[HN Gopher] Surprisingly little alcohol can affect heart rate va...
       ___________________________________________________________________
        
       Surprisingly little alcohol can affect heart rate variability
        
       Author : patricksamy
       Score  : 134 points
       Date   : 2021-04-27 12:27 UTC (10 hours ago)
        
 (HTM) web link (www.span.health)
 (TXT) w3m dump (www.span.health)
        
       | peter_retief wrote:
       | I have stopped drinking alcohol completely for a few years and
       | the benefits are noticeable. Good sleep patterns, higher energy
       | levels, better concentration and emotional stability among the
       | more obvious benefits.
        
         | aksss wrote:
         | My alcohol intake is down to about once a month, and that
         | driven by social/networking type events. But similar results -
         | it feels better to not drink than to drink.
        
           | peter_retief wrote:
           | I am from a family that considered drinking alcohol "normal"
           | Drink with food at social gatherings and to wind down at the
           | end of the day. My wife suggested that I quit completely, I
           | never realised how it was affecting me until I stopped.
        
           | Taylor_OD wrote:
           | At the end of the day alcohol is not good for your body. Even
           | if the impact in minimal its always noticeable. Stopping made
           | my life a lot better.
        
       | blakesterz wrote:
       | They close with this:
       | 
       | However, a more critical review[0] of the epidemiological data
       | that took into account genetic variants which impact the effect
       | of alcohol intake on longevity shows that the described J-shaped
       | relationship is not as robust as once thought. In conclusion the
       | review simply states:
       | 
       | The optimal level of alcohol intake for health and longevity is
       | zero
       | 
       | [0] https://academic.oup.com/ageing/article/49/3/332/5799035
        
         | mumblemumble wrote:
         | Great example of the hazards of trying to infer causation from
         | epidemiological datasets.
        
         | hypersoar wrote:
         | The link doesn't refute the J-shaped curve, but rather that
         | small to moderate amount of alcohol has health _benefits_.
         | 
         | "Therefore, although there is a strong body of evidence that
         | shows a J-shaped association between alcohol intake and
         | mortality, it seems likely that the link between low-moderate
         | intake and improved survival is not causal, and there is no
         | 'safe' threshold intake below which drinking gives benefit.
         | However, from an individual older person's perspective, low-
         | moderate alcohol consumption carries only small risks, and
         | these may be counterbalanced by the pleasure obtained from
         | drinking."
        
           | Scoundreller wrote:
           | Or total/near-total abstainers may be so because of health
           | issues. If small amounts of alcohol make you ill, you may not
           | be great at handling other bodily assaults.
           | 
           | Or abstainers lose out on job opportunities/social
           | networking, end up in a lower socioeconomic class and lose
           | lifespan because of the negative effects of that.
           | 
           | Who knows.
        
             | thinkharderdev wrote:
             | The takeaway for me from the back-and-forth on alcohol
             | consumption is that the effect size of moderate alcohol
             | consumption on all cause mortality is close to zero. So
             | whether or not you decide to drink alcohol in moderation
             | should hinge on other factors. Do you enjoy having a glass
             | or two of wine in the evening and suffer no noticeable ill
             | effects the next day? Great, then have at it. Do you not
             | enjoy drinking alcohol in any quantity or feel noticeably
             | worse the next day even after one or two drinks? Great,
             | then abstain entirely and don't worry about missing out on
             | any alleged health benefits. Do you enjoy drinking alcohol
             | but have a history of alcohol dependence in your family or
             | find it difficult to stop at just one or two drinks? Maybe
             | best to abstain.
        
         | wing-_-nuts wrote:
         | >The optimal level of alcohol intake for health and longevity
         | is zero
         | 
         | This is the conclusion of the most recent lancet study on
         | alcohol and health. However, the lancet study comingles
         | societal and personal health affects, which I find annoying
         | (drunk driving, increased violence, etc)
         | 
         | From everything that I've read, alcohol has a j-curve benefit
         | to cardio health, and a j curve detriment to cancer rates. When
         | you look at mortality rates vs alcohol consumption, the J part
         | of the curve doesn't return to 'tee-totaler' non drinker
         | baseline until you're at ~ 4 drinks a day, which is a _lot_.
        
         | serverholic wrote:
         | Epidemiology strikes again! I watch a lot of videos on
         | nutrition and researchers often say that randomized control
         | trials are too expensive so we need to rely on epidemiology
         | despite its flaws.
         | 
         | What I find crazy is that nations around the world collaborate
         | and spend billions of dollars building a particle accelerator
         | and yet we can't seem to find money to research something that
         | affects every human every day of their lives.
        
