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What Alcohol Does to Your Body, Brain & Health

2022/8/22
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Andrew Huberman
是一位专注于神经科学、学习和健康的斯坦福大学教授和播客主持人。
Topics
Andrew Huberman: 本期节目探讨了酒精对人体的影响,从细胞到器官系统,以及对思维和行为的影响。研究表明,即使是少量饮酒(每天一到两杯),也会导致大脑新皮层神经元减少。长期饮酒会改变大脑中控制习惯性和冲动性行为的神经回路,即使在不饮酒时也会导致这些行为增加。酒精还会显著改变大脑中控制血清素释放的神经元活动,从而影响情绪和幸福感。经常饮酒会改变下丘脑-垂体-肾上腺轴,导致基础皮质醇水平升高,从而增加压力和焦虑。酒精会破坏肠道菌群,导致肠漏和炎症,并影响肠-肝-脑轴。宿醉是由多种因素造成的,包括睡眠障碍、肠道菌群紊乱、脱水和血管收缩。不同类型的酒精会引起不同程度的宿醉,这与酒精中存在的同系物有关。酒精耐受性会导致酒精的强化作用减弱,而惩罚性作用增强。即使是少量饮酒也会导致大脑皮层变薄,并增加患癌症的风险,特别是乳腺癌。叶酸和B族维生素可以部分抵消酒精对癌症风险的影响。孕妇绝对不应该饮酒,因为酒精会对胎儿发育造成严重损害。酒精会增加雌激素水平,对男性和女性的激素平衡产生不利影响。总的来说,不饮酒比少量饮酒更有益于健康,而少量饮酒又比大量饮酒更有益于健康。

Deep Dive

Chapters
This chapter explores the effects of low to moderate alcohol consumption on brain health, citing a study on alcohol consumption and gray and white matter volumes in the UK Biobank. The study revealed that even low alcohol consumption can cause brain degeneration.
  • Low-to-moderate alcohol consumption (one or two drinks per day) shows evidence of shrinking in the neocortex.
  • Chronic alcohol intake, even at low levels, can disrupt the brain.
  • Seven glasses of wine across a week likely causes brain degeneration.

Shownotes Transcript

In this episode, I discuss the physiological effects that drinking alcohol has on the brain and body at different levels of consumption and over time. I also describe genetic differences that predispose certain individuals to alcoholism, binge and habit-drinking. I explain alcohol metabolism in simple terms and how it effectively acts as a poison, leading to cellular stress and damage. I then explain that it impacts neuronal function and changes our thinking and behavior – hallmarks of inebriation. I also discuss how alcohol consumption of different amounts impacts inflammation, stress, neurodegeneration, and cancer risk and negatively impacts the gut microbiome, brain thickness, hormone balance, mood and feelings of motivation. Additionally, I discuss the biology of hangovers and describe science-based strategies to mitigate the severity of a hangover. Since alcohol is one of the most widely consumed recreational substances, this episode ought to be of relevance to everyone.  Indeed, even low-to-moderate alcohol consumption negatively impacts the brain and body in direct ways. The goal of this episode is to help people make informed decisions about their alcohol consumption that are in keeping with their mental and physical health goals. 

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Timestamps

00:00:00 Effects of Alcohol Consumption

00:03:19 Low to Moderate Alcohol Consumption & Neurodegeneration

00:06:14 Sponsors: AG1, LMNT

00:10:46 Historical Context & Uses of Alcohol

00:13:28 Alcohol Metabolism, “Empty Calories”

00:18:23 Inebriation: Top-Down Inhibition, Impulsivity & Memory Formation

00:24:23 Long-Lasting Effects & Impulsivity, Neuroplasticity & Reversibility

00:27:55 Food & Alcohol Absorption

00:30:07 Alcohol & Serotonin, SSRIs & Depression, Risk for Alcoholism, Blackouts

00:37:39 Predisposition for Alcoholism; Chronic Consumption, Cortisol & Stress

00:43:29 Sponsor: AG1

00:46:07 Genetic Predisposition for Alcoholism, Consuming Alcohol Too Young

00:52:27 Gut-Liver-Brain Axis: Alcohol, Gut Microbiome, Inflammation & Leaky Gut

00:59:46 Tool: Improving/Replenishing Gut Microbiome

01:02:44 Reducing Alcohol Consumption & Stress

01:04:25 Hangover: Alcohol & Sleep, Anxiety, Headache

01:12:11 Hangover Recovery, Adrenaline & Deliberate Cold Exposure

01:17:16 Hangover Recovery, Dehydration & Electrolytes

01:20:45 Types of Alcohol & Hangover Severity, Congeners

01:25:25 Alcohol Tolerance, Dopamine & Serotonin, Pleasure-Pain Balance

01:33:36 Are There Any Positive Effects of Alcohol?, Resveratrol

01:35:42 Alcohol & Brain Thickness

01:37:11 Alcohol & Cancer Risk: DNA Methylation, Breast Cancer Risk

01:44:31 Mitigating Cancer Risk, Folate, B Vitamins

01:46:54 Alcohol & Pregnancy, Fetal Alcohol Syndrome

01:50:58 Hormones: Testosterone & Estrogen Balance

01:55:09 Negative Effects of Alcohol Consumption

01:58:35 Zero-Cost Support, YouTube Feedback, Spotify & Apple Reviews, Sponsors, Momentous Supplements, Instagram, Twitter, Neural Network Newsletter, Huberman Lab Clips

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