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Less alcohol, or none at all, is one path to better health

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Less alcohol, or none at all, is one path to better health
ENT

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Less alcohol, or none at all, is one path to better health

2024-04-30 05:26 Last Updated At:05:30

It’s wine time. Beer Thirty. Happy hour. Five o’clock somewhere.

Maybe it's also time to rethink drinking?

Moderate drinking was once thought to have benefits for the heart, but better research methods have thrown cold water on that.

“Drinking less is a great way to be healthier,” said Dr. Timothy Naimi, who directs the Canadian Institute for Substance Use Research at the University of Victoria in British Columbia.

Guidelines vary a lot from country to country but the overall trend is toward drinking less.

The United Kingdom, France, Denmark, Holland and Australia recently reviewed new evidence and lowered their alcohol consumption recommendations. Ireland will require cancer warning labels on alcohol starting in 2026.

“The scientific consensus has shifted due to the overwhelming evidence linking alcohol to over 200 health conditions, including cancers, cardiovascular diseases and injuries,” said Carina Ferreira-Borges, regional adviser for alcohol at the World Health Organization regional office for Europe.

From Dry January to Sober October to bartenders getting creative with non-alcoholic cocktails, there's a cultural vibe that supports cutting back.

"People my age are way more accepting of it," said Tessa Weber, 28, of Austin, Texas. She stopped drinking for Dry January this year because she'd noticed alcohol was increasing her anxiety. She liked the results — better sleep, more energy — and has stuck with it.

“It’s good to reevaluate your relationship with alcohol,” Weber said.

That idea came from imperfect studies comparing groups of people by how much they drink. Usually, consumption was measured at one point in time. And none of the studies randomly assigned people to drink or not drink, so they couldn’t prove cause and effect.

People who report drinking moderately tend to have higher levels of education, higher incomes and better access to health care, Naimi said.

“It turns out that when you adjust for those things, the benefits tend to disappear,” he said.

Another problem: Most studies didn’t include younger people. Almost half of the people who die from alcohol-related causes die before the age of 50.

“If you’re studying people who survived into middle age, didn’t quit drinking because of a problem and didn’t become a heavy drinker, that’s a very select group,” Naimi said. “It creates an appearance of a benefit for moderate drinkers that is actually a statistical illusion.”

Other studies challenge the idea that alcohol has benefits. These studies compare people with a gene variant that makes it unpleasant to drink to people without the gene variant. People with the variant tend to drink very little or not at all. One of these studies found people with the gene variant have a lower risk of heart disease — another blow to the idea that alcohol protects people from heart problems.

That depends.

Drinking raises the risk of several types of cancer, including colon, liver, breast and mouth and throat. Alcohol breaks down in the body into a substance called acetaldehyde, which can damage your cells and stop them from repairing themselves. That creates the conditions for cancer to grow.

Thousands of U.S. deaths per year could be prevented if people followed the government’s dietary guidelines, which advise men to limit themselves to two drinks or fewer per day and women to one drink or fewer per day, Naimi said.

One drink is the equivalent of about one 12-ounce can of beer, a 5-ounce glass of wine or a shot of liquor.

Naimi served on an advisory committee that wanted to lower the recommendation for men to one drink per day. That advice was considered and rejected when the federal recommendations came out in 2020.

“The simple message that’s best supported by the evidence is that, if you drink, less is better when it comes to health,” Naimi said.

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

FILE - Bottles of alcohol sit on shelves at a bar in Houston on June 23, 2020. Moderate drinking was once thought to have benefits for the heart, but better research methods starting in the 2010s have thrown cold water on that. (AP Photo/David J. Phillip, File)

FILE - Bottles of alcohol sit on shelves at a bar in Houston on June 23, 2020. Moderate drinking was once thought to have benefits for the heart, but better research methods starting in the 2010s have thrown cold water on that. (AP Photo/David J. Phillip, File)

PARIS (AP) — France imposed an emergency Wednesday in the French Pacific territory of New Caledonia for at least 12 days, boosting security forces’ powers to quell deadly unrest in the archipelago where indigenous people have long sought independence.

