Should I Worry About… Driving After a Drink?

Drinking and driving is serious business. Last week, the National Transportation Safety Board (NTSB) recommended that states lower the current blood alcohol concentration limit of 0.08 percent to 0.05 percent or lower.

“We continue to kill 10,000 people annually in these crashes (involving alcohol), injuring 173,000, and 27,000 of those injuries are debilitating, life-altering injuries,” says NTSB chairman Deborah Hersman. Lowering the legal driving BAC limit was one of 19 recommendations released in a NTSB report titled “Reaching Zero: Actions to Eliminate Alcohol-Impaired Driving.”

Experts say it’s tough to provide a number of drinks per hour that would set you above the legal limit of 0.08 (or the suggested limit of 0.05) because there are just so many factors that go into how your drinking affects your body. The strength of the drink (a strong beer versus a light one, for example), whether or not you have food in your stomach, how quickly you’re going through drinks, and your weight all come into play, says Alexander C. Wagenaar, PhD, professor of health outcomes and policy at the University of Florida College of Medicine.

Another big factor is serving size; think about the heavy pours you get at certain restaurants, and check out this infographic to see how the serving sizes of different drinks compare.

Alcohol can also affect women differently than men: When you drink alcohol, the ethanol diffuses into all the water-soluble parts of the body, explains Wagenaar, who has been doing research on road safety and alcohol issues since the early 1980s. In general, women naturally have a higher percentage of fat tissue than men—which means less water-based tissue for the ethanol to diffuse into. So even if a woman and a man of the same weight consume the same amount of alcohol, the woman will end up with a slightly higher BAC.

Under normal circumstances, if you’re 200 pounds, it’s unlikely that you’ll hit the proposed 0.05 limit after two drinks—”but that assumes some time passes between the drinks,” says Wagenaar. “If you weigh 90 pounds, at the other extreme, well then it’s possible—and not at all unlikely—that one drink on an empty stomach could hit a woman to the (proposed) 0.05 limit,” he adds.

For a 140-pound woman, one drink would probably put her around the 0.03 BAC level, says Wagenaar.

Those are all rough estimates, of course; since you probably don’t carry a breathalyzer around in your clutch, there’s really no way to know exactly how a drink will affect you on any given night.

In its recent report, the NTSB cited research showing that by 0.05 BAC, most people experience visual and cognitive impairments. The report also notes that more than 100 other countries—including the majority of European countries—have a BAC limit of 0.05 or lower. “The risk is very definitely there, and it’s not insignificant at 0.05,” says Wagenaar. “That’s why 0.05 is a logical legal standard that’s in place in most developed countries in the world.”

At 0.05 BAC, people are 38 percent more likely to be in a crash than people who are completely sober, according to research cited in the NTSB report. At 0.08 BAC, people are 169 percent more likely to be in a crash than people who haven’t had anything to drink.

Here’s the deal, though: Regardless of whether the legal BAC limit is set at 0.08 or 0.05, the fact remains that even a little bit of alcohol does affect your ability to drive safely. “When you need to cognitively attend to more than one thing at a time—which is a clear part of driving—those types of abilities begin to deteriorate even at the low levels of drinking,” says Wagenaar. “So the safest is to not drink and drive at all—I mean zero BAC.”

If you’re planning to drink, have a designated driver with you, or take a cab home (save taxi numbers in your phone beforehand!). There are even apps and websites out there for connecting you with a designated driver that will get you and your car home safely, like StearClear and this National Directory of Designated Driver Services.

The verdict: A glass of wine or a beer over a long dinner probably won’t put you over the proposed legal limit of 0.05 BAC—depending on your weight, how big/strong the drink is, and other factors. But of course the safest personal policy is not getting behind the wheel after any drinks. And if you educate yourself now about the resources available to get you home safely, you should be able to avoid driving yourself there—even if you end up drinking when you hadn’t planned on it. 

photo: iStockphoto/Thinkstock

More from Women’s Health:
Don’t Mix THIS with Alcohol
This Is Your Brain on Booze
Is Your Drinking Habit Deadly?

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“Should I Worry About Driving When I’m Tired?”

Every week, the Scoop examines alarming new claims to help you make sense of the latest health research.

You obviously know not to get behind the wheel when you’re intoxicated—but what about when you’re exhausted? Fatigue was the cause of 20 percent of all documented crashes in a recent study from the Virginia Tech Transportation Institute Center for Vulnerable Road User Safety.

Researchers recruited 100 drivers who commute into or out of the Northern Virginia/Washington D.C. area and equipped their cars with unobtrusive sensors and video cameras to study naturalistic driving behavior. They also collected 20,000 randomly selected 6-second video segments, which let them notice signs of sleepiness—including closed eyes, head bobbing, and even drivers falling asleep at the wheel.

The result: In 20 percent of all car crashes and 16 percent of all near crashes documented in the study, the driver showed signs of fatigue. While that number is definitely shocking, this was a relatively small study—so it’s unclear whether the stats hold up for the entire country. The latest data from the National Highway Traffic Safety Association (NHTSA) shows that only 2.5 percent of fatal crashes in 2010 were the result of drowsy driving, but that doesn’t tell the whole story, either, since it doesn’t account for fender benders or serious but non-fatal accidents. What we do know is that there were 750 fatal crashes due to drowsy driving in 2010 alone, and the recent study indicates that number of less-severe accidents may be even higher.

