(CNN) — It’s a misnomer that heavy drinkers can “hold their liquor,” a new study found.
Instead, people with alcohol use disorder — what used to be called alcoholism — were significantly impaired on cognitive and motor tests up to three hours after downing an alcoholic drink designed to mimic their typical habits.
“It seems to be a popular perception that experienced drinkers can handle their liquor — like two cowboys in a bar in a drinking competition, and they have some macho strength to take in so much alcohol and handle it,” said study coauthor Nathan Didier, a research analyst at the Clinical Addictions Research Laboratory at the University of Chicago.
The idea that a person can become tolerant of alcohol at higher exposures is “everywhere, all over social media, movies, you name it,” said senior study author Andrea King, a professor of psychiatry and behavioral neuroscience at the University of Chicago.
“Our study found some degree of support for an increase of tolerance,” said King, who specializes in alcohol rehabilitation research, “but it really depends on how much alcohol is consumed, how rapidly and how much time has elapsed since the drinking.”
This finding is significant, King said, since “only about 10% of people with alcohol use disorder go into treatment and binge drinking is on the rise — which is consuming five or more drinks for a man or four or more for a woman within the first two hours of drinking.”
Some go beyond basic binging, engaging in what’s called “high-intensity drinking.” According to the National Institute on Alcohol Abuse and Alcoholism, this pattern of drinking is defined as consuming alcohol at twice the levels of binge drinking.
“This dangerous drinking pattern means 8 or more drinks for women and 10 or more drinks for men on one occasion,” the institute noted on its website.
Various types of drinkers
The study published Sunday in the journal Alcohol: Clinical and Experimental Research. It analyzed three types of young adult drinkers, most in their 20s, who were part of the Chicago Social Drinking Project, an ongoing research study started by King in 2004. The 397 participants included light drinkers, heavy social drinkers and those who had alcohol abuse disorder.
Light drinkers were defined as people who drink up to six “standard” drinks a week but do not binge, King said. In the United States, a standard drink is about 0.6 fluid ounces or 14 grams of pure alcohol, which differs depending on the type of adult beverage you consume.
Moderate drinkers were not added to the study, King said, to draw a clear comparison between the impact of light and heavy alcohol consumption: “People might overlap, and we didn’t want to confuse the distinction,” she said.
The second group in the study were heavy social drinkers, defined as those who drank 10 drinks a week at a minimum and binged alcohol one to five times a month.
The third group included drinkers who met the criteria for alcohol use disorder — 28 or more drinks per week for men and 21 for women — and who frequently binged at least one-third or more days in a month.
“In their daily lives, this group averaged 38.7 drinks a week, compared to 2.5 drinks a week for light drinkers and about 20 drinks for heavy drinkers,” King said.
People in this group also had to meet other criteria for alcohol use disorder, such as not being able to cut down on use, drinking even when it caused trouble with family and friends, and getting into situations where they or others could get hurt.
A single drink equaled up to 5 drinks
People in all three groups were tested at two different times: once with alcohol, another with a placebo designed to mimic the alcohol. But each time the study participants were told they might receive a stimulant, a depressant, alcohol or a placebo.
The intoxicating beverage was a flavored mixed drink with 190-proof grain alcohol, measured by body weight to equalize the effect of the liquor across body types. Women, who metabolize alcohol differently than men and can become more easily intoxicated, received a dose that was 85% of that given to men.
“The alcohol level of the drink was equivalent to four to five drinks that produce Breathalyzer readings of 0.08-0.09%, which is the threshold for (drunken) driving,” Didier said.
Before drinking and at various intervals after downing the beverage, alcohol levels were tested. At 30- and 180-minute intervals, participants were asked how impaired they felt on a scale of “not at all” to “extremely.”
Participants also completed two cognitive performance tasks before drinking and at each half-hour interval: One was a fine motor task in which study participants were scored on how quickly they could put pegs into holes; the other was a pencil-and-paper task designed to test cognitive skills.
Some tolerance was seen
At first, the study supported the notion that heavy drinkers can manage larger doses without impairment. At 30 minutes, both the heavy drinkers and those with alcohol use disorder had no problems with the cognitive test, while lighter drinkers felt sedated and fatigued, King said. Neither the heavy drinkers nor those with alcohol abuse disorder felt impaired when asked.
However, both of those groups did equally as badly on the task of putting pegs in holes, especially at the 30-minute mark. “We noted that at 30 minutes after consuming alcohol, all the groups were equally impaired,” Didler said.
Even though the alcoholic drink used in the study was enough to put all participants over the legal limit, people with alcohol use disorder will drink much more heavily and more quickly, King said.
To see if those with the disorder would be impaired at higher levels of alcohol that more closely mimicked their typical intake, researchers gave 60 participants who had alcohol use disorder another drink. This drink contained a level of 190-proof alcohol that was the equivalent of seven to eight standard drinks.
At the higher dose, people with alcohol use disorder had 50% more mental and motor impairment than they had after taking the lower dose, the study found. In addition, they did not get completely back to their baseline level of performance after three hours.
