{"id":"3888dcb98fd7","type":"article","url":"https://hartvaat.nl/2026/01/01/matig-alcoholgebruik-gezond-of-riskant-een-kritisch-perspectief/","title":"Matig alcoholgebruik: gezond of riskant? Een kritisch perspectief","title_en":"[Moderate alcohol consumption - healthy or risky? A critical perspective on existing research and WHO guidelines].","category":"preventie","category_label":"Preventie","professions":["huisarts","internist"],"tags":["alcoholgebruik","primaire-preventie"],"journal":"Praxis","doi":"10.23785/PRAXIS.2026.01.002","source_url":"https://doi.org/10.23785/PRAXIS.2026.01.002","authors":["Joseph Osterwalder"],"significance":3,"published":"2026-01-01","source_date":"2026-01-01","image":"","kennis":["https://hartvaat.nl/kennis/preventie/levenslang-cardiovasculair-risico/","https://hartvaat.nl/kennis/preventie/esc-richtlijn-cardiovasculaire-preventie-2021/"],"congress":"","summary_en":"This critical perspective reviews the controversial evidence on moderate alcohol consumption and health, noting that newer data challenge older studies suggesting cardiovascular benefits. The WHO 2023 position that no safe level exists is itself debated.","created":"2026-07-03T10:25:04Z","updated":"2026-07-03T13:24:32Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"De gezondheidseffecten van matig alcoholgebruik worden wetenschappelijk hevig bediscussieerd. Oudere studies suggereerden cardiovasculaire voordelen, maar nieuwere data wijzen op methodologische vertekening. De WHO stelt in haar richtlijnen 2023 dat er geen veilig niveau van alcoholgebruik bestaat, maar ook dit standpunt wordt betwist.","abstract_original":"The health effects of moderate alcohol consumption are controversially discussed in the scientific community. Older studies suggested cardiovascular benefits, but newer data indicate these are likely overestimated due to methodological biases. At the same time, there is growing evidence that even small amounts of alcohol increase the risk of cancer. Therefore, the WHO emphasizes in its new guidelines 2023, that there is no safe level of alcohol consumption. However, this view is challenged by recent research from groups like the AHA and the USA NASEM as well as concerns over possible conflicts of interest and lack of transparency in WHO's decision-making. Therefore, any potential changes to Swiss recommendations should await the results of the ongoing prospective, randomized UNATI trial."}