the, the, the binge drinking is defined is consuming a large amount of alcohol and a short period of time. typically what the goal of becoming intoxicated of this type of drinking can have a range of negative health effects, including increased risk of accidents, injuries, and chronic health conditions, such as a liver disease, high blood pressure and certain types of cancer. but does that mean all drinking is bad for the health while i'm sky now he use it on this edition of $360.00 view, we're going to look at what is causing the rise of alcoholism around the world and

what ties alcohol might have the controversial social issues like at the transgender debate, let's get started. the binge drinking is a rising trend with dangerous consequences. as people are being released from a pendant o'clock downs, there's a drop off to go out and catch up on the times you have missed were nash, of course, not rock center. solano tells us about one incident of mass bench at drinking at a university. and america as well, scotty college students are on one of the groups. experts are worried about being strengthened as they're trying to make up for last year, separated from their peers or independent mac. university of massachusetts is warning students about the new drink combination causing $28.00 am lenses to be

called to off campus parties. tick tock is being blamed for circulating the drink trends and ingredients. the social media platform is already in hot water with that u. s. government as bills are being floated in congress to band tick tock, dri, dean boards, or blackouts, rates. gallows is encouraging students to be in string. copious amounts of alcohol from gallon ducks to start with. the famous drink is training on tick tock. we'd be a showing work recipes work selling this on board fonts. most importantly, you have to name it and it's got to be something with borg. and so basically gens you just like trace this. students were seen caring the jobs at the annual on sense and you mass students event learning blow up. they were seen naming their dogs with work ponds on social media. well, clearly intoxicated. rick, in the

j. jason board, people in the comments claim. the goal is to have your own drink to bring to parties to prevent writing terms or getting sleep with a date, rape drop to start as promote drinking this combination of water and electrolytes and vodka, because they think it will help them stay hydrated while they drink. and then lastly, because there's only one p i'm, we're gonna add some liquid ivy, so we don't get hung over at midnight. i'm just going to throw this whole time. i just stick it off. but this misconception is leading to alcohol poisoning since up and then make we're seeing the rice and beans drinking during the funds i make. we saw an overall declining drinking most or isolated or at home as classes move online. group activities or parties were drinking, would be prevalent simply or not happening. this isolation contributed to mental health problems and substance abuse across the board. so even though we saw

a lower amount of people drinking, there was a massive rising people, beans drinking in 2020 alcohol. dest, across the globe, increased by 20 percent, causing the world health organization to raise the alarm. for women, russia and australia have the highest numbers of alcohol. lisa dependence, followed by norway, columbia, and hungry. russia rates are stuff of the least for males suffering from alcohol. listen, followed by hungry before and you on south korea. however, now we're back. people are going to parties, college bars and restaurants are open again. the national institute of health is worried about what they're calling the alcohol, the pre, based on the fact people tend to really rebound in drinking after a period of not drinking experts say they are not expecting you to stop drinking. it is after all, a staple in our society, be yours after work,

to one happy hours of 5 o'clock. we must, has a bronze or bloody marys or popping up some things for a birthday. but it is important to rethink during the drinking and make sure you stay within a safely ment. for 360 view, i'm gonna send this orlando back to you scott. today we are thrilled to be joined by dr. george at cube the director of the national institute on alcohol abuse and alcohol isn't at the national institute of health. we're so glad to have you today . let's get right into it. dr. cube we are seeing a rising trend online with college students, posting videos about drinking boards or blackout rage and gallons these and makes half a gallon of vodka with electrolytes and students promote these as a way to help them stay hydrated while they drink scientifically. is there any truth to this? to date, there's no real evidence to suggest that this approach has any harm reduction

validity. but there hasn't been much research on it. these are and basically you're talking about a half a gallon of vodka. which, you know, if you are 40 percent alcohol, if diluted west of water you're, you're talking about, you know, the equivalent of, um you know, 2 bottles of wine at a minimum of $4.00 to $51.00 at that so about 20 percent alcohol and am honestly if one person, it just that you're, you're really gonna originally folder. so it's, it's, you know, it with, you know, used to worry about students having uh, uh, alcohol from punch bowls. um, but the boards are like, uh, self made punch bowls to go. well, as we saw in our report, this misconception led to about 28 ambulances rushing to university of

