Alcol e consumo responsabile - limiti sicuri di alcol
Revisione paritaria di Dr Hayley Willacy, FRCGP Ultimo aggiornamento di Dr Doug McKechnie, MRCGPUltimo aggiornamento 18 Feb 2023
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In questa serie:Malattie del fegato e alcolAlcolismo e consumo problematico di alcolAlcohol withdrawal and alcohol detoxification Steatosi epatica non alcolica
Nel Regno Unito, quasi la metà degli adulti consuma alcol una volta alla settimana o più. Circa un quarto di tutti gli adulti riferisce di bere più del limite settimanale raccomandato di alcol.
A colpo d'occhio
Adults should drink no more than 14 units of alcohol per week, spread over three or more days.
It is safest for pregnant women and those trying to conceive not to drink alcohol at all.
One unit of alcohol equals 10 ml of pure alcohol, such as half a pint of regular beer.
Many drinks are stronger than traditional levels, so check the alcohol by volume (% abv).
There is no completely safe level of drinking, but staying within limits reduces health risks.
Binge drinking can be harmful even if your weekly total is within limits.
See a doctor or nurse if you drink above safe limits and find it hard to cut down.
See your doctor or practice nurse if you are drinking above the safe limits and are finding it difficult to cut down.
What are the recommended safe limits of alcohol?
The UK's national guidance is that men and women should drink no more than 14 units of alcohol per week, spread across three days or more, and have at least two alcohol-free days a week.
There is no completely safe level of drinking, but it's thought that sticking to these limits reduces the risk of health problems.
Le donne in gravidanza
There is no known 'safe level' of alcohol use in pregnancy. It's safest for pregnant women, and women who are trying to conceive, not to drink alcohol at all. Alcohol can reach the baby at any stage of pregnancy.
Some women drink in early pregnancy before they know they are pregnant. There are a very small number of studies that suggest the risk of this to the fetus is low, but there's not enough data to be sure.
Your liver processes alcohol. It can only cope with so much at a time. Drinking more alcohol than the liver can cope with can damage liver cells and produce toxic by-product chemicals.
The more you drink and especially above the recommended limits, the greater the risk of developing serious problems. And remember, binge drinking can be harmful even though the weekly total may not seem too high. For example, if you only drink once or twice a week but when you do you drink 4-5 pints of beer each time, or a bottle of wine each time, this is a risk to your health. Also, even one or two units can be dangerous if you drive, you operate machinery, or you take some types of medication.
What is a unit of alcohol?
One unit of alcohol is 10 ml (1 cl) by volume, or 8 g by weight, of pure alcohol. For example:
One unit of alcohol is about equal to:
Half a pint of ordinary strength beer, lager, or cider (3-4% alcohol by volume); oppure
A small pub measure (25 ml) of spirits (40% alcohol by volume); oppure
A standard pub measure (50 ml) of fortified wine such as sherry or port (20% alcohol by volume).
There are one and a half units of alcohol in:
A small glass (125 ml) of ordinary strength wine (12% alcohol by volume); oppure
A standard pub measure (35 ml) of spirits (40% alcohol by volume).
But remember, many wines and beers are stronger than the more traditional ordinary strengths. A more accurate way of calculating units is as follows. The percentage alcohol by volume (% abv) of a drink equals the number of units in one litre of that drink. For example:
Strong beer at 6% abv has six units in one litre. If you drink half a litre (500 ml) - just under a pint - then you have had three units.
Wine at 14% abv has 14 units in one litre. If you drink a quarter of a litre (250 ml) - two small glasses - then you have had three and a half units.
A 750 ml bottle of 12% wine contains nine units. If you drink two bottles of 12% wine over a week, that is 18 units. This is above the upper safe limit for both men and women.
Puoi usare il nostro calcolatore di unità alcoliche per calcolare quanti unità ci sono nei tuoi drink.
Isn't alcohol good for you?
This is controversial. Several studies have found that people who have 'moderate' alcohol consumption (around 1-2 units of alcohol a day) have a lower risk of heart disease, diabetes, and obesity, compared to people who don't drink any alcohol, and to people who drink a lot. It's therefore been suggested that a small amount of alcohol might be good for you.
This might not be the right conclusion, though. It's been suggested that the 'moderate' drinkers in those studies are already healthier than the comparison groups in different ways. For example, they tend to have higher levels of education, to smoke less, to be wealthier, and are less likely to be obese or overweight.
The comparison with 'never drinkers' is also flawed if they are unhealthy in other ways; 'never drinkers' might have other problems that stop them from drinking, and also increase their risk of future health problems, such as other long-term illnesses, poverty, or previous alcohol addiction.
So, the link between moderate alcohol use and good health is questionable. Some, more recent, studies have suggested there is no, or very little, health benefit from moderate alcohol use, but that there are also harms, such as an increased risk of cancer.
This has led the World Health Organization to state that there is no safe level of alcohol consumption at all.
Do you know how much you are drinking?
When asked "How much do you drink?" many people give a much lower figure than the true amount. It is not that people usually lie about this but it is easy not to realise your true alcohol intake.
To give an honest answer to this question, try recording your drinks for a few weeks. An app can be helpful; see the TryDry app in Further Reading for one example. See our feature on 5 best dry January apps for more helpful examples. Remember, it is a pub measure of spirits that equals one unit. A home measure is often a double.
The safest amount of alcohol for health is probably none at all. However, many of us don't want to give up alcohol completely, so the next best option is to stick within the recommended limits.
See the Alcoholism and Problem Drinking leaflet for ideas on how to cut down your alcohol intake.
Scelte del paziente per Consigli sull'alcol

Vita sana
Calcolatore di unità alcoliche
Usa questo calcolatore di unità alcoliche per calcolare quante unità ci sono nei tuoi drink e vedere come il tuo consumo si confronta con le linee guida a basso rischio del Regno Unito. Molte persone sottovalutano quanto alcol ci sia nelle bevande comuni, specialmente quando le misure o le gradazioni variano. Apri il calcolatore.

