-depth studies to tease

out how different drinking patterns affect cognition.

"Many people will drink to relax and it's important to keep an eye on the

amount of alcohol we consume."

She said that the best advice was to keep alcohol consumption light throughout

life to reap some benefits and protect against the risks of over-indulging.