terclim by ICS banner
IVES 9 IVES Conference Series 9 International Congress on Grapevine and Wine Sciences 9 2ICGWS-2023 9 Moderate wine consumption – part of a balanced diet or a health risk?

Moderate wine consumption – part of a balanced diet or a health risk?

Abstract

Consumption of wine/alcoholic beverages remains a topic of great uncertainty and controversy worldwide.  The term “no safe level” dominates the media communication and policy ever since population studies in 2018 [1,2] were published, which denied the existence of a J-curve and suggested that ANY consumption of an alcoholic beverage is harmful to health. The scientific evidence accumulated during the past decades about the health benefits of moderate wine consumption, were questioned and drinking guidelines considered to be too loose. As a consequence, during the last few years, the upper limit of low-risk alcohol consumption has been progressively lowered in the national drinking guidelines. 

Although the authors of the Global Burden of Disease (GBD) study concluded in 2018 that it would be best for overall health to avoid drinking at all, the same GBD scientists in 2022, corrected their own previous data.  In their 2022 update [3] – different from the 2018 publication – the alcohol-related health risks in every country were considered. The results showed that the risks from the consumption of alcoholic beverages vary greatly depending on the disease, age and region. Based on these new results, a moderate consumption of wine/alcoholic beverages for individuals above 40 years of age can provide health benefits, such as a lower risk of cardiovascular diseases and diabetes. The influence of moderate wine/alcohol consumption on health was described by a J-shaped curve. Excessive drinking is always associated with an increased risk of death and various health risks.

What are the reasons for such contrary results and what is the practical significance of “global calculations” in both GBD studies?  What does it mean for the wine consumer? The latest scientific evidence of moderate wine consumption in the context a healthy lifestyle and diet will be discussed, as well as how the communication of the Wine in Moderation initiative builds on objective scientific facts.

  1. Gakidou, E.,(2018) Alcohol use and burden for 195 countries and territories, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet, 392(10152):1015-1035 DOI: https://doi.org/10.1016/S0140-6736(18)31310-2
  2. Wood, A.M., et al., Risk thresholds for alcohol consumption: combined analysis of individual-participant data for 599 912 current drinkers in 83 prospective studies. Lancet, 2018. 391(10129):1513-1523 DOI: https://doi.org/10.1016/S0140-6736(18)30134-X
  3. Gakidou, E. and G.A. Collaborators, Population-level risks of alcohol consumption by amount, geography, age, sex, and year: a systematic analysis for the Global Burden of Disease Study 2020. Lancet, 2022. 400(10347):185-235 DOI: https://doi.org/10.1016/S0140-6736(22)00847-9.

DOI:

Publication date: October 19, 2023

Issue: ICGWS 2023

Type: Article

Authors

Ursula Fradera1

1Deutsche Weinakademie, Platz des Weines 2, 55294 Bodenheim, Germany

Contact the author*

Keywords

alcohol, wine, benefits, health risks, global burden of disease

Tags

2ICGWS | ICGWS | ICGWS 2023 | IVES Conference Series

Citation

Related articles…

Grape pomace, an active ingredient at the intestinal level: Updated evidence

Grape pomace (GP) is a winemaking by-product particularly rich in (poly)phenols and dietary fiber, which are the main active compounds responsible for its health-promoting effects. GP-derived products have been proposed to manage cardiovascular risk factors, including endothelial dysfunction, inflammation, hypertension, hyperglycemia, and obesity. Studies on the potential impact of GP on gut health are much more recent. However, it is suggested that, to some extent, this activity of GP as a cardiometabolic health-promoting ingredient would begin in the gastrointestinal tract as GP components (i.e., (poly)phenols and fiber) undergo extensive catabolism, mainly by the action of the intestinal microbiota, that gives rise to low-molecular-weight bioactive compounds that can be absorbed and utilized by the body.

Metabolomic profiling of heat-stressed grape berries 

The projected rise in mean air temperatures together with the frequency, intensity, and length of heat waves in many wine-growing regions worldwide will deeply impact grape berry development and quality. Several studies have been conducted and a large set of molecular data was produced to better understand the impact of high temperatures on grape berry development and metabolism[1]. According to these data, it is highly likely that the metabolomic dynamics could be strongly modulated by heat stress (HS).

Discovering the process of noble rot: fungal ecology of grape berries during the noble rot transformation in different vineyards of the Tokaj wine region

Botrytis cinerea, a well-known grapevine pathogen, has more than 1200 host plants causing grey rot in grapevine berries. However, it can also result in a desirable phenomenon called noble rot under specific microclimate conditions. An extraordinary demonstration of this natural process can be observed in the creation of aszú wines within Hungary’s Tokaj wine region. Beside B. cinerea other fungi and yeasts are involved in the secondary metabolic development of the grape berry which contributes to the sensory and analytical characterization of noble rot wines.

Influence of polysaccharide extracts from wine by-products on the volatile composition of sparkling white wines

In the production of sparkling wines, during the second fermentation, mannoproteins are released by yeast autolysis, which affect the quality of the wines. The effect of mannoproteins has been extensively studied, and may affect aroma and foam quality. However, there are no studies on the effect of other polysaccharides such as those from grapes. Considering the large production of waste from the wine industry, it was proposed to obtain polysaccharide-rich extracts from some of these by-products[1].

The generation of suspended cell wall material may limit the effect of ultrasound in some varieties

The disruptive effect exerted by high-power ultrasound (US) on plant cell walls, natural barriers to the diffusion of compounds of interest during the maceration of red wines, is established as the reason behind the chromatic improvement that its treatment causes. However, sometimes this improvement is not observed, especially with short maceration times. The presence of a high quantity of suspended cell wall material, which formation is favored by the sonication, could be the cause of this lack of positive results since this cell wall material has a high affinity for phenolic compounds.