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Alcohol as Food/Calories

  • Alcohol (RF Leeman, Section Editor)
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Abstract

There has been a call for reduced alcohol consumption among Americans in recent years as many drink above the recommended moderate drinking guidelines. Specifically, national public health goals include reducing the proportion of persons engaging in heavy episodic drinking and excessive drinking, as well as reducing the overall annual alcohol consumption. American dietary guidelines assert alcohol-attributed calories should be limited as alcohol is grouped into the allotment of calories associated with non-nutrient-dense foods. Based on current consumption trends, alcohol will likely remain a significant contributor to the overall caloric intake and diet of persons in the USA. This paper outlines the ramifications of alcohol as food/calories and also discusses evidence which highlights behaviors that people engage to offset consumption of alcohol-related calories. Implications include a discussion on how alcohol influences metabolic processes, results in an imbalanced diet, and exhibits a potential to lead to both malnutrition and weight gain.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Centers for Disease Control and Prevention. Map of trends in diagnosed diabetes and obesity. Center for Disease Control and Prevention’s Division of Diabetes Translation, 2015. Available from http://www.cdc.gov/diabetes/statistics/slides/maps_diabetesobesity_trends.pdf

  2. U.S. Department of Agriculture, U.S. Department of Health and Human Services. Dietary guidelines for Americans. 7th ed. Washington, DC: U.S. Government Printing Office; 2010.

    Google Scholar 

  3. Healthy People 2020. Nutr Weight Status. 2015; Available from http://www.healthypeople.gov/2020/topics-objectives/topic/nutrition-and-weight-status/objectives.

  4. Let’s Move. Eat Healthy. 2015 Available from http://www.letsmove.gov/eat-healthy.

  5. Guide to Community Preventive Services. Preventing excessive alcohol consumption. 2015; Available from http://www.thecommunityguide.org/alcohol/index.html. A guide to prevent excessive alcohol consumption. This website includes a list of recommended interventions reviewed by the Community Guide.

  6. Healthy People 2020. Substance abuse. 2015; Available from http://www.healthypeople.gov/2020/topics-objectives/topic/substance-abuse/objectives.

  7. National Institute on Alcohol Abuse and Alcoholism. Apparent per capita alcohol consumption: national, state, and regional trends, 1977–2012. NIAAA Surveillance Rpt. No. 98; 2014.

  8. World Health Organization. Global status report on alcohol and health; 2014. World Health Organization 2015:1–365. Available from http://www.who.int/substance_abuse/publications/global_alcohol_report/en/

  9. Healthy People 2020. Substance abuse: reduce average annual alcohol consumption. 2015; Available from http://www.healthypeople.gov/2020/data-search/Search-the-Data?nid=5208.

  10. Nielsen SJ, Kit BK, Fakhouri T, Ogden CL. Calories consumed from alcoholic beverages by U.S. adults, 2007–2010. NCHS Data Brief. 2012;110:1–8.

    PubMed  Google Scholar 

  11. Zakhari S. Overview: how is alcohol metabolized by the body? Alcohol Res Health. 2006;29(4):245.

    PubMed  Google Scholar 

  12. Suter PM, Hasler E, Vetter W. Effects of alcohol on energy metabolism and body weight regulation: is alcohol a risk factor for obesity? Nutr Rev. 1997;55:157–71.

    Article  CAS  PubMed  Google Scholar 

  13. Haddock CK, Day RS, Poston WSC, Jahnke SA, Jitnarin N. Alcohol use and caloric intake from alcohol in a national cohort of U.S. career firefighters. J Stud Alcohol Drugs. 2015;76(3):360–6.

    Article  PubMed  Google Scholar 

  14. Marks P, Williams R. Calorie and alcohol consumption in nonalcoholic fatty liver disease. Eur J Gastroenterol Hepatol. 2012;24(5):527–30. doi:10.1097/MEG.0b013e3283514edb.

    Article  PubMed  Google Scholar 

  15. Shelton NJ, Knott CS. Association between alcohol calorie intake and overweight and obesity in English adults. Am J Public Health. 2014;104(4):629–31. doi:10.2105/AJPH.2013.301643.

    Article  PubMed  Google Scholar 

  16. McDonald’s. McDonald’s USA nutrition facts for popular menu items. 2014. Available from http://nutrition.mcdonalds.com/getnutrition/nutritionfacts.pdf.

