How Alcohol Impacts the Immune System: What to Know During Cold, Flu, and COVID Season

As cold and flu season approaches, combined with the ongoing presence of COVID-19, maintaining a healthy immune system is essential. For those who consume alcohol regularly, it’s important to understand how alcohol can weaken immune responses, making you more susceptible to these seasonal illnesses. This article explores the relationship between alcohol and immune function, highlighting how alcohol use disorder (AUD) and even moderate drinking can compromise the body’s ability to fight off infections.

How Alcohol Affects the Immune System

Alcohol, particularly when consumed in large quantities, has a profound effect on the immune system. It weakens the body’s natural defenses, making it more difficult to ward off viruses like influenza, the common cold, and COVID-19. Even occasional binge drinking can impair immune function for up to 24 hours. In fact, after a heavy night of drinking, you’re more susceptible to illnesses for the next 24 hours. Here are some ways alcohol impacts your immunity:

  • Reduced White Blood Cell Production: Alcohol suppresses the production of white blood cells, which are essential for fighting off infections. A lower count means your body is less able to respond to viral or bacterial invaders.
  • Inflammation and Organ Damage: Chronic alcohol consumption causes inflammation, which weakens immune responses and leads to damage in organs like the liver and gut, both critical for filtering toxins and producing immune cells.
  • Disrupted Gut Microbiome: The gut microbiome plays a significant role in immunity. Alcohol disrupts this balance, weakening your gut’s ability to function as a first line of defense against pathogens.
  • Delayed Recovery Time: People who drink heavily often take longer to recover from illnesses like the flu or colds. Alcohol can also hinder the effectiveness of vaccines, including the COVID-19 vaccine.

Alcohol, COVID-19, and Vaccines

Why It’s More Important Than Ever to Moderate Alcohol Intake

With flu season coinciding with the ongoing COVID-19 threat, it’s more important than ever to be mindful of alcohol consumption. Lowering your intake—or abstaining altogether—during this time can help bolster your immune system, allowing your body to focus on fighting off seasonal illnesses.

  • Avoid binge drinking: Large quantities of alcohol consumed over a short period can suppress your immune system, making you vulnerable for days afterward.
  • Hydration and Nutrition: Alcohol dehydrates the body, which can further weaken immune responses. Drinking water and maintaining a balanced diet rich in vitamins and minerals, like Vitamin C and zinc, can help support your body’s defenses.
  • Rest and Sleep: Alcohol disrupts sleep patterns, which are essential for immune health. A good night’s sleep allows the body to repair and regenerate, helping to keep illnesses at bay.

Recognizing the Signs of Alcohol Use Disorder (AUD)

For some, especially those who have developed a pattern of heavy drinking, alcohol use disorder may be the underlying issue. AUD is a chronic disease that impacts both physical and mental health, often leading to a weakened immune system due to long-term alcohol exposure. Some signs of AUD include the inability to limit drinking, continued alcohol use despite health problems, and experiencing withdrawal symptoms when not drinking.

Getting treatment for AUD not only improves overall health but can also dramatically reduce the risks of immune suppression during flu and cold season.

How to Strengthen Your Immune System During the Flu and Cold Season

If you’re concerned about your immune health, particularly during the colder months, there are several steps you can take to improve your body’s ability to fight off infections:

