Sunday, March 28, 2010

Alcohol Intake Associated with Unhealthy Diet

Toronto Sun


People who drink alcohol are more likely to eat less fruit and consume more calories by munching on foods that are high in fat and sugar, a new study says.

Researchers followed more than 15,000 adults in the U.S. and found that increased alcohol consumption is associated with decreased diet quality.

"Heavy drinking and dietary factors have independently been associated with cardiovascular disease, certain cancers, and other chronic health problems," said Kenneth R. Warren, acting director of the National Institute on Alcohol Abuse and Alcoholism. "This finding raises questions about whether the combination of alcohol misuse and poor diet might interact to further increase health risks."

The researchers found men who drink more alcohol consume fewer whole grains and drink less milk.

The study, conducted by the NIAAA, the National Cancer Institute and the U.S.

Department of Agriculture, appears in the April issue of the Journal of the American Dietetic Association.

The researchers analyzed data from participants in the National Health and Nutrition Examination Survey, an ongoing survey of cross-sectional samples of the U.S. population.

Although the study noted a correlation between drinking and poor diet habits, it didn't determine why that's the case.

Wednesday, March 17, 2010

Combination Treatment May Help Depressed Alcoholics

Business Week

Taking antidepressant plus naltrexone improves odds of not drinking, researchers say

Combined treatment with the antidepressant Zoloft (sertraline) and the alcoholism drug naltrexone improves the likelihood that people with both major depression and alcohol dependence will be able to stop drinking, U.S. researchers report.

Their 14-week study of 170 patients found that 54 percent of those who received the combined alcohol treatment were able to stop drinking, compared with 21 to 28 percent for patients who received a placebo, Zoloft only, or naltrexone only.

The patients who received the combined treatment also went for a longer period of time before they started drinking again -- 61 days compared with 15 days for patients in the other groups.

The findings may prove an important advance in the treatment of patients with alcohol dependence and depression, said the University of Pennsylvania researchers, and should be of interest for programs like Alcoholics Anonymous.

"When depression and alcohol dependence occur together, each condition has a negative influence on the outcome of the other, so not only does this pairing of illnesses affect a lot of patients, it also makes the individual disorders worse," study author Helen Pettinati said in a news release. "Combining sertraline and naltrexone could be a practical approach for these patients because both have (U.S. Food and Drug Adminstration) approval."

Thursday, March 11, 2010

Alcoholics' Relapses Better Understood

Business Week
Brain mechanism could be key, and an existing drug might help, scientists say


U.S. scientists say they've learned new details about molecular mechanisms associated with alcohol addiction treatment and relapse. The findings could lead to new treatments for alcoholism.

The University of California, San Francisco researchers gave lab rats free access to alcohol or sugar for nearly two months, followed by a few weeks of abstinence. The rats who had consumed alcohol, but not those that had consumed sugar, showed increased electrical activity in a part of the brain called the nucleus accumbens (NAcb) core, which plays a role in motivation and goal-directed behaviors.

This increased activity in the NAcb core after abstinence resulted from the inhibition of small-conductance calcium-activated potassium channels (SK). These findings can help explain why alcoholics often relapse, even after treatment programs such as alcoholics anonymous have helped them quit.

Futher tests showed that drug-induced activation of SK channels resulted in greater inhibition of NAcb activity in the alcohol-abstinent rats and significantly reduced their desire for alcohol. This type of effect did not occur with sugar-abstinent rats.

The results indicate that decreased SK currents and increased activity in the NAcb core play a critical role in alcoholics' relapse after quitting drinking, said the researchers.

The study appears in the March issue of the journal Neuron.

"Our findings are particularly exciting because the FDA-approved drug chlorzoxazone, which has been used for more than 30 years as a muscle relaxant, can activate SK channels," senior author Dr. Antonello Bonci said in a UCSF news release. "Although SK channels are not the only target of this drug and it can present a variety of clinical side effects, it provides an unexpected and very exciting opportunity to design human clinical trials to examine whether chlorzoxazone, or other SK activators, reduce excessive or pathological alcohol drinking."

Wednesday, March 3, 2010

Tigers' Cabrera 'Comfortable' in His Recovery

The Detroit News


Lakeland, Fla. -- One word, "serenity," is irresistible when you observe Miguel Cabrera at work during these early days of camp, or more tellingly, hear him speak.

"Serenity" is a word Cabrera would view as accurate.