           | jxy wrote:
           | I guess that is because particles in the accelerator are not
           | alive, so you can accelerate anyway you want. Do you really
           | want to round up a group of seniors and gives them different
           | doses of alcohol and see how much you can accelerate their
           | demise?
        
             | serverholic wrote:
             | That's a strawman, a randomized control trial does not have
             | to be dangerous. In fact, we already do randomized control
             | trials, they are just expensive and uncommon.
        
             | spacejockeys wrote:
             | An experiment is not required, as the behavior
             | (acceleration towards demise) may be observed and tracked
             | at scale in the field
        
             | [deleted]
        
             | ad404b8a372f2b9 wrote:
             | I know a few seniors who'd be down for that!
        
           | barbazoo wrote:
           | I think your last paragraph is spot on!
        
           | nradov wrote:
           | It's not just a money issue. It would be impractical and
           | unethical to confine study subjects in controlled
           | environments for long periods of time. That's what we would
           | have to do in order to gather reliable data and eliminate
           | confounding factors.
           | 
           | Most human nutrition studies are only observational and
           | barely a step above junk science. Don't take them too
           | seriously.
        
             | mumblemumble wrote:
             | There are ways to at least mitigate some of those
             | challenges and achieve a meaningful RCT without locking
             | people up. Encouragement designs, for example:
             | https://link.springer.com/article/10.1023/A:1008045618501
        
             | serverholic wrote:
             | Randomized control trials are done all the time. They can
             | and are done ethically. I don't know where you people are
             | getting the idea that RCTs are unethical.
        
               | nradov wrote:
               | Proper large scale, long term RCTs have almost never been
               | done in the human nutrition field. In order to really get
               | the "controlled" part of an RCT the researchers have to
               | confine people somewhere that all of their food and
               | beverage intake can be accurately counted. Obviously this
               | is very expensive and researchers can't ethically confine
               | people in controlled environments for years. At most
               | those studies have been done with very small subject
               | counts for a few months at a time: hardly sufficient to
               | obtain reliable results.
               | 
               | So as a practical matter most studies tend to rely on
               | subject reported data, which is notoriously inaccurate.
               | People forget to record little snacks, or don't weigh
               | their portions, or lie about their behavior because
               | they're ashamed.
        
               | serverholic wrote:
               | Where the did you get the idea that I'm suggesting we
               | lock people away for years?
               | 
               | Yes of course it's expensive which is why I said we
               | should have larger scale studies with more test subjects
               | funded by the government.
               | 
               | Also, what does subject reported data have to do with
               | RTCs? What are you even arguing about?
        
               | nradov wrote:
               | You're totally missing the point. If the study relies on
               | subject reported data then there's no proper control
               | regardless of number of subjects. More funding won't fix
               | that quality problem.
        
               | serverholic wrote:
               | Why are you assuming this hypothetical study will rely on
               | subject reported data?
        
               | nradov wrote:
               | What other method is there to gather nutritional data?
               | The researchers either have to confine and monitor the
               | subjects in a controlled environment, or leave them loose
               | and rely on subject reported data. Maybe someday we'll
               | have better technical solutions but for now those are the
               | only practical options.
               | 
               | If you have a better approach for study design then I'm
               | sure nutrition researchers would love to hear it.
        
               | serverholic wrote:
               | You're making so many assumptions in your posts.
               | 
               | Yes, to do a proper RCT you need to confine and monitor
               | subjects in a controlled environment. YOU used the word
               | "years" and nobody ever suggested a study that long. If
               | you're implying that you need a study that long to gather
               | meaningful results then that's just simply not true.
               | 
               | Let me put this plainly, you can design RCTs that are:
               | 
               | A) Safe for participants.
               | 
               | B) Aren't too long.
               | 
               | C) Don't rely on subject reported data.
               | 
               | D) Still give meaningful results.
               | 
               | These are not mutually exclusive and they are done all
               | the time. These are gold-standard experiments in the
               | nutrition field.
               | 
               | Like you said, they are expensive to do and usually only
               | have a small number of subjects. That's why I'm
               | suggesting that wealthy governments should collaborate to
               | fund massive-scale trials at maximum quality.
        
