Health
Drinking alcohol before sleeping on a plane could be dangerous, study suggests
Travelers may want to think twice before having a glass of wine on a flight and then grabbing some shuteye.
A new study published in Thorax, a monthly peer-reviewed publication by the British Medical Journal (BMJ), found that consuming alcohol and then falling asleep on a plane could lead to a drop in blood oxygen levels and a spike in heart rate.
The air in the cabin of a plane already has less oxygen than the air we typically breathe. Drinking alcohol can reduce oxygen levels even further — as does sleep, according to experts.
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In the study, which was led by the Department of Sleep and Human Factors Research at the German Aerospace Center, one group of healthy adults slept for two nights in a sleep laboratory.
Another group slept for the same amount of time in a hypobaric (reduced oxygen) altitude chamber that mimicked an airplane.
Consuming alcohol and then falling asleep on a plane could lead to a drop in blood oxygen levels and a spike in heart rate, a new study has noted. (iStock)
Before one of the nights, the participants consumed alcohol. The German researchers found that the people in the hypobaric chamber experienced a drop in blood oxygen, higher heart rates and a lower quality of sleep after drinking alcohol.
“[Airplane] passengers with cardiopulmonary diseases have an increased risk of aggravation of symptoms due to the decreased cabin pressure at cruising altitude, which is amplified during sleep,” the researchers wrote.
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“Alcohol, which is often consumed on board, has similar effects, but hypobaric hypoxia-induced changes are usually more pronounced.”
This was the first study to evaluate the combined impact of hypobaric hypoxia (low oxygen concentration at high altitudes) and alcohol during sleep, according to the researchers.
“The study showed that the ability to compensate for cabin oxygen pressure lowering in flight is worsened both by sleep and by alcohol,” a doctor told Fox News Digital. (iStock)
Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, was not involved in the study but called it “well-executed,” although he noted that it was on the small side, with fewer than 50 people.
“The study showed that the ability to compensate for cabin oxygen pressure lowering in flight is worsened both by sleep and by alcohol,” Siegel told Fox News Digital.
“Because of the alcohol and most likely your sleep position, you don’t get restful sleep or go through all the stages of sleep, which causes additional stress on your heart.”
“Those [factors] are synergistic with each other, leading to increased heart rate and likely increased heart pressure and risks, even in young, healthy individuals.”
The findings highlight the need to stay well-hydrated, the doctor noted, as alcohol is a diuretic and airflight is already somewhat dehydrating due to the dry cabin air.
“Be aware that although restive sleep on long flights makes sense, it may interfere with REM sleep and quality of sleep — and may affect oxygen pressure to the point where it is below 90%,” Siegel warned.
Alcohol is a diuretic and airflight is already somewhat dehydrating due to the dry cabin air, the researchers said. (iStock)
Dr. David Campbell, clinical and program director of Recover Together in Bend, Oregon, who was also not involved in the study, said it supports the findings that alcohol consumption and sleep combined with the pressurized environments found on airplanes reduces oxygen levels and increases heart rate.
“Sleep deprivation has been closely associated with increases in irritability, agitation and brain fog, as well as escalations of anxiety, depression and challenges with mood regulation and memory — things most people would typically like to avoid on their next family vacation or business trip,” he told Fox News Digital.
“I would caution those with obstructive sleep apnea, COPD or obesity from consuming alcohol pre-flight or in-flight.”
While Campbell echoed Siegel’s comment that the study is small in scale, he said the findings should be investigated further to gauge the physiological and psychological impact.
“Despite the need for further research and a larger sample size, I would caution those with obstructive sleep apnea, COPD or obesity against consuming alcohol pre-flight or in-flight, to avoid co-consumption of alcohol and other sleep aids or medicines, and to limit blue light to improve sleep quality and mood when traveling,” he advised.
Alcohol alternatives on planes
Dr. Adam Scioli, chief medical officer at Caron Treatment Centers in Pennsylvania, noted that most people drink alcohol when flying to fall asleep or to manage their stress, which itself increases the risk of a cardiovascular event.
“You’ve got a situation where because of the alcohol and most likely your sleep position, you don’t get restful sleep or go through all the stages of sleep, which causes additional stress on your heart and cardiovascular system,” said a chief medical officer. (iStock)
“Now you’ve got a situation where because of the alcohol and most likely your sleep position, you don’t get restful sleep or go through all the stages of sleep, which causes additional stress on your heart and cardiovascular system,” Scioli, who was not involved in the study, told Fox News Digital.
“This can be exacerbated by the fact that many people don’t drink enough water before they fly, which causes dehydration — again increasing the likelihood of negative impact on their heart.”
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There are other, more effective ways to manage stress and reduce anxiety than drinking, according to Scioli.
Some of those include breathing, mindfulness and reading a book.
An expert recommended other ways to manage stress and reduce anxiety, such as breathing, mindfulness and reading a book. (iStock)
“Finally, to avoid cardiovascular events due to hypobaric hypoxia, drink plenty of water, eat a healthy meal and plan to manage stress during take off and landing,” Scioli advised.
“Know your heart health and take necessary precautions,” he said. “Avoid alcohol, cannabis and other drugs that can add stress to your cardiovascular system.”
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Anyone who has a true panic disorder or fear of flying should talk to a medical professional about medications that can be useful.
Fox News Digital reached out to the researchers requesting further comment.
Health
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Health
Aging-related joint disorder increasingly affects people under 40, study finds
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Cases of gout are rising in younger individuals, according to a global study.
The condition, which is a type of inflammatory arthritis, steadily increased in people aged 15 to 39 between 1990 and 2021, researchers in China announced.
