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.

Naturopath and health educator Barbara O'Neill believes many of the foundations of good health are simple, inexpensive, and often overlooked.

In an interview with HealthandMe, she spoke about her journey into natural healing. Barbara said her interest began when she was looking for alternatives to repeated medication use for her children.

"I was pulled towards natural healing because I didn't want to give my children drugs," she said, recalling how her first child underwent four courses of antibiotics within six weeks.

That experience prompted her to explore other ways of managing common health issues such as earaches and discomfort.

On Ayurveda And Traditional Healing

Barbara said she sees similarities between her philosophy of health and Ayurveda. "I believe that there's a lot of similarities between what I believe," said the 72-year-old, adding that she supports approaches that work and do not cause harm.

While acknowledging that medicines can save lives in emergencies, she argued that long-term healing depends on creating the right conditions for the body.

"Yes, in a crisis, a drug may save a life, but drugs can't heal us. That's why it's time to go back to the old ways," she said.

According to Barbara, understanding how the body functions is key to understanding healing.

"When you understand how they function, then you begin to understand what they need. And if you give the body the right conditions, the healing will accelerate," she told HealthandMe.

The Healthy Habits

Barbara said that sleep, hydration, exercise, and natural foods are key to better health. She also called out modern lifestyles, which often encourage people to stay awake too late, particularly because of technology; and recommended getting enough sleep.

"Start going to bed earlier and aiming for eight hours sleep a night," she said.

Barbara also emphasized daily movement, whether through running, walking, push-ups, squats, or stretching.

"Every day, I make a point of moving my body," she said.

Why Barbara O'Neill Doesn't Take Supplements

At a time when supplements have become a multi-billion-dollar industry, Barbara revealed that she does not take any supplements herself.

"I take no supplements," she said, noting that she advocates focusing on fundamental health habits.

"What should be there instead is exercise every day, eating food in its natural state, drinking adequate water, and going to bed early," she said.

While she is not opposed to supplements, she believes they are often unnecessary.

"There are times where they may be necessary, but most of the time we don't need them," she added.

Natural Food And Stress Management

Barbara also encouraged people to eat foods in their natural state and suggested a simple dietary habit for Indians.

"Eat dal every day," she said.

For stress management, she said both sleep and meditation are important. She described beginning each day with prayer, reflection, and quiet time.

Barbara said that the human body has an innate ability to heal when supported by healthy habits.

"I want people to remember that they live in a body that can heal. So please look after it," she told HealthandMe.

Many working women who are pregnant tend to dismiss signs such as headaches, swelling, or vision changes, thinking that they are common during pregnancy. However, these issues can be caused by preeclampsia, a serious condition that requires timely attention, especially among busy working women.

What is preeclampsia?

Dr Prachi Sarin Sethi, Senior Consultant – Obstetrician, Gynaecologist & Laparoscopic Surgeon, Motherhood Hospitals, Gurgaon, said, "Pregnancy comes with many physical changes, and it is common for women to experience discomfort such as swelling, fatigue, or headaches. However, sometimes these symptoms may point to something more serious, namely preeclampsia, a pregnancy-related condition that can affect both the mother and baby. Working women tend to ignore the signs of this condition and struggle in silence. Preeclampsia is a condition that usually develops after the 20th week of pregnancy. It is mainly characterised by high blood pressure and can affect organs such as the liver and kidneys. If not managed in time, it can lead to serious complications for both mother and baby."

What are the causes of preeclampsia?

The exact cause of preeclampsia is not known. Certain factors increase the risk, including:

1. High blood pressure before pregnancy
2. First pregnancy
3. Multiple pregnancies (twins or more)
4. Obesity or diabetes
5. High stress levels and lack of rest

What are the symptoms of preeclampsia?

Many symptoms of preeclampsia are mistaken for normal pregnancy changes. These include:

1. Persistent headaches
2. Swelling in the face, hands, or feet
3. Blurred vision or light sensitivity
4. Sudden weight gain
5. Pain in the upper abdomen

Consequences of untreated preeclampsia

Working women may ignore these signs due to work pressure, long hours, or frequent travel, assuming they are just tired or stressed. If left untreated, preeclampsia can lead to serious complications such as:

1. Preterm delivery
2. Low birth weight of the baby
3. Organ damage in the mother
4. Seizures (a severe condition called eclampsia)

Early detection and proper care can help manage the condition and reduce risks.