             | bdcs wrote:
             | I'm not so confident RCTs of nutrition are unethical. The
             | data are too damn valuable for society to ignore. Perhaps
             | participants could be informed and willing to partake in
             | the challenge trials, which although these participants
             | might not be reflective of the overall population, we can
             | get a better sense than correlational studies.
             | 
             | Humans are incredible explorers, self-sacrificing for the
             | greater (perceived) good. We should consider continuing our
             | legacy by understanding ourselves better through rigorous
             | science. (And hopefully end the historical legacy of making
             | thousands of other species extinct via our exploration.)
             | 
             | I believe the Journal of Controversial Idea
             | (https://journalofcontroversialideas.org/) will explore
             | some of these topics, shortly.
        
           | grok22 wrote:
           | Because it involves humans? I am only half-joking, but I
           | think it's much harder to track and study large numbers of
           | humans than it is to do esoteric particle physics
           | experiments.
        
           | ska wrote:
           | To be fair, particle physics is a lot easier. Your argument
           | holds in terms of investment though, if not in terms of
           | expected outcome.
        
         | herdcall wrote:
         | That seems like a non sequitur ("The optimal level of alcohol
         | intake for health and longevity is zero"). All I see in the
         | article you referred (or the original article above) are
         | several (valid) questions about the J shaped association, like
         | confounding factors and survival bias. But these aren't
         | evidence that the optimal level is zero. Merely
         | challenging/speculating about the opposite view is not
         | evidence.
         | 
         | Also, as the paper itself admits, drinking small amounts of
         | alcohol has low risks, and while it argues against causation,
         | it doesn't even discuss possible causational factors. E.g.,
         | consider the fact that alcohol can reduce stress, which we know
         | has detrimental effects on health. Couldn't small amounts of
         | alcohol be causally responsible then in improving longevity?
         | 
         | Not to be cynical, but I feel the medical community finds this
         | positive low-alcohol/longevity J association rather
         | inconvenient and take every opportunity to debunk it. May be
         | they're right, but if we're to discredit the massive
         | epidemiological evidence, we need more direct evidence and be
         | objective about it.
        
           | Eddy_Viscosity2 wrote:
           | That 'alcohol reduces stress' is true short term, its not so
           | much true long term. Think of those nasal sprays that reduce
           | congestion. They absolutely do that, breathe that stuff in
           | and it opens your airway real good, but at the same time it
           | irritates those tissues so when the effect wears off, the
           | airway becomes even more blocked than before because of the
           | inflammation from the irritation. Alcohol does a similar
           | thing for brain chemistry. It artificially slows things down
           | (making you feel calmer), but the body's response is counter
           | that effect so when the alcohol wears off, the stress levels
           | can be higher than they were before - leading people to need
           | another drink to relax.
        
             | watwut wrote:
             | I did not encountered such sprays. The ones I used worked
             | and once they were not needed I stopped - typically in few
             | days.
        
             | niyikiza wrote:
             | Is there any evidence that alcohol does it that way?
             | Sincere question.
        
           | spekcular wrote:
           | Did you read the studies (cited in that review) that do
           | Mendelian randomization? They seem fairly conclusive in favor
           | of the view that the optimal alcohol intake is zero.
        
             | thinkharderdev wrote:
             | I looked at the paper but I don't understand how they got
             | to that conclusion. There is still a J-shaped relationship
             | between alcohol consumption and coronary heart disease
             | outcomes. Not questioning the conclusion I just don't
             | understand how you get to it from their data (due to my own
             | ignorance).
        
               | spekcular wrote:
               | Researchers are able to say that the J-shaped
               | relationship is a result of factors correlated with
               | alcohol use, instead of the effects of alcohol itself on
               | the body, using a technique called Mendelian
               | randomization.
               | 
               | Here's a summary for the lay reader [0]:
               | 
               | > One way to get around these limitations is through
               | genetic studies. Some people carry a genetic variant that
               | disrupts their ability to metabolize alcohol, causing
               | them to develop skin flushing, irritation and other
               | unpleasant symptoms when they drink alcohol. As a result,
               | they tend to abstain or drink very little. If alcohol was
               | good for heart health, these people should in theory have
               | more heart disease compared to others. Instead, as one
               | large analysis published in BMJ in 2014 found, they have
               | "a more favorable cardiovascular profile and a reduced
               | risk of coronary heart disease than those without the
               | genetic variant."
               | 
               | > The study concluded: "This suggests that reduction of
               | alcohol consumption, even for light to moderate drinkers,
               | is beneficial for cardiovascular health."
               | 
               | (One fact not mentioned there is that for this technique
               | to work and identify causality, the distribution of that
               | genetic variant needs to be uncorrelated with all the
               | other relevant variables. To my knowledge, this is true.)
               | 
               | [0] https://www.nytimes.com/2020/07/10/well/eat/should-
               | we-be-dri...
        