massachusetts for students suffering from alcohol poisoning. and you said you did think of the electrolytes actually help. but there's been no research. what are the dangers, you know, of from judging half a gallon of vodka. how's it? the simple answer is dest. okay? because, basically, um, you know, you have in a half a gallon and like, uh, about 40 standard rates or 40 shots. a shot is 1.5 ounces. that's a standard drink for distill beverages. 12 ounces of beer for beer, and 5 ounces of wine. those are a standard drink. and you know, when you, when a male drinks about 5 or a female for you're at point 08, which is the binge level. you double that, your point $16.00, which is at the blackout level. that's the name for boards. and if you double that, you're at the legal dose of alcohol,

which is about point 35 grand percent. not that anybody's going to remember that, but you know, the legal limit is point 08. so 4 times the legal limit, which is we consider a bench is basically the, the least fault, those 50 percent for alcohol, for a person of, you know, a $150.00 pounds. so you know, it, it, it, that's one of the dangers. i mean, you can then go down the list. i mean, you know, there can be a tax, the inability to operate, you know, heavy machinery like an automobile. more likely to have accidents falling off or off offense or a wall. or, you know, many different things in that, in that realm, that, that, that, that drinking in individual it on above not to mention blackouts, which is where you don't remember what transpired when you're drinking. and so i

think anyone can imagine what problems that could lead to it in a partner situation. now you said before, people were drinking at less and during the pandemic. and are we seeing that people drink more? now, during the pin, derek restaurants, we're close to people, actually we're not going out to bottom was branches are going out to campus parties, people were drinking less. are we seeing an increase in drinking now that we are returning to normal? see, you know, you asked earlier about a phenomenon as well as stablish and now coffee of what we call the alcohol deprivation effect. so people who have not been drinking for awhile for whatever reason, and then resumed drinking often overshoot it. i hate to say it, but not only do people do it, but primary monkeys do it. rats do it in my stewart. okay, so this needs to be a universal phenomenon of over drinking when having been deprived. so that's, that's one thing that people should watch out for as, as the pen demik for. um,

you know, those us back after as a decline and pandemic on issues moves us back to on our, our regular social interactions. so, you know, i think i think alcohol is when you go past moderate drinking level becomes a passage and i think you really need to understand that and understand that it is it, uh, you know, it, it accounts for 5 percent of, of cancer in the united states and that's according to the national cancer institute with whom we work at n i h. of course we have heard of an increase in binge drinking. this is specifically amongst women. what are some of the concerns you have and i age with this increase and binge drinking and using past the dietary guidelines, which are 2 drinks a day for males wondering today for females, you basically increase the likelihood of problems associated with alcohol and, and they, you know alcohol affects 200 different organs in the body and exacerbates many

different disease conditions. everything from diabetes to, to heart disease, 2, problems with liver function. in particular, i'm half of liver disease desks now in the united states are attributable to alcohol. so you basically are seen a, a major concern about health in general with increased alcohol use. and, and, you know, i guess if there's anything i'd like to get across is that people understand what a standard drink is when we say to drink today. we're not talking about the new yorker cartoon. i think it was in new york or putting where, you know, i only have one glass of wine to day, but you know, the classes, the size of liter. so, you know, i think, i think that's an important issue that i think the public should understand what is a standard drinking and what is considered by the cdc. moderate drinking again, it's 2 drinks a day for meals wondering today for females. so you said people were drinking less during the pandemic,

but there were more deadly cases of drinking during that time. what led to this kind of deadly drinking during the pandemic lock down? um, it's possible we, we really don't have data, is that that fine grained of analysis? what we do know is that there was a 25 percent increase in tests associated with alcohol on death certificates. in the 1st year of the pandemic that increased was sustained and increased even more. in the 2nd year, the pandemic, there's the increased cirrhosis of the liver, and a number of liver transplants during the period. as a pandemic car crash fatalities increased for, for from the 1st time in the long time in 2020. and the percentage of emergency room visits involving alcohol consumption also increased. and what we're picking up is that about 25 percent of individuals increase their consumption. but that group tends to be individuals who are drinking to cope with the stress distress that was

associated with depend amex. so it can include, you know, everything from job concerns to a lack of social interaction because we're, we were locked down for a long periods of time and, and also concerns about even getting sick from, from the virus. and you were very specific about men. a normal amount is about 2 drinks women and normal amount. just wondering in america, we recently have dealt with these mass shootings where people are very confused about the identity of the shooter who came out to be transferred or not trans shit . our transitions are kind of coming about more, more and more often it can cause sometimes confuse things when you are talking about these limits for drinking do hormones or these transgender surgery change that, or even if somebody is transitioning, should that be sticking to the biological amounts when you say these limitations for male or female, you know, that's, that's, we just don't have any data on that. i mean, it's a good question. it's great science, different questions. but i really know,

