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.

What Is High-Intensity Drinking?

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.

Blackouts and Memory Loss Risks

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.

Why Holidays and Special Events Are Hotbeds for Excessive Drinking

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.

Consequences of Heavy Intensity Drinking

High-intensity drinking impacts not only physical health and mental well-being but also social relationships.

Acute Risks

- Alcohol poisoning

- Severe dehydration and electrolyte imbalances

- Hypoglycemia

- Risky sexual behavior

- Injuries and accidents

Chronic Risks

- 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

Psychological Impact

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.

How to Address the Problem

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.

More than 57 million people worldwide are living with dementia, a number expected to triple to over 152 million by 2050. While there is still no cure, growing evidence suggests that healthy lifestyle changes can help improve brain health and preserve cognitive function in older adults at risk of dementia.

A major study published in The Lancet suggests that adopting healthy lifestyle habits can significantly improve memory and thinking skills in older adults at risk of dementia.

The study found that a culturally adapted, structured lifestyle program delivered across 11 Latin American countries produced meaningful improvements in cognitive function over two years. Participants in the intensive program showed 55 per cent greater improvement in overall cognition than those who received general health advice.

Lead author Lucia Crivelli, principal investigator at Fleni, a neurological institute in Buenos Aires, Argentina, said culturally adapted lifestyle interventions can be successfully implemented across diverse communities and "deliver cognitive benefits" for people at risk of dementia.

"Addressing multiple lifestyle factors can positively impact brain health and may eventually be combined with emerging drug therapies to reduce cognitive decline and dementia risk," added Heather M. Snyder, senior vice president of medical and scientific relations at the Alzheimer's Association.

What Did The Study Find?

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The clinical trial enrolled 1,065 adults aged 60 to 77 years at increased risk of cognitive decline across 12 sites in Argentina, Bolivia, Brazil, Chile, Colombia, Costa Rica, the Dominican Republic, Ecuador, Mexico, Peru and Uruguay.

Participants were randomly assigned to one of two groups. The Systematic Lifestyle Intervention (SLI) group received ongoing coaching, supervised exercise, personalized nutrition counselling, cognitive training and regular monitoring of cardiovascular risk factors. The Flexible Lifestyle Intervention (FLI) group received general lifestyle recommendations through periodic health education sessions without continuous coaching or supervision.

The structured program combined supervised exercise, a brain-healthy MIND diet, computer-based cognitive training, regular monitoring of blood pressure, blood sugar and weight, and social engagement activities designed to encourage accountability and interaction.

To improve participation, the intervention was adapted to local cultures. Exercise sessions incorporated familiar activities such as salsa and tango, while nutrition counselling focused on regionally available foods including avocado, quinoa, açaí, chia seeds, pumpkin seeds and aguaymanto.

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After two years, participants in the structured intervention experienced:

• 55 per cent greater improvement in overall cognitive performance than those in the flexible intervention group.

• The largest gains in memory.

• Significant improvements in executive function, including planning and decision-making.

• Faster processing speed.

The cognitive benefits were consistent regardless of participants' age, education level, ethnicity or genetic risk for Alzheimer's disease.

The authors noted that while the program improved performance on cognitive tests, it did not determine whether the intervention prevents dementia. They said longer-term follow-up is needed to establish whether these cognitive improvements ultimately reduce the risk of developing the disease.

What Is Dementia?

Dementia is an umbrella term used to describe a significant decline in mental function that is serious enough to affect everyday life. It commonly impacts memory, thinking, and reasoning skills. Dementia itself is not a single disease but a collection of symptoms caused by underlying conditions such as Alzheimer’s disease or vascular dementia.

Common signs include

• memory problems,
• confusion,
• difficulty finding words,
• changes in mood or behavior,
• trouble completing familiar tasks.

Nearly one in five women aged 50 and older in the United States has osteoporosis, a bone disease that weakens bones and increases the risk of fractures. Yet many women remain undiagnosed because the condition often develops without noticeable symptoms in its early stages.

To improve early detection, the updated recommendations from the US Preventive Services Task Force (USPSTF) advise routine osteoporosis screening for women aged 65 years and older.

The task force also recommends that postmenopausal women younger than 65 undergo a risk assessment to determine whether they should receive a bone density scan.

Updated USPSTF Screening Recommendations

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The USPSTF recommends:

• Women aged 65 years and older should undergo routine screening with a bone density scan.
• Postmenopausal women younger than 65 should first complete a risk assessment questionnaire to determine whether a bone density scan is needed.

Women under 65 may need screening if they have one or more risk factors, including:

• Low body weight
• Family history of hip fractures
• Cigarette smoking
• Excessive alcohol consumption

"Screening is important because osteoporosis causes bones to become weaker and fracture more easily, leading to disability, chronic pain, loss of independence, and even death,” said Task Force member Dr. Esa Davis, professor of family and community medicine at the University of Maryland, Baltimore, NBC reported.