               | thinkharderdev wrote:
               | Ah, I get it now. Thanks!
        
           | ouid wrote:
           | I think the alcohol -> reduced stress pathway is unclear, and
           | the reduced stress -> longevity pathway is also unclear,
           | despite your claims.
        
           | aksss wrote:
           | For any benefit alcohol gives (heart health, stress level,
           | etc), there are healthier alternatives to accomplish the same
           | or better results.
        
             | Mordisquitos wrote:
             | I'm sure that there are many alternatives that would be
             | healthier than alcohol for any given individual, be it
             | exercise, social and economic stability, CBT, vacation,
             | improved diet, better sleep, etc. However, in societies
             | where alcohol consumption is an engrained feature of
             | ordinary life and social interactions, is it even feasible
             | to encourage every person to implement whichever of the
             | myriad of alternatives would be more effective for them?
             | 
             | I would argue that, at the public health level, focusing on
             | a naive "zero level" of alcohol in favour of the "better
             | alternatives" would at best be ineffective, not the least
             | because the better alternatives can be promoted regardless
             | of alcohol consumption. At worst they could even be
             | harmful, if the encouraged abstinence were to discourage
             | the social events associated with non-excessive alcohol
             | consumption.
             | 
             | On an individual level yes indeed, having 0 beers a week
             | may be provably healthier than having 10 beers a week, all
             | else being equal. And that's the crucial point-- _all else
             | being equal_. Those beers are not drunk in isolation or
             | without context. The individual may enjoy trying craft beer
             | with their partner at dinner, or they may meet some friends
             | at the pub and enjoy some slightly disinhibited laughs
             | together. Could this person enjoy trying herbal teas with
             | their partner? Perhaps. Could their friends meet up for a
             | game of volleyball instead? Maybe. Is it realistic to
             | expect similar alternatives to alcohol in the overall
             | population? Very probably not.
        
               | FredPret wrote:
               | I worried about this a lot before I quit drinking.
               | 
               | Now I can tell you that my social life is exactly the
               | same as before - but I'm drinking water or near-beer or
               | something fizzy instead. I don't care, my friends don't
               | care, and if they did, they wouldn't count as friends
               | anyway.
               | 
               | Now if you're a frat member, maybe it's different.
        
               | Ntrails wrote:
               | My other half never thought she would be able to date me,
               | because she wanted someone to share a bottle of wine
               | with. Turns out, she can have a lovely time drinking wine
               | and having a designated driver to get her home :)
               | 
               | But I will say that being tee total has impacted my
               | experience of social gatherings based around drinking.
               | Sure, with good friends it couldn't matter less. But with
               | work folks, acquaintances etc? Yeah, it matters
        
               | FredPret wrote:
               | Another thing to keep in mind is that non-alcoholic
               | drinks as a sector are growing rapidly. We might see a
               | sea change here within a generation, like we saw with
               | smoking, where it simply isn't cool anymore.
               | 
               | For anyone interested, I followed Allen Carr's Easy Way
               | to Control Alcohol. It was a totally painless process for
               | me
        
               | aksss wrote:
               | As an individual body, there is no benefit that alcohol
               | provides your _system_ that cannot be achieved through
               | healthier means (that I 'm aware of - tell me if I'm
               | wrong).
               | 
               | I'm not saying alcohol isn't effective, I'm saying that
               | in all cases there are healthier ways (wiser ways) to
               | achieve the positive effects.
               | 
               | I'm not saying alcohol isn't efficient, I'm saying the
               | work required to implement the healthier methods for the
               | same effects is worth the extra effort.
               | 
               | At the public health level, I don't think there's any
               | harm in condemning alcohol. I'm not saying prohibition,
               | and I enjoy a good tequila or whiskey or wine or beer -
               | it's great stuff. But the least of our members of society
               | - those with the worst problems - are often making their
               | lives worse with alcohol not better. I see no issue in
               | messaging that repeatedly. Responsible and irresponsible
               | people will always drink, but messaging the harm it
               | causes more often could not hurt American society. I
               | don't think that's naive at all. You may be confusing
               | messaging "zero level" with a legal prohibition, and I
               | don't think that's a valid equivalency. Exercise is good
               | for you, abstaining from alcohol is good for you too.
               | Just like abstaining from fast food. It doesn't mean
               | everyone will comply, nor should you expect that. But
               | messaging that this stuff is not healthy seems wise to
               | me. Instead you see a steady drip of "a drink a day may
               | be good for your heart" crap, that is assuredly endorsed
               | and promoted by the beverage industry, and not with the
               | health of society in mind.
        