i think it mostly has to do the difference between males and females. and it's a small difference, and in some level, if you do, if you look at the alcohol chart up it, it is largely due to body water distribution. and so, you know, females in general have more body water, less body water, excuse me, and more fat per kilogram than men. and because of that, alcohol tends to hang out in the water component. the men have more body water per kilogram then females. so that accounts for a slight change in blood alcohol level, but the other major changes that men are just larger than females. so i would think the body weight would trump everything else, to be honest with you and, but i don't have any data. it's a very good scientific question whether, you know,

for model changes would, would affect the, the blood alcohol metabolism in an absorption. but for now i don't, i don't, we don't have any data that i'm aware of on that. thank you. a doctor and george cube, the director of the national institute on alcohol abuse and alcoholism at the national institute of health. now after the break, we're going to continue our conversation with dr tube and ask, what can we as individuals do to help identify or prevent this crisis from getting what the the

watching is. why is why in control, if i give borrowed money at the store in this, they should have been a short order, but i'm not going to stay less. so could i scan when i am what i could catch at your desktop session. so let's just sean your just is when you mine is when you sit on the the, the, the, the

executive and i'm here to plan with you. whatever you do. do not watch my new show seriously. why watch something that's so different little opinions that he won't get anywhere else. welcome to please or do the have the state department to see i a weapons bankers, multi 1000000000 dollar corporations. choose your fax for you. go ahead. i changed and whatever you do, don't marshall state main street because i'm probably going to make you, i'm comfortable. my show is called stretching time. but again, it's not. we don't wanna watch it because it might just change dwayne, say welcome back, i'm sky now. hughes and you are watching the 360 view. we're talking about the dangers

of the binge drinking and alcoholism. we are rejoined by doctor george cube, the director of the national institute on alcohol abuse and alcohol isn't at the national institute of health. thanks for joining me. doctor, and we are seeing that people drinking more. those who binge drink don't necessarily suffer from alcohol, isn't just maybe lack of education on safe alcohol consumption. but what are some of the sides to look for? if you believe a loved one is suffering from alcohol addiction, we use the term alcohol use disorder. now just for the record. so that means it's a spectrum disorder, you know, and, and it's mild, moderate, and severe and, and what we used to call alcoholism or alcohol addiction or alcohol dependence is probably moderates fear alcohol used as or, but we also have introduced the construct recently myself and nor of all costs the director of the national institute on drug abuse and a colleague tom mcclellan worked for many, many years in the addiction l services research area,

the concept of pre addiction. so we actually think that the mild alcohol used disorder is, is, is a signal that something that you're more likely to have a problem later on. so what are the signs? well, the 1st sign i always look for is a deterioration in social interaction or work performance. i mean, you know, for students, it might be young's being so hung over after a weekend that they don't, they aren't able to turn in the term paper on time or, or they're late for the exam. or they haven't studied for the exam for, for individuals or maybe it's assignments or work or getting to work on time. these are early signs, but perhaps even earlier assign our deterioration. relationships within family, within friends. you know, up the drunken discussions over the phone at night where he clearly the person seems to be, you know, emotionally,

lay bile. that means you know, ranging from one emotion to the other. they're down there up and, and they soon found intoxicated. so those are some of the early signs and, and i think you know, it, it, so i would say, you know, impairment and occupational and social interactions are some of the early assign. now we have spoken about social implications, maybe missing a term, paper, mood swings, drunk and conversations. what are some of the physical repercussions to alcohol overuse over a long term period of time, or what some characterized as binge drinking as well and yeah, another metric that i should have mentioned to sleep. so alcohol disrupts, sleep, you know, it does help you fall, sleep slightly, shortens the latency to go to sleep. you know, the time it takes that fall sleep. but unfortunately, um, you know, it wears off fairly quickly and so you may wake up in the middle and night to go to

the bathroom number one. and then you suddenly find your brain as hop wired and you know, hyper active and then you take it back to sleep. and then the next night, you know, so maybe you drink a little more or the next night so that you increase the likelihood of falling asleep. but again, you then exacerbate the same problem that you had the night before and you wake up early and you get into this vicious cycle where actually alcohol can cause sleep problems and sleep problems because more drinking. so that's one physical sign. i mean, other gastrointestinal discomfort and alcohol can irritate to got, especially if you're drinking on an empty stomach and not with food. so that's a early physical sign. you could have elevated liver enzymes. when you go in for your physical. um, you know, there, there are a host of, of, of other changes in your body that, that could be affected. people with

