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Wine is a food group

Why are wine’s maximal health benefits related to consuming it with meals? It’s well known that wine with dinner on a regular basis is best, and understanding the role of wine as a food can help illuminate wine’s larger role in health. A central puzzle about wine and health is how much is due to biochemical substances such as resveratrol.  On the other hand, to what degree wine drinkers do other healthy things that can either compensate for the detrimental effects or amplify the good ones? People who regularly have a glass of wine with dinner more often eat in moderation, prefer healthier foods, and deal better with stress. Wine with meals is associated with other healthy habits A few recent studies bring clarification to the issue. One from the University of Helsinki in Finland reported the results of a long term population study evaluating drinking patterns and subjective well-being. Although a comparatively small percent of Finns have wine with dinner on a regular basis, th...

The French paradox at 25

  November 17 2016 will mark twenty-five years since the CBS television show  60 Minutes christenedthe term “French paradox” and ushered in the modern era of research on wine and health. It was a provocative idea at the time, attributing the French custom of regular imbibing to health and well-being. It still has its naysayers; as recently as 2015, England’s chief medical officer Sally Davies scorned the idea and proclaimed it an “old wives’ tale.” (She suggested a cup of tea instead, presumably with pinky finger raised.) Then there are those who reduce the idea to a simple question of nutritional biochemistry and proclaim that all of wine’s health benefits can be put into a pill, conveniently and properly skipping the alcohol. Is there still a useful truth underlying the paradox? Why the French Paradox is still true As with many questions in the realm of lifestyle and health, the answers are often nuanced and conditional. Government authorities in both America and Europ...

Should colleges teach drinking 101?

A quick glance at statistics on alcohol abuse in American colleges and universities reveals a huge problem, and I believe that tackling the issue will require a new and perhaps controversial strategy. Various approaches have failed, so in this “back to school” edition I take a look at the question and offer a sensible, if counterintuitive, alternative. The majority of young people who choose to drink need to be taught that there is such a thing as healthy drinking. The drinking 101 curriculum has to include “how drinking can be healthy” and not just “don’t drink.” First the numbers: According to the National Institute on Alcohol Abuse and Alcoholism, as many as 1800 students die each year from alcohol-related causes. More than a half million more are injured while drunk, and tens of thousands become victims of sexual assault attributable to alcohol.  Tellingly, more than half of the 80% of students who consume alcohol engage in binge drinking, and this lies at the heart of most ...

This is your brain on wine: an update on cognition, Alzheimer’s, and wine

Even as the silent epidemic of Alzheimer’s disease grows, wine’s positive if seemingly unlikely effects on brain health continue to offer a map toward a solution. It’s long been known from lifestyle surveys that wine drinking is a defining characteristic of the lowest risk group for Alzheimer’s (AD).* In fact, without exception regular wine consumption is the only factor that features in every study across the board. But given that alcohol is neurotoxic, it just didn’t seem to make sense. The resveratrol promise tested Resveratrol, the anti-aging miracle molecule in wine, offered a plausible explanation. Laboratory and animal studies showed that resveratrol works in several specific ways to counteract the noxious effects on brain cells of protein plaques called ß-amyloid, a marker for AD. While the role of ß-amyloid in the pathogenesis of AD is still not completely clear, it is evident that with enough resveratrol the formation of the plaques can be suppressed, and health of ...

Of reds, whites, and bluebloods: revolution and wine in America and France

Liberty and wine (apologies to Delacroix and Bartholdi for taking a few liberties  . . .) How diminished access to affordable wine factored in to both the American and French revolutions There are more than a few parallels between the French and American revolutions: Both are commemorated by holidays in July, (Independence Day on the 4th and Bastille Day the 14th), the same national colors, and similarly spurred by corrupt royal rule and unfair taxation. In both countries, access to affordable everyday wine played a significant role. Though not widely recognized, the liberation of the Bastille was not the first major act of the insurrection in France, but rather the storming of the customs offices at the gates of Paris where increased taxes on wine had been imposed. And while the Boston Tea party marked a significant escalation of protests against taxation without representation on British subjects in the colonies, it was wine they really relied upon for their day-to day ...

Which came first: Beer or wine? (or something else?)

Actually neither beer nor wine was the first fermented beverage, and wine arguably has a closer connection to health, but recent evidence indicates that humans developed the ability to metabolize alcohol long before we were even human. The uniquely human ability to handle alcohol comes from the digestive enzyme alcohol dehydrogenase, or ADH4. A new science called paleogenetics identifies the emergence of the modern version of the ADH4 gene in our ape ancestors some 10 million years ago. Interestingly, this corresponds to the time when our arboreal forebears transitioned to a nomadic lifestyle on the ground. We went from swinging from tree limbs to walking upright, and the rest is history. Understanding the circumstances that led to perpetuation of the ADH4 mutation may contain clues to what made us human in the first place. How the ability to metabolize alcohol made us human Paleogenetecist Matthew Carrigan has an idea about how this happened . Arboreal species rely on fruit tha...

More evidence that resveratrol is not the same as wine (and may be worse)

It has become common to think of the antioxidant molecule resveratrol as the main beneficial ingredient in wine, but a new study sheds light on how resveratrol without the other components of wine might actually be a bad thing. Sure, resveratrol is a miracle molecule, providing a plausible explanation for many of the health benefits of moderate drinking: lower odds of diabetes, cancer, osteoporosis, even longer life by activation of longevity genes. I leaned heavily on these findings in the book. But what I didn’t anticipate was that resveratrol would become such a hugely popular supplement, and in many people’s minds it became a proxy for wine. If a study showed some failing of resveratrol in a laboratory study, it was put out as a denunciation of healthy drinking. Or when it showed some positive effect in mice, it was hailed as proof that resveratrol had all the benefits of wine – without the alcohol. Both are oversimplifications. Resveratrol works best when combined with othe...