Sensitivity to Experiencing Alcohol Hangovers: Reconsideration of the 0.11% Blood Alcohol Concentration (BAC) Threshold for Having a Hangover.

The 2010 Alcohol Hangover Research Group consensus paper defined a cutoff blood alcohol concentration (BAC) of 0.11% as a toxicological threshold indicating that sufficient alcohol had been consumed to develop a hangover. The cutoff was based on previous research and applied mostly in studies comprising student samples. Previously, we showed that sensitivity to hangovers depends on (estimated) BAC during acute intoxication, with a greater percentage of drinkers reporting hangovers at higher BAC levels. However, a substantial number of participants also reported hangovers at comparatively lower BAC levels. This calls the suitability of the 0.11% threshold into question. Recent research has shown that subjective intoxication, i.e., the level of severity of reported drunkenness, and not BAC, is the most important determinant of hangover severity. Non-student samples often have a much lower alcohol intake compared to student samples, and overall BACs often remain below 0.11%. Despite these lower BACs, many non-student participants report having a hangover, especially when their subjective intoxication levels are high. This may be the case when alcohol consumption on the drinking occasion that results in a hangover significantly exceeds their "normal" drinking level, irrespective of whether they meet the 0.11% threshold in any of these conditions. Whereas consumers may have relative tolerance to the adverse effects at their "regular" drinking level, considerably higher alcohol intake-irrespective of the absolute amount-may consequentially result in a next-day hangover. Taken together, these findings suggest that the 0.11% threshold value as a criterion for having a hangover should be abandoned.

Hangover resistance in a Canadian University student population.

BACKGROUND: Resistance to alcohol hangover may be a risk factor for alcohol use disorder. Previous research to establish the prevalence of hangover resistance in a drinking population has either not used comparable intoxication levels or has considered hangover resistance over a limited time frame. The purpose of this study was to examine the prevalence of lifetime hangover negative (LHN) drinkers across comparable eBAC values ranging from 0 to 500 mg/dl. METHODS: Students at an eastern Canadian university were surveyed about their heaviest drinking episode in the past month and indicated whether they had ever experienced a hangover in their lifetime (LHN) and, if they had, the hangover severity they experienced the next day. eBACs were calculated and the percentage of LHN drinkers was computed at each 10 mg/dl eBAC increment from 0 to 500 mg/dl. RESULTS: Most LHN drinkers (58% female, 71% male) had an eBAC on their heaviest drinking occasion below 80 mg/dl. Above eBACs of 80 mg/dl, 5.8% of female and 5.1% of male drinkers were lifetime hangover negative. CONCLUSIONS: The results suggest that only a small percentage of heavy drinkers lay claim to being lifetime hangover negative.

Task characteristics and the contextual interference effect.

The purpose of this exploratory study was to examine the influence of blocked and random practice on the acquisition and retention of a criterion multisegment motor task practiced alongside either two similar-distractors tasks or two different-distractors tasks. The random-practice similar-distractors group made more decision-making errors and performed the criterion task more slowly than the blocked-practice similar-distractors group during the acquisition phase. Following a brief filled retention interval, the blocked-practice similar-distractors group demonstrated a loss of acquired performance capabilities, whereas the random-practice similar-distractors group did not. The blocked- and random-practice different-distractors groups performed similarly throughout the experiment. Results are interpreted within Glenberg's component-levels theory, in which it was argued that random practice must stimulate the differential storage of multilevel contextual components associated with the multiple motor tasks being learned to produce a contextual interference effect. The theoretical and practical implications of differential storage versus nonrepetition as a function of random practice are discussed.

The alcohol hangover research group consensus statement on best practice in alcohol hangover research.