  • Limit alcohol intake: Cutting back on alcohol, or eliminating it altogether, can have a significant positive impact on your immune function. Reducing alcohol intake helps prevent immune suppression, improves sleep quality, and reduces inflammation in the body.
  • Exercise regularly: Physical activity improves circulation, helps the body remove toxins, and enhances the production of white blood cells, which are critical for fighting infections. Aim for at least 150 minutes of moderate exercise or 75 minutes of vigorous activity per week.
  • Eat a nutrient-rich diet: A diet high in fruits and vegetables, particularly those rich in antioxidants, supports immune function by neutralizing harmful free radicals in the body. Foods rich in Vitamin C (oranges, bell peppers) and zinc (pumpkin seeds, spinach) are especially important during cold and flu season. Probiotics, found in yogurt and fermented foods, also promote gut health, which is closely linked to immune strength.
  • Stay hydrated: Proper hydration is essential for immune health, as it helps the body transport nutrients, flush out toxins, and keep mucous membranes moist, which acts as a barrier against infections. Aim for 8 glasses of water a day.
  • Prioritize sleep: Getting enough quality sleep (7–9 hours per night) allows your body to repair itself and regenerate immune cells. Sleep deprivation is known to weaken immune responses, making you more susceptible to colds and the flu.
  • Manage stress: Chronic stress can suppress immune function by increasing the production of cortisol, a hormone that reduces inflammation in the short term but weakens immune responses over time. Techniques like meditation, deep breathing exercises, yoga, and mindfulness can help manage stress levels and support immune health.
  • Avoid smoking and limit exposure to pollutants: Smoking and exposure to secondhand smoke or environmental pollutants weaken lung function and damage respiratory defenses. Reducing or eliminating these exposures strengthens your ability to fend off respiratory infections.

Conclusion

Alcohol has a direct and significant impact on immune function, particularly when consumed in excess. As flu, cold, and COVID-19 continue to circulate, it’s essential to take proactive steps to protect your health. By moderating alcohol intake, getting enough rest, and following other healthy habits, you can give your immune system the support it needs to keep you well this season.

Sources:

  1. DePetrillo, P., & McMahon, E. “Alcohol and Immune Function.” Alcohol Research: Current Reviews, vol. 38, no. 2, 2019, pp. 236-243.
  2. Molina, Patricia E., et al. “Alcohol’s Effects on the Immune System.” Alcohol Research: Current Reviews, vol. 37, no. 2, 2015, pp. 135–149.
  3. Szabo, Gyongyi, and Elizabeth S. Saha. “Alcohol’s Effect on Host Defense.” Alcohol Research: Current Reviews, vol. 38, no. 3, 2020, pp. 182-192.
  4. COVID-19, Flu, and Cold Prevention: Alcohol’s Role in Immunity.” Healthline, 12 July 2023, www.healthline.com. Accessed 30 Sept. 2024.
  5. Barr, Tia, et al. “Alcohol and the Immune System.” Alcohol Research: Current Reviews, vol. 38, no. 2, 2017, pp. 263-271, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6523821/.
  6. Godbout, Jonathan P., and Ronald Glaser. “Stress-Induced Immune Dysregulation: Implications for Wound Healing, Infectious Disease, and Cancer.” Journal of Neuroimmune Pharmacology, vol. 1, no. 4, 2006, pp. 421-427, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4465119/.

About the Author

Avatar photoMonument is an online platform dedicated to helping individuals cut back or quit drinking alcohol through evidence-based treatment and compassionate care. We connect our members to an anonymous community, therapist-moderated support groups, and a comprehensive collection of resources to provide the support and information they deserve. For those seeking medical treatment, Monument introduces members to licensed physicians and specialized therapists who work together to develop personalized treatment plans tailored to each individual's unique goals. Our services are not only research-based but also affordable and accessible, ensuring that a healthy relationship with alcohol is attainable and celebrated by all. Monument is proud to be contracted with major health care payers such as UnitedHealthcare, Aetna, and Cigna, making our services in-network and available to a wide range of individuals seeking support. Monument's clinical operations are overseen by a well-experienced medical team comprising leading experts in the field of addiction medicine. Our medical team is led by Dr. Abe Malkin, MD MBA who's team has an extensive background in treating alcohol use disorder (AUD) and are dedicated to providing the highest quality care. At Monument, we understand that each individual's journey with alcohol is unique. That's why we offer a holistic approach to treatment that includes. FDA-Approved Medications: Prescribed by our licensed physicians, these medications help reduce cravings and support sobriety or moderation. We only prescribe effective, non-controlled medications. Specialized Therapy: Our therapists are experts in addiction treatment and provide personalized counseling to address the underlying causes of unhealthy drinking behaviors. Support Groups: Led by professional therapists, our support groups offer a safe space for members to share their experiences, gain insights, and build a supportive community. Resources and Tools: We provide access to a wealth of resources, including articles, webinars, and self-assessment tools to help members stay informed and motivated on their journey.