Armed clashes and other violence that erupted Monday following protests over voting reforms have left four people dead, including a gendarme, and injured more than 300, French authorities said.

French military forces were being deployed to protect ports and airports, to free up police and security forces battling looting, arson and other violence, Prime Minister Gabriel Attal announced as the emergency measures kicked in at 8 p.m. Paris time, which was 5 a.m. Thursday in New Caledonia.

“Nothing can ever justify violence,” Attal said. “Our absolute priority for the next few hours is the return to order and calm.”

The emergency measures give authorities greater powers to tackle the violence, including the possibility of house detention for people deemed a threat to public order and expanded powers to conduct searches, seize weapons and restrict movements, with possible jail time for violators. The last time France imposed such measures on one of its overseas territories was in 1985, also in New Caledonia, the Interior Ministry said.

France's government also rushed hundreds of police reinforcements to the island, where pro-independence supporters have long pushed to break free from France. The Interior Ministry said 500 additional officers were expected within hours on the archipelago to bolster 1,800 police and gendarmes already there.

There have been more than 130 arrests so far, French authorities said.

Speaking to broadcaster France Info on Wednesday, Anne Clément, a resident of the capital, Noumea, hailed security forces reinforcements because the unrest has morphed into “a real urban guerrilla war.”

People have been confined to their homes for two days, terrified by “shooting from all sides,” Clément, a nursery director, told the French broadcaster. “We’ve stopped eating, we’ve stopped living, we’ve stopped sleeping,” she added.

“I don’t see how we could get out of the situation without the state of emergency,” she said.

There have been decades of tensions on the archipelago between Indigenous Kanaks seeking independence and descendants of colonizers who want to remain part of France.

After a two-hour security meeting Wednesday with French President Emmanuel Macron and top ministers, Attal told parliament in Paris that the state of emergency would aim “to restore order in the shortest time possible.”

This week’s unrest erupted as the French legislature in Paris debated amending the French constitution to make changes to voter lists in New Caledonia. The National Assembly on Wednesday approved a bill that will, among other changes, allow residents who have lived in New Caledonia for 10 years to cast ballots in provincial elections.

Opponents say the measure will benefit pro-France politicians in New Caledonia and further marginalize indigenous Kanak people. They once suffered from strict segregation policies and widespread discrimination. The vast archipelago of about 270,000 people east of Australia is 10 time zones ahead of Paris.

From Macron down, France's government made repeated calls for an end to the violence.

The territory’s top French official, High Commissioner Louis Le Franc, warned of the possibility of “many deaths” if calm isn't restored. A police station was among dozens of places that were attacked, with shots fired, Interior Minister Gérald Darmanin said. Posting on X, he said a gendarme who had been shot was among the dead.

In Paris, Macron emphasized the need for political dialogue. Rival political parties in New Caledonia also jointly called for calm, saying in a statement: “We have to continue to live together.”

An overnight curfew in New Caledonia was extended to Thursday. Schools and the main airport remained closed, Le Franc said.

“The situation is not serious, it is very serious," Le Franc said. “We have entered a dangerous spiral, a deadly spiral.”

He said some residents in the capital and neighboring municipalities formed “self-defense groups” to protect their homes and businesses.

New Caledonia became French in 1853 under Emperor Napoleon III, Napoleon’s nephew and heir. It became an overseas territory after World War II, with French citizenship granted to all Kanaks in 1957.

A peace deal between rival factions was reached in 1988. A decade later, France promised to grant New Caledonia political power and broad autonomy and hold up to three successive referendums.

The three referendums were organized between 2018 to 2021 and a majority of voters chose to remain part of France instead of backing independence. The pro-independence Kanak people rejected the results of the last referendum in 2021, which they boycotted because it was held at the height of the COVID-19 pandemic.

