Alcohol? Is It a Nutrient? 2
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© Jones and Bartlett Publishers, LLC. NOT FOR SALE OR DISTRIBUTION CHAPTER 8 THINK About It 1. In a word or two, how would you describe alcohol? Is it a nutrient? 2. Compared with beer, what’s your Alcohol impression of the alcohol content of wine? How about compared with vodka? 3. Have you ever thought of alcohol as a poison? 4. After a night of drinking and carousing, your friend awakens with a splitting headache and asks you for a pain reliever. What would you recommend? Visit nutrition.jbpub.com 76633_ch08_5589.indd 309 1/20/10 11:06:50 AM Quick Bite © Jones and Bartlett Publishers, LLC. NOT FOR SALE OR DISTRIBUTION 310 CHAPTER 8 ALCOHOL hink about alcohol. What image comes to mind: Champagne toasts? Quick Bite Elegant gourmet dining? Hearty family meals in the European country- T side? Or do you think of wild parties? Or sick, out-of-control drunks? Preferred Beverages Violence? Car accidents? Broken homes? No other food or beverage has the Beer is the national beverage of Ger- power to elicit such strong, disparate images—images that reflect both the many and Britain. Wine is the national healthfulness of alcohol in moderation, the devastation of excess, and the beverage of Greece and Italy. political, social, and moral issues surrounding alcohol. Alcohol has a long and checkered history. More drug than food, alco- holic beverages produce druglike effects in the body while providing little, if any, nutrient value other than energy. Yet it still is important to consider alcohol in the study of nutrition. Alcohol is common to the diets of many people. In moderation, it may impart significant health benefits, yet even small quantities can raise risks for birth defects and breast cancer. In large amounts, it interferes with our intake of nutrients as well as the body’s ability to use them, and it causes significant damage to every organ system in the body. The Dietary Guidelines for Americans advises us, “Those who choose to drink alcohol should do so sensibly and in moderation—defined as the consumption of up to one drink per day for women and up to two drinks per day for men.”1 For most people, alcohol consumption is a pleasant social activity. Mod- erate alcohol use does not harm most adults. Nonetheless, many people have serious trouble with drinking. Episodes of heavy drinking are common among adult populations and are on the rise.2 Adult excessive drinkers and underage drinkers currently account for half of all alcohol consumption and half of consumer spending on alcohol.3 Heavy drinking can increase the risk for certain cancers. It can also cause liver cirrhosis, brain damage, and harm to the fetus during pregnancy. In addition, drinking increases the number of deaths from automobile crashes, recreational accidents, on-the-job accidents, homicide, and suicide. Underage alcohol use is more likely to kill young people than all illegal drugs combined.4 An analysis found that alcohol use is the third leading actual cause of death in the United States, after tobacco use and poor diet and/or inactivity.5 History of Alcohol Use Alcohol has had a prominent role throughout history. Old religious and alcohol Common name for ethanol or ethyl medical writings frequently recommend its use, although with warnings for alcohol. As a general term, it refers to any moderation. Thanks to alcohol’s antiseptic properties, fermented drinks were organic compound with one or more hydroxyl safer than water during the centuries before modern sanitation, especially (–OH) groups. as people moved to towns and villages where water supplies were contami- ethanol Chemical name for drinking alcohol. nated. Even mixing alcohol with dirty water afforded some protection from Also known as ethyl alcohol. bacteria.6 At a time when life was filled with physical and emotional hardships, ethyl alcohol See ethanol. people valued alcohol for its analgesic and euphoric qualities. People relied methanol The simplest alcohol. Also known as on it to lift spirits, ease boredom, numb hunger, and dull the discomfort, methyl alcohol and wood alcohol. even pain, of daily routine. Before the twentieth century, it was one of the methyl alcohol See methanol. few painkillers available in the Western world. In sharp contrast to what is allowed today, drinking was often encour- wood alcohol Common name for methanol. aged at the work site. Workers might be given alcohol as an inducement to fermentation The anaerobic conversion of do boring, painful, or dangerous jobs. Distilled spirits, beer, and wine ac- various carbohydrates to carbon dioxide and an companied sailors and passengers on all long voyages, supplying relatively alcohol or organic acid. pathogen-free fluid and calories. Legend has it that even the Puritans, a group known for rigid morality, disembarked at Plymouth Rock because their beer supply was depleted.7 76633_ch08_5589.indd 310 1/20/10 