Unfortunately, there is no legal limit when it comes to sluggish driving, so you’ll have to monitor yourself for signs of extreme drowsiness. If you’re sleep deprived—whether it’s from not enough sleep or poor-quality sleep—you shouldn’t get behind the wheel, says sleep expert Michael Breus, MD. So how can you tell the difference between your usual morning grogginess and being too drowsy to drive? If you fell asleep in less than five minutes the night before, it’s a sure sign you’re deprived, says Breus. Other signs include having trouble focusing or misplacing objects like your phone or keys. If you want a quick litmus test, Breus suggests lying down and closing your eyes for 30 seconds before getting behind the wheel. If you feel like you could truly fall asleep and you have trouble getting up, you shouldn’t be driving.

If you’re already in the car, watch for warning signs like incessant yawning, frequent blinking, trouble keeping your eyes open and focused, and not being able to remember driving the last few miles, says Jose Ucles, from the Office of Communications and Consumer Information at the NHTSA. If you notice any of these cues or happen to hit the rumble strips on the side of the road, it’s definitely time to get off the road. “The results are staggering,” says Breus. “If you’re going 60 miles per hour and close your eyes, it takes just three seconds to go off the road. You really don’t have a lot of time to react.”

It’s also important to remember that if you’ve taken any sleep aids in the last 24 hours, they may still be in your system. And avoid all alcohol if you’re already groggy. Just one glass of wine can multiply the effects of sleep deprivation—even though you may be under the legal alcohol limit, says Breus.

So what if you are driving when you realize you shouldn’t be? The NHTSA suggests pulling over, drinking two cups of coffee, then taking a 15-20 minute nap so you get a little sleep before the caffeine takes effect. That said, sleeping in a parking lot or on the side of the road isn’t exactly the safest thing. If you can’t stop at a hotel, leave your car in a nearby parking lot and call a cab or take public transportation home. Worst-case scenario, stopping to grab two cups of coffee, then waiting 15-20 minutes for it to take effect before driving to the closest place where you can catch some Zzzz’s is your next best option.

The verdict: Drowsy driving may not be as dangerous as drunk driving, but it accounted for 750 fatal crashes in 2010. And without any true guidelines, it’s crucial to monitor yourself to make sure you’re alert enough to drive. If you’re unsure, opt to have someone else take the wheel.

photo: iStockphoto/Thinkstock

More from Women’s Health:
9 Ways to Drive Safe
When Multitasking Can Be Deadly 
Should I Drive With a Hands-Free Cell Phone? 

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Should I Worry About Driving With a Hands-Free Cell Phone?

You’re driving with both hands on the steering wheel, and your eyes are on the road ahead. All good, right? Not if you’re on a hands-free cell phone and your route involves a left-hand turn (we’re guessing it does). According to a new study published in the open access journal Frontiers in Human Neuroscience, making a left-hand turn in a busy intersection requires a huge amount of brain activity, and talking on a hands-free cell phone at the same time is more than the brain can handle.

For the study, researchers put a driving simulator—steering wheel, pedals, and all—inside a high-powered functional MRI. Young adult participants navigated straight roads, right-hand turns, and left-hand turns. During some of the steering, the participants answered simple true or false questions (for example, if a triangle has four sides) by pressing buttons on the steering wheel—a lot like the way current hands-free phone technology works. When they did so during a left-hand turn at a traffic-filled intersection, something major happened: “Brain power was allocated to the frontal cortex, which allows you to make decisions and hold that conversation,” says lead study author Tom Schweizer, PhD, a neuroscientist and the director of the Neuroscience Research Program at St. Michael’s Hospital in Toronto. “The visual part of the brain—the back end of the brain—started to shut down.”

So what exactly makes turning left so complicated? Think about everything you have to process: the traffic light, oncoming cars (which are probably going pretty fast), pedestrian and bicyclists to the left. “You have to take in all of that visual information and then calculate a safe driving maneuver,” says Schweizer. “We found that a huge amount of brain is required to pull that off.” When you add some chatting to the equation, “something in the brain’s gotta give,” explains Schweizer. “There are only so many brain resources to go around. And it just so happens that what gives is the visual system.”

Many states already ban novice drivers and bus drivers from using hands-free devices while driving.

Marcel Just, PhD, director of the Center for Cognitive Brain Imaging at Carnegie Mellon University, was not involved in the study but has done separate research on driving while listening. His 2008 research found that even just listening to a person reduces the brain activity focused on driving by 37 percent. “What people tend to underestimate is the draw on cognitive resources of even having a conversation or listening to someone speak,” says Just. “I don’t want to be crossing the street while a driver is coming towards me and talking on a cell phone, even if it’s hands-free.”

The verdict: Hands-free doesn’t mean danger-free. Don’t chat on the phone when you’re behind the wheel!

photo: Edyta Pawlowska/Shutterstock

More from Women’s Health:
Alert! You May Be ODing On Sleep Meds
5 Smart Decision-Making Strategies
9 Ways to Drive Safer and Stay Focused

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