alcohol, red wine and heart health

Is Red Wine Good for You?

By Stephen T. Sinatra, M.D., F.A.C.C., F.A.C.N., C.N.S., C.B.T.

Myth: Drink lots of red wine – it’s good for heart health.

Fact: Many studies have reported the benefits of limited wine intake for heart health.

My Recommendation: Know what the good limits are to avoid the risks associated with alcohol intake.

In 2011, the American Heart Association polled a thousand adults about red wine health benefits and found that 76 percent thought that wine could be good for the heart but only 30 percent knew what the recommended limits were.

Well, if you’re drinking wine for health’s sake, you better know the limits.

The French Paradox

Scientific research shows that wine contains all sorts of healthy compounds and because of that I have seen many patients go overboard.

You may recall that wine is at the heart of the so-called French paradox. French society, despite all the rich, fatty foods consumed, have a relatively low level of heart disease despite an average cholesterol of 250, which a lot of doctors would find troubling. The celebrated reason for this paradox is the high wine consumption.

I’ve had patients tell me they were following the French example and drinking red wine for health: two or three glasses, or even a bottle of wine a day. Maybe that was their rationale for drinking, but I always pointed out that the French also had the highest incidence of cirrhosis in the world.

Resveratrol & Heart Health Benefits of Red Wine

Red wine, and grape juice, for that matter, come from the red grape, which definitely has some good things going for it. It contains natural, heart-healthy antioxidant compounds – including flavonoids and resveratrol. Resveratrol has been the subject of more than fifteen hundred experiments since the 1980s, and the research appears quite promising. Among the most important findings:

  • Protects against common free radical damage to the sensitive endothelial lining of arteries in atherosclerosis.
  • Improves mitochondrial function (cellular energy production) and aerobic capacity in mice.  Researchers have stated, “resveratrol shifts the physiology of middle-aged mice on a high-calorie diet towards that of mice on a standard diet and significantly increases their survival.”
  • Protects against fragile, leaky blood vessels involved in age-related macular degeneration and diabetic retinopathy, major causes of vision loss.

Alcohol or some compounds in alcoholic beverages, such as resveratrol, may help counteract blood clotting and reduce heart attack or stroke risk. However, more research is needed to learn the specifics.

As far as which alcoholic beverage might be the best for health, wine may be the winner. According to one Finish study of 2,500 men with similar socioeconomic status over a 29 year period concluded, wine drinkers had a 34 percent lower mortality rate and better quality of life than beer or spirit drinkers.

Red Wine Benefits vs. Moderation

If resveratrol is on your mind, you can surely find it in wine (red wine generally contains more resveratrol than white), but in modest amounts. You can also find this polyphenolic compound in peanuts, grapes, and berries like blueberries and cranberries, or take it in supplement form.

If you’re drinking red wine (especially for heart health), moderation is the name of the game.

I’ve been asked countless times, “Is one drink or a glass of red wine a day okay?” My usual recommendation to patients was to cool it with alcohol and for those who like to drink, I’m okay with a glass of wine four to six times a week. Don’t increase, and that goes for any kind of alcohol. Alcohol’s effects on the heart can go either way, and again, if you drink alcohol, I’d go with wine. The incidence of cardiovascular disease in those who drink these moderate amounts is actually lower than in nondrinkers. But increased intake eliminates any possible benefits and raises the risk for problems. Drinking more than one or two drinks a day increases the risk of high blood pressure, heart failure, obesity, diabetes, stroke, and damage to the liver. The risk of breast cancer, suicide, and accidents also goes up.

My recommendations are in line with the American Heart Association, which emphasizes moderation for any kind of alcohol, whether wine, beer, or spirits. According to the AHA, limit consumption to no more than 2 drinks per day for men and 1 drink per day for women. That comes out to about 8 ounces of wine for men and 4 ounces of wine for women.


© 2013, 2016 HeartMD Institute. All rights reserved.

Leave a Reply


  1. main

    on March 12, 2014 at 5:08 am

    your article on red wine is good for me. thanks.

  2. Prince

    on May 15, 2014 at 1:10 pm

    Hi I am having MPV Mitral Valve Prolapse since birth. My age is 38. I always had chest pain. After reading about red wine health benefits i started taking 1 glass of red wine daily without fail from past 1 year. now i don’t have chest pain at all. thank you RED WINE

  3. Ernest Di Nardo

    on May 14, 2015 at 6:15 pm

    I have Hepatitis “C” and have been told not to drink alcohol . How will that effect me ?

  4. HMDI Editor

    on May 14, 2015 at 6:41 pm

    This article, and Dr. Sinatra’s recommendations within it, are written for the general population; as he has not seen you as a patient or reviewed your medical history (please do not email such details to us or post them within a comment) he cannot give you individual medical advice, i.e. answer how drinking wine/alcohol would affect you. Any information provided on this web site is to help you partner with your doctor in your health, not replace your doctor’s guidance and recommendations. We suggest you ask your doctor about how red wine could affect you.

  5. Richard Hall

    on January 31, 2018 at 12:50 pm

    Do the benefits of red wine outweigh the potential problems with it, like killing brain cells due to lack of proper oxygen to the cells?

  6. Jone A.

    on October 27, 2018 at 2:49 pm

    I have at 79 been diagnosed with metro valve regurgitation. (Originally, several years ago it was a slight heart murmur, but now easily diagnosed as stated. i have been for over a year having a night 1/2 glass of red wine (cheap kind); is this good and helpful or should I not bother and stop? It does make me sleepy.

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