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Drinking patterns and the risk of serious liver disease

. Individual susceptibility to alcoholic liver disease (ALD) remains incompletely understood but undoubtedly represents a balance between genetic and environmental factors. Some factors may offer protection and explain why some drinkers never develop symptomatic liver disease. Others may be detrimental and lead to liver damage at ‘lower risk’ levels of consumption.Large population-based studies have investigated how much an individual needs to drink to develop ALD. Data from 13,000 people in Copenhagen, Denmark, showed that the relative risk of clinically apparent liver disease was detectable above 21 units (cl) per week, with an odds ratio of 3.7 in men and 7.3 in women with intake above 42 units (cl), rising 14-fold in men drinking more than 100 units (cl) per week