The Nuances of Non-Alcoholic Drinks: When They Help and When They Don’t

Nonalcoholic drinks are rising in popularity and may offer a similar taste and social experience.
Foto Para Ti/Shutterstock
Updated:
0:00

When James and Steven quit drinking alcohol, they both turned to non-alcoholic beer as a replacement. While Steve discovered a useful tool that added to his social life, James found himself on a slippery slope and ultimately decided to put down the proverbial bottle.

Nonalcoholic beers are big business. The 13th largest brewery in the United States makes only non-alcoholic beer. It’s undeniable that non-alcoholic beverages are having a moment, but are they a revolution in mindful drinking or a dangerous trigger? The answer is complex. With the market exploding with options, one question is: Can these drinks help people cut back on drinking alcohol?
While some studies suggest nonalcoholic beverages can help those with problematic alcohol use to cut back or stop drinking, other research indicates some people may drink them alongside alcohol rather than as a replacement. For some people, they may even potentially be a gateway to heavier drinking and relapse. The mixed evidence shows that nonalcoholic beverages may be an option helpful for some and harmful for others, requiring a personalized approach.

Non-Alcoholic Beverages Defined

Not all non-alcoholic beverages are created equal. From bottled non-alcoholic beer, wine, and spirit products to mocktails, how much alcohol they contain can vary from zero to trace amounts. The U.S. Food and Drug Administration (FDA) defines a non-alcoholic beverage product as having 0.5 percent alcohol by volume (ABV) with strict labeling laws for manufacturers.
Story continues below advertisement

For reference, a standard beer contains about 5 percent ABV, and a glass of wine about 12 percent. Some nonalcoholic beverages are made with no alcohol from the outset, while others can contain alcohol but undergo a dealcoholization process to meet the 0.5 percent limit set by the FDA.

Substitution or Addition?

The rise of nonalcoholic beverages also raises important questions about their role in the broader drinking culture. Are they seen as substitutes for alcohol, or integrated into alcohol-free activities like driving or working out? The marketing of nonalcoholic beverages seeks to address these concerns, providing insight into their potential future.

“Low- and no- alcoholic beverages are still very much in that nascency phase,” Taylor Foxman, founder and CEO of The Industry Collective, a leading independent beverage advisory group, told The Epoch Times in an email, “I do think the category has considerable legs, as I don’t think most consumers are in an ‘all or nothing mentality’ when it comes to drinking—they want to find a happy medium.”

Low- and no-alcohol drinks are a great solution for people who want to reduce their alcohol intake and maintain a balanced approach. They also appeal to some who want to enjoy a drink while maintaining better control and pacing their consumption, she said. Nonalcoholic beverages can help slow alcohol consumption by extending the time between alcoholic drinks, thus satisfying the ritual of drinking without the rapid intake of alcohol.

Supporting this view, a February study published in Nature explored the appeal of non-alcoholic beers to young Polish consumers. The research found that non-alcoholic beers had similar chemical properties to regular beers and offered a healthy alternative due to the absence of alcohol. A survey of mostly young, educated, and high-income consumers revealed that they associate non-alcoholic beers with refreshment, relaxation, and sobriety. They appreciate enjoying the taste of beer without giving up activities like driving or exercise.
Story continues below advertisement
The study suggests that advertising should emphasize that non-alcoholic beers are comparable with alcoholic beers in terms of nutritional profile—potentially encouraging consumers to switch to non-alcoholic beers and reduce alcohol consumption.

The Potential Benefits of Nonalcoholic Beverages

For people who want to reduce or eliminate their alcohol consumption, non-alcoholic beverages can offer a range of psychological and practical benefits.

One of the key advantages of nonalcoholic beverages is that they can provide a sense of normalcy in social settings where alcohol is prevalent. Holding a familiar-looking drink can ease social anxiety and reduce the pressure to explain one’s choice of sobriety. This can be particularly helpful in early recovery or for those who simply prefer not to drink but don’t feel like fielding questions about it.

