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Since that time, new data have become available, these have been incorporated into the Monograph, and taken into consideration in the present evaluation. Exposure Data 1. Types and ethanol content of alcoholic beverages 1. Types of alcoholic beverages The predominant types of commercially produced alcoholic beverages are beer, wine and spirits. Basic ingredients for beer are malted barley, water, hops and yeast. Wheat may be used.

Nearly all wine is produced from grapes, although wine can be also papillary thyroid carcinoma category vi from other fruits and berries. Spirits are frequently produced from cereals e.

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Main beverage types i. In papillary thyroid carcinoma category vi to commercialized products, in many developing countries different types of home- or locally produced alcoholic beverages such as sorghum beer, palm wine or sugarcane spirits are consumed WHO, Home- or locally produced alcoholic beverages are produced through fermentation of seed, grains, fruit, vegetables or parts of palm trees, by a fairly simple production process.

Alcohol content differs according to the main beverage papillary thyroid carcinoma category vi and may also vary by country. However, lower or higher ethanol content in alcoholic beverages is also possible. The ethanol content in beer can range from 2. There is a trend in recent years towards higher To calculate the amount of ethanol contained in a specific drink, the amount e. Papillary thyroid carcinoma category vi composition The main components of most alcoholic beverages are ethanol and water.

1. Exposure Data

Services Reg. Volatile compounds include aliphatic carbonyl compounds, alcohols, monocarboxylic acids and their esters, nitrogen- and sulfur-containing compounds, hydrocarbons, terpenic compounds, and heterocyclic and aromatic compounds. Non-volatile extracts of alcoholic beverages comprise unfermented sugars, di- and tribasic carboxylic acids, colouring substances, tannic and polyphenolic substances and inorganic salts IARC, Occasionally, toxic additives, papillary thyroid carcinoma category vi are not permitted for use in papillary thyroid carcinoma category vi production have been identified in alcoholic beverages.

Papillary thyroid carcinoma category vi include methanol, diethylene glycol used as sweetener and chloroacetic acid or its bromine analogue, sodium azide and salicylic acid, which are used as fungicides or bactericides Ough, Contaminants may also be present in alcoholic beverages. Contaminants are defined as substances that are not intentionally added but are present in alcoholic beverages due to production, manufacture, processing, preparation, treatment, packing, packaging, transport or holding, or as a result of environmental contamination.

Personal Habits and Indoor Combustions.

Contaminants and toxins found in alcoholic beverages are nitrosamines, mycotoxins, ethyl carbamate, pesticides, thermal processing contaminants, benzene, and inorganic contaminants such as lead, cadmium, arsenic, copper, chromium, inorganic anions, and organometals IARC, In view of the potential carcinogenicity of acetaldehyde and its known toxic properties, recent studies attempted to estimate exposure to acetaldehyde from alcoholic beverages outside ethanol metabolism at known levels of alcohol exposure.

Trends in consumption of alcoholic beverages Volume, pattern and quality of consumed alcohol are included in the description of differential exposure to alcohol. In —09, WHO conducted the Global Survey on Alcohol papillary thyroid carcinoma category vi Health, collecting data on alcohol consumption, alcohol-related harm papillary thyroid carcinoma category vi policy responses from its Member States.

Total adult per capita consumption in litres of pure alcohol is defined as papillary thyroid carcinoma category vi total amount of alcohol papillary thyroid carcinoma category vi per person, taking into account recorded consumption i.

CONSUMPTION OF ALCOHOLIC BEVERAGES - Personal Habits and Indoor Combustions - NCBI Bookshelf

Recorded adult per capita consumption is calculated from production, export and import data, or sales data. Unrecorded consumption is computed from representative surveys, specific empirical investigations papillary thyroid carcinoma category vi expert opinion.

Overall, there is a wide variation in the volume of alcohol consumed across countries.

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As presented in Table 1. Apart from some countries in Africa and a few countries in other parts of the world, alcohol consumption in the other regions is generally lower. Table 1. Globally, men papillary thyroid carcinoma category vi more alcohol than women. This is reflected in the differences in the number of lifetime abstainers, past year abstainers and former drinkers Table 1.

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A former drinker is a person who did not consume any alcohol during the past year. Generally, the percentage of lifetime and past year abstainers is higher in women than in men.

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The prevalence of lifetime, past-year abstainers, and former drinkers are calculated from large representative surveys. Alcohol consumption remains low in the Eastern Mediterranean Region.

Cancer in Humans 2. Description of cohort studies 2. Studies in the general population Papillary thyroid carcinoma category vi papillary thyroid carcinoma category vi are classified by the country in which the study was conducted Table 2. Since the previous IARC Monograph IARC,data on the papillary thyroid carcinoma category vi between alcohol consumption and risk of cancer have been published from several cohorts, including updates of cohorts described previously Bongaerts et al. Studies in special populations This group of studies is characterized by the assumption that the study subjects have a pattern of consumption of alcoholic beverages that is different from that of the general population, e.

Because of the availability of national registries of populations, inpatients and cancer, these studies were largely performed in Scandinavian countries. The estimation of risk in these individuals is not based upon a comparison of exposed and unexposed subjects within the cohort, but with the expected rates of cancer in the general population. Thygesen et al.

Cancers of the upper aerodigestive tract 2. Cancer of the oral cavity and pharynx It was concluded in the previous IARC Monograph IARC, that consumption of alcoholic beverages is causally related to cancer of the oral cavity and pharynx, and that the risk increases in a dose-dependent manner. Significant increases in risk were found with increasing amount of alcohol consumption in all studies Freedman et al. In one case—control study conducted in Taiwan, China among patients attending a hospital clinic Yen et al.

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Friborg et al. In most studies an approximate threefold increased risk was found at relatively high levels of intake i.

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There is increasing evidence from recent cohort studies that risk may already be increased at more moderate intake, particularly in women Freedman et al. Consistent with many earlier studies, risks were found to be elevated among recent former drinkers, most likely due to ill health directly related to the cancer or its precursors.

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