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What is the Healthiest Type of Alcohol to Drink?

4 min read

According to the CDC, even moderate drinking can increase your risk of chronic disease. This guide addresses the nuanced question of what is the healthiest type of alcohol to drink by exploring options with fewer additives, lower calories, and potential antioxidant benefits, while strongly emphasizing the importance of moderation.

Quick Summary

This guide evaluates different alcoholic beverages based on their nutritional content, including calories, sugar, and antioxidants. It compares popular options like red wine, spirits, beer, and hard seltzers, highlighting the importance of mixer choices and overall moderate consumption for minimizing health risks.

Key Points

  • Red Wine: Rich in antioxidants like resveratrol and polyphenols, potentially benefiting heart and gut health, but only in moderation.

  • Clear Spirits: Options like vodka and tequila are low-calorie and contain no sugar when consumed neat or with zero-calorie mixers like soda water and lime.

  • Moderate Drinking: The most important factor for minimizing health risks is limiting alcohol consumption; health experts now discourage the idea that moderate drinking offers health benefits.

  • Low-Calorie Options: Hard seltzers and light beers offer lower calorie and sugar alternatives to regular beers and sugary cocktails, but they still contain empty calories.

  • Avoid Sugary Mixers: The health impact of cocktails is often determined by the mixer; opt for sugar-free choices and fresh ingredients to reduce calories and sugar.

  • Risk of All Alcohol: Every type of alcohol carries health risks, including increased cancer risk, and no amount is truly considered safe.

In This Article

Understanding the Healthiest Alcohol Options

When considering alcoholic beverages, the term “healthiest” is relative, as alcohol consumption is never entirely without risk. Instead, a more productive approach is to identify options that may be less detrimental to your health, with a strong focus on moderation. Recent research has shifted away from the idea that moderate drinking is outright beneficial and now stresses that all alcohol consumption carries some level of risk. The key is to make informed choices to minimize negative impacts on your overall health and wellness.

The Antioxidant Power of Red Wine

Red wine is often cited as a top contender for the "healthiest" choice due to its antioxidant properties. It is made from fermented grapes, and the skins are left on during the process, which is where the beneficial compounds come from. Red wine is rich in plant-based nutrients called polyphenols, including resveratrol, anthocyanins, and catechins, which have anti-inflammatory effects. Studies have linked moderate red wine consumption with positive effects on heart health and gut microbiome diversity. However, it is important to remember that these benefits are observed in the context of moderate intake, and a healthy, balanced diet is a far more reliable source of antioxidants.

Clear Spirits and Low-Calorie Mixers

For those seeking lower-calorie and lower-sugar options, clear distilled spirits like vodka, gin, and tequila are a good choice, especially when consumed with zero-calorie mixers. A standard 1.5-ounce shot of these liquors contains around 100 calories, with zero carbs or sugar. The health profile largely depends on what is added. Mixing with soda water, a splash of lime juice, or diet tonic is far healthier than sugary sodas, fruit juices, or pre-made margarita mixes. Tequila, made from the agave plant, contains natural sugars called agavins, which some animal studies have linked to potential digestive and metabolic benefits, though this research doesn't directly translate to humans drinking the spirit.

The Rise of Hard Seltzers and Light Beer

Hard seltzers have become popular, largely marketed as a low-calorie alternative to beer. Most brands offer about 100 calories per 12-ounce can with low sugar and carbs, and are often gluten-free. Similarly, light beers offer a lower-calorie option compared to their regular counterparts. While these options contain fewer calories than many sugary cocktails, it is a myth to consider them truly “healthy”. They still contain empty calories and can lead to weight gain if consumed in excess. The alcohol itself is a diuretic, which can lead to dehydration regardless of the beverage.

