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Alcohol poses these 8 risks to older adults, experts warn

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Alcohol poses these 8 risks to older adults, experts warn

The negative health impacts of alcohol have been in the spotlight since the surgeon general’s recent advisory, and now experts are warning that older drinkers might be more sensitive to those effects.

As an individual’s body changes with age, so may a person’s tolerance when it comes to drinking.

“As we age, our lean body mass and the water percentage in our body decreases,” Dr. Frederick Davis, associate chair of emergency medicine at Northwell Health on Long Island, New York, told Fox News Digital.

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“This leads to a decrease in our ability to metabolize alcohol at the same rate as when we were younger, leading to smaller amounts causing more impairment.”

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Some studies have also found that older drinkers might be more susceptible to alcohol’s effect on coordination, reaction time and memory.

Experts are warning that older drinkers might be more sensitive to the effects of alcohol. (iStock)

Healthcare experts warned of the following negative effects of alcohol that can worsen as people age.

1. Heightened cancer risk

In a 2023 study published in the journal Alcohol, chronic heavy alcohol consumption was found to cause DNA damage and oxidative stress, which can lead to an increased risk of cancer, cardiovascular events and liver disease.

It is well-known that alcohol increases the risk of developing various cancers, according to Dr. Frances Lee, who treats alcohol-related liver disease at Mount Sinai Health Systems in New York City.

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6 TIPS TO REDUCE ALCOHOL USE AND CANCER RISK AFTER SURGEON GENERAL’S WARNING

“Age is the main factor for developing cancer — and while we can’t stop the aging process, we can control alcohol intake, which can help reduce our overall risk of developing various cancers,” he told Fox News Digital.

Earlier this month, U.S. Surgeon General Vivek Murthy, M.D., issued an advisory warning of the link between alcohol consumption and certain cancers. Murthy noted that consuming alcohol increases the risk of liver, breast, esophageal, colorectal, esophageal, larynx, mouth and throat cancers.

2. Inflammation and insomnia

Misuse of alcohol can accelerate age-related changes, including systemic inflammation and sleep disturbances, according to the same study in the journal Alcohol. 

Chronic use of alcohol in large quantities can contribute to inflammation throughout the body through a process initiated in the gut.

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Additionally, the prevalence of insomnia tends to increase with age, and alcohol consumption can worsen it, according to researchers.

Several studies found that although alcohol initially has a sedative effect, it wears off after a few hours and results in disrupted sleep in the second half of the night. 

Sleep deprivation is widely known to affect overall health and well-being.

3. Insufficient nutrition

Older adults need to be cautious when consuming alcohol due to nutritional concerns.

That’s according to Laura Feldman, a registered dietitian nutritionist and assistant professor of nutrition at Long Island University Post Campus in Brookville, New York.

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Older adults need to be cautious when consuming alcohol due to nutritional concerns, according to a registered dietitian. (iStock)

“We need more of many vitamins and minerals as we age,” Feldman told Fox News Digital.

 “When consumed on a long-term basis, alcohol can actually make it harder for the body to absorb these nutrients from foods.”

4. Worsening of existing conditions

Some older patients may have underlying chronic conditions, such as diabetes, high blood pressure, kidney disease and heart disease, several health experts told Fox News Digital.

“Not only can alcohol worsen the progression of these chronic conditions, it can also interact with medications, potentially increasing the risk of drug-induced liver injury or other undesired side effects of the medications,” Lee said.

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“When consumed on a long-term basis, alcohol can make it harder for the body to absorb nutrients from foods.”

Those who have diabetes or pre-diabetes should be mindful of their alcohol intake, Feldman cautioned, as it can have a direct impact on blood sugar levels. 

Alcohol may also affect bone health, which particularly affects those with osteoporosis. 

Long-term alcohol consumption can interfere with bone growth and replacement of bone tissue, which can result in decreased bone density and increased risk of fractures, according to several studies. 

5. Medication interactions

An estimated 87% of adults aged 65 and over and more than 90% of those over age 75 take prescription medications, according to data from the 2021-2022 National Health Interview Survey. 

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Combining medications with alcohol can potentially have adverse effects on health, according to Davis from Northwell Health.