               | watwut wrote:
               | That is not standard we apply ... to pretty much anything
               | else people consume. No single food or drink will make
               | you live longer.
               | 
               | This is all just an attempt to create moral panic with
               | pretension it is all concern about health. So people are
               | free to point out that.
        
         | thinkharderdev wrote:
         | I'm not sure I understand the conclusions of that paper. The
         | ADH1B variant is associated with lower alcohol consumption and
         | also with lower cardiovascular risk but within that population
         | there is still a J-curve relationship between cardiovascular
         | disease and alcohol consumption.
        
         | nabla9 wrote:
         | > The optimal level of alcohol intake for health and longevity
         | is zero
         | 
         | The whole "little alcohol can actually be healthy" meme is a
         | good example of corporate sponsored research combined with
         | publication bias.
         | https://en.wikipedia.org/wiki/Publication_bias It went on 15-20
         | years before better and larger studies debunked it.
         | 
         | Alcohol use and burden for 195 countries and territories,
         | 1990-2016: a systematic analysis for the Global Burden of
         | Disease Study 2016
         | https://www.thelancet.com/journals/lancet/article/PIIS0140-6...
         | 
         | >Alcohol use is a leading risk factor for global disease burden
         | and causes substantial health loss. We found that the risk of
         | all-cause mortality, and of cancers specifically, rises with
         | increasing levels of consumption, and the level of consumption
         | that minimises health loss is zero. These results suggest that
         | alcohol control policies might need to be revised worldwide,
         | refocusing on efforts to lower overall population-level
         | consumption.
        
           | lm28469 wrote:
           | > The whole "little alcohol can actually be healthy" meme is
           | a good example of corporate sponsored research combined with
           | publication bias.
           | 
           | It also is what everyone drinking a few glasses of wine here
           | and there want to hear
        
             | allturtles wrote:
             | Isn't "The optimal level of alcohol intake for health and
             | longevity is zero" exactly what abstainers want to hear?
             | 
             | I don't think we should rely on any group's anecdotal
             | espousal of the health benefits of their choices.
        
             | thinkharderdev wrote:
             | It is the typical story where whatever you like doing ALSO
             | has to be healthy and good in all respects. So it can't
             | just be "I like having a glass or two of wine in the
             | evening to unwind." Likewise it can't just be "I think
             | eating animals is morally wrong so I don't do it." It's
             | like the human mind instinctively rebels against having to
             | weigh tradeoffs.
        
           | antonvs wrote:
           | > These results suggest that alcohol control policies might
           | need to be revised worldwide, refocusing on efforts to lower
           | overall population-level consumption.
           | 
           | It ought to astonish me that people unironically think this
           | way, but then I remember one of the most dangerous and life-
           | shortening human tendencies of them all - the desire to
           | control others.
        
             | polishdude20 wrote:
             | Yeah let's ban ATV's, swimming in the ocean, driving a car
             | and eating cake while we're at it.
        
           | jimmar wrote:
           | For making global policy, the Lancet study is great. It's not
           | the perfect study for determining an individual's risk
           | factors. I looked at that Lancet study in detail trying to
           | determine how much risk alcohol consumption poses to me
           | personally, but it was challenging. For example, the #1 risk
           | they associated with alcohol was tuberculosis--something I'm
           | not concerned about at all.
        
       | 1_player wrote:
       | OT: "Heart Rate Variability (HRV) gives us an idea about the
       | state of our autonomic nervous system"
       | 
       | This answered a big medical doubt I have had for the past week.
       | 
       | For ages my heart rate has been at a stable 95-105 resting BPM
       | with very little variability, which is quite high and
       | understandable given my low fitness. I've recently radically
       | changed my diet, and in 2 weeks my resting BPM has gone down to
       | around 65 (!), changing rapidly up to 100 BPM if I move unless
       | I'm staying completely still.
       | 
       | I was unsure of what this radical change meant, but apparently
       | whatever I was doing before was very bad for me, and whatever I'm
       | doing now is much better. Given that my diet change has also put
       | my anxiety in remission, it makes sense that there's a strong
       | connection between less overstimulation in the brain and more
       | relaxed circulatory system.
        
