Older Adults and Drinking National Institute on Alcohol Abuse and Alcoholism NIAAA

Alcohol and the Aging Process

Results of school surveys demonstrate that in many countries alcohol use begins before the age of 15, and prevalence of alcohol use among 15-year-olds is in the range of 50–70%, with remarkably small differences between boys and girls (World Health Organization, 2018). According to the Monitoring the Future survey, annual prevalence rates of alcohol use in the United States were 23.5%, 43% and 58.5% for 8th, 10th, and 12th graders, respectively (Johnston et al., 2019). Early initiation of alcohol use during adolescence is a risk factor for later alcohol abuse and dependence (Kuntsche, Rossow, Engels, & Kuntsche, 2016). For instance, adolescents who begin drinking at 14 years of age or earlier are 4 times more likely to become alcohol-dependent relative to those who started drinking at 20 years of age or later (Dawson, Goldstein, Patricia Chou, June Ruan, & Grant, 2008; Ehlers, Slutske, Gilder, Lau, & Wilhelmsen, 2006).

Alcohol and the Aging Process

Changes in Cognition in the Aging Brain

Alcohol and the Aging Process

Especially red wine has been found to be protective because of its high concentration of prophenols (Chiva-Blanch et al., 2013). Crucially, this is the opposing effect compared to malnutrition caused by chronic abuse of alcohol. Table 2 summarizes the effects of mild, moderate and heavy drinking on brain plasticity, the aging brain and the cardiovascular system.

Effects of restricting alcohol sales on fatal violence: Evidence from Sunday sales bans

The authors found that low level alcohol consumption reduces the risk of myocardial infarction and cardiovascular disease, reflected by a lower level of cardiovascular health inducing factors. A separate analysis regarding the intake of different alcoholic beverages (beer, wine and liquor) showed that the cardio-protective effect was highest in wine-drinkers (Mukamal et al., 2001). It thus appears that low-to-moderate consumption of wine and beer positively affects the cardiovascular system.

  • The general format of brief alcohol interventions has been relatively consistent over time (Barry 1999).
  • The first studies that were conducted with tomographic scanning showed in vivo evidence for changes in brain plasticity in heavy drinkers (Jernigan et al., 1982; Pfefferbaum et al., 1988).
  • Aged rats, however, experience a slower rate of stress habituation than do younger rats (Spencer and McEwen 1997).
  • Finally, chronic cortisol elevation also results in premature and/or exaggerated aging (3a), and the aging process can lead to increased cortisol secretion by impairing the organism’s ability to adapt to stress (3b).
  • Satre and colleagues (2012) compared 5-year treatment outcomes for adults age 55 or older, age 18–39, and age 40–54.
  • You have to be old enough to drink it legally, and once you are, it can age you faster than normal.

Glucocorticoid Contributions to the Rewarding Effects of Alcohol

  • A series of studies have shown that dexamethasone exerts its primary negative feedback effects on the HPA axis by directly suppressing ACTH release from the pituitary (de Kloet et al. 1998).
  • This article examines the little-known, three-way relationship that exists among alcohol use and abuse, glucocorticoid secretion, and the aging process (see figure 1, p. 273).
  • But despite a half century of (mostly) sensible drinking experience, hangovers suddenly became more frequent.
  • These changes include increase in liver size, as well as reductions in numbers of hepatocytes (Sawabe et al., 2006) and hepatic blood flow (Meier & Seitz, 2008).

People generally believe that a “ hard life” (i.e., one fraught with difficulties, including repeated exposure to stressful situations) can lead to premature aging. Chronic stress-induced HPA axis overactivity may mediate such a process, a belief that is supported by research findings. For example, a study that examined post-mortem brains of vervet monkeys housed in a primate center detected extensive hippocampal damage in the brains of a subset of monkeys.

Alcohol and the Aging Process

Furthermore, adult females, who were more socially active, had increased c-Fos induction in the ventrolateral and medial division of the BNST and in CA3, relative to their adult male counterparts (Perkins et al., 2017). Using another immediate early gene, zif268, it was found that adult male Sprague-Dawley rats exhibited higher levels of social interaction, relative to ovariectomized female rats, an effect that was accompanied by increased zif268 mRNA expression in PrL, IL, and striatum. Interestingly, downregulation of zif268 in the PrL of male rats abolished the sex differences observed in social interaction behavior (Stack et al., 2010). Following an interaction with an age-matched conspecific, does alcohol make you look older c-Fos expression in aged male rats was attenuated in the parvocellular region of the PVN, MEA, BLA, and regions of the periaqueductal gray relative to adult male rats tested under the same conditions (Salchner et al., 2004). It could be argued that the brains of aged rats may simply be less activated, but no age differences in c-Fos expression were observed in control rats not exposed to behavioral testing (Boguszewski & Zagrodzka, 2005; Salchner et al., 2004). Adolescence is a transitional period that involves changes in the hormonal milieu, altered emotionality, increased risk-taking, increased social interaction with peers, and development of executive function, to name a few.

What’s not so well known is the effect of alcohol consumption on biological aging, specifically binge drinking, long-term drinking and type of drinks — such as beer, wine or liquor. However, some maintain heavy drinking patterns throughout life, and some develop problems with alcohol for the first time during their later years. The many challenges that can arise at this stage of life — reduced income, failing health, loneliness, and the loss of friends and loved ones — may cause some people to drink to escape their feelings. However, another study that assessed individual variations in the ability of aged rats to navigate a maze (a task that depends on hippocampal function) found a relationship between nerve cell degeneration and cognitive performance (Issa et al. 1990). Some aged rats performed significantly worse than did younger rats, whereas the performance of other aged rats did not differ from that of the younger ones. When the investigators examined the brains of the cognitively impaired aged rats, the animals exhibited significant nerve cell loss in the hippocampus compared with that of both the unimpaired aged rats and the younger rats.

  • The number of AVP+ cells was also higher in adults, relative to juveniles (DiBenedictis et al., 2017).
  • The MAST-G includes items unique to older problem drinkers and relies on a 24-item scale with good sensitivity and specificity in older adults.
  • By 2030, it is expected that there will be 72.1 million adults age 65 or older living in the United States, almost double the 2008 population.
  • As discussed above, social play is highly rewarding, particularly for adolescents (Trezza et al., 2010).
  • An alternative explanation could be that aging involves changes in behavioral flexibility or motivation that impair social recognition memory.
  • Reviews, reports, meta‐analyses, dissertations, theses, book chapters, abstracts, case studies, guidelines, expert opinions, commentaries and other non‐peer reviewed work were excluded.
  • This adaptation, however, may negatively affect the ability of the HPA axis and other physiological systems to maintain their normal functions (see table, p. 278).
  • Approximately 24% of underage (19–20 years) college students reported consumption of 5 or more drinks per occasion (i.e., binge levels of drinking) within the past 2 weeks (Patrick & Terry-McElrath, 2017).
  • Thus, compared with 25-year-olds, the percent of total body weight consisting of fat increases an average of 50 percent in 60-year-old women and an average of 100 percent in 60-year-old men (Dufour et al. 1992).
  • Cortisol has potent effects, many of which help the body cope with various physical insults (e.g., adverse environmental conditions or injuries).
  • But, as people age, binge drinking is thought to pose even higher risks for morbidity, including accidents, and mortality.

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