a vulnerability to a risk me is most start showing more a risk millions part a written is i'm talking about. so you know, it's like alcohol affects every bought a organ in the body. and it's not a good way when you, when you pass for certainly when you're past the you know, the dietary guidelines levels of drinking. and if someone wants to confront a loved one about high alcohol use, what are some suggestions you have about starting this very delicate conversation? yes, absolutely. and a real challenge. and so you don't want to confront someone that inevitably backfires you. we have a resource up maybe get to talk about at the end called rethinking drinking. you can sometimes point a loved one toward that were kind of mentioned that you've looked at this website and you know, it's a website that covers main things. or then we have been discussing, but it also,

you know, allows you to reevaluate your relationship with alcohol. one thing you can say to someone, you know, is, you know, if you, if you just skipped drinking a couple of days. why don't you see how you feel? and what i tell people is if, if you feel better when you're not drinking, then your body is trying to tell you something to listen to your body. another option is to talk to your primary care doctor, and then the person goes in for a physical know, make sure that the physician ask them or, or the nurse practitioner, whoever you know in the health care domain, ask them how much do you drink and, and a very simple version of this is how much do you drink and how much do your friends drink and just those 2 questions. you can do the audit, see, which is something that use professionally at basically is similar. it just is how often do you have a drink containing alcohol? how many drinks do you have on a typical day and have you ever had more than 6 drinks or more on, on

a given occasion? and that audit see is part of a bigger screener. but, but it actually awesome predicts whether someone is developing alcohol use problem . now i'm not suggesting everybody, just the audit siege of their loved ones, but i'm just pointing out that, you know, there are questions you can ask that in, in, in moving toward a form of motivational interviewing. like, you know, if you didn't spend so much money on, on, on alcohol, you know, maybe you could get that new surfboard or, you know, maybe you could even upgrade your automobile. you know, people add up how much they actually spend on alcohol when they're starting to get into it. it is actually can be substantial. so, you know, those are the approaches that we recommend. obviously we have another resource called the and i, aaa treatment navigator. and if you go on there, you can find out what is and alcohol used disorder and also the spectrum of and

i'll call use disorder and the spectrum of treatment. and so there are many counselors that are, are experts that can help individuals at the beginning of alcohol problem. there are, there are motivational interviewing groups, cognitive behavioral therapy groups. so there are outpatient facilities, where you can go in and join some of these treatments just in the evenings, not interfere with your day job, not even interfere with your family life. or maybe you have to enter their once every few days. so, you know, i think i think people have to realize that there are multiple ways that you can inter interface with this problem. but confrontation and yelling and carrying on it is only going to backfire because that just puts people's backs up. it's not a, it's not a good approach for changing behavior. now, some people do say they try to drink coffee, they actually try to drink water, eat

a fatty greasy food. but what is the real thing that will help lower your alcohol intake levels, limit your absorption limit, your intoxication and food on your stomach will do that. it once the rising face and the blood alcohol curve. so if you drink on an empty stomach, i don't want this used in the wrong way, but you get a very fast rising. what alcohol level? all right. but if you, if you're having wine with dinner or beer with dinner or a cocktail with dinner, you'll find it that you get a much less steep, a verizon, but alcohol curve, you end up ultimately absorbing the same amount of alcohol. but it's, but the curve is blunted. if, if you have food on your stomach, so that's true. caffeine doesn't help you at all. i mean, probably it's going to potentiate the dehydration does. it's also a diuretic, caffeine. you know, people use it to silver up and there's a problem with that as well. because if,

if you get behind the wheel after you've drunk alcohol and then added caffeine, you know, maybe for a little while, you're a little more alert because of the caffeine. but if the caffeine starts to wear off and then you have the alcohol set of effects, you're just going to have a double whammy. so we don't recommend using alcohol anymore, caffeine to as a so brain agent, the best thing to do is, is not drink. so much that's the bottom line. oh great. we have been speaking with a doctor or george qu, but the director of the national institute on alcohol abuse and alcoholism at the national institute of health. thank you so much for joining us today to discuss this very important delicate topic known as recommended individuals limit their alcohol intake to no more than one drink per day for women, and no more than 2 drinks per day for men. and that people who choose to drink do so moderation and with caution. for those who struggle with alcohol, use our bench drinking dna recommend seeking professional help and support to

address the issues and prevent future harm scanner. hughes. and this has been your 360 view of the news affecting you. thank you for watching. the . the nations may be able to turn a blind eyes to atrocities. and other times the united states of america is different. wherever people longed to be free, they will find a friend in the united states, the, to the other, the automated about 80 volts, anybody phasing since only city in p. jones?

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