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Alcohol consumption recommendations

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Alcohol consumption recommendations

Recommendations for consumption of the drug alcohol (also known formally as ethanol) vary from recommendations to be alcohol-free to daily or weekly drinking "safe limits" or maximum intakes. Many governmental agencies and organizations have issued guidelines. These recommendations concerning maximum intake are distinct from any legal restrictions, for example countries with drunk driving laws or countries that have prohibited alcohol. To varying degrees, these recommendations are also distinct from the scientific evidence, such as the short-term and long-term effects of alcohol consumption. From a scientific and medical standpoint, the World Health Organization recommendation is teetotalism, with this being published in The Lancet in April 2023: "there is no safe amount [of alcohol] that does not affect health".

These guidelines apply to men and women who don't belong to populations with more specific advice.

Some governments set the same recommendation for both sexes, while others give separate limits. The guidelines give drink amounts in a variety of formats, such as standard drinks, fluid ounces, or milliliters, but have been converted to grams of ethanol for ease of comparison.

Approximately one-third of all countries advocate for complete alcohol abstinence, while all nations impose upper limits on alcohol consumption. Their daily limits range from 10-48 g per day for both men women, and weekly limits range from 27-196 g/week for men and 27-140 g/week for women. The weekly limits are lower than the daily limits, meaning intake on a particular day may be higher than one-seventh of the weekly amount, but consumption on other days of the week should be lower. The limits for women are often but not always lower than those for men.

Emerging evidence suggests that "even drinking within the recommended limits may increase the overall risk of death from various causes, such as from several types of cancer". It is not clear that alcohol has any beneficial effects, as the better health outcomes that some studies reported may be due not to alcohol consumption itself but instead be caused by "other differences in behaviors or genetics between people who drink moderately and people who don't". At 20 g/day (1 large beer), the risk of developing an alcohol use disorder (AUD) is nearly 3 times higher than non-drinkers, and the risk of dying from an AUD is about 2 times higher than non-drinkers. One systematic analysis found that "The level of alcohol consumption that minimised harm across health outcomes was zero (95% UI 0·0–0·8) standard drinks per week". Supposing the apparent beneficial effects found in observational studies are genuine, these effects are maximized at relatively low levels of consumption, ranging from 1-18 g/day depending on age, location, and gender.

Excessive drinking during pregnancy, especially in the first eight to twelve weeks, is associated with fetal alcohol spectrum disorders such as abnormal appearance and behavioral problems. Most guidelines state that no safe amount of alcohol consumption has been established and recommend that pregnant women abstain entirely from alcohol. As there may be some weeks between conception and confirmation of pregnancy, most guidelines also recommend that women trying or likely to become pregnant should avoid alcohol as well.

Moderate alcohol consumption by breastfeeding mothers can significantly affect infants. Even one or two drinks, including beer, may reduce milk intake by 20 to 23%, leading to increased agitation and poor sleep patterns. Regular heavy drinking (more than two drinks daily) can shorten breastfeeding duration and cause issues in infants, such as excessive sedation, fluid retention, and hormonal imbalances. Additionally, higher alcohol consumption may negatively impact children's academic achievement.

Countries have different recommendations concerning the administration of alcohol to minors by adults.

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