Barbara Surk reported from Nice. AP Journalist Jeffrey Schaeffer contributed from Paris

A French military plane arrives at Noumea-Magenta airport, New Caledonia, Thursday May, 16, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Cedric Jacquot)

A French military plane arrives at Noumea-Magenta airport, New Caledonia, Thursday May, 16, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Cedric Jacquot)

A burnt car store is pictured in Noumea, New Caledonia, Tuesday May, 14, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Cedric Jacquot)

A burnt car store is pictured in Noumea, New Caledonia, Tuesday May, 14, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Cedric Jacquot)

A blockade is pictured in Noumea, New Caledonia, Thursday May, 16, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Cedric Jacquot)

A blockade is pictured in Noumea, New Caledonia, Thursday May, 16, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Cedric Jacquot)

A woman waves a Kanak and Socialist National Liberation Front (FLNKS) flag in Noumea, New Caledonia, Wednesday May 15, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Nicolas Job)

A woman waves a Kanak and Socialist National Liberation Front (FLNKS) flag in Noumea, New Caledonia, Wednesday May 15, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Nicolas Job)

French gendarmes patrol the streets in Noumea, New Caledonia, Thursday May, 16, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Cedric Jacquot)

French gendarmes patrol the streets in Noumea, New Caledonia, Thursday May, 16, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Cedric Jacquot)

A woman waves a Kanak and Socialist National Liberation Front (FLNKS) flag in Noumea, New Caledonia, Wednesday May 15, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Nicolas Job)

A woman waves a Kanak and Socialist National Liberation Front (FLNKS) flag in Noumea, New Caledonia, Wednesday May 15, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Nicolas Job)

Burnt cars are lined up after unrest in Noumea, New Caledonia, Wednesday May 15, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Nicolas Job)

Burnt cars are lined up after unrest in Noumea, New Caledonia, Wednesday May 15, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Nicolas Job)

Smoke rises during protests in Noumea, New Caledonia, Wednesday May 15, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Nicolas Job)

Smoke rises during protests in Noumea, New Caledonia, Wednesday May 15, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Nicolas Job)

People gather queue in front a market in Noumea, New Caledonia, Wednesday May 15, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Nicolas Job)

People gather queue in front a market in Noumea, New Caledonia, Wednesday May 15, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Nicolas Job)

Residents gather in a street in Noumea, New Caledonia, Wednesday May 15, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Nicolas Job)

Residents gather in a street in Noumea, New Caledonia, Wednesday May 15, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Nicolas Job)

A street in Noumea, New Caledonia, is pictured after unrest, Wednesday May 15, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Nicolas Job)

A street in Noumea, New Caledonia, is pictured after unrest, Wednesday May 15, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Nicolas Job)

People gather queue in front a market in Noumea, New Caledonia, Wednesday May 15, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Nicolas Job)

People gather queue in front a market in Noumea, New Caledonia, Wednesday May 15, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Nicolas Job)

A man stands in front a burnt car after unrest in Noumea, New Caledonia, Wednesday May 15, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Nicolas Job)

A man stands in front a burnt car after unrest in Noumea, New Caledonia, Wednesday May 15, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Nicolas Job)

Smoke rises during protests in Noumea, New Caledonia, Wednesday May 15, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Nicolas Job)

Smoke rises during protests in Noumea, New Caledonia, Wednesday May 15, 2024. France has imposed a state of emergency in the French Pacific territory of New Caledonia. The measures imposed on Wednesday for at least 12 days boost security forces' powers to quell deadly unrest that has left four people dead, erupting after protests over voting reforms. (AP Photo/Nicolas Job)

FILE - French gendarme patrol at a roundabout in Noumea, New Caledonia, Sunday Dec.12, 2021. At least two people were killed and three were seriously injured overnight in the French Pacific territory of New Caledonia, French officials there said Wednesday, May 15, 2024, as President Emmanuel Macron convened a meeting of top ministers to discuss the spiraling violence. (AP Photo/Clotilde Richalet, File)

FILE - French gendarme patrol at a roundabout in Noumea, New Caledonia, Sunday Dec.12, 2021. At least two people were killed and three were seriously injured overnight in the French Pacific territory of New Caledonia, French officials there said Wednesday, May 15, 2024, as President Emmanuel Macron convened a meeting of top ministers to discuss the spiraling violence. (AP Photo/Clotilde Richalet, File)

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