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Updated April 4, 2001
Alcohol--What Does It Do?

Ask Dr. Bill

Dear Readers,
Last week, using material from The National Institute of Alcohol and Alcohol Abuse (NIAAA), I discussed what alcohol is...now we turn to what it does when we drink it.

The effects of alcohol on an individual depend on a variety of factors. These include:

  • How one feels before drinking: If a person is upset and tense, very excited, sad, nervous, or even extremely happy, he or she may tend to gulp drinks and actually consume more alcohol than planned.

  • What the drinker expects alcohol to do: Some people expect a drink to help them feel relaxed, happy, angry or sad. Quite naturally, these feelings can be produced by the drink; how you want to feel helps you feel that way.

  • How much one drinks: A person who has one drink during dinner is not likely to feel the effects of alcohol. But having six drinks before and during dinner means the individual might not make it through dessert.

  • How long one takes to drink: This is a critical factor: four drinks in one hour will have an obvious effect on the drinker, but the same four drinks over a four-hour period will probably have a very slight, if any, effect. Type of alcoholic beverage: Some beverages have more alcohol in them than others. Beer has about 4.5% alcohol, "table wines" average from 11% to 14%, "fortified" or "dessert wines" (such as sherry or port) have 16% to 20%, and distilled spirits range from 40% to 50%. However, in normal size, each drink (i.e., 12 ounces of beer, 5 ounces of wine, and 1 1/2 ounces of distilled spirits) contains approximately the same amount of alcohol.

  • Size of the drinker: Because of the way alcohol circulates in the body, the size of the drinker also relates to the effects of alcohol. A person weighing 220 pounds will not feel the effects of a drink as much as a person weighing 120 pounds.

  • Food in the stomach: The alcohol consumed does not affect the drinker until it has been absorbed into the bloodstream. Food in the stomach slows the alcohol's absorption, so that a person who has a drink after eating a meal will feel less effect than a person who has a drink on an empty stomach.

  • Experience in using alcoholic beverages: Someone drinking a glass of wine may experience light-headedness the first time, but will probably not experience that effect on subsequent occasions. Most individuals who drink know what to expect from various amounts of alcohol because of their prior experience with drinking. But, even if not addicted to alcohol, many a "party boy," particularly young people will ignore these effects, and pay little attention to the fact that alcohol acts directly on the brain, and affects its ability to work...so, even if they will soon be driving, they drink on!

Numerous studies provide scientific proof that even at a level of .01-.05% a person has lowered alertness, usually a "good" feeling.....restraint is loosened Judgment is the first function of the brain to be affected; the ability to think and make decisions becomes impaired.....so, all to often, they will continue to drink and reach one step further to a BAL of .06 up to 0.1% (the still legal upper limit for New Jersey) which produces a markedly impaired reaction time, depth perception, distance acuity, peripheral vision, and glare recovery. Even at .08% a driver is still impaired. Most of European countries know this, some allowing a level of only .02%.

Last fall Congress passed legislation, which was signed by the president, which will deny states 5% of their federal highway construction funds if they don't adopt the newly established national .08% impaired driving standard. Will our state politicos act? I doubt it.

 


Dr. Willian Van Ost, M.D., is a Co-founder of The Van Ost Institute for Family Living, a non-profit outpatient center for treatment of addictive illnesses. Located in Englewood, it offers continuing, free weekly educational lectures. (Call 201-569-6667, e-mail to vanost@msn.com or visit www.vanostinstitute.org). Dr. Bill welcomes questions about addiction and effects on the family.

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Address inquiries:
Dr. Bill
Care of The Van Ost Institute
150 East Palisade Ave.
Englewood, NJ 07631-3010
Phone inquiries: (201) 569-6667
E-mail to: drbill@vanostinstitute.org

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