Summary: More than 85% of US adults report drinking alcohol, and data suggests that about 25% of the population engages in binge drinking. Additionally, it appears that about 6% of adults are addicted to alcohol. Prolonged alcohol abuse causes premature death due to many causes like a motor vehicle accident or liver disease. The new study suggests that Covid-19 intake has increased alcohol-related deaths. This may be due to increased mental stress, work-from-home culture, and other reasons.

Alcohol consumption is pretty common and is a part of western culture. Thus, no surprise that all reputed localities are laced with pubs, bars, and more. It is common for people to have a drink after a hard working day. A drink helps relax and communicate and is an enjoyable activity. Though most people know that excessive alcohol can harm health, many do not realize the scale of the problem. This may explain the rate of increasing deaths due to alcohol addiction.

US data shows that about 85% of all adults drink alcohol. However, casual alcohol drinking is not an issue. But US statistics are alarming as they show that one-fourth of US adults engage in binge drinking. As a result, one-fourth of the population is at the risk of developing excessive alcohol consumption-related disorders and premature death.

Studies also suggest that about 7% of adults in the US are living with alcohol addiction. An estimated 14.5 million people older than 12 years of age have alcohol abuse disorder (AUD). AUD or alcohol addiction is a disease that must be treated; else, it may harm health severely. But, regretfully, only about 10% of those living with AUD or alcohol addiction seek treatment for the condition. Instead of seeking for their alcohol addiction treatment, people are more likely to seek treatment for health disorders caused by excessive drinking.

Alcohol addiction or excessive drinking may cause premature death for many reasons, like motor vehicle accidents, homicides, alcohol overdose, suicides, liver disease, kidney failure, and cancer. What is worrisome is that people of working age are more likely to consume alcohol excessively. Excessive alcohol use now causes more than 140,000 deaths in the US annually. It means about one in ten deaths among working-age adults is due to excessive alcohol use.

What the new studies add to the current understanding of alcohol addiction is that excessive alcohol use-related deaths are rising. It confirms the worrisome trend. Although in the last few decades, there is not much change in the rate of alcohol consumption, but more people are engaging in binge drinking.

The study was especially done by keeping in mind the impact of the Covid-19 epidemic on alcohol consumption habits. Covid-19 caused significant stress. Additionally, more people started working from home. The study confirmed that this resulted in excessive alcohol intake. This resulted in a slight increase in alcohol-related deaths in the US from 2.8% in 2019 to 3% in 2020.

Although data may show only a minor increase in alcohol-related deaths, nonetheless, the numbers are significant. Moreover, it shows an upward trend, something that cannot be neglected.

Alcohol consumption in moderation does pose many health threats. However, binge drinking (four or more drinks) or heavy drinking (eight or more drinks) can significantly harm health. To prevent deaths associated with excessive alcohol consumption, people should seek attention for alcohol use disorder (AUD) and not for health complications arising from alcohol addiction.

Treating alcohol addiction or AUD is different from treating drug addiction. AUD is often the result of years of alcohol use. Quite often, a person may not even realize that he or she is living with the condition. Most such individuals start by drinking alcohol in moderate amounts. However, with time or due to stress, they might begin abusing alcohol.

Summary: Heave drinking, binge drinking, and AUD are significant social and health problems. Many people struggle to say no to alcohol despite realizing the ill effects of heavy drinking. Psychotherapy is one of the effective and safe ways to manage the condition, as it helps rewire the brain and alter the thinking pattern. Now a new study shows that using psilocybin along with psychotherapy may have much higher benefits. After such a treatment, people are almost twice more likely to abstain from alcohol and report a significant decline in cravings.

Alcohol is widely consumed in the US. About 80% of all adults drink alcohol now and then, and some of them consume it quite frequently. However, some people start engaging in excessive alcohol consumption, which is harmful to health.

According to the CDC, binge drinking is having four or more drinks on a single occasion. And heavy drinking means having eight or more drinks.