The prevalence of insomnia tends to increase with age, and alcohol consumption can worsen it, according to researchers. (iStock)

“Alcohol can interact with a number of medications, making it more difficult to manage and control certain conditions and leading to more side effects,” he told Fox News Digital. 

“Avoiding alcohol as we are older can reduce these risks and result in a better chance of a higher quality of life.”

6. Increased pain sensitivity

Chronic pain is one of the most common and potentially debilitating health issues facing older adults, studies have shown.

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Alcohol crosses the blood brain barrier, which plays a role in its depressive and addictive effects.

Alcohol can exacerbate this issue by increasing an individual’s sensitivity to pain, some health experts shared with Fox News Digital.

“Chronic pain is a complex process of signals to our brains that is different from acute pain,” Lee said. “The complicated neural signaling of chronic pain can be altered and enhanced with alcohol intake.”

7. Mental and cognitive effects

Lee said that alcohol — a known depressant — readily crosses the blood brain barrier, which plays a role in its depressive and addictive effects.

Heavy alcohol use has also been found to increase the risk of dementia.

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“Alcohol intake can also worsen cognitive decline, causing issues with memory, as well as worsening some behavioral issues like depression,” Davis told Fox News Digital. 

8. Increased fall risk

The risk of falls is known to increase with age. They are the leading cause of injury for adults 65 and older, according to the Centers for Disease Control and Prevention (CDC).

Falls “can lead to debilitating injury when we are older,” noted Davis, who specializes in emergency medicine.

Earlier this month, U.S. Surgeon General Vivek Murthy, MD, issued an advisory warning of the link between alcohol consumption and certain cancers.  (iStock)

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Alcohol impairment could affect one’s balance and coordination, leading to a higher chance of falls, the doctor cautioned.

Tips on cutting back

Those who are caring for older adults should approach conversations about alcohol consumption with a focus on collaboration rather than control, according to Jonathan Davis, CEO of Trualta, a U.S.-based company that provides education and support for caregivers.

Broaching the topic with empathy and respect will help to build trust while meeting the aging adult’s emotional and physical needs, he added.

      

“For some older adults, enjoying an alcoholic beverage may provide a sense of normalcy and autonomy,” Davis told Fox News Digital. 

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Seeking a healthcare provider’s guidance can help ensure that the person understands the potential risks and interactions, he noted. 

If an individual is struggling with alcohol, experts recommend speaking to a healthcare provider who can recommend support systems and medications if necessary. (iStock)

“Together, caregivers and older adults can develop a plan that balances safety with emotional well-being.”

Davis also recommended exploring alternatives to alcoholic beverages, such as mocktails, alcohol-free drinks or specialty teas that can provide similar enjoyment without the risks of alcohol.

For more Health articles, visit www.foxnews.com/health

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Lee also suggested engaging in activities that do not typically involve alcohol.

If an individual is struggling with alcohol, experts recommend speaking to a healthcare provider who can recommend support systems and medications if necessary.

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Brain Health Challenge: Workouts to Strengthen Your Brain

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Brain Health Challenge: Workouts to Strengthen Your Brain

Today, you’re going to do perhaps the single best thing for your brain.

When I asked neurologists about their top behaviors for brain health, they all stressed the importance of physical activity.

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“Exercise is top, No. 1, when we’re thinking about the biggest bang for your buck,” said Dr. Gregg Day, a neurologist at the Mayo Clinic.

Numerous studies have shown that people who exercise regularly tend to perform better on attention, memory and executive functioning tests. There can be a small cognitive boost immediately after a workout, and the effects are sustained if people exercise consistently. And while staying active can’t guarantee you won’t develop dementia, over the long term, it is associated with a lower risk of it.

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Researchers think that moving your muscles benefits your brain in part because of special signaling molecules called exerkines. During and after a workout, your muscles, fat and other organs release these molecules into the bloodstream, some of which make their way up to the brain. There, those exerkines go to work, helping to facilitate the growth of new connections between neurons, the repair of brain cells and, possibly, the birth of new neurons.

Exercise also appears to improve blood flow in the brain. That ramps up the delivery of good things to brain cells, like oxygen, glucose and those amazing exerkines. And it helps remove more bad things, namely toxic proteins, like amyloid, that can build up and damage brain cells, increasing the risk for Alzheimer’s.