“What this study does is put a spotlight on the limitations of tolerance,” Didier said. “Even if you have a lot of experience drinking, that doesn’t mean that you’re not impaired — that’s an important takeaway.”
VANCOUVER – Mayors and other leaders from several British Columbia communities say the provincial and federal governments need to take “immediate action” to tackle mental health and public safety issues that have reached crisis levels.
Vancouver Mayor Ken Sim says it’s become “abundantly clear” that mental health and addiction issues and public safety have caused crises that are “gripping” Vancouver, and he and other politicians, First Nations leaders and law enforcement officials are pleading for federal and provincial help.
In a letter to Prime Minister Justin Trudeau and Premier David Eby, mayors say there are “three critical fronts” that require action including “mandatory care” for people with severe mental health and addiction issues.
The letter says senior governments also need to bring in “meaningful bail reform” for repeat offenders, and the federal government must improve policing at Metro Vancouver ports to stop illicit drugs from coming in and stolen vehicles from being exported.
Sim says the “current system” has failed British Columbians, and the number of people dealing with severe mental health and addiction issues due to lack of proper care has “reached a critical point.”
Vancouver Police Chief Adam Palmer says repeat violent offenders are too often released on bail due to a “revolving door of justice,” and a new approach is needed to deal with mentally ill people who “pose a serious and immediate danger to themselves and others.”
This report by The Canadian Press was first published Sept. 16, 2024
The Canadian government says it will donate up to 200,000 vaccine doses to fight the mpox outbreak in Congo and other African countries.
It says the donated doses of Imvamune will come from Canada’s existing supply and will not affect the country’s preparedness for mpox cases in this country.
Minister of Health Mark Holland says the donation “will help to protect those in the most affected regions of Africa and will help prevent further spread of the virus.”
Dr. Madhukar Pai, Canada research chair in epidemiology and global health, says although the donation is welcome, it is a very small portion of the estimated 10 million vaccine doses needed to control the outbreak.
Vaccine donations from wealthier countries have only recently started arriving in Africa, almost a month after the World Health Organization declared the mpox outbreak a public health emergency of international concern.
A few days after the declaration in August, Global Affairs Canada announced a contribution of $1 million for mpox surveillance, diagnostic tools, research and community awareness in Africa.
On Thursday, the Africa Centres for Disease Control and Prevention said mpox is still on the rise and that testing rates are “insufficient” across the continent.
Jason Kindrachuk, Canada research chair in emerging viruses at the University of Manitoba, said donating vaccines, in addition to supporting surveillance and diagnostic tests, is “massively important.”
But Kindrachuk, who has worked on the ground in Congo during the epidemic, also said that the international response to the mpox outbreak is “better late than never (but) better never late.”
“It would have been fantastic for us globally to not be in this position by having provided doses a much, much longer time prior than when we are,” he said, noting that the outbreak of clade I mpox in Congo started in early 2023.
Clade II mpox, endemic in regions of West Africa, came to the world’s attention even earlier — in 2022 — as that strain of virus spread to other countries, including Canada.
Two doses are recommended for mpox vaccination, so the donation may only benefit 100,000 people, Pai said.
Pai questioned whether Canada is contributing enough, as the federal government hasn’t said what percentage of its mpox vaccine stockpile it is donating.
“Small donations are simply not going to help end this crisis. We need to show greater solidarity and support,” he said in an email.
“That is the biggest lesson from the COVID-19 pandemic — our collective safety is tied with that of other nations.”
This report by The Canadian Press was first published Sept. 13, 2024.
Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.
HALIFAX – The Nova Scotia government says it could be months before it reveals how many people are on the wait-list for a family doctor.
The head of the province’s health authority told reporters Wednesday that the government won’t release updated data until the 160,000 people who were on the wait-list in June are contacted to verify whether they still need primary care.
Karen Oldfield said Nova Scotia Health is working on validating the primary care wait-list data before posting new numbers, and that work may take a matter of months. The most recent public wait-list figures are from June 1, when 160,234 people, or about 16 per cent of the population, were on it.
“It’s going to take time to make 160,000 calls,” Oldfield said. “We are not talking weeks, we are talking months.”
The interim CEO and president of Nova Scotia Health said people on the list are being asked where they live, whether they still need a family doctor, and to give an update on their health.
A spokesperson with the province’s Health Department says the government and its health authority are “working hard” to turn the wait-list registry into a useful tool, adding that the data will be shared once it is validated.
Nova Scotia’s NDP are calling on Premier Tim Houston to immediately release statistics on how many people are looking for a family doctor. On Tuesday, the NDP introduced a bill that would require the health minister to make the number public every month.
“It is unacceptable for the list to be more than three months out of date,” NDP Leader Claudia Chender said Tuesday.
Chender said releasing this data regularly is vital so Nova Scotians can track the government’s progress on its main 2021 campaign promise: fixing health care.
The number of people in need of a family doctor has more than doubled between the 2021 summer election campaign and June 2024. Since September 2021 about 300 doctors have been added to the provincial health system, the Health Department said.
“We’ll know if Tim Houston is keeping his 2021 election promise to fix health care when Nova Scotians are attached to primary care,” Chender said.
This report by The Canadian Press was first published Sept. 11, 2024.
