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Men with ‘beer bellies’ may face serious heart damage regardless of weight

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Men with ‘beer bellies’ may face serious heart damage regardless of weight

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People with “beer bellies” may have an increased risk of heart damage, raising fresh concerns about the health risks tied to extra weight around the midsection.

German researchers found that men with fat deposits around the abdomen showed clear signs of early heart damage, even when their overall weight wasn’t especially high.

Scientists wanted to better understand whether abdominal fat — the kind stored deep around internal organs — is more harmful to the heart than general body fat.

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Doctors have long suspected that fat distribution, not just total pounds, plays a major role in heart disease. This study tested that idea using cardiac MRI scans.

“Abdominal obesity, a high waist-to-hip ratio, is associated with more concerning cardiac remodeling patterns than high body mass index (BMI) alone,” said study lead author Jennifer Erley, M.D., radiology resident at University Medical Center Hamburg-Eppendorf, Germany, in a press release.

Men with higher waist-to-hip ratios showed early signs of heart damage even when their overall weight wasn’t very high. (iStock)

The research team examined 2,244 adults between the ages of 46 and 78, none of whom had been diagnosed with heart disease. Each participant underwent high-resolution MRI scans that measured the size, thickness and volume of the heart’s chambers.

Researchers also collected detailed health information, including weight, blood pressure, cholesterol, smoking status and diabetes history.

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Instead of relying solely on BMI, which can miss where fat is stored, the team used a measurement of waist-to-hip ratio, which compares the circumference of the waist to the hips and determines how much fat sits around the abdomen. 

High ratios point to visceral fat, which is the deeper, metabolically active fat linked to inflammation and organ stress.

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Men with higher waist-to-hip ratios showed a pattern of thicker heart muscles and smaller internal chamber volume. That means the heart muscle becomes bulkier but holds less blood, forcing it to work harder, according to the researchers.

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Cardiac MRI scans revealed thicker heart walls and smaller chamber volume in people with excess belly fat. (iStock)

“[Abdominal obesity] appears to lead to a potentially pathological form of cardiac remodeling,” said Erley.

Based on BMI alone, 69% of males and 56% of females in the study were overweight or obese. Using waist-to-hip ratio, however, 91% of the males and 64% of females met the criteria for obesity.

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General obesity based on BMI was more often linked to enlarged heart chambers for all participants. Abdominal obesity was associated with thickening of the heart muscle and smaller heart chamber volumes.

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Over time, those structural changes can lead to heart failure or other cardiovascular problems, the researchers warned.

“[Abdominal obesity] appears to lead to a potentially pathological form of cardiac remodeling.”

These associations remained strong even after researchers accounted for age, smoking, blood pressure and other risk factors.

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The same trend appeared in women, but the effect was significantly stronger in men. Researchers noted that men tend to store fat in the abdomen more readily than women, especially as they age, which may explain the sharper impact.

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The heart effect was strongest in men, likely due to differences in how men and women store fat. (iStock)

The findings help to clarify why some people with normal or moderately elevated BMI still develop heart disease, while others weighing more do not. It also suggests that simply stepping on a scale may not capture the full picture of heart risk.

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The study did have some limitations, primarily that it was observational in design, meaning that it identified patterns but could not prove direct causation.

Additionally, researchers did not follow participants long enough to see who eventually developed heart disease, they acknowledged. 

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And waist-to-hip ratio, while useful, is a simplified measure that doesn’t capture all variations in body composition.

The findings are being presented this week at the annual meeting of the Radiological Society of North America in Chicago.

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Doctor reveals what 30 days without alcohol does to the brain and body amid Dry January

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Doctor reveals what 30 days without alcohol does to the brain and body amid Dry January

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After a season of bingeing and drinking, your body may feel like it needs a break from the party.

Dry January — a modern trend that challenges people to abstain from drinking for the first month of the year — has become a popular way to “detox” from the holidays and start the new year on a healthy note.

Research has linked alcohol to a variety of health conditions, ranging from hangovers to higher cancer risk.

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In a recent podcast episode of “The Dr. Mark Hyman Show,” Dr. Mark Hyman, chief medical officer of Function Health, shared how 30 days of not drinking alcohol can transform health.

Hyman, who is based in Massachusetts, called Dry January a “powerful way to see in real time how alcohol affects nearly every system of your body and how quickly those systems can recover.”

Dry January has become a popular way to “detox” from the holidays and start the new year on a healthy note. (iStock)

Alcohol’s toll on the brain and body

Hyman acknowledged that most people drink to feel happier and more comfortable in social situations. This effect is caused by the main ingredient in alcohol, called ethanol, which can also have toxic effects.