"I'm comfortable with what I do right now," he said this morning, a few minutes before joining his teammates for a 9:30 workout.

Today's Cabrera is vastly different than the one who could sometimes be uncomfortably aloof during earlier years. He smiles easily now. When he converses, he is engaged with the other party. He listens.

He clearly is at peace six months after his life was beginning to careen dangerously. Immediately after a trouble end to his 2009 season, Cabrera confronted alcohol abuse and a general recklessness that had created even deeper concern for him than it had for the Tigers and their baseball community.

"I don't want to hide what I do," he said of his decision to spend much of the offseason in the company of his doctor as they addressed problems that appear to have involved various layers of physical and psychological challenges. "I want to be a man and say I make a mistake.

"It's a part of life to be a man. I don't try to hide."

Cabrera, of course, had an 0.26 blood-alcohol level when police took him into custody the morning of Oct. 3 following a domestic incident at his Birmingham home. The trouble occurred on the final weekend of the regular season, a critical juncture for a team that missed the playoffs by one game.

Although details were not revealed until Cabrera spoke in January, he decided immediately to consult a doctor with whom he worked rigorously during an offseason that appears to have been transformative.

"I don't think he's different, I think he's matured," Tigers manager Jim Leyland said this morning. "He looks absolutely tremendous."

Cabrera has not had a drink since last October. He says he does not miss it, not at all, and that when he is at dinner or with friends he drinks water, or perhaps apple juice or orange juice.

"I knew what I was doing was bad, and I had to say this is not right for my life, for my work, for my family," he said. "The first thing you've got to think about is yourself.

"When you've got a problem, you need some help. You can't find the problem by yourself. You find the problem and fix it."

Cabrera insisted his difficulties were not a clinical case of alcoholism. He has not required any recent attention from his doctor. He does not go to Alcoholics Anonymous meetings.

"It's not that bad," he said, smiling, as if to reinforce thoughts that everything was under control.

And anyone observing him at Tigertown during spring training's first week would be persuaded to agree.

Wednesday, February 24, 2010

Parent Notification Policies for Underage Drinking Evolve

The Washington Post


For years, Virginia Tech had a complicated system for deciding when to let parents know about their underage children's alcohol-related transgressions. Visits to the hospital or police station warranted immediate notification, but Mom and Dad didn't have to know about less-serious offenses, such as sneaking a six-pack into the dorm, unless it happened more than once.

But this semester, Virginia Tech joined a growing list of colleges that notify parents every time a student younger than 21 is caught drinking, drunk or in possession of alcohol. George Washington University also tightened its notification policy last year after a student died of alcohol poisoning.

Concerned about injuries, deaths, rising alcoholism rates and lawsuits, colleges and universities have realized that, in addition to levying official penalties, seeking parents' help can bolster anti-drinking efforts. Research shows that parents can have a significant influence on their children's drinking habits.

"Students are more concerned about their parents being notified than they are of the legal consequences," said Edward Spencer, vice president for student affairs at Virginia Tech.

Privacy laws prohibit university officials from communicating with parents about much more than tuition bills, but for more than a decade schools have had the legal authority to notify parents of students younger than 21 about alcohol- and drug-related matters. Many do so only for the most serious incidents. Others restrict parental notification to drug crimes.

Schools have found themselves in a delicate balancing act. Officials want to protect students' heath and honor parents' demands for information, but they also want to help students develop a sense of independence.

Kevin Williams said he didn't know that GWU notified parents of all alcohol violations until he was busted for hosting a Halloween party in his dorm room when he was a freshman in 2008. He received a $50 fine and had to go before a school judicial hearing but was relieved to learn that the incident would not go on his permanent record. About a week later, his mother called from New Jersey with a form letter from the school in hand and a lot of questions.

"It was not good," Williams said of the conversation. "She said: 'You're in college. I know you are going to be drinking. But are you going to be dumb and get caught?' "

Williams, now 20 and a sophomore, said he thinks parents should be notified if a student has a serious problem or is rushed to the hospital but "not if it's a minor getting-caught-having-fun-with-your-friends-on-Halloween thing."

Virginia Tech has long had some of the strictest alcohol sanctions in the region, including a three-strikes policy: two strikes for serious offenses, one for minor offenses. Students who rack up three or more strikes during their school careers are asked to leave for at least a semester.