Why Osteoporosis Often Goes Undetected

Osteoporosis is often called a "silent disease" because it usually causes no symptoms until a bone breaks. Many people only discover they have osteoporosis after experiencing a fracture. The most common fracture sites include the:

• Hip
• Wrist
• Spine

Why Osteoporosis Is More Common In Women

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According to the US Centers for Disease Control and Prevention (CDC), data from 2017-2018, published in 2021, showed that:

• 19.6 per cent of women aged 50 and older had osteoporosis in the femur or lower spine.
• In comparison, 4.4 per cent of men had osteoporosis.

The study also found that osteopenia—a condition of lower-than-normal bone density that often precedes osteoporosis—was more common in women than men. While osteopenia affected 51.5 per cent of women, it affected 33.5 per cent of men.

In women, osteoporosis is commonly linked to the hormonal changes that occur after menopause.

Estrogen plays an essential role in building and maintaining strong bones. After menopause, estrogen levels decline significantly, accelerating bone loss and increasing the risk of osteoporosis.

People who do not build strong bones during childhood and early adulthood are also at greater risk later in life. Factors such as lack of physical activity, eating disorders, and certain health conditions can prevent the body from achieving optimal bone mass during the younger years.

What Is Osteoporosis Screening?

Doctors use imaging tests to measure bone density and diagnose osteoporosis. A DXA (dual-energy X-ray absorptiometry) scan is the standard diagnostic test and measures bone density in the spine, hip, and wrist using a very small amount of radiation.

Ultrasound can also assess bone quality, but it is not used alone to diagnose osteoporosis. If ultrasound findings suggest bone loss, a DXA scan is still required to confirm the diagnosis.

Is Osteoporosis Treatable?

There is currently no cure for osteoporosis, but treatment and lifestyle changes can help slow bone loss and reduce the risk of fractures.

Experts recommend:

• Stay physically active and do weight-bearing exercises such as walking.
• Do not smoke.
• Limit alcohol consumption.
• Get enough calcium and vitamin D through your diet. Your healthcare provider may also recommend calcium and vitamin D supplements if needed

Thanks to growing popularity of complex and elaborate skincare trends on social media, perfect skin has become the ultimate beauty goal for many teenagers.

But experts are warning that this obsession is fueling a worrying condition known as cosmeticorexia, where young people use anti-aging and active skincare products far beyond what their skin needs, increasing the risk of irritation, allergies, and long-term damage.

When Skincare Turns Into Skin Damage

Teenagers and even younger children suffer from severe skin damage, chemical burns, and dermatitis. The cause of this issue is not a common medical condition but a reflection of an unhealthy trend called cosmeticorexia (dermorexia).

This dangerous obsession pushes people to treat their skin as an unacceptable defect that needs to be constantly adjusted, filed, tightened, peeled, and made younger.

Social media and anti-aging marketing culture promote this disorder by encouraging adolescents to use various comedogenic creams, serums, and toners with harmful effects on sensitive and fragile skin. Thus, millions of teenagers damage their skin beyond repair before it naturally matures.

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Why Teen Skin Is More Vulnerable

There are multiple concerns about the health of teenage skin from a medical perspective. The skin of adolescents is thinner and more sensitive to external influences.

In addition, teenagers' skin is subject to increased sebum production and associated risks of comedones, blackheads, and dermatitis.

The Hidden Risks Of Trendy Skincare Products

The use of "cosmeceuticals" or prescription drugs with neurotoxins, retinol, AHA (glycolic acid), and vitamin C can accelerate skin damage when used inappropriately.

Recent research has shown that the standard skincare regimen of a teenager who follows social media and beauty vloggers includes more than eleven irritating substances. Topical application of such a combination of cosmetics damages the upper layer of the skin, provoking allergic reactions, dermatitis, redness, and irritation.

Moreover, the use of retinol and AHA (glycolic acid) without medical supervision may lead to photosensitivity, increasing the risk of UV-induced skin damage. Finally, an increasing number of cases of allergic contact dermatitis are linked to synthetic and harmful substances found in luxury cosmetic products.

Also read: Vitiligo Myths Debunked: It's Not Contagious or Caused by Food

Cosmeticorexia: A Psychological And Skin Health Disorder

Cosmeticorexia is an example of a psychodermatological disease, where psychological problems manifest through dermatological conditions.

The constant pursuit of flawless skin can lead adolescents to adopt harmful skincare practices that ultimately damage their skin rather than improve it.

The Right Skincare Routine For Teenagers

From a medical point of view, the role of healthcare providers is to combat this dangerous trend by addressing its immediate consequences.

Teenagers' skin does not require anti-aging treatments or additional nourishment. The only essential skincare routine includes three simple steps: gentle cleansing, applying a non-comedogenic moisturizer, and using a hydrating sunscreen every day.

Protecting Teens From Harmful Beauty Trends

Doctors, parents, educators, and social media platforms must work together to counter the anti-aging industry's growing influence on teenagers.

Raising awareness about age-appropriate skincare and discouraging unnecessary cosmetic treatments can help protect young people from avoidable chemical damage and long-term skin problems.

By Dr Gaurav Garg Dermatologist & Hair Expert, Founder, Dermalife Skin Hair Clinic