The main health risks of drinking alcohol on a plane: why you should avoid it

The main health risks of drinking alcohol on a plane: why you should avoid it


Cocktails consumed at cruising altitude carry potential serious health risks.

When we've had a long day before a flight, we often want to relax during the flight. Some relax by drinking alcohol. While it may seem like a fun way to celebrate the start of a trip, there's one important thing to keep in mind: drinking alcohol on a plane can be really risky. If you're planning on getting some shut-eye on a long-haul flight, you might want to think twice before ordering champagne.

What happens to your body when you are in the air?

When you fly at high altitude, the lower atmospheric pressure means your body gets less oxygen. Normally, blood oxygen levels are around 96% to 100%, but in the sky they can drop to around 90% or even lower.

To adapt, your body goes into overdrive: You start breathing faster to get more oxygen, and your heart pumps faster to get blood circulating throughout your body. This works for most people, but heart disease can make it harder.

Things get even more complicated when you add alcohol to the mix. According to Dr. Matthew Mosquera, a medical expert at McLean Hospital, alcohol can alter the way red blood cells take up oxygen. It disrupts hemoglobin, the molecule responsible for transporting oxygen, making it harder for the body to stay oxygenated.

So, if you already have your boarding pass and drinks order in mind, here are a few things you should keep in mind. There are a few factors that can cause your blood oxygen levels to drop even further on a plane:

AgingAs we age, our bodies become less efficient at adapting to changes in oxygen levels.

Sleeping:Our breathing naturally slows down while we sleep, and this can be even more pronounced on an airplane.

Underlying conditions:If you have lung disease, sleep apnea (when you briefly stop breathing while you sleep), or heart problems, less oxygen will get to your lungs.

So what’s the problem? When you’re flying, the reduced oxygen in the cabin combined with other factors makes it harder for your body to maintain balance. A study published June 3, 2024 in Thorax highlights this problem. Researchers looked at how alcohol and airplane cabin pressure affect blood oxygen levels while you sleep. They found that sleeping under typical airplane cabin pressure already reduced blood oxygen and increased heart rate. Adding alcohol to the mix made things worse, with even lower oxygen levels and higher heart rates.

Dr. Matthew Mosquera warns that “drinking and sleeping on a plane puts a huge strain on the body, especially the cardiovascular system,” and is even riskier if you have heart or lung disease. This combination could increase your chances of having a heart attack or stroke. But that's not all. Drinking alcohol on a flight can also:

– Increases the risk of falls.

– Causes dehydration, which puts stress on the cardiovascular system.

– It impairs your judgment and concentration, which is not ideal when it comes time to disembark.

– It helps you fall asleep but reduces the quality of sleep.

So what should you do?

If you are in good health and enjoy drinking alcohol occasionally, you may not mind moderate alcohol consumption. However, Dr. Mosquera suggests the following:

– Be careful with medications: alcohol can increase drowsiness caused by sleeping pills or other drugs.

– Stay hydrated: Drink more water to counteract the dehydrating effects of alcohol.

– Be careful where you step: take your time when getting up from your seat to avoid falls.

– Avoid alcohol if you have health problems: If you have heart or lung problems, sleep apnea, or a history of stroke, it is best to avoid alcohol, especially if you plan to sleep during the flight.

Travel safely and consider your health before taking that next sip in the sky!

Photograph by serrnovik



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