By Lara Natacci
Holiday celebrations often bring together friends, family, special meals, and, frequently, alcoholic beverages. During these periods, alcohol consumption tends to increase, and understanding how to make safer choices is essential — especially because alcohol is a psychoactive substance capable of affecting different body systems, with risks that vary according to the amount consumed, the context, and individual characteristics.
Healthcare professionals and consumers both play an important role in this scenario: recognizing that alcohol is part of many people’s lives and, from that perspective, promoting realistic strategies for moderation and harm reduction.
The effects of alcohol depend mainly on the volume consumed, regardless of the type of beverage. Excessive use is associated with an increased risk of more than 200 diseases and health conditions, including accidents, metabolic changes, liver problems, and certain types of cancer. Even in the short term, symptoms such as dehydration, reduced motor coordination, cognitive impairment, and falls become more common.
During the holidays, the combination of disrupted sleep routines, irregular eating habits, and consecutive social events can intensify these effects. That is why planning ahead is essential.
Some simple measures can help reduce alcohol-related negative effects:
Avoid drinking on an empty stomach. Foods rich in fiber, protein, and healthy fats slow alcohol absorption.
Prioritize balanced meals. The Mediterranean dietary pattern — associated with long-term health benefits — includes moderate alcohol consumption alongside meals, with slow eating, social connection, and mindful attention to the moment.
Be cautious with sugary drinks. Sweet cocktails, liqueurs, and mixed drinks may increase blood sugar spikes and encourage greater alcohol intake than originally planned.
Stay hydrated. Alternating each alcoholic drink with water or other non-alcoholic beverages reduces dehydration and helps control total consumption.
The alcohol-free beverage market has expanded and now offers sensory experiences closer to the original products. For people who consume alcohol, alternating between alcoholic and non-alcoholic versions may help reduce the total amount consumed while maintaining social participation.
Studies reviewed by CISA indicate that this substitution does not increase alcohol consumption among non-drinkers and may significantly reduce intake among regular consumers.
However, these beverages should not be used by pregnant individuals, minors, abstainers, or people undergoing treatment for alcohol dependence.
The concept of Mindful Drinking has gained relevance in the context of harm reduction. The idea is simple: bringing attention and presence to the act of drinking by recognizing motivations, physical sensations, and emotions.
A randomized study cited in our analyses showed that a brief mindfulness session (11 minutes) was able to reduce alcohol consumption over the following week among at-risk drinkers. This reinforces that small self-awareness strategies can have a real impact.
Pause before the first sip. Ask yourself: “Am I drinking for pleasure, habit, impulse, or social pressure?”
Assess hunger, thirst, fatigue, or stress — factors that may lead to automatic consumption.
Decide in advance how much you intend to drink and in which situations.
Set realistic and achievable goals. Moderation is more successful when goals are practical and adapted to real life.
Examples:
Define a limit: “Two glasses of wine at dinner.”
Alternate drinks: “Drink one glass of water between each alcoholic beverage.”
Plan for common obstacles: availability of non-alcoholic beverages, the pace of the celebration, and peer influence.
Achievable goals increase confidence and reduce the likelihood of drinking more than intended.
The relationship between alcohol, lifestyle, and health involves multiple factors. For this reason, conversations free of judgment and grounded in empathy and accessible language help people recognize their challenges and find safer paths forward.
The holiday season is a time for celebration, but also an opportunity to practice responsible choices. The combination of proper nutrition, hydration, alternating with non-alcoholic beverages, clear goals, and Mindful Drinking practices contributes to experiencing festivities with greater well-being and safety.
Moderation does not mean giving up pleasure or social connection, but rather allowing these moments to create good memories — without negative consequences for health.