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Recent large Jama study on alcohol/wine


               
2026 Jan 19, 10:16am   577 views  32 comments

by mell   follow (12)  

"Wine preference and drinking only during meals were associated with lower all-cause mortality only in participants with health-related risk factors (wine preference: HR, 0.92; 95% CI, 0.87-0.97; drinking only during meals: HR, 0.93; 95% CI, 0.89-0.97), as well as in participants with socioeconomic risk factors (wine preference: HR, 0.84; 95% CI, 0.78-0.90; drinking only during meals: HR, 0.83; 95% CI, 0.78-0.89) (Table 3). Drinking only during meals was also associated with lower cancer mortality in participants with health-related risk factors (HR, 0.92; 95% CI, 0.86-0.99) or socioeconomic risk factors (HR, 0.85; 95% CI, 0.78-0.94) (Table 3). Furthermore, in individuals with socioeconomic risk factors, wine preference was associated with lower cancer mortality (HR, 0.89; 95% CI, 0.80-0.99) and drinking only during meals with lower CVD mortality (HR, 0.86; 95% CI, 0.75-1.00) (Table 3). Adhering to both drinking patterns was associated with lower all-cause, cancer, and CVD mortality in drinkers with health-related or socioeconomic risk factors, and to a lesser extent, with lower all-cause death in drinkers without health-related risk factors (eTable 2 in Supplement 1). Importantly, wine preference and drinking during meals modified the association of mean alcohol intake with mortality: the excess risk of all-cause, cancer, and CVD death for high-risk drinkers, of all-cause and cancer death for moderate-risk drinkers, and of cancer death for low-risk drinkers vs occasional drinkers was attenuated and even lost among individuals with these drinking patterns (Table 4). Analyses excluding participants with prevalent cancer at baseline for cancer mortality, or those with prevalent CVD at baseline for CVD mortality showed consistent results (eTables 3-6 in Supplement 1)."

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29   HeadSet   @   2026 Jan 22, 3:18pm  

Patrick says


Too much of it.

If you can feel any effects, that is enough to do damage.
30   mell   @   2026 Jan 22, 3:55pm  

HeadSet says

Patrick says



Too much of it.

If you can feel any effects, that is enough to do damage.

Again this is not a scientific method. You could say the same thing about exercise, but the interim side effects (soreness, tiredness, even hypoxia) make you stronger in the long run.

There are plenty of meds which can cause herxheimer reactions or similar interim effects but actually heal your body.

Its totally possible and conceivable that there is a sweet spot at a specific dosage, and it may not 100% coincide with whether you feel any side effects or not, though often side effects indicate a problem, esp. when severe.
31   Patrick   @   2026 Jan 22, 5:04pm  

Literally the oldest human ever, Jeanne Calment, drank port every day and lived to be 122.

That anecdote is special because she is the record holder, and definitely drank alcohol.

But it also holds statistically. People who never drink alcohol are certainly reducing their own life expectancy. Brave AI:


Light drinkers have a lower risk of premature death compared to teetotalers, according to multiple studies analyzing large populations. A key study published in PLOS Medicine using data from nearly 100,000 U.S. adults aged 55 to 74 found that individuals who consumed seven alcoholic drinks per week—about one drink per day—had the lowest combined risk of dying or developing cancer over a nine-year period. This group showed a 7% lower risk of early death or cancer diagnosis compared to lifelong teetotalers.

However, this protective effect is seen only in light drinkers. Heavier drinking—three drinks per day—increased the risk of cancer or premature death by 20%.
32   Patrick   @   2026 Jan 22, 5:06pm  

https://theconversation.com/light-drinkers-at-a-lower-combined-risk-of-earlier-death-or-developing-cancer-98404



Graph is somewhat contradictory to previous comment, not showing the 20% increase in death at 3 drinks per day, but the general idea still holds that a small amount of alcohol has some protective effects.

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