Excessive and irresponsible alcohol use is a significant problem in the US. Moreover, this problem is quite common in young adults. It is among the leading cause of death in young adults. AUD causes 140,000 deaths each year, and it also causes significant disability and economic harm.

Psilocybin is a psychedelic compound from magic mushrooms widely used for its trippy effect. It causes hallucinations. Yes, it remains a controversial compound for clinical use. It is still a substance of abuse, and FDA does not allow its clinical use. However, FDA allows its use for clinical studies.

Researchers have been experimenting with psychedelics for more than half a century to treat various mental health issues.

However, they have recently discovered how to use these agents safely and effectively. They understood that these agents are only suitable for use under medical supervision and for the short term. They work at lower dosages and are more effective when combined with psychotherapy.

When combined the psychotherapy, they help rewire the brain quickly. Their effect is unlike other medical drugs that take a long time to start acting and have a short-lasting action. Instead, psychedelics work fast and may provide long-lasting relief due to improved brain rewiring. They are especially good for managing mood disorders like depression.

However, now a new study confirms that they can be pretty good for managing substance abuse disorders like AUD.

In a new study published in the journal JAMA, researchers compared the effectiveness of psilocybin with diphenhydramine, a kind of antihistamine with a sedative effect and known to lower cravings. The study found that when combined with psychotherapy, psilocybin is much better and has a long-lasting effect.

Researchers say that what has amazed them is the persistent effect of psilocybin. Though the study was small and had a sample size of only 100, the findings were quite surprising. They found that psilocybin was almost twice more effective compared to diphenhydramine.

In the study, researchers divided participants into two equal groups. Both groups received 12 psychotherapy sessions over 12 weeks. However, one group received two dosages of psilocybin and the other group, diphenhydramine, as a placebo. They tracked the patients for six months.

At the end of the study, they found that just by adding two doses of psilocybin, the effect of psychotherapy increased considerably. Thus, after six months, about 10% still reported drinking heavily. However, these numbers were almost 25% in the diphenhydramine group.

What is impressive is that in the psilocybin group, twice as many participants stopped drinking altogether, 48% vs. 24%. They said that they had reduced cravings for alcohol after a psilocybin treatment. Those who stopped drinking said they did not consider themselves alcoholics anymore.

Researchers then went further and offered a third dose of psilocybin to study participants at the end of the six-month study. They said that after this dosage, many more reported benefits.
Researchers say they are very encouraged by their findings, and study results surpass their expectations. Moreover, psilocybin did not cause any side effects, and yet it had a prolonged benefit.
Researchers say that they are now planning more extensive study. They are planning a 3-year study with more than 200 participants. And they also plan to have participants from diverse backgrounds. Nevertheless, researchers think that psilocybin appears to be a real breakthrough in managing AUD.

Summary: Alcohol consumption is common, but only a few people are prone to alcohol addiction or alcohol use disorder (AUD). These are often people with some emotional deficit and struggle to control their alcohol intake. It appears that altered gut microbiota can also alter emotional responses and thus increase the risk of AUD. These alterations may occur due to various reasons. New studies confirm that gut microbiota is altered in those living with AUD. Hence, normalizing gut microbiota along with telehealth treatment can be one way to manage alcohol addiction.

In the last few decades, researchers have given significant attention to billions of bacteria and fungi living in the human body, particularly in the gut. These beneficial bacteria and fungi in the gut are called microbiota. There are more of these tiny organisms in our body than the total number of body cells. It means that these billions of microbes must be playing some essential role in human health.

 

When it comes to the role of microbiota, science has still only scratched the surface. However, researchers know that humans have evolved in a way that they cannot live a healthy life if the population of microbiota is disrupted. Microbiota produces nutrients, vitamins, hormones, and other biologically active compounds.

 

Further, it seems that the gut plays a vital role in the brain’s health and microbiota in the gut’s health. For example, the gut produces 90% of serotonin, an important neurotransmitter, which plays a significant role in brain functioning and mental health. However, the gut also produces other neuropeptides. Thus, researchers call this gut and brain relation “the gut-brain axis.” Since microbiota can significantly influence this axis, the researchers have coined a new term, “microbiota-gut-brain axis.”