Comparing Popular Alcoholic Drinks

Beverage Type Key Benefits (in moderation) Calorie Range (per standard drink) Sugar/Carb Content Potential Drawbacks
Red Wine Antioxidants (polyphenols), anti-inflammatory properties, improved gut health ~125 calories (5oz) Moderate sugar, some carbs Higher calorie count than spirits, benefits are often overstated
Clear Spirits (Vodka, Tequila) Low-calorie and sugar-free when consumed neat or with zero-calorie mixers ~100 calories (1.5oz) Zero sugar/carbs (neat) Mixing with sugary sodas or juices adds significant calories and sugar
Light Beer Lower calories than regular beer, potential metabolic benefits in some studies ~100 calories (12oz) Low sugar/carbs Can still lead to weight gain and hangovers if consumed in excess
Hard Seltzer Low sugar, low carb, gluten-free ~100 calories (12oz) Low sugar/carbs Easy to over-consume due to light taste, carries same alcohol risks
Champagne (Brut) Fewer calories per serving than many wines ~80-100 calories (4oz) Low sugar Contains less beneficial antioxidants than red wine

Making Conscious Choices and Limiting Intake

Regardless of the type of alcohol chosen, the most significant factor impacting health is moderation. Health organizations emphasize that there is no safe level of alcohol consumption, and risk increases with quantity. If you choose to drink, adopting a mindful approach is crucial. Here are some strategies for making healthier decisions:

  • Prioritize Zero-Calorie Mixers: Combining spirits with soda water and fresh fruit or herbs is a much better choice than sugary sodas or syrups.
  • Hydrate Throughout the Night: Drinking water between alcoholic beverages helps manage intake and prevents dehydration.
  • Be Mindful of Pour Sizes: Standard drink sizes—5 ounces of wine, 12 ounces of beer, or 1.5 ounces of spirits—can add up quickly. Be aware of your consumption.
  • Avoid Overindulgence: Binge drinking and regular heavy consumption carry serious health risks, including liver damage, heart disease, and increased cancer risk.

Conclusion: The Bottom Line on Healthy Alcohol

While red wine offers some unique antioxidant properties, and clear spirits provide a low-sugar base for cocktails, labeling any alcohol as truly “healthy” is a misnomer. The most health-conscious decision is to reduce or eliminate alcohol intake altogether. For those who choose to drink, focusing on moderation and opting for beverages with minimal added sugars and empty calories is the best path forward. Ultimately, the impact of alcohol on your health is determined less by the specific type you choose and more by the amount you consume and the overall context of your lifestyle.

For more information on the effects of alcohol on the body, consult the CDC's resources.

Frequently Asked Questions

While red wine contains antioxidants that have been linked to potential heart benefits, most health experts now believe these benefits are overstated. A healthy diet rich in fruits and vegetables is a much more reliable source of antioxidants, and the risks of alcohol consumption often outweigh any perceived heart-related gains.

Clear spirits like vodka, tequila, and gin are the lowest-calorie alcoholic beverages when consumed neat or with a zero-calorie mixer like club soda or sparkling water. A 1.5-ounce serving of most clear spirits is approximately 100 calories.

Hard seltzers are typically lower in calories and sugar than many beers and sugary cocktails, making them a relatively better choice for those watching their intake. However, they are not a "healthy" drink, as they still contain alcohol and can be easily over-consumed, leading to the same negative health effects.

To make cocktails healthier, start with a low-calorie spirit like vodka or gin and mix it with zero-calorie options like club soda, diet tonic, or fresh lemon or lime juice. Avoid sugary mixers, syrups, and pre-made juices.

Some evidence suggests that darker-colored alcohols, or congeners, may produce worse hangovers. However, the biggest factor determining hangover severity is the total amount of alcohol consumed and hydration levels. Drinking plenty of water is the best strategy for prevention.

The World Health Organization and other health bodies have stated there is no level of alcohol consumption that is truly safe. The risk of harm increases with the amount of alcohol consumed, and even low levels are associated with increased risks of certain diseases, including cancer.

According to U.S. guidelines, moderate drinking is defined as up to one drink per day for women and up to two drinks per day for men. However, these guidelines also emphasize that those who don't drink should not start.

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.