Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
To the Editor: In their article on binge drinking
among US adults Dr Naimi and colleagues1 defined
binge drinking as "the consumption of 5 or more alcoholic beverages on one
occasion." Although this definition of abusive drinking is frequently used
in research, it may have little clinical relevance.
First, this definition does not account for the drinker's weight or
drinking history, the time period over which the alcohol was consumed, or
whether any food was eaten during the drinking episode. Not surprisingly,
studies have demonstrated that a sizeable percentage of so-called binge drinkers
fail to reach blood alcohol concentrations of 0.06% or higher.2,3
DeJong W. Definitions of Binge DrinkingDefinitions of Binge Drinking. JAMA. 2003;289(13):1635-1636. doi:10.1001/jama.289.13.1635