         | jamestnz wrote:
         | HRV describes the steadiness (or not) of the timing between
         | beats, as measured in milliseconds. It sounds like you are
         | describing something else here, like your resting rate and how
         | much/quickly it responds to exercise.
         | 
         | For an example of HRV, let's say you're showing a heart rate of
         | exactly 95 BPM for a one minute period, which means an average
         | of one beat every 0.6316 second. If the actual beats were very
         | close to occurring exactly once every 0.6316 sec like
         | clockwork, then you have a low HRV.
         | 
         | At some later time, you also measure 95 BPM during a one minute
         | period, but this time you find the period between beats is much
         | more variable. Sometimes it is 0.627 seconds, and sometimes it
         | is 0.641 seconds. The beats aren't falling like clockwork, they
         | are all over the place.
         | 
         | The second example is a high HRV, both examples having the same
         | heart rate.
         | 
         | Accurate beat-measuring equipment is required to calculate HRV
         | (e.g. a heart-rate watch and an app).
        
           | 1_player wrote:
           | Ah good, thanks for the clarification.
        
         | criddell wrote:
         | Would you mind sharing your diet changes?
        
           | 1_player wrote:
           | Gone 100% carnivore
        
             | ulnarkressty wrote:
             | Would very much like to try this for myself, but I would
             | rather look for a more sustainable diet. Do you think it
             | was a matter of missing nutrients, or rather intolerance of
             | some sort to the carbohydrate sources?
        
               | 1_player wrote:
               | Massive inflammation due to multiple unknown factors,
               | making me even more intolerant to the simplest of food
               | and spices. Carnivore is basically the ultimate
               | elimination diet.
               | 
               | Oh yeah, and my brain works noticeably better than it has
               | for the past 15 years. It's 100% reproducible for me, but
               | I just need a lapse of judgement, the wrong food, and
               | it's back to the dark pit of doom and extreme tiredness.
        
               | angrais wrote:
               | How do you know it's the increase of meat and not another
               | factor, such as prior consumption of grains or such?
        
       | zabzonk wrote:
       | > A healthy HRV reflects a healthy balance between sympathetic
       | and parasympathetic stimulation.
       | 
       | How do you know this?
        
         | gnu8 wrote:
         | I'm not a cardiologist but this detail seems believable on its
         | face and it is supported by the surrounding statements. Do you
         | disagree with it?
        
       | alexslobodnik wrote:
       | People can test this for themselves with a common fitness
       | tracker.
       | 
       | The Apple Watch records this data.
       | 
       | Anecdotally, 1.5 drinks within 5 hours of going to sleep raises
       | resting heart rate by 5%-10%. My friends who have an Apple Watch
       | have similar results.
       | 
       | My personal data on HRV and booze is too erratic to draw
       | conclusions.
        
       | alexfromapex wrote:
       | Did they control for electrolyte loss?
        
       | Sindrome wrote:
       | My Apple watch tells me my heart rate is spiking every time I
       | have more than 5-6 drinks in a night.
        
       | zonethundery wrote:
       | Having a hard time figuring out the implications of this.
       | 
       | We know HRV is "good" as a general matter, as orderliness of
       | heart-rate variation is predictive of mortality post-infarction
       | [sorry no cite; read some papers in the 90's w/ convincing plots
       | of instantaneous heart rate vs ihr 10 beats ago].
       | 
       | The linked research shows an increase in power of the middle part
       | of the spectrum (fft of intrabeat heart rate), which is usually
       | linked to respiratory sinus arrhythmia (RSA, or the change in
       | chest cavity pressure while breathing changes your heart rate).
       | 
       | Anyway, it's interesting, but maybe the value is in the pathway
       | discussion rather than any specific end-effects on health. Would
       | love to hear from people closer to this topic , or OP's specific
       | interest in the matter.
        
       | cutthegrass2 wrote:
       | The article briefly mentions RHR (resting heart rate) also.
       | Anecdotally of course, but I notice my RHR being ~5 - 8 bpm lower
       | when I abstain from alcohol for a few days.
        
         | BiteCode_dev wrote:
         | n = 1, but using my oura ring, I can see a diff of 10% higher
         | RHR pmb during my sleep when drinking a single glass of beer
         | after diner.
         | 
         | It surprised me a lot.
        
