Scientists say drinkers who smoke
don't get as drunk. Really? How do other central
tenets of drinkers' wisdom bear up to scrutiny?
Contrary to how it may feel in
the morning, recent research suggests smoking
may reduce the effects of alcohol - nicotine may
prevent the passage of alcohol into the intestine
where it's easily absorbed.
In the long run, the scientists
say this will harm drinkers, who will have to
consume more to get the desired effect. But it
provides a scientific basis for a belief long-cherished
by some smokers - that their vice was ameliorating
their other vice.
How about other pieces of conventional
wisdom about drinking?
DRINK ON A FULL
STOMACH
It's the classic piece of advice
meted out in a nation where binge-drinking is
next in the charts after Godliness and cleanliness
- get something down you before you go out.
Dr Guy Ratcliffe, medical director
of the Medical Council on Alcoholism, says the
evidence suggests that drinking on an empty stomach
appears to make you more drunk.
"Alcohol is a very simple molecule and is absorbed
very rapidly. If you have a full stomach, the rate
of absorption seems to be reduced. Whether that
has any long term benefits is another question."
Professor Ian Gilmore, president
of the Royal College of Physicians, says the effects
of drinking on an empty stomach are dramatically
different, adding that health is best served by
slow drinking.
Eating rich or fatty food before
drinking delays the rate of "gastric emptying".
Some alcohol is absorbed through the stomach,
but the key place is the small intestine. If the
booze isn't getting there as quickly, your body
has a much better time processing it.
SOME DRINKS MAKE
YOU MORE HUNGOVER
Not all alcoholic drinks are
the same. There's different strengths, different
types of alcohol and, importantly for a hangover's
magnitude, what manufacturers call congeners -
the chemicals that add flavour, smell and colour.
Many are toxic, as alcohol is.
Dr Ratcliffe says darker drinks like red wine, port,
whisky and brandy seem to contain higher levels
of congeners than the likes of gin, vodka and white
wine.
And the long-standing belief
that a bottle of Petrus or Margaux is less likely
than, say, Bulgarian plonk, to leave an angry
armadillo nesting in your head, may have some
validity as fine wines are thought to contain
fewer of these chemicals.
"The so-called congeners almost
certainly do contribute to the hangover," Prof
Gilmore adds.
DRINK WATER BEFORE
GOING TO BED
We all know this one. After a
heavy night, there's nothing less appetising than
a couple of pints of water. But those who force
these down swear their hangover is lessened the
next morning.
Both Dr Ratcliffe and Prof Gilmore
agree that the science backs up your mother. Hangovers
are in great part dehydration. The body is using
water as it processes the alcohol. By the time
you wake up you may have used too much.
Thinking ahead the night before
will help. Interspersing drinks with glasses of
water is recommended.
FIZZY DRINKS
MAKE YOU MORE DRUNK
"Champagne goes straight to my
head," goes the refrain, and the explanation for
many a story of bad behaviour at weddings.
It's a piece of wisdom that makes
it onto a government website on drinking, although
the scientific reasoning behind it is not obvious.
Prof Gilmore says: "I don't know
of any evidence but it's a common observation.
It may be that champagne is usually drunk on an
empty stomach."
Dr Ratcliffe is a bit more confident.
"It does seem that bubbles do increase the rate
of alcohol absorption," he says. "You may inhale
some bubbles in the air you breathe."
HAIR OF THE DOG
THAT BIT YOU
It doesn't take a scientist to
warn that a couple of pints at 8am the morning
after the night before is not a realistic long-term
plan at hangover avoidance.
"It is very much a slippery slope
and a very strong indicator of alcohol dependence
to drink as an eye-opener," says Prof Gilmore.
"Drinking on a hangover will dull the pain but
it is an extremely dangerous manoeuvre."