Howard LeWine, M.D.

Heavy drinking in middle age linked to memory loss in men

For some people, like those with an addiction, any amount of alcohol is too much. For others, drinking alcohol is something of a balancing act — a little may be healthful, while more than a little may be harmful.

In people who can physically, mentally, and emotionally tolerate alcohol, moderate drinking has been linked to lower risks of heart disease and type 2 diabetes. Moderate drinking means no more than two drinks a day for men; no more than one a day for women. Heavier drinking increases the risk of developing some cancers, heart disease, high blood pressure, cirrhosis, and alcohol dependence.

A new report in the journal Neurology highlights the dual effects of alcohol in men. As part of the Whitehall II study in Britain, researchers assessed the drinking habits of middle-aged men and women three times over a 10-year period. The study participants also took a mental skills test three times over the next 10 years. Compared with men who didn’t drink or who drank moderately, mental decline began to appear one to six years earlier in men who averaged more than 2.5 drinks a day. (There weren’t enough heavy drinkers among women to show any clear differences.)

What’s “a drink”?
Researchers and public health experts define a drink like this:
12 ounces of beer that is 5% alcohol
5 ounces of wine that is about 12% alcohol
1.5 ounces (a standard shot glass) of 80-proof spirits (about 40% alcohol).

You can see more definitions at Rethinking Drinking, a website from the , or try one of its cocktail calculators.

Aiming for healthy drinking

There seems to be a fine line between the amount of alcohol consumed and health benefits or harms. For example, even light to moderate alcohol use is associated with a higher risk of some cancers, such as breast cancer in women. According to the Neurology study, a similar pattern may be emerging between drinking and thinking skills.

How do you know if you are drinking too much? Several simple tests have been developed to help people gauge their drinking habits. One is the 4-question CAGE test, so called because of the first letters of the key word in each question. Another is the 10-question Alcohol Use Disorders Identification Test (AUDIT), developed by the World Health Organization. You can see both of these tests at www.health.harvard.edu/173.

If you’re concerned

A little advice and encouragement may help you figure out if your drinking follows a risky pattern and what to do about it. The source of advice could be your primary care doctor. Or the doctor might refer you to an alcoholism counselor.

This is not long-term therapy. It’s perhaps two or three discussions. The helper can ask you how much you are drinking and let you know how it compares with the norm. He or she might:

  • Talk briefly about the consequences of more serious alcohol use.
  • Provide a self-help manual or workbook.
  • Suggest that you keep records of your drinking and choose a goal of cutting back or stopping completely.

Related Information: Almost Alcoholic

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  5. Evan Webb

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  8. Abdul Rafay

    In my country we have a lot of problem with drinking. People should be more aware about their health

  9. Dr.Sachin Nichite

    Thanks for sharing such nice information. Those people who drink in the middle age the waste the life and making their future deadly.

  10. Raj

    Ya, pretty useful discussion. I really like it. I’ve found another website that gives some good tips about health.

  11. thuc don giam can

    Just like everything else in life, if taken in moderation, it shouldn’t be a problem. But many people don’t have a good moderator installed.

  12. Brian Cohn

    As a man in my twenties, I drank a considerable amount in social situations, although never to the point where it was an addiction. As I’ve grown older, my body simply does not recover well from drinking, making drinking more than one or two drinks per day unappealing. I think there is a natural process your body provides which naturally removes processes which are not good for you.

  13. Rebecca

    Drinking too much isn’t really good as it brings problems, issues and even accidents throughout the world. I am so happy that I am able to see and read posts like this that entails with informing people about drinking. I am not actually a fan of drinking until the sun comes out or drinking when you have something to celebrate or when dating. I drink occasionally with friends but I don’t intend to get some headache after. Thanks for this helpful post.

  14. Robert

    As I run a health and fitness website, one of the top 10 questions I get every year is how will alcohol effect muscle. These kids aren’t concerned with memory loss (yet) but they are want to binge drink and get all the benefits. Thanks for the links to the tests. It’s nice to say in moderation but nobody seems to know what that is. One person’s moderation is another person’s definition of an alcoholic.

    I am curious if alcohol will effect the benefits of creatine. Maybe it just doesn’t matter as anything beyond a drink or two is harmful in itself.

    Thanks again for those test links. Be nice to define the term moderation.

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    In my country we have a lot of problem with drinking. People should be more aware about their health

  18. Himanshu

    I stopped drinking right after I felt severe pain in a couple of molars, And I have just undergone with my root canal treatment. It was so painful experience for me so I would like to recommend to all the heavy drinkers please quit drinking and stay healthy.

  19. Karen

    I would like to know if it matters how the two drinks a day are taken, i.e. 10 oz. of wine at one time, or 5 oz. separated by several hours.

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    Such people cannot remember recent events and find it very difficult to focus on topic of conversation.

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  25. Jeff

    Excellent points! Unfortunately many men see drinking as a “remedy” for depressive state caused by middle-life crisis. I personally have a few friends who went down this path… I would like to recommend an article “Can Alcohol and Drugs Cure Your Depression”, that talks about comorbidity of alcohol and depression and explains cross-causal relationship between the two.

  26. Anna Kaminsky

    I heard about this study the other day, but it was presented as though the findings were only significant for the men. Instead, I understand now that there were not enough women who were heavy drinkers to assess whether the effects were the same as for the men. All that said, I can’t say that the results are all that surprising.

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