The university decided to change its notification policy because officials had received complaints from parents who wanted to know whether their child had a drinking problem long before it got serious. The policy also applies to illegal drugs, including marijuana, but students caught with drugs are usually suspended.

Student body President Brandon Carroll said students were "shocked" when they heard about the new approach. Even though the university is legally able to share such information, that doesn't mean that it should, said Carroll, 21. "If the school calls someone's parent, that could put a lot of pressure on them. And how is that going to help?" he said.

College drinking is getting worse, according to researchers at the National Institute on Alcohol Abuse and Alcoholism. Between 1998 and 2005, the latest period for which figures are available, binge drinking rates increased, more students drove drunk and the number of alcohol-related deaths increased more than 25 percent, from 1,440 to 1,825.

"The problem is not getting better, but I think it can be turned around," said Ralph Hingson, the director of epidemiology and prevention research at the institute. "Interventions at multiple levels make a difference."

The federal Family Educational Rights and Privacy Act of 1974 prevents universities from sharing most student information, but it allows them to contact parents if a child's health or safety is at risk. In 1998, the act was amended to give colleges and universities permission to notify parents anytime a student younger than 21 had any alcohol or drug violation.

That legislation was introduced by then-Sen. John Warner after five Virginia college students were killed in alcohol-related incidents in fall 1997, prompting a state investigation. Three were Virginia Tech students who died in two incidents over Halloween weekend.

Deaths at other campuses also have resulted in policy changes and, sometimes, lawsuits. In 2000, the Massachusetts Institute of Technology paid $6 million to settle a wrongful-death lawsuit filed by the parents of a freshman who died of alcohol poisoning after a fraternity party in 1997.

Last year, a University of Kansas freshman died of alcohol poisoning less than two weeks after he was kicked out of campus housing for alcohol violations that his parents knew nothing about. Within months, the university began to notify parents about serious or repeat alcohol violations.

In 1997, the University of Delaware became one of the first schools to implement an "every time" notification policy. School officials say the policy, along with aggressive penalties and encouragement of Delaware alcohol treatment, has reduced binge drinking on campus and curtailed the university's party-school reputation.

GWU soon followed and enhanced the policy last year, after the death of a student. The school now contacts parents within 24 hours in a serious case and follows up with parents when the student begins an alcohol education program. For a less-serious case, they send parents educational materials.

In the past five years, several schools have joined the movement, including the University of Georgia in 2006 and the University of New Mexico in 2007. In 2008, Tennessee passed a state law that requires all public higher-education institutions to notify parents of alcohol violations.

"There is no magical line here between May of their senior year of high school and college. When do they really become a responsible adult?" said John Zacker, director of student conduct at the University of Maryland alcohol treatment, which notifies parents when a student's drinking threatens to get him or her kicked out of the dorms or school.

At the University of Virginia, students are usually given about 48 hours to call their parents before school officials do. The calls are made in the most serious cases, such as an arrest or hospitalization, or if a student shows an ongoing pattern of intoxication. But in most cases, Dean of Students Allen Groves said, he trusts his instincts.

"The easy thing to do is say, 'Here's a cookie-cutter process, and we are going to use this process the same way for every single case,' " Groves said. "But every case is not the same."

The effects of parental notification have not been widely studied, but the concept seems to work best when universities coach parents on how to react to the news, said Thomas Workman of the National Association of Student Personnel Administrators, who chairs a committee focused on alcohol education. Officials need to be mindful of family dynamics and cultural differences, he said, in the same way that a behavioral program such as Alcoholics Anonymous operates.

"We can't assume a parent knows what to do and that they would do the right thing," he said. But if approached in the right way, parents can be the perfect partners for an intervention, he said.

"Even with cellphone technology, no student would call home four or five times a day a generation ago," Workman said. "We have a very different generation. And it's smart of institutions to say, 'We should take advantage of that.' "

Tuesday, February 16, 2010

Army Chief Blasts Alcohol Abuse

The Australian
EXCESSIVE alcohol consumption by soldiers is resulting in "near daily reports'" of officers and enlisted men being killed, injured or maimed for preventable behaviour, chief of the army, Lieutenant General Ken Gillespie has warned.

In a strongly worded admonition carried in the latest edition of the Army newspaper, a copy of which was received by The Australian today, an angry General Gillespie ordered officers to take punitive measures if necessary to restore order and discipline in the ranks.

The blast from the chief of army was prompted by a spate of recent arrests by police linked to 12-alcohol-related incidents over one weekend resulting in seven drink driving offences and five drunk and disorderly charges being laid.The actual dates were not given.

