Advertisement
The way we process alcohol changes after age 65
Does it seem like you’re getting more sensitive to alcohol as you age?
Advertisement
Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy
You’re not imagining things.
“The basic process by which alcohol is metabolized doesn’t change, but after age 65, several factors can alter the way you process it,” says family medicine specialist Donald Ford, MD.
What happens when you drink a beer, glass of wine or cocktail?
(Because women, Asians, Native Americans and Inuits don’t produce the same — or the same quantity of — enzymes to tackle alcohol in the liver, alcohol’s effects are magnified for them.)
After age 65, your circulation starts slowing down. “Less blood is flowing through your liver, so the process slows, and more toxic metabolites may accumulate,” says Dr. Ford.
Advertisement
“And because we lose lean muscle mass with age, a higher concentration of alcohol remains in the bloodstream. So you feel more effects from the same amount of alcohol.”
By this time, you’ve probably also developed a few chronic conditions. “Needing lots of medication for different conditions can cause lots of interactions with alcohol,” he says.
Alcohol competes with medicines for processing by your liver — and wins. As a result:
“Alcohol also compounds the sleep difficulties that are common after age 65,” notes Dr. Ford.
Many people use alcohol to fall asleep, he says, not realizing that it interrupts sleep, makes sleep less restful and causes earlier awakenings.
As we age, we’re also more prone to falling. “The consequences of alcohol-related falls tend to be more serious after age 65,” he says.
“Tripping on a stair and hitting your head is far more likely to cause significant injury when you are older.”
It takes longer for your body to metabolize alcohol than to absorb it. So excessive drinking keeps alcohol in your bloodstream longer.
This allows a toxic chemical into which alcohol is processed, called acetate, to build up in your liver. Over time, acetate damages your liver tissues, causing cirrhosis.
In addition, if you “drink” more calories than you eat, that puts you at risk for nutritional deficiencies, which are also more common among the elderly.
“The consequences of nutritional deficiencies range from minor to major,” says Dr. Ford. “Folate deficiency causes anemia in adults, but thiamine deficiencies can trigger delirium.”
It’s best to follow the guidelines for moderate drinking — but, unfortunately, says Dr. Ford, few people do.
“Currently, the recommendation is that after age 65, men and women should have no more than seven alcoholic drinks per week,” he says.
“If you’re otherwise healthy and follow these guidelines, drinking shouldn’t be an issue. It’s overuse that’s the problem.”
Nevertheless, as you’re given more prescription medications in your late 50s and 60s, be aware of how they interact with alcohol.
And to enjoy good health over time, maintain your cardiovascular health, control your blood pressure and cholesterol, and exercise to preserve your lean muscle mass, advises Dr. Ford.
Advertisement
Learn more about our editorial process.
Advertisement
Yes, diarrhea is common after drinking too much alcohol — and the best treatment is to hydrate and wait it out
Like any medication, prednisone can come with side effects — for best results, take it with food in the morning and work with your provider to get the dosage right
From influenza and COVID-19 to pneumococcal, shingles and more, vaccines help keep you healthy
Climate change can strain your heart, cause illnesses and make it difficult to breathe, but you can take steps to protect the planet and your health
You can alternate these OTCs to help with pain management and fever reduction
They’re fun to watch, but medical TV shows are often more hype than reality — and you shouldn’t rely on them for factual medical information
The nocebo effect is a phenomenon where expectations of negative outcomes may influence the results
Irritation from skin rubbing against skin or clothes can affect your whole body, but powders, creams and even the right underwear can help protect you
When you get bogged down with mental tasks, you can experience mood changes, sleeplessness and more
You can alternate these OTCs to help with pain management and fever reduction
Non-exercise activity thermogenesis is all the activity we do that’s not technically exercise but is still important to your health and well-being