A daily drink looked healthy. Until they fixed the comparison.

People say: “A glass of wine a day is good for you” We read the study.

What they did

Meta-analysis of cohort studies. 4,838,825 people. 107 studies.

Many studies, added up. People were watched, not told what to do. A clue, not proof.

Who: 107 cohort studies of alcohol intake and all-cause mortality published 1980 to July 2021; 4,838,825 participants, 425,564 deaths; compared against lifetime nondrinkers

What they found
  • Light drinkers, raw data-15%
  • After fixing the flawsno clear benefit
  • Flawed 'non-drinker' groups86 of 107
The catch

More to know, from our read of the paper:

  • Observational cohorts only: associations, not causation
  • Alcohol intake was mostly self-reported and usually measured at only 1 point in time; the authors say self-reported intake is underreported
  • Even 'lifetime abstainers' can be misclassified: several studies found most self-reported lifetime abstainers were in fact former drinkers
  • Too few studies controlled for binge drinking to analyse it
  • High heterogeneity across studies (I2 all >85.87%)
The verdict

A daily drink: zero proof it helps.

One thing to try
  1. Don't drink for healthNo protective link was found.
  2. If you drink, keep it lowRisk rose from 25 g/day (women), 45 g (men).
  3. Ask who the 'non-drinkers' areThat's where the old studies slipped.
In short

107 studies, 4.8 million people. At first, light drinkers looked 15% less likely to die than non-drinkers. But 86 of the 107 studies put former or occasional drinkers in the 'non-drinker' group, and some had quit because they were already sick. After fixing that, the benefit was no longer clear. Note: the study looked at alcohol overall, not wine separately.

The paper

Zhao et al. (2023). Association Between Daily Alcohol Intake and Risk of All-Cause Mortality: A Systematic Review and Meta-analyses. JAMA Network Open.

Design: Meta-analysis of cohort studies · systematic review and meta-analysis of cohort studies (linked, not proven)

DOI: 10.1001/jamanetworkopen.2023.6185

Goals:

How we checked

We read the abstract and the full text of this paper and checked every number on this page against it (15 facts, checked on 2026-09-26). The study design is named above. Cohort and other observational studies are described as linked, not proven. Found an error? Email theis@onestudyaday.com.

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