  17. Ervin RB, Kit BK, Carroll MD, Ogden CL. Consumption of added sugar among U.S. children and adolescents, 2005–2008. NCHS Data Brief. 2012;87:1–7.

    PubMed  Google Scholar 

  18. Ogden CL, Kit BK, Carroll MD, Park S. Consumption of sugar drinks in the United States, 2005–2008. NCHS Data Brief. 2011;71:1–7.

    PubMed  Google Scholar 

  19. Sarlio-Lähteenkorva S, Winkler JT. Could a sugar tax help combat obesity? BMJ. 2015;351:h4047. doi:10.1136/bmj.h4047.

    Article  PubMed  Google Scholar 

  20. Breslow RA, Guenther PM, Jaun W, Graubard BI. Alcoholic beverage consumption, nutrient intakes, and diet quality in the US adult population, 1999–2006. J Am Diet Assoc. 2010;110(4):551–62. doi:10.1016/j.jada.2009.12.026.

    Article  PubMed Central  PubMed  Google Scholar 

  21. Piazza-Gardner AK, Barry AE. A qualitative investigation of the relationship between consumption, physical activity, eating disorders, and weight consciousness. Am J Health Educ. 2014;45(3):174–82. doi:10.1080/19325037.2014.901112.

    Article  Google Scholar 

  22. Caton SJ, Ball M, Ahern A, Hetherington MM. Dose-dependent effects of alcohol on appetite and food intake. Physiol Behav. 2004;81(1):51–8.

    Article  CAS  PubMed  Google Scholar 

  23. Breslow RA, Chen CM, Graubard BI, Jacobovits T, Kant AK. Diets of drinkers on drinking and nondrinking days: NHANES 2003–2008. Am J Clin Nutr. 2013;97(5):1068–75. doi:10.3945/ajcn.112.050161.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  24. McCann SE, Sempos C, Freudenheim JL, Muti P, Russell M, Nochajski TH, et al. Alcoholic beverage preference and characteristics of drinkers and nondrinkers in western New York (United States). Nutr Metab Cardiovasc Dis. 2003;13(1):2–11.

    Article  CAS  PubMed  Google Scholar 

  25. Yeomans MR, Caton S, Hetherington MM. Alcohol and food intake. Curr Opin Clin Nutr Metab Care. 2003;6(6):639–44.

    Article  PubMed  Google Scholar 

  26. Yeomans MR. Alcohol, appetite and energy balance: is alcohol intake a risk factor for obesity? Physiol Behav. 2010;100(1):82–9. doi:10.1016/j.physbeh.2010.01.012.

    Article  CAS  PubMed  Google Scholar 

  27. Kershaw S. Starving themselves, cocktail in hand. 2008; Available from http://www.nytimes.com/2008/03/02/fashion/02drunk.html?_r=0.

  28. CBS News. Drunkorexia: health danger for women. 2008; Available from http://www.cbsnews.com/news/drunkorexia-health-danger-for-women/.

  29. Piazza-Gardner AK, Barry AE. Appropriate terminology for the alcohol, eating, and physical activity relationship. J Am Coll Health. 2013;61(5):311–3. doi:10.1080/07448481.2013.792259.

    Article  PubMed  Google Scholar 

  30. Männistö S, Uusitalo K, Roos E, Fogelholm M, Pietinen P. Alcohol beverage drinking, diet and body mass index in a cross-sectional survey. Eur J Clin Nutr. 1997;51(5):326–32.

    Article  PubMed  Google Scholar 

  31. Hillers VN, Massey LK. Interrelationships of moderate and high alcohol consumption with diet and health status. Am J Clin Nutr. 1985;41(2):356–62.

    CAS  PubMed  Google Scholar 

  32. Gruchow HW, Sobocinski KA, Barboriak JJ, Scheller JG. Alcohol consumption, nutrient intake and relative body weight among US adults. Am J Clin Nutr. 1985;42(2):289–95.

    CAS  PubMed  Google Scholar 

  33. Burke SC, Cremeens J, Vail-Smith K, Woolsey C. Drunkorexia: calorie restriction prior to alcohol consumption among college freshman. J Alcohol Drug Educ. 2010;54(2):17–34.

    Google Scholar 

  34. Roosen KM, Mills JS. Exploring the motives and mental health correlates of intentional food restriction prior to alcohol use in university students. J Health Psychol. 2015;20(6):875–86. doi:10.1177/1359105315573436.

