There are, however, many other health issues that we may encounter, and it is interesting to check out whether wine is troublesome there, as well. Indeed, commentators other than WHO (who have focused on cancer) have emphasized some of these alternative medical issues. Here, I will look at these other issues, noting that they are not necessarily a big deal, either.
At first, however, I will note that Risky drinkers underestimate their own alcohol consumption. Indeed, it is often difficult even for non-risky drinkers to estimate their own intake. This is because even Small changes in wine alcohols can make a big difference. The table below shows the blood alcohol concentration for an average 130-pound woman who consumes two 5-ounce glasses of wine over 1.5 hours. When I was a teenager in Australia, the slogan was “under .05 or under arrest”, as far as driving a car was concerned.
Alcohol Blood alcoholSo, now being mindful of the volume of alcohol intake, we might start by looking at what is called All-Cause Mortality. In this regard, we can consider Is drinking wine in moderation good for health or not? We can quote from this science report:
content concentration
12% 0.065%
13% 0.073%
14% 0.081%
15% 0.088%
Drinking alcoholic beverages is associated with various health effects in the population ... All these effects seem primarily to be associated with the amount of alcohol consumed; the role of the different alcoholic beverages, and of their minor components, in this regard is in fact not clearly defined ... the association with all-cause mortality is complex, and J-shaped, with a consumption window theoretically associated with a reduction in all-cause mortality, up to 25 g alcohol per day. However, this issue is the subject of intense scientific debate.So, that does not really help us in much of a practical way. So, let's move on, in particular, to red wine itself. Here, we get information directly from medical experiments: Health effects of red wine consumption: a narrative review of an issue that still deserves debate. To quote from this comprehensive review of the recent medical literature (in 2023):
This review evaluated randomised controlled trials (RCTs), examining the recent literature on the correlations between acute and chronic RW [red wine] consumption and health. All RCTs published in English on PubMed from 1 January 2000 to 28 February 2023 were evaluated. Ninety-one RCTs were included in this review, seven of which had a duration of more than six months. We assessed the effect of RW on: (1) antioxidant status, (2) cardiovascular function, (3) coagulation pathway and platelet function, (4) endothelial function and arterial stiffness, (5) hypertension, (6) immune function and inflammation status, (7) lipid profile and homocysteine levels, (8) body composition, type 2 diabetes and glucose metabolism, and (9) gut microbiota and the gastrointestinal tract. RW consumption mostly results in improvements in antioxidant status, thrombosis and inflammation markers, lipid profile, and gut microbiota, with conflicting results on hypertension and cardiac function. Notably, beneficial effects were observed on oxidative stress, inflammation, and nephropathy markers, with a modest decrease in CVD [cardio-vascular disease] risk in five out of seven studies that evaluated the effect of RW consumption.
So, that sounds very promising. Diet is also of importance (Research shows wine enhances the impact of the Mediterranean diet):
This year [2024], for the seventh year running, the Mediterranean diet was ranked the healthiest in the world by US News & World Report ... Professor Ramon Estruch: “but if you put moderate drinking, especially wine, under the umbrella of the Mediterranean diet, the health effect is much higher. And if you practise exercise and so on, the effect is much better. But I think that the highest power of these is diet.” Indeed, the importance of diet has been emphasized elsewhere. For example, when studying Alcohol consumption patterns and mortality among older adults with health-related or socioeconomic risk factors, it was noted that: “Wine preference and drinking only with meals were associated with attenuating the excess mortality associated with alcohol consumption.”Furthermore, red wine with the food can lower blood sugar faster, especially in combination with Mediterranean food (Vin, snus och ingen frukost? Här är professorns råd som vänder upp och ner på hälsomyterna [in Swedish]).
Regarding diet and sugar, diabetes itself is often of concern. However, it has been noted in a recent experiment (Alcohol intake, drinking pattern, and risk of Type 2 Diabetes in three prospective cohorts of U.S. women and men) that: “Light to moderate alcohol consumption, especially regular light drinking, was associated with a lower risk of Type 2 Diabetes in both men and women.” A much earlier (2009) summary of this pattern is illustrated in the graph above, with females at the top and males below (Alcohol as a risk factor for Type 2 Diabetes).
If you want to read another summary of potential issues then The Drinks Business (The scientific studies showing the health benefits of wine) has this overview:
Here, we look back through the years at the drinks business, and provide a comprehensive overview of the health benefits associated with wine from scientific studies that we have covered in the past several decades.As I have noted before: There are NO scientific experiments saying: don’t drink alcohol. Much of the current “scientific” anti-alcohol noise comes from Tim Stockwell, as I explicitly discussed in that post, and his associated new-Prohibitionist organization Movendi International (aka the International Organisation of Good Templars). Felicity Carter provides an alternative perspective on this issue (The rise of anti-alcohol messaging and ‘neo-prohibitionism’). In the meantime, stick to wine (as opposed to other alcohols) and science says that you will be quite well off.