 

It seems that microbiota play a vital role in the production of many bioactive compounds that can influence the working of the brain. Thus, changes in microbiota may increase the risk of mood disorders and various mental health issues and may even play a role in alcohol addiction.

 

In one of the recent events, The FENS Forum 2022, some of the leading neurologists discussed their findings regarding how gut microbiota alterations may promote alcohol addiction. They presented their findings in the panel session – “Unravelling the role of the gut microbiome in addiction.”

 

The gut and the binge drinking

 

The studies show that one is more likely to see changes in gut microbiota in those who engage in binge drinking. It seems that altered gut microbiota can affect emotional responses and promote impulsivity.

 

Stress, microbiota, and alcohol dependency

Another opinion shared by Dr. Benjamin Boutrel was that stress causes changes in the gut microbiota in some individuals. And animal experiments suggest that these people often suffer from severe alcohol dependency.

 

Gut microbiota, hormones, and alcohol dependency

Dr. Lorenzo Leggio presented the findings in which he outlined the role of altered levels of the “hunger hormone,” ghrelin, in developing alcohol dependence. In addition, it appears that changes in gut microbiota may also alter ghrelin levels in the body.

 

Transplanting gut bacteria to explore their role in alcohol use disorder (AUD)

In yet another presentation, Pr. Nathalie Delzenne presented the findings from the research done by her team at UC Louvain. Science knows that people living with alcohol use disorders (AUD) have some emotional issues or deficits. By planting the bacteria from people living with AUD to lab mice, she could demonstrate the role of altered microbiota in changed emotional responses and AUD.

 

There are exciting times as researchers are exploring an entirely new way to treat alcohol use disorder (AUD), that is, by focusing on normalizing the gut microbiota. However, this also highlights the importance of diet and nutrition, particularly dietary fiber, in managing AUD.

Summary: About 5% of US adults are living with alcohol use disorder (AUD). However, only one-fifth of them ever seek treatment for the condition. People do not seek treatment as they dislike treatment modalities, hence the need to find new treatments for AUD. The new study shows that yoga and aerobic exercises can control cravings and reduce alcohol intake.

Alcohol consumption is pretty common in the US and globally. In the US, 70-80% of adults drink alcohol quite regularly. In addition, about 5% of adults in the US are living with alcohol use disorder (AUD). It means that they are addicted to alcohol, frequently abuse alcohol, and engage in binge drinking.

As one can see that only a small fraction of those who consume alcohol are living with AUD, a kind of mental health disease. Though researchers are unsure of why some develop this condition, they think it is due to some intrinsic differences.

AUD is associated with significant mortality. It is among the leading causes of death in young adults. Not only that, but AUD also causes numerous other health issues. Those living with AUD are also more likely to be living with anxiety and depression. In addition, AUD often occurs with other issues like tobacco abuse.

Barriers to seeking help

Though there are many effective ways to treat AUD, like psychological therapy, cognitive behavioral therapy, and medical drugs, but many do not seek AUD treatment. Studies show that no more than 20% of those living with AUD will ever seek medical help.

It appears that there are many reasons why people do not seek medical help, like the stigma attached to the condition. Some are dissatisfied with the existing therapies. Many people will not like to spend time in opioid addiction treatment centers. Others are discouraged by the side effects of medical drugs. All this means there is a need to find treatments with greater acceptability. A kind of treatment that is more readily accessible to millions of adults living with AUD.

Yoga and aerobic exercise may help reduce alcohol consumption

In the new study, researchers tested the role of aerobic exercise and yoga in reducing alcohol intake. They carried out a study on 140 adults living with AUD. They divided them into three groups: one group doing yoga, the second group doing aerobic exercise, and the third group were given standard treatment. They were asked to engage in exercise a minimum of three times a week, and the study continued for 12 weeks.

