Alcohol use: less is better. An umbrella systematic review of clinical interventions, policies, and dose–response health risks in adults

Overall evidence favoured lower alcohol intake and avoidance of heavy episodic drinking, although confidence varied by endpoint and was limited for several questions by the quality of the available syntheses. Apparent low-dose benefits were not robust to bias-aware analyses. These findings support a pragmatic counselling and policy message of "less is better" rather than a universal safe threshold.

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Publication Details

Journal
European Journal of Internal Medicine
Published
2026-03-01
DOI
https://doi.org/10.1016/j.ejim.2026.106837
Primary Topic
Alcohol Consumption and Health Effects
Type
article
Field-Weighted Citation Impact
0.00
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article

Alcohol use: less is better. An umbrella systematic review of clinical interventions, policies, and dose–response health risks in adults

Giovanna Di Sario, Tommaso Dionisi, Vittorio De Vita, Antonio Gasbarrini et al.
European Journal of Internal Medicine
Alcohol Consumption and Health Effects
article

Alcohol use: less is better. An umbrella systematic review of clinical interventions, policies, and dose–response health risks in adults

Giovanna Di Sario, Tommaso Dionisi, Vittorio De Vita, Antonio Gasbarrini, Giovanni Addolorato
article en

Abstract

Overall evidence favoured lower alcohol intake and avoidance of heavy episodic drinking, although confidence varied by endpoint and was limited for several questions by the quality of the available syntheses. Apparent low-dose benefits were not robust to bias-aware analyses. These findings support a pragmatic counselling and policy message of "less is better" rather than a universal safe threshold.

European Journal of Internal Medicine
Università Cattolica del Sacro Cuore (IT), Agostino Gemelli University Polyclinic (IT)
Good health and well-being
Openalex Percentile: Top 9%
Alcohol Consumption and Health Effects
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