11:06:50 AM © Jones and Bartlett Publishers, LLC. NOT FOR SALE OR DISTRIBUTION ALCOHOL AND ITS SOURCES 311 The Character of Alcohol Although there are many types of alcohol, the term alcohol commonly re- fers to the specific alcohol compound in beer, wine, and spirits. (SeeFigure 8.1.) Its technical name is ethanol, or ethyl alcohol. Ethanol is commonly abbreviated to “EtOH,” shorthand often preferred by health professionals. In this chapter, when we use the term alcohol, we are referring to ethanol. Other types of alcohol are unsafe to drink. The simplest alcohol is methanol, also called methyl alcohol or wood alcohol, a solvent used in H paints and for woodworking. Some years ago, down-on-their-luck alcoholics H H C H thought they had discovered a way to save money—wood alcohol, used at that time to heat chafing dishes, was intoxicating but considerably cheaper H C H H C H than beer or wine. Unfortunately, methanol caused blindness and death. OH OH Methanol is no longer used in these products, but methanol poisoning from 8 Methanol Ethanol other sources still occurs. Today, methanol is used in a number of consumer (wood alcohol) (EtOH) products, including paint strippers, duplicator fluid, model airplane fuel, and dry gas. Most windshield washer fluids are 50 percent methanol. Methanol is an Ethanol is the alcohol in Alcohol: Is It a Nutrient? alcohol used as an beer, wine, and liquor. Alcohol eludes easy classification. Like fat, protein, and carbohydrate, it pro- alternative car fuel and in paint strippers, vides energy when metabolized. Laboratory experiments in the nineteenth duplicator fluid, and century demonstrated that upon oxidation pure alcohol releases 7 kilocalories model airplane fuels. per gram, but many people doubted it actually produced energy in the body. These doubts were the basis of the controversial conclusion that alcohol was not food—a conclusion used by early Prohibitionists in their fight against alcohol. (See Figure 8.2.) However, a classic series of experiments by energy researchers Francis Atwater and Wilbur Benedict showed that alcohol did indeed produce 7 kilocalories per gram in the body—findings that were a great disappointment to the Temperance Movement, because they showed that alcohol was a food.9 But alcohol’s status as a nutrient is more questionable. It is certainly H different from any other substance in the diet. It provides energy but is not H essential, performing no necessary function in the body. Unlike the nutrients, H C OH alcohol is not stored in the body. And for no nutrient are the dangers of over- H C H H OHC H consumption so dramatic and the window of safety so narrow. In the small amounts most people usually consume, alcohol acts as a drug, producing a H C OH H C C H pleasant euphoria. For some people, it is addictive, with the characteristics H OH H of tolerance, dependence, and withdrawal symptoms. Certainly, alcohol is a substance available in the diet, but it does not meet the technical definition Glycerol Isopropanol (rubbing alcohol) 1 of a nutrient. (See Chapter 1 for the definition of a nutrient.) Key Concepts Alcohol—or, more specifically, the compound ethyl alcohol—has been part of people’s diets for thousands of years. Although it provides calories, alcohol per- Glycerol is the Isopropanol is an forms no essential function in the body and therefore is not a nutrient. alcohol that forms the alcohol that is used as backbone of triglyceride a disinfectant or solvent, molecules. and in making many commercial products. Alcohol and Its Sources Figure 8.1 Alcohols. Ethanol is not the only alcohol When yeast cells metabolize sugar, they produce alcohol and carbon dioxide people consume. When people eat fat, they by a process called fermentation. If little oxygen is present, these cells produce consume the alcohol glycerol. Consuming the alcohol more alcohol and less carbon dioxide. Figure 8.3 shows living yeast cells. methanol or isopropanol can be deadly. Fermentation can occur spontaneously in nature—all that’s needed is sugar, water, a warm environment, and yeast (whose spores are present in air 76633_ch08_5589.indd 311 1/20/10 11:06:50 AM Quick Bite © Jones and Bartlett Publishers, LLC. NOT FOR SALE OR DISTRIBUTION 312 CHAPTER 8 ALCOHOL and soil). Human experience with alcohol probably began at least 10,000 Quick Bite years ago with spontaneously fermented fruits or honey. Because all humans possess the enzymes to metabolize at least minimal amounts of alcohol,10 Nutrients in Beer? it’s reasonable to assume that humans have always had small quantities of Most of the carbohydrate used in the alcohol in their diets. Very small amounts of alcohol are even produced by production of alcohol is converted to the microorganisms in our intestines. ethanol. In beer, however, some carbo- Humans probably learned to make wine from fruits, mead from honey, hydrate remains, along with a little protein and and beer from grain about 5,000 years ago.