"I'm ashamed to say that this was not an atypical weekend.

"To be quite frank, I am sick of seeing the near daily reports which tell me of officers and soldiers killed, injured or arrested for behaviour that could have been avoided," General Gillespie said.

"I am tired of seeing the reputation of the army undermined by the irresponsible actions of some who cannot responsibly consume alcohol," he added. The army chief then proceeded to warn his officers to take more responsible and "proactive" steps to curb alcohol abuse."Written correspondence can only do so much.

"While I am directing you to take specific action now, you should be quite clear in your minds that I expect all commanders to proactively, and if necessary, punitively apply measures and alcohol rehab to reduce the incidence of alcohol misuse.

"I will take an interest in hearing what commanders have done during my visits in the future," General Gillespie  warned.

Wednesday, February 10, 2010

College Environment Poses Risk for Underage Drinking

Collegiate Times


The expensive textbooks have been purchased, new roommates have moved in, and classes are underway: American students have recently commenced a new semester at their colleges and universities. When the exciting and overwhelming influx of new friends and classes has initially dwindled down, students — especially those living in a college environment — seek opportunities to escape from the stresses of college life. In a college town, this usually equates to attending parties and various social gatherings.

Of course, the majority of college students’ mentalities would be incomplete if the presence of alcohol was not involved in the social scene. Alcohol is a ubiquitous staple in the college environment, and young adults between the ages of 18-24 years old are most at risk for abusing the judgment-impairing drug. In a time when consumption of alcohol is accepted — and almost expected — among college students, we need to remember that young adults are incredibly vulnerable to the dangers associated with over-consumption of alcohol — a term referred to as binge drinking.

According to the National Institute of Alcohol Abuse and Alcoholism, a “binge” is a pattern of drinking alcohol that brings blood alcohol concentration to at least 0.08 percent or above. This pattern corresponds to consuming at least five drinks for a male adult and at least four drinks for a female adult in approximately a two-hour time span.

The consequences of excessive drinking affect virtually all college campuses, college communities, and college students: about four in five of all college students drink, including students aged 18 to 20, nearly 60 percent of whom drink illegally. According to the Centers for Disease Control and Prevention, 90 percent of the alcohol consumed by underage youths is in the form of binge drinking. As mass marketing campaigns have perpetuated the glamorization of alcohol consumption, imagine the increase in these statistics as we begin this new decade!

We are not naïve to the potential outcomes of binge drinking. By simply tuning in to the news, we learn of unfortunate stories of young adults prematurely losing their lives in tragic, alcohol-related accidents. An increase in students who reported being charged of driving while intoxicated has resulted in an increase of alcohol-related deaths.

The CDC further describes the kinds of intentional and unintentional injuries that result from binge drinking, including sexual assault, date rape, firearm injuries, domestic violence, car crashes, burns and drowning. Other health problems resulting from binge drinking include alcohol poisoning, sexually transmitted diseases, unintended pregnancy, high blood pressure, stroke, liver disease, alcohol addiction and sexual dysfunction.

The college environment promotes this unhealthy behavior, particularly due to the availability and accessibility of alcohol on campuses. Furthermore, students who observe their peers engaging in binge drinking may be more willing to conform to the negative behavior if they perceive their peers to be enjoying themselves. Unfortunately, loss of inhibitions is a positively perceived effect of alcohol consumption, especially for the shy and introverted. However, alcohol no longer seems to be as enticing when you find yourself being the caretaker of a sick friend who is vomiting in the bathroom of a bar or club as a result of binge drinking. If you are lucky, your friend will sleep it off and fail to remember his or her actions from the previous night. For the not so lucky, your friend may require medical attention if alcohol poisoning were to occur.

Alcohol abuse is likely — and frequent — since society views drinking as a normal and accepted part of life, especially campus life. The consumption of alcohol is unquestionably a social activity, influenced by popular culture and media solely depicting — and oftentimes, fabricating — the positive effects of alcohol without taking into consideration the infinitely greater negatives.

As the new semester progresses into busy weeks teeming with assignments, projects, exams and friends, let’s keep in mind the dangers that binge drinking poses to the health of the millions of students in our nation’s colleges and universities.

The college environment isn’t going anywhere, and it would surely be devastating to hear another news story of an alcohol-related accident that claimed yet another youth’s life.