    Article  PubMed  Google Scholar 

  35. Osborne VA, Sher KJ, Winograd RP. Disordered eating patterns and alcohol misuse in college students: evidence for “drunkorexia”? Compr Psychiatry. 2011;52(6):e12.

    Article  Google Scholar 

  36. Hahn RG, Norberg A, Jones AW. ‘Overshoot’ of ethanol in the blood after drinking on an empty stomach. Alcohol. 1997;32(4):501.

    Article  CAS  Google Scholar 

  37. Kelly-Weeder S. Binge drinking and disordered eating in college students. J Am Acad Nurse Pract. 2011;23(1):33–41.

    Article  PubMed  Google Scholar 

  38. Peralta RL. Alcohol use and the fear of weight gain in college: reconciling two social norms. Gender Issues. 2002;20(4):23–42.

    Article  Google Scholar 

  39. Gadalla T, Piran N. Co-occurrence of eating disorders and alcohol use disorders in women: a meta analysis. Arch Womens Ment Health. 2007;10(4):133–40.

    Article  CAS  PubMed  Google Scholar 

  40. Grilo CM, Sinha R, O’Malley SS. Eating disorders and alcohol use disorders. Alcohol Res Health. 2002;26(2):151–60.

    Google Scholar 

  41. Keel PK, Dorer DJ, Eddy KT, Franko D, Charatan DL, Herzog DB. Predictors of mortality in eating disorders. Arch Gen Psychiatry. 2003;60(2):179–83.

    Article  PubMed  Google Scholar 

  42. Barry AE, Piazza-Gardner A. Drunkorexia: understanding the co-occurrence of alcohol consumption and eating/exercise weight management behaviors. J Am Coll Health. 2012;60(3):236–43. doi:10.1080/07448481.2011.587487. A cross-sectional study that examined the co-occurrence of alcohol consumption, physical activity, and disordered eating from a drunkorexia perspective. The authors found a strong association between drinking, physical activity, and disordered eating behaviors in college students.

    Article  PubMed  Google Scholar 

  43. Dunn MS, Wang MQ. Effects of physical activity on substance use among college students. Am J Health Stud. 2003;18(2–3):126–32.

    Google Scholar 

  44. Moore MJ, Werch C. Relationship between vigorous exercise frequency and substance use among first-year drinking college students. J Am Coll Health. 2008;56(6):686–90. doi:10.3200/JACH.56.6.686-690.

    Article  PubMed  Google Scholar 

  45. Barry AE, Whiteman S, Piazza-Gardner AK, Jensen AC. Gender differences in the associations among body mass index, weight loss, exercise, and drinking among college students. J Am Coll Health. 2013;61(7):40713. doi:10.1080/07448481.2013.823973. A cross-sectional study that assessed gender differences regarding weight management behaviors. The discussion of gender-based differences in weight management behaviors of drinkers is particularly useful for advancing the literature on drunkorexia.

    Article  Google Scholar 

  46. Poppitt SD. Beverage consumption: are alcoholic and sugary drinks tipping the balance towards overweight and obesity? Nutrients. 2015;7(8):6700–18. doi:10.3390/nu7085304. A detailed overview of the association between alcohol and carbohydrate-containing liquids and regulation of body weight. The authors investigate evidence to support any association between body weight, adiposity, increased beverage consumption, and increased energy intake.

    Article  PubMed Central  PubMed  Google Scholar 

  47. Sayon-Orea C, Martinez-Gonzalez MA, Bes-Rastrollo M. Alcohol consumption and body weight: a systematic review. Nutr Rev. 2011;69(8):419–31. doi:10.1111/j.1753-4887.2011.00403.x.

    Article  PubMed  Google Scholar 

  48. Traversy G, Chaput JP. Alcohol consumption and obesity: an update. Curr Obes Rep. 2015;4(1):122–30. A review article about the association between alcohol consumption and body weight and how alcohol intake may influence obesity in some individuals based on multiple risk factors.

    Article  PubMed Central  PubMed  Google Scholar 

  49. Encyclopedia of Public Health. Adiposity. Encyclopedia of Public Health. 2008:9–9.

  50. Lahti-Koski M, Pietinen P, Heliövaara M, Vartiainen E. Associations of body mass index and obesity with physical activity, food choices, alcohol intake, and smoking in the 1982–1997 FINRISK studies. Am J Clin Nutr. 2002;75(5):809–17.