“They’re removing the alcohol content, but people are still able to connect and associate with each other in very similar environments that they once did, without fear of that stigma or judgment,” Justin Wolfe, a licensed alcohol and drug counselor and clinical leader in the treatment of substance use, told The Epoch Times.

The act of sipping a beverage can be a powerful ritual, and nonalcoholic beverages can replicate the experience minus the intoxicating effects of alcohol. For many, the taste and sensation of a non-alcoholic drink can satisfy cravings, provide a sense of comfort, and even cue relaxation. Similarly, nonalcoholic beverages can help break the habit of automatically reaching for an alcoholic drink in certain situations.

Story continues below advertisement

By substituting an alcoholic beverage with an nonalcoholic beverage, people can disrupt ingrained patterns and create new, healthier ones. For example, replacing a nightly glass of wine with a non-alcoholic alternative can help break the routine while offering a cue to unwind.

Steven, who stopped drinking five years ago, reflected on his experience with nonalcoholic beverages with The Epoch Times,

“I realized that it was not the feeling of being drunk that I was addicted to, but rather the fear of missing out on fun activities that I would rather be doing than worrying about my problems. Now, I can still be out with friends and have a great time.”

The growing variety of nonalcoholic beverages products offers a wider range of enjoyable options. This variety can help reduce feelings of deprivation and provide more satisfaction in non-alcoholic choices.

Story continues below advertisement

Non alcoholic beer helped Steven realize that he enjoys the taste of beer itself.

“I can still get the same flavor profile I was looking for to accompany a great meal, such as a burger or wings when I’m out watching the game, without having to worry about becoming inebriated and staying out until five in the morning, which is a win-win for myself and those around me.”

Despite the benefits, there are some challenges associated with using nonalcoholic beverages.

Limitations of Nonalcoholic beverages

While nonalcoholic beverages can offer potential benefits, they also may have disadvantages, especially for people with a history of alcohol use disorder or those in early recovery.
For some, the taste, smell, and ritual of drinking an nonalcoholic beverage can trigger cravings for alcohol. The sensory experience, known as cue reactivity, may activate neural pathways associated with alcohol consumption and lead to a desire for the real thing. This is particularly true for those who have developed strong associations between specific drinks and alcohol’s effects. Research on animals suggests the scent of non-alcoholic beer alone may be enough to trigger cravings and a possible relapse in those with alcohol use disorder.
Story continues below advertisement

Relying solely on nonalcoholic beverages may inadvertently reinforce the psychological dependence on the act of drinking.

There is a risk of nonalcoholic beverages potentially creating a false sense of security, consistent with research on denial and minimization in alcohol use disorder, where individuals often underestimate their potential for relapse.
Even small amounts of alcohol can be risky, as moderation in those with a history of alcohol dependence is proven to be difficult. Wolfe cautions about the trace amounts of alcohol present in nonalcoholic beverages.

He has observed that people who find non-alcoholic beer to be a satisfying replacement, mimicking the taste and rituals of regular beer, sometimes drink significantly larger quantities, opting for 12 as opposed to three or four. This raises concerns that even with just traces of alcohol, this increased consumption could trigger the brain’s reward pathways, potentially leading to cravings and compulsive behavior.

Story continues below advertisement

A personal account from James illustrates such risks, who turned to non-alcoholic beer when he quit drinking. However, he found it a slippery slope, requiring more mindfulness.

“For a while, I would have one or two non-alcoholic beers, and that would hit the spot, but then one night, I found myself almost finishing an entire 6-pack alone on my couch, and I had to ask myself, ‘Why?’ so I decided to just keep them to social situations out of caution,” he told The Epoch Times.

Beyond these psychological challenges, nonalcoholic beverages also fail to address the root causes of alcohol use disorder, such as underlying mental health conditions, trauma, or relationship problems. They can become a substitution rather than addressing possible reasons for alcohol use, said Wolfe. This could potentially hinder the development of healthy coping mechanisms and relapse prevention strategies. Switching to nonalcoholic beverages is not a substitute for therapy, counseling, or other evidence-based treatments.