Instead of stimulating the brain, alcohol slows it down and loosens inhibitions. “You feel more relaxed, more social, more confident, maybe you feel a little euphoric,” Hyman said.

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Alcohol’s effect on the brain can also lead to poorer decisions and slower reflexes, the doctor cautioned.

Drinking alcohol can cause cognitive decline and brain fog, experts warn. (iStock)

Drinking also impacts the prefrontal cortex of the brain, which Hyman described as “the adult in the room,” responsible for judgment, planning and restraint. “It goes offline early in drinking, which explains why people feel freer or act impulsively when they drink,” he said.

Even moderate drinking can cause metabolic stress, inflammation, impaired detoxification and hormonal shifts, Hyman said, which can impact nearly every organ system in the body.

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Alcohol consumption has also been linked to an increased risk of cancer, metabolic dysfunction, gut microbiome disturbances and mitochondrial toxins.

It can also prevent the body from falling into REM sleep, which is the deep rest recovery period when the immune system cleans out the day’s toxins, according to Hyman.

Alcohol can impact deep rest and mental health, according to experts. (iStock)

Memory loss, cognitive decline, anxiety, sleep disruption, dementia and cardiovascular disease are all known risks of long-term alcohol use, as well as liver complications like fatty liver disease.

“Bottom line, alcohol taxes every major system in your body, especially your liver, your brain, your gut, your hormones,” Hyman said.

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The effects of 30 days with no alcohol

The first week after your last drink, the body begins to detoxify and reset, according to Hyman. Blood sugar and cortisol stress hormones level out, and the liver begins to process a “backlog of toxins.” The body also re-hydrates and re-energizes.

The first 30 days with no alcohol allows the body to balance itself out. (iStock)

The second week, the gut and brain will begin to re-balance, as hormones like serotonin and dopamine stabilize, gut inflammation drops and the microbiome begins to heal. Cravings for sugar and alcohol will wane and mental clarity returns, the doctor said.

Week three is marked by further decreases in inflammation, fatty liver and blood pressure. This can be noticeable in the skin, as puffiness and redness are reduced. Mood also begins to stabilize, with lower anxiety levels.

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In week four, the body experiences additional metabolic and immune benefits, Hyman shared, including more insulin sensitivity, which makes it easier to lose weight.

“You have a stronger immune response. You’re not getting sick as much. You have better deep sleep, balanced hormones, especially cortisol and testosterone,” he said. “And you see a big change in energy, confidence and focus.”

Abstaining from alcohol can help restore energy, according to experts. (iStock)

Dr. Pinchieh Chiang, a clinician at Circle Medical in San Francisco, said that Dry January isn’t a “detox,” but rather provides “feedback” from the body.

“It gives the body time to show people how it feels without alcohol. For many, that insight alone changes their relationship with drinking,” she said. “The biggest surprise isn’t what people give up, it’s how much better they feel.”

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The doctor confirmed that the first few days of not drinking may feel harder than expected, sometimes causing restlessness, cravings or disrupted sleep, but Dry January can ultimately change drinking habits for the remainder of the year.

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After a full year without alcohol, Chiang noted that health improvements are more profound. “We see sustained improvements in blood pressure, liver function and inflammation,” she said. “Those changes directly affect long-term heart disease and stroke risk.”

The risks of ‘all or nothing’

Some experts warn that adopting the Dry January trend could strengthen the urge to drink more in the other months, noting that some drinkers may find more success by slowly consuming fewer drinks per week.

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Thomas Stopka, Ph.D., an epidemiologist and professor in the public health and community medicine department at Tufts University School of Medicine in Massachusetts, shared in a Futurity report that for some people, “damp January” may be more suitable.

One expert warned that not all drinkers should quit “cold turkey,” as it could lead to severe withdrawals. (iStock)

“Dry January is well-intentioned, and it may work really well for the people who can stick to it, maybe even beyond January,” he said. “Other people may be more inclined to cut down on alcohol consumption rather than quit drinking completely for the month.”

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Stopka noted that successful harm-reduction approaches “aim to be judgment free.”

“Substance use disorder is a disease,” he said. “It takes time to treat the disease and to stay connected to the continuum of care — from prevention to treatment initiation to sustained therapy, whether through medication, self-help, or individual therapy or group support.”

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Those struggling with signs of alcohol use disorder should consult a medical professional for personalized guidance.

Fox News Digital reached out to several alcohol industry associations requesting comment.

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The Best Weight Loss Medications and Supplements in 2026

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