What exactly happens to your body if you continue drinking after age 65?

The alcohol is quite normalized in our society as it is for sale to the public as long as you are of legal age, and almost always because we associate it at leisure. But the truth is that we are talking about a drug that has important harmful effects on our body, that at 30 years old may not be noticed because we have a strong body that processes it relatively easily. But when we reach the barrier of 65-70 years this changes completely.

An older organism. What at 30 years old can be easily counteracted with healthy organs, cannot be achieved with organs that are more ‘worn out’ with the passage of time. This means that science suggests that, from a certain age onwards, it is advisable to stop drinking alcohol, and scientific evidence behind It never stops giving us reasons to do so if we want to have a better old age and with fewer diseases.

A structural change. The first and most critical factor that alters our relationship with alcohol as we age is drastic change in body composition. As we age over 65, the body experiences a progressive loss of lean muscle mass and, crucially, a reduction in total body water.

This is vital, because alcohol is a substance that is diluted in water, and that is why, as there is less water in the body to dilute it, the same amount of alcohol ingested by a 65-year-old person will result in a significantly higher concentration than in a younger person of the same weight and gender.

We go slower. Added to this is the slowing down of liver metabolism, since the aging liver produces Less of the key enzymes responsible for breaking down ethanolwhich means that alcohol remains in the bloodstream longer, prolonging its toxic effect. The direct result is drunkenness that comes much sooner with less alcohol, drastically increasing the risk of loss of balance, falls and bone fractures. Something that at that age is almost a sentence for the muscle loss that it entails.

Neurotoxicity. If we start talking now about the direct effects that alcohol has on the different organs of our body, the first obligatory stop is the brainwhere one of the most severe impacts of continued consumption occurs. Here alcohol acts as a neurotoxin that accelerates neuronal lossa process that already occurs naturally due to aging, but that ethanol multiplies.

Prestigious neurologists such as Richard Restak emphasize that neuronal damage after the age of 65 is irreversible, recommending total abstinence here. This joins reviews carried out in Spain that demonstrate that alcohol accelerates cognitive deterioration, the impact being even more serious with distilled beverages compared to fermented ones.

In memory. But the loss of brain matter, which can lead to severe dementia, is also accompanied by loss of memory and control of what we do. Cohort studies, such as the NEDICES projecthave linked high alcohol consumption in people over 65 years of age with notably lower neuropsychological scores.

Furthermore, the loss of motor coordination explains why 60% of serious falls in the elderly they are related to alcohol consumption.

Multi-organ damage. Continued consumption in the elderly is not limited to one organ, but causes cascading systemic failure aggravated by oxidative stress, which is the great enemy of aging. A recent cross-sectional study made in Extremadura With more than 2,800 participants, it was demonstrated that in men over 65 years of age, the prevalence of risky consumption reaches an alarming 30%, being strongly associated with increased cholesterol, hypertension and cardiovascular risk such as a heart attack.

The heart. Undoubtedly, you suffer the onslaught of alcohol-induced hypertension and an increased risk of arrhythmias, while blood vessels lose their elasticity. This makes it much easier to have high voltage spikes that lead to a stroke, for example.

In the liver. Without a doubt, one of the most affected organs, being the ‘factory’ that is in charge of processing all the alcohol that enters the body. Chronic toxicity here not only increases the risk of cirrhosis, but, due to poor metabolism, prolonged exposure to toxic metabolites exponentially increases the risk of developing cancer, especially liver, breast and colorectal. Something that responds to the greater damage suffered by DNA in the elderly who continue to drink with some frequency.

In the intestine. Perhaps one of the most recent notes we have is the erosion caused by alcohol in the intestinal mucosaand therefore to the microbiota found here. Little by little we are seeing that the microbiota is more important than we think, and it has been shown that its loss allows endotoxins to pass into the bloodstream, favoring chronic inflammation of different parts of the body. Something that is linked to many other effects.

Without going any further, this inflammation aggravates the osteoporosis that is already marked at this age, damages the pancreas and causes an accelerated shortening of cellular telomeres, which translates into premature biological aging and a fragile immune system incapable of fighting respiratory infections effectively.

The silent trap. A critical factor that is often overlooked is the polypharmacysince the vast majority of people over the age of 65 take several prescription medications daily. It is not uncommon to see a person with a pill for stress, diabetes, pain, to reduce fluid retention…

The problem is that combining some of these pills, such as anti-inflammatories such as ibuprofen, increases the risk of suffering severe digestive bleeding.

Images | Vlad Sargu

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