Road to 'Drunkorexia'

The downsides of the weight-conscious alcohol boom
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In a culture that's still obsessed with dieting, the U.S. weight loss industry is worth around $60 billion and growing. In recent years, there's been an important addition to that market: alcoholic beverage companies. Marketing increasingly plays to consumers' insecurities by perpetuating the myth that we can -- and should -- drink without gaining weight.

At the same time, researchers have noted a disturbing trend, especially among college students, that combines the worst of drinking and dieting. They call it "drunkorexia," which is colloquial for skipping meals or exercising heavily to "save" or burn calories, making room for drinking at night.

After decades of marketing alcohol by objectifying and mistreating women, the adult beverage world discovered female consumers.

While not yet a formally recognized eating disorder, habitually drinking on an empty stomach can of course have serious consequences. Alcohol marketers might not mind you equating food calories with booze calories, but health professionals agree that they're just not interchangeable.

Adam Barry, a professor of health education and behavior at the University of Florida, has compiled the most comprehensive research to-date on drunkorexia, published last spring in the Journal of American College Health.

Barry examined 22,000 college students across 40 universities and found that, even after controlling for race, school year, Greek affiliation and whether a student lived on campus (the authors did not control for whether a respondent played on a sports team), vigorous exercise, and disordered eating uniquely predicted binge drinking. In fact, those who exercised or dieted to lose weight were over 20 percent more likely to have five or more drinks in a single sitting. Students who had vomited or used laxatives in the previous month to shed pounds were 76 percent more likely to binge drink.

Daniella Sieukaran, a clinical psychology graduate student at Simon Fraser University in British Columbia, was already convinced that students were offsetting alcohol calories by extreme dieting. Over the past four years, there have been several studies documenting how common drunkorexia is on college campuses, she said, citing research that as high as 26 percent of young adults use the unhealthy practice to manage their weight. Sieukaran was interested in the longer-term effects of the behavior, and found that, among 227 undergrads at York University in Toronto, students who dieted and drank heavily were more likely to engage in unprotected sex and to require medical treatment for an alcohol overdose.

Dr. Mark Peluso, director of the Middlebury College health center, points out that drinking on an empty stomach leads to more rapid absorption of alcohol, and higher levels of impairment and intoxication. So every time people purposely do it, they incur increased risks of things like sexual assault and DUIs, and, in the long run, gastritis, ulcer, and malnutrition.

"Alcohol is a desert of nutrients compared to food," explained Peluso.

For the last five years, though, the alcohol industry has increasingly targeted young people with weight-conscious marketing, tapping straight into teen and twenty-something's body anxiety -- while courting new consumers. And it's worked, according to David Jernigan, director of the Center on Alcohol Marketing and Youth at Johns Hopkins Bloomberg School of Public Health. Especially, unfortunately, for young women.

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As Jernigan sees it, there are two distinct (though sometimes, inter-related) categories within weight-conscious alcohol advertising. First, the "fitness friendly" campaigns -- like an Amstel Light ad with an athletically sexy, sweaty, young blond female and the slogan, "Tell Them You've Hired A Personal Trainer From Holland." Or Michelob Ultra presenting itself as a general "fitness beer," with a toned man and woman jogging and the tagline, "95 Cals, 2.6g Carbs, Smart Choice" in one ad and another, with a bunch of runners and cyclists in silhouette, around a tall, thinner beer can. The message there: "Sleek, slim, sophisticated. The Whole Package." (Even the can is skinny.)

The other category: diet alcohol ads, aimed primarily at young females. These promise all the upsides of drinking without any of the pesky weight gain.

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Jacoba Urist is a contributing journalist for NBC News, where she covers health, education, and gender issues. More

She received her JD and LL.M in taxation from New York University School of Law and a Masters in Public Policy from The Johns Hopkins Institute For Health and Social Policy. She has also written for Time, Newsweek/TheDailyBeast, The Washington Post, Forbes, The Wall Street Journal, and The New York Times.

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