To monitor their patients, doctors used various blood tests and accelerometers. They found that alcohol consumption was reduced significantly in all three groups. However, they found the most significant reduction in the yoga group. In addition, they found that yoga was not inferior to usual AUD treatment, and aerobic exercise of just slightly less effective.

However, it is worth understanding that the benefits of yoga and aerobic training were not limited to reduced alcohol intake. These interventions also resulted in reduced anxiety and improved mood. They also found that exercise was good for reducing alcohol cravings. The impact of exercise was especially high for the next few hours.

Thus, researchers think that the best time to engage in yoga and exercise is at times when the craving is maximum. Hence, it would be good to engage in exercise in the afternoon or in the evening. This will help counter cravings and thus reduce alcohol use.

Researchers say that there could be many ways in which exercise helps. For example, exercise appears to make people feel good and thus can modulate dopaminergic or reward pathways. Exercise can also help by boosting self-esteem.

Summary: Alcohol overuse or alcohol use disorder is associated with higher mortality, especially in young adults. People understand that alcohol increases the risk of health issues like liver disease, pancreatitis, and motor vehicle accidents. However, people do not realize that AUD may also considerably increase cancer risk. Fortunately, new studies also show that quitting alcohol may help reduce this elevated cancer risk.

It is no secret that most adults in the US consume alcohol. However, some may become addicted to alcohol. Few people, about 5% of alcohol users, start consuming alcohol in excessive amounts. Some so-called heavy drinkers frequently engage in binge drinking. These are people living with alcohol addiction or alcohol use disorder (AUD).

Some risks related to AUD are well known to people, like the increased risk of motor vehicle accidents and other kinds of accidents. Unusual aggression and associated trauma. AUD may also cause liver and kidney damage and is associated with a greater risk of pancreatitis. Alcohol addiction is among the leading causes of death in young adults.

However, what many people do not realize is that alcohol also considerably increases the risk of different types of cancers. For some cancer types, alcohol may increase the risk by as much as 30% or even more.

Thus, studies in the US show that high alcohol consumption may increase the risk of cancer anyway between 3-8%. So, on average, high alcohol consumption contributes to about 5% of cases of cancer. Though 5% may not sound significant, but it is worth understanding that cancer is among the top five causes of premature death in the US. Thus, it means that alcohol accounts for 75,000 cancer cases each year and causes more than 18,000 deaths.

Here it is worth understanding that when statistics say that alcohol use disorder kills 140,000 people each year, these statistics do not include deaths caused by cancer that occurs due to AUD. So it means that AUD is causing far more deaths than statistics show.

Studies also suggest that AUD contributes disproportionately to various cancer risks. Thus, it is among the leading causes of oral cavity cancers in the US. However, it also contributes considerably to breast, colon, rectal, and liver cancers.

However, there is good news, too. One of the most extensive studies to date shows that this risk can be significantly reduced. Moreover, this new study shows that this increased risk of cancer is primarily seen in heavy drinkers, people who drink alcohol regularly.

In a new study published in the journal JAMA, researchers analyzed the data of more than four million adults with a follow-up period of more than six years.

The study found that mild alcohol consumption did not increase cancer risk much. Cancer risk increased significantly only in heavy drinkers or those living with AUD.

There were many other encouraging findings in the study. It appears that cancer risk can be reduced by quitting drinking. The study found that once someone stops abusing alcohol, cancer risk still remains high for some time. However, after some time of abstinence, like a year or more, cancer risk is significantly reduced. Thus, those who quit drinking alcohol or drink in small amounts have a reduced cancer risk, and the risk is almost similar to non-drinkers.

Here it is worth understanding that a follow-up period of about six years is not long for understanding the cancer risk associated with AUD. Thus, this risk may be much higher in reality as most people living with AUD continue to abuse alcohol for years or even decades. Another limitation of this study is that it was in Asians.

Despite some limitations, this study highlights one very important and often neglected factor: AUD is also associated with increased cancer risk. Moreover, reducing alcohol intake appears to reduce cancer risk, too.