Vita sana
Malattie del fegato e alcol
Alcohol abuse can lead to three main types of liver diseases: fatty liver, hepatitis and 'scarring' of the liver (cirrhosis). It can also lead to other health problems. This leaflet also includes information about non-alcoholic fatty liver disease.
di Dr Doug McKechnie, MRCGP
Domande frequenti
What are some of the short-term and long-term health risks of drinking above the recommended limits?
Drinking more alcohol than your liver can manage can harm liver cells and create toxic by-products. The greater your consumption, especially above the recommended weekly limits, the higher your risk of developing serious health problems. Even occasional binge drinking, where you consume a large amount of alcohol in one sitting (e.g., 4-5 pints of beer or a bottle of wine), can be harmful to your health, regardless of your weekly total. Even one or two units can be dangerous if you are driving, operating machinery, or taking certain medications. Some recent studies also suggest an increased risk of cancer from alcohol consumption.
If moderate alcohol consumption was once thought to be healthy, why is that view changing?
While some older studies suggested that moderate alcohol consumption (1-2 units daily) might lower the risk of heart disease, diabetes, and obesity, this conclusion is now being questioned. One reason is that 'moderate' drinkers in those studies tended to be healthier in other aspects of their lives, such as having higher education levels, smoking less, being wealthier, and less likely to be obese. The comparison groups of 'never drinkers' might also have had other health problems or life circumstances that prevented them from drinking, which could also increase their risk of illness. More recent research indicates there may be little to no health benefit from moderate alcohol use, and that even moderate amounts can carry risks, such as an increased risk of cancer. This has led to the view that there is no completely safe level of alcohol consumption.
How can I accurately track my alcohol intake to make sure I'm within the recommended limits?
It's easy to underestimate how much alcohol you consume. To get an honest assessment of your intake, try keeping a record of your drinks for a few weeks. You can use an app for this, such as the TryDry app or other similar tools. It's important to remember that a pub measure of spirits is typically one unit, but home measures are often doubles, leading to higher consumption than anticipated.
What should I do if I find it difficult to reduce my alcohol consumption to the recommended limits?
If you are consistently drinking above the recommended safe limits and are struggling to cut down on your own, it is advisable to see your doctor or practice nurse for guidance and support.
Are there specific guidelines for pregnant women regarding alcohol consumption?
Yes, for pregnant women, and those trying to conceive, it is safest not to drink any alcohol at all. There is no known 'safe level' of alcohol consumption during pregnancy, as alcohol can reach the baby at any stage. While a very small number of studies suggest a low risk to the fetus from drinking in early pregnancy before a woman knows she is pregnant, there isn't enough reliable data to be certain about this.
Ulteriori letture e riferimenti
- Disturbi da uso di alcol: diagnosi, valutazione e gestione del consumo dannoso e della dipendenza da alcol; Linee guida cliniche NICE (febbraio 2011 - ultimo aggiornamento ottobre 2014)
- Cura prenatale; Linee guida NICE (Agosto 2021)
- Hoek AG, van Oort S, Mukamal KJ, et al; Consumo di alcol e rischio di malattie cardiovascolari: contestualizzare i nuovi dati. Curr Atheroscler Rep. 2022 Gen;24(1):51-59. doi: 10.1007/s11883-022-00992-1. Pubblicato online il 7 Feb 2022.
- Linee guida sul consumo di alcol; Biblioteca della Camera dei Comuni, Parlamento del Regno Unito, giugno 2016
- Try Dry: l'app per monitorare i tuoi progressi durante il Dry Jan e oltre; Cambiamento Alcolico UK
- Nessun livello di consumo di alcol è sicuro per la nostra salute; Organizzazione Mondiale della Sanità, 2023
Informazioni sull'autoreVisualizza il profilo completo

Dr Doug McKechnie, MRCGP
Scrittore Medico
MA, MBBS, MSc, DRCOG, MRCP(UK), MRCGP(2021), FHEA
Il dottor Doug McKechnie è un medico di base del NHS che lavora a Londra. Lavora a tempo pieno in ambito clinico ed è anche Vice Responsabile del modulo di Pratica Clinica e Professionale presso la Scuola di Medicina dell'University College London.
Informazioni sul recensoreVisualizza il profilo completo

Dr Hayley Willacy, FRCGP
Medico di base, Autore medico
MBChB (1992), DRCOG, DFFP, MRCOG (Part 1) MRCGP (2007), DFSRH (2013), MSc - medical education (2020)
La Dott.ssa Hayley Willacy era un medico di base del NHS che lavorava nel nord-ovest dell'Inghilterra, e si è ritirata dalla pratica clinica nel 2022 dopo 30 anni.
Storia dell'articolo
Le informazioni su questa pagina sono scritte e revisionate da clinici qualificati.
Articolo disponibile anche in Inglese, Tedesco, Spagnolo, Francese, Italiano, Portoghese, Hindi, Ebraico, Arabo, and Svedese.
Prossima revisione prevista: 5 Gen 2028
18 Feb 2023 | Ultima versione

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