It’s really about asking, “What is my connection to this [drink], and what am I using this for?” since anything can be used in excess, said Wolfe.

Story continues below advertisement

The quality and ingredients of nonalcoholic beverages can also vary significantly. Some may contain high sugar levels, artificial sweeteners, or other additives you may not wish to drink. Nonalcoholic beverages tend to offer a high caloric intake with limited nutritional value.

There may be some discrepancies concerning their alcohol content as well. A 2010 study found that some nonalcoholic beverages don’t always have the alcohol content they claim. Out of 45 products tested, about 29 percent had more alcohol than the label stated. Six of those products, which were supposed to have very little or no alcohol, had more than 1 percent alcohol. While the difference seems negligible, it may be potentially troublesome for those seeking abstinence.

The Importance of an Individualized Approach

While nonalcoholic beverages can offer a hangover-free solution to a night out, they are not a panacea for problem drinking. Given the product category is in its early stages, there is not enough evidence to make a blanket statement regarding their efficacy in helping people cut back on drinking nor their propensity to lead to a relapse in those with any alcohol use disorder.
However, existing data are promising. A 2023 study published in BMC Medicine examined whether providing free non-alcoholic beverages could reduce alcohol consumption in people who drink excessively. The researchers recruited participants who drank heavily at least four times a week and randomly assigned them to either an intervention group that received free nonalcoholic beverages every four weeks for 12 weeks or a control group. Both groups kept diaries of their consumption of each for up to 20 weeks thereafter.

The study found that the intervention group significantly reduced their alcohol consumption compared to the control group at the end of the intervention and eight weeks later. At week 12, they had cut their alcohol consumption by almost 23 standard drinks, while the control group reduced theirs by about five to six. At the 20-week follow-up, the intervention group showed a reduction of nearly 20 drinks, compared to the control group’s of about nine.

Story continues below advertisement

In the intervention group, increased consumption of nonalcoholic beverages was linked to decreased alcohol consumption. The study concluded that providing nonalcoholic beverages can significantly reduce alcohol intake in excessive drinkers, and this effect can last for at least two months after the intervention ends.

Research published in Addiction tells a similar story. Researchers investigated how U.S. adults who drink alcohol use nonalcoholic beverages by conducting two online surveys: one to determine how common nonalcoholic beverage use is and another to gather more detailed information about usage patterns.

They found that about 28 percent of adults who drink alcohol had used nonalcoholic beverages in the past year, with nonalcoholic liquor and mocktails being the most popular.

The study also found that people who drank alcohol more frequently and in larger quantities were also more likely to drink nonalcoholic beverages more frequently and in larger quantities. The researchers concluded that adults with alcohol use disorder often use nonalcoholic beverages as a way to reduce harm from alcohol.

Story continues below advertisement
However, a 2024 study examining nonalcoholic beverage use in Dutch university students found alcohol-free beverages were more often added to, rather than substituted for, alcoholic beverages. The study found that students who recently drank alcohol-free drinks also frequently drank alcoholic drinks, and there was a positive correlation between the quantity of both.

All of the existing evidence available thus far stresses the significance of an individualized approach to nonalcoholic beverages.

Wolfe emphasizes the importance of self-awareness, urging individuals to reflect on past experiences and assess their current mental state and support system before using nonalcoholic beverages as a tool to quit or cut back on drinking.

He said, “No matter what you do, if you’re using something to try and get away from you, or to try and fix something or cover it up, it might work in that moment, but you’re always going to come back to you. And it’s always still going to be there until you do the work.”

If you or someone you know is struggling with alcohol use, you can find more information and support here.
Jennifer Sweenie
Jennifer Sweenie
Author
Jennifer Sweenie is a New York-based health reporter. She is a nutritional therapy practitioner and trained health-supportive chef focused on functional nutrition and the power of natural, whole foods. Jennifer serves on the board of directors for Slow Food NYC and is a former board member of the Farm-to-Consumer Foundation.