         | blunte wrote:
         | I have worn a Garmin watch with HR monitor for months at a time
         | off and on for the last few years.
         | 
         | My resting heart rate while sleeping is typically 64-68 without
         | alcohol and 65-85 after drinking several glasses of wine. There
         | is such a marked difference in RHR in the two scenarios that
         | you could tell if I drank simply by looking at my heart rate
         | chart during the night.
         | 
         | Interestingly, I attempted to start running for one month about
         | a year ago. My endurance is poor, but I would run/walk for
         | several kilometers. Within the first week and continuing
         | through that month, my RHR while sleeping was 52-62. Not only
         | was it significantly lower, it took a long time after stopping
         | exercise for the rate to return to what it usually is.
         | 
         | I don't know what this all really means, but it is fascinating.
         | Studies or not, I imagine that not drinking + regular cardio
         | exercise is better for long life than the alternative
         | combinations.
        
           | chubot wrote:
           | Yup, I also noticed this. I wore a pulse oximeter every night
           | which measures your heart rate, and it jumped from around 60
           | to 80 just because of alcohol one night. Crazy!
           | 
           | That was the biggest effect I saw by far, more than all the
           | sleep apnea variables I was trying to measure!
           | 
           | Granted I don't drink often, and metabolize alcohol poorly,
           | but still that's a huge difference.
           | 
           | FWIW I'm not out of shape; I commuted 1h / day by bike for
           | over a decade, and was a medically normal weight, which is
           | maybe 20-30th percentile in the population.
        
           | tw04 wrote:
           | It just means you're out of shape and as you get into shape
           | your HR reflects it. I saw similar after "summer of covid"
           | and now getting back to running every day and limiting
           | alcohol to once a week.
        
           | sjg007 wrote:
           | Elite athletes have RHR in the 40s. Exercise improves the
           | heart.
        
             | clairity wrote:
             | be careful of the inverse inference though. a rhr in the
             | 40s doesn't necessarily mean you're in good health. a low
             | rhr could indicate a myriad of other cardiovascular issues
             | (something of a personal concern for me).
             | 
             | but contrary to the article, an evening whiskey ~3 times a
             | week (in my experience) seems to be optimal for delivering
             | antiseptic benefits with few/no downsides.
        
           | nradov wrote:
           | I also wear a Garmin watch with HR monitor. Having a couple
           | glasses of wine with dinner doesn't seem to noticeably change
           | my RHR while sleeping. There are probably differences between
           | individuals.
           | 
           | An RHR that gets into the 85 range could indicate a cardiac
           | problem. Might want to get that checked.
        
             | blunte wrote:
             | Probably due to _significant_ quantity of alcohol... and
             | certainly not a good idea.
        
         | fraa-orolo wrote:
         | Since we're talking anecdata anyway, it could be from decreased
         | sleep quality instead of direct causation.
        
           | antibuddy wrote:
           | That might indeed be a factor; however the processes to get
           | rid of the alcohol (it's toxic after all) might be to blame
           | as well.
        
         | batiudrami wrote:
         | I am fortunate enough to live in a country where we only had a
         | lockdown for about 4 weeks of 2020, and during that time I
         | didn't drink. See if you can see from my sleeping heart rate
         | when that was: https://i.imgur.com/7VlYQ67.png
        
           | mannykannot wrote:
           | You appear to be demonstrating the opposite of what is
           | claimed here: your heart-rate variability seems to have
           | decreased when you were not drinking alcohol.
           | 
           | When I went back to the article to check this, however, I saw
           | that, while the text says that alchohol has "a negative
           | effect on HRV", and their model explains this, the diagram
           | shows alcohol _increasing_ the HRV. As the text 's version of
           | the observed results and its explanation for them are
           | consistent, I assume the diagram is incorrectly labelled.
           | 
           | Update: Thanks to everyone for correcting me on what HRV
           | means here.
        
             | Jtsummers wrote:
             | That image is of GP's heart rate, not heart rate
             | variability.
        
             | enragedcacti wrote:
             | HRV is not a measure of change in your resting heart rate
             | over time, its a measure of the difference on a per beat
             | basis. Even if your BPM is 60, your heart doesn't beat
             | exactly once a second, it will actually vary in length by
             | some number of milliseconds back and forth. This is what is
             | measured when talking about HRV.
             | 
             | It is believed to occur as the parasympathetic and
             | sympathetic nervous system "fight" over raising and
             | lowering the heartrate. The symbiosis between them lands on
             | a steady rate per minute with fluctuations on a per beat
             | basis.
             | 
             | https://en.wikipedia.org/wiki/Heart_rate_variability
        
             | tcskeptic wrote:
             | Heart rate variability really does not mean variability in
             | heart rate (such as is shown on the graph linked) it is
             | more at the 50-100ms level in change in _timing_ between
             | hear beats. The graph does seem to show a reduction in RHR
             | but does not address HRV (as I understand it)
        
         | mathattack wrote:
         | I've been largely alcohol free since the new year. Prior to
         | that I thought alcohol helped me rest. Now even one or two
         | glasses of beer or wine messes up my sleep. The contrast helps
         | me understand it better. Of course this anecdote shouldn't be
         | construed as robust data....
        