All of the changes brought on by exercise are “essentially allowing your brain to age more slowly than if you’re physically inactive,” said Kirk Erickson, the chair of neuroscience at the AdventHealth Research Institute.

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The benefits are particularly pronounced in the hippocampus, a region critical for learning and memory. In older adults, the hippocampus shrinks 1 to 2 percent a year, and it is one of the main areas affected by Alzheimer’s. Researchers think physical activity helps to offset some of that loss.

The best exercise you can do for your brain is the one you’ll do consistently, so find something that you enjoy and that fits easily into your life.

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Walking is one option; two neurologists I spoke to said they got their exercise in by walking at least part of the way to their offices. Recent research suggests that just a few thousand steps a day can reduce the risk of dementia. It’s important to get your heart rate up, though, so “walk as though you’re trying to get somewhere on time,” said Dr. Linda Selwa, a clinical professor of neurology at the University of Michigan Medical School.

Or you could try swimming, cycling, Pilates, weight lifting, yoga, pickleball, dancing, gardening — any type of physical exertion can be beneficial.

If the thought of working out feels like a drag, try pairing it with something else you enjoy doing, like listening to an audiobook. This is a trick that Katherine Milkman, a professor who studies habits at The Wharton School of the University of Pennsylvania, calls “temptation bundling.”

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For Day 3, we’re asking you to spend at least 20 minutes exercising for your brain. Go for a walk with your accountability partner if they’re nearby. (If not, call them and do a walk-and-talk.) Or let us find you a new workout to try, using the tool below. As usual, we can all meet in the comments to catch up and check in.

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Little-known prescription pill is helping Americans drink less alcohol

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Little-known prescription pill is helping Americans drink less alcohol

NEWYou can now listen to Fox News articles!

Recent studies continue to support a decades-old drug as an alternative means of reducing alcohol consumption.

The prescription opioid pill, called naltrexone, was first approved by the FDA to treat opioid dependence in 1984. A decade later, it was approved for alcohol use disorder.

In addition to the daily pill version, naltrexone is also available as a monthly injectable therapy, which was approved for alcohol use disorder in 2006 and opioid use disorder in 2010.

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How it works

Naltrexone works by blocking opioid receptors in the brain. For those dependent on opioids, it blocks the “euphoric” effects of the drugs and also curbs cravings for alcohol, according to experts.

The prescription opioid pill, called naltrexone, was first approved by the FDA to treat opioid dependence in 1984. A decade later, it was approved for alcohol use disorder. (iStock)

“Naltrexone can be used to assist with reducing alcohol cravings and reduce the pleasurable effects from alcohol ingestion, which can help those prone to binge-drinking to consume less volume,” Dr. David Campbell, clinical director and program director at Recover Together, a behavioral health and addiction treatment facility in Bend, Oregon, told Fox News Digital.

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The medication is useful for people who experience strong cravings, often drink to excess once they start, or drink primarily due to reward or relief as opposed to habit, according to Campbell.

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“Naltrexone affects the rewards center of the brain, which blocks the rewarding effects of alcohol.”

Jessica Steinman, chief clinical officer at No Matter What Recovery in Los Angeles, calls naltrexone “an incredibly helpful and life-saving tool” for people who struggle with alcohol use disorder. 

“Currently, in our society, many people are looking to get medication-assisted help from overconsumption of certain things or behaviors, including food, cigarettes and now alcohol,” she told Fox News Digital.

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“Naltrexone affects the rewards center of the brain, which blocks the rewarding effects of alcohol and cravings to be minimized. It can assist in telling the brain that alcohol isn’t wanted.”

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The drug can also help if someone has a “healthy” relationship with alcohol and is looking to cut back on their drinking behaviors, Steinman added. 

“We do not suggest moderation in any way for people struggling with alcohol use disorder or any type of dependence to alcohol or other substances,” she noted. “We do not believe drinking ‘less’ is a solution.”

Side effects

Common side effects of naltrexone can include nausea and vomiting, headache, sleep disturbances, dizziness, fatigue, anxiety, loss of appetite, and joint or muscle pain, according to the Substance Abuse and Mental Health Services Administration (SAMHSA).

These effects are generally mild and may improve as the body adjusts to the medication.