Although rates vary widely between countries, the total number of young people with the condition is expected to continue rising through 2035.
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The study, published in the journal Joint Bone Spine, investigated 2021 data from the Global Burden of Disease (GBD), spanning 204 countries within the 30-year timeframe.
The data measured gout prevalence, incidence and years lived with disability, tracking global trends over time. The results showed a global increase across all three outcomes.
Gout is expected to continue rising in young people through 2035. (iStock)
Prevalence and disability years increased by 66%, and incidence rose by 62%. In 2021, 15- to 39-year-olds accounted for nearly 14% of new gout cases globally, the study found.
Men from 35 to 39 years old and people in high-income regions had the highest burden, but high-income North America topped the list for highest rates.
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Men were also found to have lived more years with gout due to high BMI, while women tended to have the condition as a link to kidney dysfunction, the study noted.
The total number of cases is expected to increase globally due to population growth, but the study projected that rates per population would decrease.
The researchers noted that data quality, especially in low-income settings, could have posed a limitation to the broad GBD data.
What is gout?
Gout is a common form of arthritis involving sudden and severe attacks of pain, swelling, redness and tenderness in the joints, according to Mayo Clinic. It most often occurs in the big toe.
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The condition occurs when urate crystals accumulate in the joint. These form when there are high levels of uric acid in the blood, which the body produces when it breaks down a natural substance called purines.
A gout flare-up can happen at any time, often at night, causing the affected joint to feel hot, swollen, tender and sensitive to the touch.
Urate crystals, described as sharp and needle-like, build up in the joint, causing intense pain and swelling. (iStock)
Purines can also be found in certain foods, like red meat or organ meats like liver and some seafood, including anchovies, sardines, mussels, scallops, trout and tuna, according to the Mayo Clinic. Alcoholic drinks, especially beer, and drinks sweetened with fruit sugar can also lead to higher uric acid levels.
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Uric acid will typically dissolve in the blood and pass through the kidneys into urine, but when the body produces too much or too little uric acid, it can cause a build-up of urate crystals. These are described by the Mayo Clinic as sharp and needle-like, causing pain, inflammation and swelling in the joint or surrounding tissue.
Risk factors for gout include a diet rich in high-purine foods and being overweight, which causes the body to produce more uric acid and the kidneys to have trouble eliminating it.
Experts urge patients to seek medical attention for gout flare-ups. (iStock)
Certain conditions like untreated high blood pressure, diabetes, obesity, metabolic syndrome and heart and kidney diseases can increase the risk of gout, as well as certain medications.
A family history of gout can also increase risk. Men are more likely to develop the condition, as women tend to have lower uric acid levels, although symptoms generally develop after menopause.
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Untreated gout can cause worsening pain and joint damage, experts caution. It may also lead to more severe conditions, such as recurrent gout, advanced gout and kidney stones.
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The Mayo Clinic advises patients to seek immediate medical care if a fever occurs or if a joint becomes hot and inflamed, which is a sign of infection. Certain anti-inflammatory medications can help treat gout flares and complications.
Fox News Digital reached out to the researchers for comment.
Health
New study questions whether annual mammograms are necessary for most women
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A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer.
The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography.
The WISDOM randomized clinical trial, led by study authors from universities and healthcare systems across the U.S., considered more than 28,000 women aged 40 to 74 years old, splitting them into a risk-based screening group and an annual mammography group.
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Researchers calculated each woman’s individual risk based on genetics (sequencing of nine breast cancer genes) and other health factors.
A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer. (iStock)
Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. Patients with elevated risk were told to get an annual mammography and counseling.
Average-risk women were guided to get mammograms every two years, while low-risk individuals were advised to have no screening until they became higher risk or reached age 50.
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The researchers found that risk-based screening did not lead to more advanced cancer diagnoses (stage 2B or higher) compared with annual screening, indicating that it is just as safe as traditional methods. The risk-based approach, however, did not reduce the number of biopsies overall, as researchers had hoped.
Among the risk-based group of women, those with higher risk had more screening, biopsies and detected cancers. Women at lower risk had fewer procedures.
The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography. (iStock)
“[The] findings suggest that risk-based breast cancer screening is a safe alternative to annual screening for women aged 40 to 74 years,” the researchers noted in the research summary. “Screening intensity matched individual risk, potentially reducing unnecessary imaging.”
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Fox News medical contributor Dr. Nicole Saphier, associate professor of radiology at Memorial Sloan Kettering Cancer Center in New Jersey, commented that while these findings are important, the study “completely sidelines” what screenings are designed to do — detect cancer early.
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“If you don’t measure stage 0, stage 1 or stage 2A cancers, you can’t tell whether personalized screening delays diagnosis in a way that matters for survival and treatment intensity,” Saphier, who was not involved in the study, told Fox News Digital in an interview.
Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. (iStock)
More than 60% of breast cancers in the U.S. are diagnosed at stage 1 or 2A, where cure rates exceed 90%, the doctor noted.
The trial doesn’t “fully evaluate” whether risk-based screening changes detection at the earliest and most treatable stages, where screening “delivers its greatest benefit,” according to Saphier.
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“Mammography is not without risk — radiation exposure, false positives, anxiety and potential over-diagnosis are real and should be acknowledged,” she said. “But it remains the most effective, evidence-based tool for detecting breast cancer early, when treatment is most successful.”
The expert added that labeling women under 50 as “low risk” is “outdated,” as breast cancer diagnoses are on the rise in younger females.
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“Until long-term mortality data support alternative approaches, annual screening beginning at 40 for average risk women should continue,” Saphier added. “Women should be assessed for breast cancer risk by 25 years old to determine if screening should begin earlier.”
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