    CAS  PubMed  Google Scholar 

  51. Wannamethee SG, Shaper AG, Whincup PH. Alcohol and adiposity: effects of quantity and type of drink and time relation with meals. Int J Obes. 2005;29(12):1436–44.

    Article  CAS  Google Scholar 

  52. Adams T, Rini A. Predicting 1-year change in body mass index among college students. J Am Coll Health. 2007;55(6):361–5.

    Article  PubMed  Google Scholar 

  53. Arif AA, Rohrer JE. Patterns of alcohol drinking and its association with obesity: data from the third national health and nutrition examination survey, 1988–1994. BMC Public Health. 2005;5(1):126.

    Article  PubMed Central  PubMed  Google Scholar 

  54. Kleiner KD, Gold MS, Frostpineda K, Lenzbrunsman B, Perri MG, Jacobs WS. Body mass index and alcohol use. J Addict Dis. 2004;23(3):105–18.

    Article  PubMed  Google Scholar 

  55. Barry AE, Piazza-Gardner AK, Holton MK. Assessing the alcohol-BMI relationship in a US national sample of college students. Health Educ J. 2014;74(4):496–504. doi:10.1177/0017896914547289.

    Article  Google Scholar 

  56. Rothman KJ. BMI-related errors in the measurement of obesity. Int J Obes. 2008;32(S3):S56–9.

    Article  Google Scholar 

  57. Vadstrup ES, Petersen L, Sørensen TIA, Grønbæk M. Waist circumference in relation to history of amount and type of alcohol: results from the Copenhagen City Heart Study. Int J Obes. 2003;27(2):238–46.

    Article  CAS  Google Scholar 

  58. Fischer-Posovszky P, Kukulus V, Tews D, Unterkircher T, Debatin K, Fulda S, et al. Resveratrol regulates human adipocyte number and function in a Sirt1-dependent manner. Am J Clin Nutr. 2010;92(1):5–15.

    Article  CAS  PubMed  Google Scholar 

  59. Bobak M, Skodova Z, Marmot M. Beer and obesity: a cross-sectional study. Eur J Clin Nutr. 2003;57(10):1250–3.

    Article  CAS  PubMed  Google Scholar 

  60. Lukasiewicz E, Mennen LI, Bertrais S, Arnault N, Preziosi P, Galan P, et al. Alcohol intake in relation to body mass index and waist-to-hip ratio: the importance of type of alcoholic beverage. Public Health Nutr. 2005;8(3):315–20.

    Article  PubMed  Google Scholar 

  61. Nies MA, Sun L, Kazemi D, Carriker A, Dmochowski J. Relationship of body mass index to alcohol consumption in college freshmen. Sci World J. 2012;2012(849018):1–4. doi:10.1100/2012/849018.

    Google Scholar 

  62. Cappuccio FP, Taggart FM, Kandala N, Currie A, Peile E, Stranges S, et al. Meta-analysis of short sleep duration and obesity in children and adults. Sleep. 2008;31(5):619–26.

    PubMed Central  PubMed  Google Scholar 

  63. Berkey C. Weight gain in older adolescent females: the Internet, sleep, coffee, and alcohol. J Pediatr. 2008;153(5):635–9.

    Article  PubMed Central  PubMed  Google Scholar 

  64. Chapman CD, Benedict C, Brooks SJ, Schiöth HB. Lifestyle determinants of the drive to eat: a meta-analysis. Am J Clin Nutr. 2012;96(3):492–7.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  65. Galli G, Piaggi P, Mattingly MS, de Jonge L, Courville AB, Pinchera A, et al. Inverse relationship of food and alcohol intake to sleep measures in obesity. Nutr Diabetes. 2013;3:e58.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  66. Suter PM, Tremblay A. Is alcohol consumption a risk factor for weight gain and obesity? Crit Rev Clin Lab Sci. 2005;42(3):197–227.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Adam E. Barry.

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Adam E. Barry and Ashley L. Merianos declare that there are no conflicts of interest.

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This article is part of the Topical Collection on Alcohol

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Barry, A.E., Merianos, A.L. Alcohol as Food/Calories. Curr Addict Rep 3, 85–90 (2016). https://doi.org/10.1007/s40429-016-0085-z

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