The medication is useful for people who experience strong cravings, often drink to excess once they start, or drink primarily due to reward or relief as opposed to habit. (iStock)

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In rare cases, patients may experience more severe effects, such as liver issues, allergic reactions, trouble breathing and mental health effects.

“The most important thing when taking naltrexone for alcohol use is to ensure that there is no concurrent use of opioids, as taking naltrexone when using opioids can induce precipitated withdrawal, a very uncomfortable event,” Campbell cautioned.

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More than 50% of U.S. adults drink alcohol, about 17% are classified as binge-drinkers and about 6% drink heavily, according to CDC data.

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Each year, around 178,000 deaths in the country are linked to excessive alcohol use.

“Heavy alcohol consumption and binge-drinking can lead to many health problems and make chronic health conditions worse, so reducing alcohol intake can really improve health,” Donita Robinson, Ph.D., an associate professor of psychiatry at the UNC School of Medicine in North Carolina, told Fox News Digital.

More than 50% of U.S. adults drink alcohol, about 17% are classified as binge-drinkers and about 6% drink heavily. (iStock)

“Naltrexone helps many people reduce their drinking – it’s an effective medication to reduce alcohol craving and heavy drinking, and it works best in combination with counseling or other therapy.”

Robinson reiterated that people who are on opioid medications, including some painkillers, shouldn’t take naltrexone, as it can block their effectiveness and cause opioid withdrawal.

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Naltrexone is available with a prescription from a licensed healthcare provider, such as a primary care doctor, addiction medicine specialist or psychiatrist.

Health officials warn against purchasing the drug online or without a prescription, as it may be counterfeit and unsafe.

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Those interested in exploring whether naltrexone is an option for them should see a doctor, who can assess the safety of the drug based on the patient’s medical status and history.

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They should also “make sure they have their goals and intentions in line before using a medication like this,” according to Steinman.

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Brain Health Challenge: Try the MIND Diet

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Brain Health Challenge: Try the MIND Diet

Welcome to Day 2 of the Brain Health Challenge. Today, we’re talking about food.

Your brain is an energy hog. Despite comprising about 2 percent of the average person’s body mass, it consumes roughly 20 percent of the body’s energy. In other words, what you use to fuel yourself matters for brain health.

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So what foods are best for your brain?

In a nine-year study of nearly 1,000 older adults, researchers at Rush University in Chicago found that people who ate more of nine particular types of food — berries, leafy greens, other vegetables, whole grains, beans, nuts, fish, poultry and olive oil — and who ate less red meat, butter and margarine, cheese, sweet treats and fried food had slower cognitive decline.

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Based on these findings, the researchers developed the MIND diet.

Large studies encompassing thousands of people have since shown that following the MIND diet corresponds with better cognitive functioning, a lower risk of dementia and slower disease progression in people with Alzheimer’s. People benefit from the diet regardless of whether they start it in midlife or late life.

Experts think the foods included in the MIND diet are especially good for the brain because they contain certain macro and micronutrients.

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Berries and leafy greens, for example, are rich in polyphenols and other antioxidants, said Jennifer Ventrelle, a dietitian at Rush and a co-author of “The Official Mind Diet.” Many of these compounds can cross the blood-brain barrier and help to fight inflammation and oxidative stress, both of which can damage cells and are linked to dementia.

Nuts and fatty fishes, like salmon and sardines, contain omega-3 fatty acids, which are important for building the insulating sheaths that surround the nerve fibers that carry information from one brain cell to another.

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Whole grains and beans both contain a hefty dose of fiber, which feeds the good microbes in the gut. Those microbes produce byproducts called short-chain fatty acids that experts think can influence brain health via the gut-brain axis.

You don’t have to revamp your whole diet to get these nutrients. Instead, think about “MIND-ifying” whatever you already tend to eat, said Dr. Joel Salinas, a neurologist at NYU Langone Health and the founder and chief medical officer of the telehealth platform Isaac Health. For instance, add a handful of nuts or berries to your breakfast.

Today’s activity will help you MIND-ify your own meals. Share your choices with your accountability partner and in the comments, and I’ll discuss the ways I’m adjusting my diet, too. For added inspiration, check out these MIND-approved recipes from New York Times Cooking.

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