Alarming Reality Of Extreme Drinking On Holidays And Occasions
With the holiday season high, there is festive cheer, family gatherings and also an undeniable increases in alcohol consumption that fills the air. Christmas and New Year's Eve celebrations to spring break and bachelor parties and sporting events that bring together huge crowds for celebrations mean that drinking becomes synonymous with partying. But behind the revelry lies a much darker behavior: high-intensity drinking.
Alcohol is the most widely used substance in the United States; it has been reported that 84% of adults aged 18 and older reported lifetime use. Moderate drinking is socially acceptable, but high-intensity drinking is an alarming trend. The behavior of consuming eight or more drinks over a few hours for women and 10 or more for men exceeds binge drinking and significantly increases risk for harm.
High-intensity drinking is far from being just a mere passing concern; it is instead a public health crisis. The burden is even greater as 29 million people in the United States suffer from alcohol use disorder. That has caused over 140,000 deaths annually while accounting for 200,000 hospitalizations and 7.4% of visits to emergency departments in the United States. However, only 7.6% of these affected get treated, thus forming a glaring gap in handling this concern.
High-intensity drinking is a dangerous escalation from traditional binge drinking, characterized by consuming double or triple the standard binge amounts. While binge drinking involves four or more drinks for women and five or more for men, high-intensity drinkers often surpass these levels, leading to blood alcohol concentrations (BAC) exceeding 0.2%—a level that significantly impairs judgment and motor skills.
According to Dr. George Koob, the director of the National Institute on Alcohol Abuse and Alcoholism (NIAAA), high-intensity drinking is one of the factors that intensify the risks of injuries, overdose, and death. It is also very highly associated with the onset of AUD, since the chance of addiction increases with increased alcohol consumption per occasion.
One of the most troubling consequences of high-intensity drinking is alcohol-induced blackouts, periods of amnesia where individuals may appear functional but are incapable of forming memories. Blackouts occur when alcohol disrupts the hippocampus, the brain region responsible for memory formation.
Blackouts are often categorized into two types:
1. Fragmentary Blackouts: Characterized by spotty memory, where recalling certain details can trigger partial recollection.
2. En Bloc Blackouts: Significant amnesia for hours, wherein no memory is created at all, even if tried to be recalled.
Aside from memory loss, intense binge drinking is linked with poor decision-making, violence, injury, and conflicts in personal relationships.
Holidays and celebrations create the perfect storm for high-intensity drinking. According to research, adults drink nearly double the amount of alcohol during holidays like Christmas and New Year's Eve than they do at any other time of the year. It is during these periods of social gathering, holiday stress, and seasonal sadness that people drink in excess.
For college students, experiences like spring break and 21st birthdays increase the danger. Some studies indicate that students, especially those who travel with buddies to spring break, indulge in more alcohol and make more serious decisions than any student who remains at home or goes with their family to other destinations. Sporting events are, too, notorious for promoting drunk consumption, especially among male customers. Alcohol consumption usually goes high during Super Bowl Sunday, thus leading to games day violence and arrests.
High-intensity drinking impacts not only physical health and mental well-being but also social relationships.
- Alcohol poisoning
- Severe dehydration and electrolyte imbalances
- Hypoglycemia
- Risky sexual behavior
- Injuries and accidents
- Liver damage, alcoholic hepatitis, and cirrhosis
- Cardiovascular diseases such as arrhythmias and cardiomyopathy
- Neurological damage, including memory deficits and blackouts
- Progression to alcohol dependence or AUD
High-intensity drinking is strongly linked with increased risks of depression, anxiety, and suicidal ideation. Poor decision-making during episodes can lead to long-lasting consequences, including damaged academic, professional, or personal outcomes.
Combating high-intensity drinking requires education, early intervention, and accessible treatment options. The NIAAA has defined high-intensity drinking to be distinct from binge drinking and has called for targeted approaches to decline prevalence and associated harms.
One promising treatment option is naltrexone, which a medication helps control alcohol cravings. Encouraging in preliminary evidence, more extensive clinical trials will be necessary to ascertain its efficacy more specifically in high-intensity drinkers.
As we head into the holiday season and other special occasions, it is important to heighten awareness of the dangers of high-intensity drinking. A good understanding of long-term consequences and seeking help when alcohol-related issues arise can be the difference between life and death. Celebrations should be about joy and connection, not about the gateway to harm.
If you or someone you know drinks at dangerous levels or have an alcohol use disorder, there is help available. Remember, for suspected cases of alcohol poisoning, dial 911. In this way, we can foster healthier relationships with alcohol and create safer environments for everyone.
Sitting under an air conditioner for prolonged hours could also give you high BP. (Photo credit: AI generated)
Contemporary office spaces have been designed to maximise comfort. Comfort includes central air conditioning, comfortable chairs, coffee dispensers, and beautiful interior design. Nonetheless, all these cool offices contribute greatly to the increase in blood pressure among unsuspecting employees. Many office workers spend about 8–10 hours indoors, thinking that comfort equates to good health. Sedentary lifestyles, stress at work, poor eating habits, and minimal movement are some of the factors resulting in increased levels of hypertension among young office-goers.
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In an interview with Health and Me, Dr Tushar Tayal, Associate Director, Internal Medicine, CK Birla Hospital, Gurugram, explained how extreme air conditioning at work can slowly weaken your heart and give you high blood pressure.