           | intergalplan wrote:
           | I've been working on switching most drinking for weed--for
           | health reasons. Seriously. It's the best and lowest-side-
           | effect sleep aid I've used. Hopefully it's not secretly doing
           | horrible things to me, but my sleep quality's been amazing
           | since I started to take a little a couple nights a week. Most
           | consistently-decent sleep of my life.
        
             | mathattack wrote:
             | I haven't replaced it with anything else. At some point I
             | will try to kick caffeine but one vice at a time. :-)
        
             | JohnWhigham wrote:
             | Weed inhibits REM sleep. You may feel rested, but you're
             | actually harming yourself long term.
        
               | intergalplan wrote:
               | Damnit. Well, it's that or lots of 5-6 hour nights, or
               | worse. Or bad hangovers and other weird shit from
               | sleeping pills. Maybe time to get a sleep-tracker watch.
        
               | WindyCityBrew wrote:
               | Do you drink a lot of coffee or other caffeinated drinks,
               | especially later in the day? I used to think caffeine
               | didn't have much affect on my sleep, until I cut it out.
               | Old habits die hard, but I just drink decaf coffee now
               | and am getting better sleep then I can remember.
        
               | intergalplan wrote:
               | ~2 cups of coffee probably 5-6 days a week, sometimes tea
               | instead, rarely past noon and never past ~2:00PM (I only
               | drink it as late as, say, 1:00PM if I happen not to
               | realize how late it is). Maybe one soda per month, tops,
               | don't really pay attention to when I have those, though.
               | I'd guess afternoon/evening mostly, but it's rare enough
               | that I doubt it's doing anything meaningful to my overall
               | sleep-trends.
               | 
               | I could try cutting it out, but I've had trouble falling
               | asleep my entire life, and my average annual caffeine
               | intake was _very_ low until my mid-teens. I 'm actually
               | _much better_ about sleep now than I used to be, even
               | without meds. Worth a shot, though, I guess. I 'd been
               | thinking about dropping my intake to one cup per day,
               | alternating coffee and green tea (which would represent a
               | large increase in my consumption of green tea) anyway.
               | Hell, at lower volume I could justify buying the
               | expensive, low-package-weight, _really, really good_
               | beans, so the flavor of the coffee I 'm drinking would
               | improve, though I might have to group coffee-days rather
               | than alternate them, to avoid issues with beans going
               | stale. Seems like ~halving my caffeine would be an OK
               | start.
               | 
               | Sigh. Guess I'm going to be spending a lot of money on
               | sparkling water, just like when I kicked my soda habit
               | :-)
        
               | criddell wrote:
               | It might be worth going to a specialist for help.
        
               | mr-wendel wrote:
               | You're also inhibiting your ability to dream (and your
               | ability to remember them). That is a lot of critical
               | emotional processing not happening. Dreams matter, even
               | if they don't make rational sense.
        
             | txsoftwaredev wrote:
             | I've had a similar experience. I've been using delta-8 at
             | night for sleep and I've added 1-2 hrs a night according to
             | my fitbit. I don't feel "hungover" or similar like I would
             | from alcohol or OTC sleeping meds.
        
       | gregwebs wrote:
       | Chris Masterjohn theorizes that alcohol can have a beneficial
       | hormetic (a stressor that you can have positive adaptations to)
       | effect by antagonizing vitamin A and the body adapting to supply
       | more vitamin A.
       | 
       | However, he theorizes the maximum beneficial dosage is about 2/3
       | of a single drink.
       | 
       | https://chrismasterjohnphd.com/lite-videos/2018/12/13/is-alc...
        
         | arethuza wrote:
         | That reminds me in the Inebriati:
         | 
         | https://www.youtube.com/watch?v=lIv96reVlAE
         | 
         |  _" We were in the background, gently swaying from side to
         | side"_
        
       | Taylor_OD wrote:
       | Booze is not good for you. If you think you are dependent on it
       | or are concerned with the impact it has on your life try
       | stopping. Stopping changed my life greatly.
        
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       (page generated 2021-04-27 23:02 UTC)