IS wine really good for our health?

Yes, most particularly red wine, because it contains very potent antioxidants. But the benefits will, of course, depend on other considerations and factors. We do not recommend any alcoholic beverages to pregnant women, persons who are alcoholics or have history of addiction, those with liver, gastrointestinal or other diseases where alcohol is contraindicated, those who are allergic to it, poorly controlled diabetics, etc. or those who do not like alcoholic beverages. Persons with a health problem should first consult with their physicians before considering alcoholic beverages. Wine is only for people who enjoy drinking wine, who are in control, and are responsible social imbibers.

Why is red wine better?

Red wine has been singled out as cardio-protective (good for the heart) because its skin contains phytochemicals, such as resveratrol, that help protect the plant’s self-defense system, and proanthocyanidins (OPC) and cathechins, which are also powerful antioxidants. And these same substances have been found good for humans. Studies at the University of California, Davis, and Cornell University have confirmed the beneficial effect of these potent antioxidants that aid in preventing cancer and heart coronary heart disease. Also, the alcohol in it has some sedative and euphoric effects when wine is taken in moderation, and these are healthy for the psyche, especially in these stressful times.

Are all red wine the same?

No, not all red wines are alike or equal as far as the amount of resveratrol they contain. Research on seventy red wines from New York rated the Pinot Noir to contain the highest amount of this phytochemical, with an average content of 13.6 micromoles per liter, about twice found in Cabernet Sauvignon, Merlot, and Cabernet Franc. The specific wines and vintages with very high level were the ’97 Pinot Noir from Benton-Lane Winery in Oregon and the ’98 Noble Muscadine from Dennis Vineyards in North Carolina. Large commercial wineries manipulate their wines more and reduce the resveratrol and other antioxidants as a result; small wineries utilizing the old European technique produce wines with higher resveratrol.

Why the difference in resveratrol contents?

After analyzing several hundreds of wines in his laboratory at Cornell, Professor Emeritus Le Creasy found that “wine produced in dry climates, like California central valley had lower resveratrol level than from the same variety of grapes grown in humid climates like New York.”

How about white wine?

Resveratrol is found in grape skins and OPC & C in the grape seeds. In red wine, the skins and seeds are included in the fermentation for at least 2 to 3 weeks, while white wine is made from juice that is pressed from the grapes, where the skins and seeds are not included in the fermentation, This explains why only red wine has a significant level of resveratrol, OPC & C.

Are the more expensive red wines better?

No, not necessarily. A Pinot Noir imported from France, which is much more expensive, is not a better “health drink” than a Pinot Noir from New York. An older vintage variety, which, again, is more pricey, might taste better in most cases, especially for connoisseurs, but not necessarily superior in its antioxidant value. Most wine-drinking families drink regular red table wine, but the choice is so personal and according to one’s taste. Mine is Pinot Noir when available, Cabernet Sauvignon, second, and Merlot, third.

Is red wine also good against degenerative diseases?

Yes, according to Professor Susan Ebeler of UC Davis, “there’s increasing evidence that red wine contains components which may impart important health-protective effects against a number of degenerative diseases.”

At what age should one start drinking red wine?

In many European countries, preteens are already allowed to imbibe “a little” wine with dinner. I am not advocating the same for us because our laws have set a legal drinking age, but I am not sure that this practice is unhealthy at all. As a matter of fact, available medical evidence suggests that drinking a glass or two (no more than 3) of red wine is a lot healthier than drinking a couple cans of beers or a shot or two of hard liquor. Wine, in moderation, is a health drink compared to soft drinks, which are toxic and linked to metabolic syndrome, especially among children. Medically speaking, allowing our children to smoke cigarettes, not exercise, engulf soft drinks, and skip vegetables, nuts, fruits and fish day in and day out, eating junk foods, is certainly and definitely more unhealthy and dangerous compared to allowing them to drink a little red wine with dinner in a disciplined manner.

What is the drug action of alcohol?

Ethanol (Ethyl Alcohol) is the potable form of alcohol found in alcoholic beverages, unlike methanol (Methyl “Wood” Alcohol), which is an industrial solvent, is poison when swallowed. Antiseptic rubbing alcohol is Isopropyl Alcohol, certainly not for drinking. The mode of action of ethanol is on the central nervous system. It is a sedative and a depressant, although a small amount (one to two drinks) might appear to act like a “stimulant.” The effect varies in each individual. The same amount could make one “the life and soul of the party,” make another sleepy, and bring out aggression and violence in others.

Does drinking improve sexual performance?

Ethanol may make one feel carefree, excited, and merrier, but it does not directly improve sexual prowess. In Macbeth, Act 2, scene 3, Shakespeare wrote alcohol “provokes the desire but takes away the performance.” After a glass or two of red wine, and a romantic situation and an appropriate ambiance Shakespeare might be wrong, but after 3 or more, he will most likely be right. Again, it depends on the personal tolerance of the individual.

How much is “not too much”?

The generally recommended “healthy medical dose” for adult is between one and two (at most 3) wine glasses of red wine with lunch and/or dinner. I qualified the type of the glasses because drinking more (improperly using larger or taller glasses) is not necessary to achieve the health benefit from red wine. Wine has to be enjoyed, not endured. So take it as a fun drink and not as a “prescription medicine.”

In the meantime, here’s á votre santé!

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Philip S. Chua, MD, FACS, FPCS, Cardiac Surgeon Emeritus in Northwest Indiana and chairman of cardiac surgery from 1997 to 2010 at Cebu Doctors University Hospital, where he holds the title of Physician Emeritus in Surgery, is based in Las Vegas, Nevada. He is a Fellow of the American College of Surgeons, the Philippine College of Surgeons, and the Denton A. Cooley Cardiovascular Surgical Society. He is the chairman of the Filipino United Network – USA,  a 501(c)(3) humanitarian foundation in the United States. Email: [email protected]

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