Alcohol-induced hangover, defined by a series of symptoms, is the most commonly reported consequence of excessive alcohol consumption. Alcohol hangovers contribute to workplace absenteeism, impaired job performance, reduced productivity, poor academic achievement, and may compromise potentially dangerous daily activities such as driving a car or operating heavy machinery. These socioeconomic consequences and health risks of alcohol hangover are much higher when compared to various common diseases and other health risk factors. Nevertheless, unlike alcohol intoxication the hangover has received very little scientific attention and studies have often yielded inconclusive results. Systematic research is important to increase our knowledge on alcohol hangover and its consequences. This consensus paper of the Alcohol Hangover Research Group discusses methodological issues that should be taken into account when performing future alcohol hangover research. Future research should aim to (1) further determine the pathology of alcohol hangover, (2) examine the role of genetics, (3) determine the economic costs of alcohol hangover, (4) examine sex and age differences, (5) develop common research tools and methodologies to study hangover effects, (6) focus on factor that aggravate hangover severity (e.g., congeners), and (7) develop effective hangover remedies.

Relationships to skating performance in competitive hockey players.

The purpose of this study was to identify off-ice variables that would correlate to on-ice skating sprint performance and cornering ability. Previous literature has not reported any off-ice testing variables that strongly correlate to on-ice cornering ability in ice hockey players. Thirty-six male hockey players aged 15-22 years (mean +/- SD: 16.3 +/- 1.7 years; weight = 70.8 +/- 10.4 kg; height = 175.6 +/- 4.1 cm) with an average of 10.3 +/- 3.0 years hockey playing experience (most at AA and AAA levels) participated in the study. The on-ice tests included a 35-m sprint and the cornering S test. The off-ice tests included the following: 30-m sprint, vertical jump, broad jump, 3 hop jump, Edgren side shuffle, Hexagon agility, side support, push-ups, and 15-second modified Wingate. The on-ice sprint test and cornering S test were strongly correlated (r = 0.70; p < 0.001). While many off-ice tests correlated with on-ice skating, measures of horizontal leg power (off-ice sprint and 3 hop jump) were the best predictors of on-ice skating performance, once weight and playing level were accounted for. These 4 variables accounted for a total of 78% (p < 0.0001) of the variance in on-ice sprint performance. No off-ice test accounted for unique variance in S-cornering performance beyond weight, playing level, and skating sprint performance. These data indicate that coaches should include horizontal power tests of off-ice sprint and 3 hop jump to adequately assess skating ability. To improve on-ice skating performance and cornering ability, coaches should also focus on the development of horizontal power through specific off-ice training, although future research will determine whether off-ice improvements in horizontal power directly transfer to improvements in on-ice skating.

Physical and psychomotor functioning of females the morning after consuming low to moderate quantities of beer.

OBJECTIVE: Individuals in society typically consume alcohol in "standard" units (e.g., bottles/cans of beer, glasses of wine, shots of distilled spirits) over a reasonable period of time whereas in many hangover studies, participants consume a single large dose of alcohol relative to their body weight in a short period of time. The purpose of this study was to examine how consuming low to moderate "standard" quantities of alcohol over an evening affected subjective hangover ratings, physical, physiological, and psychomotor functioning of adult females the next morning. METHOD: Twelve females consumed zero, two, four, or six bottles of beer (341 ml; 5% weight by volume) in a within-subjects design. Blood alcohol concentration, resting heart rate, resting blood pressure, and grip strength were measured prior to consumption, 1 hour after consumption, and the following morning (9 hours after consumption). In the morning, participants rated the presence of eight hangover symptoms, completed a four-choice reaction time test, and performed tests of submaximal and maximal endurance on a treadmill; blood lactate, blood glucose, and perceived exertion were recorded during submaximal and maximal exercise. RESULTS: Heart rate, blood pressure, grip strength, blood lactate, blood glucose, and reaction time did not significantly change the next morning as a function of alcohol dose. Participants made more choice reaction errors after consuming six than zero bottles of beer. CONCLUSION: These results suggest that consuming moderate quantities of beer affects decision making but not physical and physiological performance in adult females the next morning.