My college experience included this life-skill lesson: Drink alcohol on a full stomach. Or you will get inebriated too quickly. Of course, most college students shouldn't be drinking at all, but we know from the National Institute on Alcohol Abuse and Alcoholism that close to 60 percent of college students aged 18 to 22 do consume alcohol, which makes harm-reducing approaches important.
Unfortunately, campus authorities and researchers are reporting a practice that turns the full-stomach drinking strategy on its head: rather than filling up before a night of partying, significant numbers of students refuse to eat all day before consuming alcohol.
This is a high-risk behavior called "drunkorexia," which is one part eating disorder, one part alcoholism—a very dangerous combination for college-age students. The term drunkorexia, which can also include excessive exercise or purging before consuming alcohol, was coined about 10 years ago, and it started showing up in medical research around 2012. Drunkorexia addresses the need to be the life of the party while staying extremely thin, pointing to a flawed mind-set about body image and alcoholism among college students, mostly women.
Imagine this scenario: A female college freshman doesn't eat anything all day, exercises on an empty stomach, then downs five shots of tequila in less than two hours. Because there's no food in her system to help slow the absorption of alcohol, those shots affect her rapidly, leading to inebriation and possibly passing out, vomiting or suffering alcohol poisoning. That's drunkorexia.
Tavis Glassman, professor of health education and public health at the University of Toledo in Ohio, researches drunkorexia and worries about scenarios such as the one described above: "With nothing in her system, alcohol hits quickly, and that brings up the same issues as with any high-risk drinking: getting home safely, sexual assault, unintentional injury, fights, hangovers that affect class attendance and grades, and possibly ending up in emergency because the alcohol hits so hard," he says.
"Alcohol can negatively affect the liver or gastrointestinal system, it can interfere with sleep, lower the immune system and is linked to several types of cancers," Hultin says.