This is why working women miss the signs

In today’s fast-paced lifestyle, many women continue working through pregnancy without slowing down. Long working hours, stress, irregular meals, and lack of rest tend to worsen symptoms. Many women delay check-ups or ignore warning signs, thinking they are minor issues.

What can women do?

Report any signs and symptoms, such as headaches and vision changes, to a doctor. De-stress by practising yoga and meditation. Monitor blood pressure regularly, avoid overexertion, and maintain a balanced diet consisting of fresh fruits, vegetables, whole grains, and pulses. Avoid junk, oily, and canned foods. It is also necessary to stay hydrated, attend regular health check-ups, and follow-up appointments.

Osteoarthritis (OA), long considered a “wear-and-tear” disease of old age, is increasingly being diagnosed in people as young as 30, according to new research.

The review by researchers at Indraprastha Apollo Hospitals suggests OA should be viewed as a heterogeneous syndrome rather than a single disease. The condition is driven by a combination of biological, biomechanical, metabolic, genetic, and molecular factors, but in youth obesity and poor lifestyle is surging the cases.

“Osteoarthritis is no longer confined to the elderly — we are now seeing patients as young as 30, often driven by obesity and sedentary lifestyles. This research makes clear that osteoarthritis is not a single disease but a spectrum of conditions,” said Dr. (Prof.) Raju Vaishya, Senior Consultant Orthopaedic and Joint Replacement Surgeon, Indraprastha Apollo Hospitals.

Noting that a one-size-fits-all approach may not help, the expert stressed the need for personalized treatment that recognizes the specific phenotype in each patient.

Also read: Can Running Marathons Or Ultramarathons Raise Colon Cancer Risk? Study Sparks Concern

Six Disease Subtypes Identified

The review, published in International Orthopaedics, identifies six disease subtypes, including inflammatory, metabolic, and pain-sensitization variants. Researchers recommend MRI-based tools and biomarker panels to guide treatment decisions.

Emerging technologies such as AI-assisted MRI scoring and PET-MRI with 18F-NaF may also enable earlier detection and better patient classification, although wider clinical adoption will require standardized protocols and large-scale validation studies.

Osteoarthritis Burden Rising Worldwide

More than 500 million people worldwide live with osteoarthritis, accounting for 7.6 per cent of the global population. According to Global Burden of Disease estimates, prevalence has increased by 132 per cent over the past 30 years and is projected to rise by another 60 per cent by 2050.

Women, people with obesity, and those with previous joint injuries are disproportionately affected.

What Is Osteoarthritis And Its Symptoms?

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Osteoarthritis occurs when the cartilage that cushions the ends of bones gradually wears down, causing joints to become stiff, painful, and less mobile.

The disease commonly affects the knees, hips, and small joints of the hands, although it can occur in almost any joint.

Common symptoms include:

• Joint pain
• Joint stiffness
• Difficulty moving affected joints
• Swelling
• Joint tenderness
• A grating or crackling sensation during movement
• Pain and stiffness after periods of inactivity
• Enlarged or knobbly joints
• Reduced range of movement
• Muscle weakness or muscle loss

How To Prevent Osteoarthritis

Experts say maintaining a healthy weight, staying physically active, avoiding prolonged sedentary behaviour, and preventing joint injuries can help lower the risk of osteoarthritis.

One of the biggest challenges in osteoarthritis treatment is the “care gap.” Many patients are too young or not yet severe enough for surgery but may spend years relying on medications that relieve symptoms without addressing the underlying mechanics of joint stress.

Research suggest gait retraining — adjusting the way a person walks — could help bridge this gap. Unlike medication or surgery, gait retraining is non-invasive and may offer a sustainable long-term solution.

Currently, gait retraining often requires specialized tools such as motion-capture systems and pressure-sensitive treadmills. However, newer approaches, including smartphone-based video analysis and sensor-equipped “smart shoes,” are being developed to make the technique more accessible.

Experts caution against making major changes to walking patterns without professional guidance, as improper adjustments may place additional strain on other parts of the body.