"Being constantly exposed to an air-conditioned environment may indirectly contribute to the rise in blood pressure levels. Extremely cold temperatures may prevent a person from moving around and sweating. People are less likely to go outside because of the difference in temperature between the interior and exterior environments. On top of that, dry air from air conditioners contributes to dehydration, particularly when people consume too much caffeine and too little water," Dr Tayal explained.
Although an office atmosphere may seem serene from the outside, the corporate environment is frequently linked with high mental stress. Pressure to meet targets, appraisals, fear of being laid off, lengthy meetings, and information overload lead to the body being continuously on guard. High levels of stress hormones, such as cortisol and adrenaline, can increase blood pressure. Employees often experience silent stress, which means that while they may not feel emotionally stressed, they suffer from physiological symptoms including headaches, exhaustion, irritability, and hypertension.
A sedentary lifestyle has proven to be one of the major contributors to high blood pressure among corporate employees who spend much of their time sitting while participating in meetings, watching presentations, or working on computers. Physical inactivity makes the heart less effective while causing issues such as obesity, diabetes, and hypertension. One may think that people who play sports for an hour every day face no risks associated with a sedentary lifestyle, but even then, sedentarism can harm a person. Office employees tend to underestimate the amount of physical activity they engage in at their workplace.
Dr Tayal said that the food culture in a corporate office plays a significant role in the development of high blood pressure as well. Numerous tea breaks, snacking on packaged foods with too much salt, takeaway meals, sweet drinks consumed in large amounts, and late suppers after overtime—all these aspects may affect cardiovascular health. Stress-related eating habits and improper food intake also play a role in metabolic disruptions. Consuming foods with excessive salt may be harmful.
The expert went on to explain that previously, hypertension used to be linked more with elderly individuals. Now, doctors have been noting instances of high blood pressure among young professionals in their mid-20s and 30s. Corporate workers might look healthy from the outside but often neglect signs such as poor sleep quality, fatigue, dizzy spells, or stress. Because there may be no visible signs of high blood pressure, many cases are discovered only through regular medical check-ups. Specialists advise that undiagnosed hypertension can result in serious diseases in the future, such as heart disease or stroke.
Modern companies have begun to be urged to reassess the idea of wellness in the office. Promoting physical activity breaks, standing meetings, drinking water, looking after mental health, choosing healthier foods at the company canteen, and getting screened for hypertension can aid in minimising the risks of this illness. Workers can start by implementing small changes, such as doing stretching exercises once an hour, walking around while on the phone, consuming less coffee, and measuring their blood pressure regularly.
Credit: AI generated image
Individuals who experience tingling, numbness, and burning sensations in their hands and feet often disregard these early symptoms, especially after a long drive, extended standing, or sleeping. Many frequently take painkillers to ease their discomfort in the hope that their pain and other symptoms will quickly go away.
These types of persistent or recurrent symptoms, however, could be a signal of a nerve health issue such as peripheral neuropathy. Vitamin B12 is crucial for the nervous system, and its deficiency could be one of the potential causes.
Early detection of these symptoms and appropriate, timely medical advice can help facilitate immediate intervention. Addressing nutritional gaps under medical guidance may help support overall nerve health and reduce the risk of progression.
Neurotropic B-vitamins are essential for preserving the structure and function of nerves. A lack of these vitamins may present as:
Common Vitamin B12 deficiency signs include persistent fatigue, sensory disturbances, imbalance and neuropathic discomfort. Early detection supports timely intervention and may help prevent further nerve damage.
The right nutritional support plays a key role in preserving nerve function:
An appropriate and active approach to nerve care includes nutritional adjustments, metabolic regulation, and the right assistance to support symptoms.
Dietary Optimization: Encourage intake of foods rich in B-vitamins such as whole grains, dairy, eggs, legumes, and leafy vegetables. However, for those with restrictions, the diet alone might not be enough, especially in cases of established deficiency, malabsorption, or restricted diets.
Targeted Treatment: When guided by a healthcare professional, oral supplementation can be considered as part of a comprehensive plan.
Credit: AI generated image
Dozens of food products, including chocolates, snack mixes, popcorn, chips, and nuts, have been recalled in the US over the risk of salmonella contamination.
The recall is due to a specific ingredient — milk powder supplied by California Dairies — used in several products and snacks, particularly in seasonings.
According to the Food and Drug Administration (FDA), the potentially tainted powdered milk and buttermilk were voluntarily recalled on April 20.
Ghirardelli Chocolate Powders:
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The FDA urges people who purchased the products to throw them away or return them for a refund.
A separate Salmonella recall impacting 12 flavors of the popular chocolate brand Spring & Mulberry was also recently announced by the FDA, but appeared to be linked to a date supplier. It wasn't immediately clear if there was any connection to the California Dairies recall.
Another is a public health alert issued by the US Department of Agriculture’s Food Safety and Inspection Service (FSIS) for headcheese over possible contamination with Listeria monocytogenes (Lm).
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As per the US Food and Drug Administration (FDA), Salmonella is a group of bacteria that can cause gastrointestinal illness and fever called salmonellosis. It can be spread by food handlers who do not wash their hands and/or the surfaces and tools they use between food preparation steps. It can also happen when people consume uncooked and raw food. Salmonella can also spread from animals to people.
The FDA notes that people who have direct contact with certain animals, including poultry and reptiles, can spread the bacteria from the animal to food if hand washing hygiene is not practiced.
Pets, too, could spread the bacteria within the home environment if they eat food contaminated with Salmonella.
Common symptoms of Salmonella include
Children younger than 5, adults 65 and older, and people with weakened immune systems are more likely to have severe illness.
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