Is Moderate Drinking Safe? What Maltese Foodies Should Know

September 27, 2025 at 05:00 AM
The Independent

A recent study published in *BMJ Evidence-Based Medicine* challenges the notion of "moderate drinking" as safe, particularly for brain health. Researchers from Oxford, Yale, and Cambridge found no protective effects of alcohol, even at low levels, with evidence linking consumption to increased dementia risk. Women are especially vulnerable due to differences in alcohol metabolism and heightened risks during menopause, with rising consumption rates since the pandemic adding to concerns. In Malta, where alcohol is integral to social and dining culture, this research prompts a reevaluation of its role in a health-conscious lifestyle. While the Mediterranean diet is celebrated for its benefits, the idea of wine as a "healthful" component is increasingly questioned. Instead, experts advocate for mindful drinking and focusing on nutrient-rich, brain-boosting foods like fresh produce, legumes, and fish. Maltese restaurants are adapting by offering creative non-alcoholic options, aligning with global trends toward health and longevity. This shift encourages residents and visitors alike to explore vibrant, alcohol

Rethinking Alcohol: Why "Moderate Drinking" Might Be a Myth for Your Brain and Body

A groundbreaking study from the universities of Oxford, Yale, and Cambridge recently shed light on a sobering truth about alcohol. Published in BMJ Evidence-Based Medicine, the research suggests that no level of alcohol consumption is truly safe when it comes to brain health. According to Dr. Anya Topiwala, the study’s lead author, even light or moderate drinking can heighten the risk of dementia. “The idea that a little alcohol – like the occasional glass of red wine – might be good for the brain is almost certainly a myth,” she explained. “Genetic evidence offers no support for a protective effect; in fact, it suggests the opposite.”

For those of us accustomed to the mantra “everything in moderation” or the comfort of adhering to recommended guidelines (14 units of alcohol spread across the week), this report might feel like a wake-up call. And while the romantic notion of a glass of wine paired with a Mediterranean meal at your favorite Maltese restaurant might not seem immediately harmful, this new research invites us to reconsider our relationship with alcohol entirely.

The Gendered Reality of Alcohol’s Impact

For women, the implications of alcohol consumption are particularly significant. Statistics show that women are twice as likely as men to be diagnosed with Alzheimer’s disease. This disparity is compounded by the fact that women metabolize alcohol differently. The female liver produces less alcohol dehydrogenase (ADH), the enzyme responsible for breaking down alcohol. This means that alcohol lingers longer in women’s bodies, increasing its toxic effects. During menopause, ADH levels drop even further, making women more vulnerable to conditions like liver damage, heart disease, and breast cancer.

And there’s more. The hormonal fluctuations of the menstrual cycle further complicate how alcohol affects women. For instance, during ovulation, when the body is biologically primed for reproduction, alcohol metabolism slows down. This can lead to faster intoxication and a heightened exposure to alcohol’s harmful effects.

Dr. Sharon Cox, a leading researcher at University College London, also notes that women’s alcohol consumption has risen sharply, particularly since the pandemic. “Drinking increased among both men and women during this time, but the rise was steeper in women,” she observed. Stress, it seems, has been a major driver, with many turning to alcohol as a coping mechanism.

The Cultural Dilemma in Malta

Here in Malta, where dining out is as much a part of our culture as the sun and sea, alcohol often plays a starring role. Whether it’s a glass of crisp Chardonnay enjoyed with fresh seafood in Marsaxlokk, or a Negroni sipped at a chic Valletta bar, alcohol is deeply woven into our social fabric. But as we prioritize healthy lifestyles and longevity, it’s worth reflecting on how these indulgences align with our health goals.

The Mediterranean diet, long celebrated for its health benefits, focuses on fresh vegetables, fruits, whole grains, olive oil, and lean protein. While moderate wine consumption has often been romanticized as part of this lifestyle, this new research challenges the notion of alcohol as a “healthful” component. Instead, it encourages us to focus on nutrient-dense, antioxidant-rich foods like tomatoes, legumes, and oily fish – staples of Maltese cuisine that truly support brain and heart health.

The Emotional Side of Letting Go

For many, the thought of giving up alcohol entirely feels daunting. After all, sharing a bottle of wine with friends or toasting a special occasion with a glass of Prosecco is more than just a habit; it’s a ritual tied to joy and connection. And let’s be honest: alcohol, in moderation, can feel fun. The laughter, the loosened inhibitions, the shared stories over a lingering dinner – these moments are hard to replicate with a sparkling water.

However, it’s worth considering how alcohol makes us feel in the long term. As we age, our bodies process alcohol less efficiently. What once felt like harmless fun can now lead to lingering hangovers, anxiety, and fatigue. For many Maltese women in particular, the cumulative effects of alcohol – paired with the demands of modern life – may prompt a reassessment.

Rethinking Your Relationship with Alcohol

So, should we all give up alcohol completely? Experts, including Dr. Federica Amati, head nutritionist at ZOE, advocate for informed decision-making. “If you look at alcohol as a drug, the ‘safe amount’ before its neurotoxic effects kick in is around two units per year,” she says. However, she doesn’t advocate for complete abstinence unless it aligns with your personal goals. “We can choose the exposures we subject our bodies to,” she explains. “I have the occasional glass of red, but I don’t pretend it’s good for me.”

The key takeaway? If you do drink, approach it with mindfulness. Understand the risks, savor the experience, and balance it with a diet rich in brain-boosting nutrients. Malta offers an abundance of opportunities to do just that – think grilled fish with a side of quinoa tabbouleh, vibrant salads topped with walnuts and goat cheese, or a scoop of local gbejna paired with fresh figs. These are the flavors that truly nourish both the body and the soul.

A Balanced Future

As we shift toward a culture that values health and longevity, the conversation around alcohol is evolving. Maltese restaurants and bars are increasingly catering to this trend, offering creative non-alcoholic cocktails and kombuchas alongside their traditional wine lists. Why not explore these options during your next night out? You might discover that an elderflower spritz or a ginger-lime mocktail pairs just as well with your meal – without the morning-after regrets.

Ultimately, the choice to drink or not is personal. But as the research on alcohol’s effects grows clearer, it’s an opportunity to reflect on how we align our habits with our health goals. Here in Malta, where the bounty of fresh, wholesome food is unparalleled, we have all the tools we need to live vibrantly – with or without the booze. Cheers to that!