Dr.Paddy Barrett – The Truth About Alcohol and Health

Why the idea that โ€œa little red wine is good for your heartโ€ doesnโ€™t hold up anymore.

I used to drink.

A lot more than I should have.

And while I had some seriously good times when I was drinking, it came at a huge cost.

Brutal hangovers. Terrible sleep. Wrecked weekends.

Even a broken back.

(But thatโ€™s a story for another day.)

I still drink.

But just very little these days.

As a cardiologist, I am asked almost every day if โ€˜Alcohol is good or bad for your health?โ€™.

Letโ€™s find out.

Alcohol Is A Toxin.

There is no getting away from the fact that, at its most basic chemical foundation, alcohol is a toxin.

Globally, alcohol is responsible for 3 million deaths per year; in the United States, it is the third leading cause of preventable deathยนยฒ.

Alcohol is a factor inยณ:

  • 30% of suicides
  • 40% of fatal burn injuries
  • 50% of fatal drownings
  • 50% of homicides
  • 65% of fatal falls
  • 29% of fatal road traffic accidents

Alcohol is a factor in 1 in 5 emergency department presentationsโด.

No pun intended, but these statistics make for some sober reading.

โ€˜Red Wine Is Good For Your Heart.โ€™

Now come on.

Did you really think that was true?

I have heard this phrase over and over again in my clinical practice.

High levels of exercise are good for your heart, but oddly enough, most people seem to be far less enthusiastic about this approach than regular alcohol consumption.

Letโ€™s see what the data says.

Up until very recently, it was believed that drinking 1-2 drinks per day was actually protective when it came to dying prematurelyโต.

This data was based on observational studies that cannot fully control for all confounders and can therefore not infer causality.

When you examine the people who drink only 1 to 2 drinks per day, you consistently find that they are much less likely to smoke, be overweight or engage in any other risky health behaviours.

So in truth, it probably wasnโ€™t the alcohol that was driving the effect.

More recent studies have attempted to control for this variable more carefully, and the relationship is clear.

The more you drink.

The higher the risk.

Take coronary artery disease. Higher alcohol intake equates to a higher risk.

The same applies to high blood pressureโถ.

The same applies to strokeโท.

The list goes onโธ:

  • Atrial fibrillation – Higher risk.
  • Sudden death – Higher risk.
  • Heart failure – Higher risk.
  • Liver, Breast, Colorectal, Oropharyngeal Cancer – Higher Riskโน.

You get the point.

With all this information to hand, why is it then that I and billions of others continue to drink alcohol?…

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Recipe: Perfect Chocolate Chia Pudding. ๐Ÿฅฐ Sweet mix of coconut, cherries and chocolate @ClevelandClinic

A top-down view of a chocolate smoothie bowl (thick smoothie served in a bowl with a spoon) garnished with chia seeds, large coconut flakes and cacao nibs. Healthy vegan breakfast. The smoothie portion contains banana, chocolate, almond milk and ice.

This pudding is packed with health-promoting chia seeds, almond milk, cinnamon, cocoa, coconut flakes and dried fruit. Itโ€™s the perfect chocolate treat.

Ingredients

ยฝ cup Chia seeds
1 cup vanilla almond milk, unsweetened
1 cup 2% milk (may use all almond for non-dairy option)
1ยฝ tablespoons honey
1 tablespoon cocoa powder, unsweetened
1 teaspoon cinnamon
1 teaspoon vanilla extract
2 tablespoons coconut flakes, unsweetened
2 tablespoons dried tart cherries, or other unsweetened dried fruit

Directions

  1. Place chia seeds, milks, honey, cocoa, cinnamon and vanilla in a glass container with a tight lid.
  2. Seal and shake well to combine. Refrigerate for at least 5 hours or overnight.
  3. Serve topped with coconut flakes and dried fruit to garnish.

Note: For a smoother texture, blend pudding in a high power blender before refrigerating. Be sure to blend well to avoid a gritty texture.

Nutrition information

Makes 6 servings

Each 1/2 cup serving contains:

Calories 140
Total fat 7g
Saturated fat 2g
Trans fat 0g
Protein 4g
Total carbohydrate 16g
Fiber 6g
Sugar 7g
Cholesterol 5mg
Sodium 150mg

https://health.clevelandclinic.org/2017/09/recipe-perfect-chocolate-chia-pudding/

Start your day with a hearty and nutritious 6-grain hot cereal that will keep you energized and satisfied. Prepare a big batch over the weekend and enjoy a warm, comforting breakfast all week long. @MayoClinic

6-grain hot cereal

Start your day with a hearty and nutritious 6-grain hot cereal that will keep you energized and satisfied. Prepare a big batch over the weekend and enjoy a warm, comforting breakfast all week long. Top it with your favorite fruits or a dollop of yogurt for added natural sweetness.

Servings: 14
Serving Size:
ยฝ cup

Nutritional Information Per Serving

  • 114 caloriesย 
  • 1 g total fat
  • 0 g saturated fatย 
  • 0 g transfat
  • 0 g monounsaturated fatย 
  • 0 mg cholesterolย 
  • 74 mg sodium
  • 21 g total carbohydrateย 
  • 3 g dietary fiberย 
  • 0 g total sugarsย 
  • 4 g protein

Ingredients 

  • ยฝ cup uncooked pearl barley
  • ยฝ cup uncooked red wheat berries
  • ยฝ cup uncooked brown rice
  • ยผ cup uncooked steel cut oats
  • 3 tablespoons uncooked quinoa
  • 2 tablespoons of flaxseed
  • ยฝ teaspoon kosher salt
  • 1 ยฝ quarts water

Directions   

  1. In a large saucepan, combine the barley, wheat berries, rice, oats, quinoa, flaxseed and salt.
  2. Pour water over ingredients, stir and bring to a boil over medium heat.
  3. Reduce heat to low and simmer for 45 minutes, stirring occasionally.

