Lecture 11

Lecture 11 - Wine and Health: Hype, Coincidence, or Science...

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Wine and Health: Hype, Coincidence, or Science Wells Shoemaker MD Medical Director, CA Assn of Physician Groups Winemaker, Salamandre Wine Cellars Science Advisor Wine Institute 1988-99 LEC 11 LEC 11
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Put it Straight Out on the Table Heavy Drinking will kill you and maybe other innocent victims. Impaired driving is a scourge Violence and domestic abuse Stupid judgment ! trauma Damage to just about every organ system Fetal alcohol syndrome Collapsed careers, families, finances
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Which Organs? Heart: muscle damage, rhythm spooks Liver damage ! cirrhosis Cancers of mouth, esophagus, and stomach…compounded by smoking Brain—dementia, Delirium Tremens Hypertension, kidney damage Skin, nerves, erectile function Premature death
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Dose Matters Like everything else in life. (Too much water can cause seizures and death….) And certainly like everything doctors do Heavy drinking is incontrovertibly bad Moderate drinking is quite different on physiological, social, and legal levels Some exceptions, naturally:
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Drinking in Unsafe Situations Flying Driving cars, boats, trains Chain saws, Jointers, Machinery Critical thinking Fine motor coordination, i.e. surgery Controversial—pre and post conception Keyboarding
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So what is the French Paradox? French people, who smoke and drink more than we do, live 2-3 years longer than Americans on average, despite lack of Is it the wine they drink every day…or the paté…or fresh bread…or sexuality…or exotic cheese…or socialized medicine…or Gauloises…or the accent aigu ?
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Moderate Drinking Is Different US Definition vs European: 2-3 drinks/day for male, 1-2 for female 4–6 = “heavy” –different range for smokers Vastly different health effects > heavy Style of consumption plays big role as well Bad judgment can still do you in
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Health Effects Moderate Drinking 2-3 years longer life span > both abstainers & heavy drinkers. J- curve dose vs mortality All-Cause mortality, not just cardiovascular 50% reduction Type 2 diabetes Reduction kidney stones, gall stones Reduction depression, osteoporosis, URI Higher education level & income > both extreme patterns. Less absenteeism
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Lecture 11 - Wine and Health: Hype, Coincidence, or Science...

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