Dietitianโ€™s tip:

Make a big batch of this cereal on the weekend and reheat all week. Top with fruit or yogurt to add natural sweetness.

Created by the executive wellness chef and registered dietitians at the Mayo Clinic Healthy Living Program.

Go inside the operating room for open-heart surgery. Dr. Eric Roselli gives us a behind-the-scenes look at a complex procedure.

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Cleveland Clinic

@ClevelandClinic

ยท

Go inside the operating room for open-heart surgery. Dr. Eric Roselli gives us a behind-the-scenes look at a complex procedure.

High temperature,infections widespread at this time of year @ClevelandClinic #childtherapy

We all want to protect our kids whether it be from falls, bumps and bruises โ€” or avoidable infections and diseases. To help your child avoid illness, itโ€™s important to encourage good habits and take steps to boost their immune system from an early age.

โ€œMost of what makes a childโ€™s immune system strong is common sense,โ€ says pediatrician Adriane Lioudis, MD. If you keep these five tips in mind, youโ€™ll stack the deck in your childโ€™s favor for a healthier life.

1. For newborns, considerย breastfeeding

While itโ€™s a very personal decision (that isnโ€™t always possible), if you are able to exclusively breastfeed your child for at least six months, it may have benefits. Some research shows that breastfeeding your child might possibly reduce allergies, Dr. Lioudis says.

2. Promote regular hand washing

Eighty percent of infections are spread by touch. Teach your little one to take the time to wash their hands after sneezing, coughing and going to the bathroom. Washing hands with warm water and soap for at least 20 seconds can remove bacteria and viruses and can reduce the chance of lung infections by up to 45%.

3. Donโ€™t skipย immunizations

Follow your pediatricianโ€™s advice when it comes to the childhood vaccination schedule. Immunizations start in infancy and continue to adulthood and prevent measlesmumpschickenpoxrotavirus and other infections.

โ€œGet the flu shot for your child yearly, as well,โ€ Dr. Lioudis says. This is particularly important for children with asthma and other chronic health conditions.

Also, if your family will be traveling internationally, itโ€™s important to seek advice from your childโ€™s healthcare provider about any needed vaccinations.

4. Make sleep a priority

To maximize immunity, children must get enough sleep.

Sleep requirements for each night vary by age:

  • Babies between 0 and 3 months need 14 to 17 hours of sleep. Those between 4 and 12 months need 12 to 16 hours of sleep.
  • Children between the ages of 1 and 2 need between 11 and 14 hours.
  • Kids between the ages of 3 and 5 should get from10 to 13 hours.
  • Children ages 6 to 12 should get between 9 and 12 hours.
  • Teens between the ages of 13 to 18 need 8 to 10 hours.

Not getting enough sleep limits the bodyโ€™s ability to produce proteins called cytokines that help fight infection and reduce inflammation.

5. Encourage a healthy diet

healthy diet is also important for your childโ€™s immune system.

Dr. Lioudis recommends encouraging your child to โ€œeat the rainbowโ€ when it comes to fruits and vegetables. A good selection of whole grains should be part of their diet as well. Keep processed foods to a minimum. Proper food choices can help ensure that your child gets enough vitamins โ€” such as vitamin A and E. These vitamins are needed to maintain good health and a strong immune system.

You canโ€™tย avoid all illness, but some kidsย need extra protection

โ€œEven if you follow these tips, your child might still get between seven and 11 colds each year,โ€ says Dr. Lioudis. She adds that you can expect each one to last up to two weeks.

Also, keep in mind that some things billed as common โ€œremediesโ€ arenโ€™t effective in boosting immunity. For example, thereโ€™s no definitive proof that large amounts of vitamin C or echinacea help prevent colds or shorten them, she says.

However, if your child has a compromised immune system, work closely with your pediatrician to find ways to improve his or her immunity. Each child needs a personalized approach because their individual immune system varies, Dr. Lioudis says.

โ€œThereโ€™s generally a different protocol with immunocompromised children. There are some vaccines we have to add in on top of what most children have, but itโ€™s something that we must determine on a case-by-case basis.

Recipe: Raspberry Chive Salad @ClevelandClinic. A salad combination you may not have thought of, but will now be hooked on

A salad combination you may not have thought of, but will now be hooked on

This salad is a perfect addition to a large dinner menu when you have guests over for dinner and have a lot of other dishes to prepare. Itโ€™s bright and flavorful, and you can make the dressing a day or two ahead to prep!

Ingredients

Dressing

1 1/2 cups frozen raspberries, thawed
2 to 4 tablespoons orange juice (depending on thickness desired)
1 tablespoon white wine vinegar
1 teaspoon sugar
1 tablespoon orange zest
4 tablespoons chopped fresh chives

Salad

1 pound romaine lettuce, washed, dried and torn into bite-sized pieces
1 pound radicchio, washed, dried, shredded
3 carrots, peeled and grated
1 cup mandarin oranges, drained, patted dry
20 cherry tomatoes, quartered

Directions

  1. Assemble salad ingredients in salad bowl and toss.
  2. Put all ingredients for the dressing in food processor or blender (except for 2 tablespoons chives), and process.
  3. After all is processed, stir in the remaining 2 tablespoons chives.
  4. Pour over salad just before serving and toss.

Nutrition information (per serving)

Calories: 107
Total fat: 0.5 g
Saturated fat: 0.1 g
Protein: 3 g
Carbohydrate: 25 g
Fiber: 5.4 g
Sodium: 37 mg

โ€”Recipe developed and copyrighted by Kristine Napier, MPH, RD, LD.