Alcohol consumption and its relation to cardiovascular risk factors in Germany

Burger, M.; Mensink, Gert; Brönstrup, Anja; Thierfelder, Wulf; Pietrzik, Klaus

doi:10.1038/sj.ejcn.1601854

Cited by 54 publications

(44 citation statements)

References 54 publications

(68 reference statements)

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“…The finding that moderate alcohol consumption did not decrease mortality is interesting considering the body of evidence supporting the health benefits of such consumption [3,4,8,[17][18][19]. This may be explained by the drinking pattern in Sweden in the 1960s and 1970s, with most of the alcohol consumed during the weekends as seen in "vodka belt" countries [20], a pattern known as binge drinking.…”

Section: Discussionmentioning

confidence: 99%

Health factors and longevity in men and women: a 26-year follow-up study

2010

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No. of words: (main text including references) 2713Words in Abstract: 249 Tables: 3 References: 27 Abstract Health factors have the power to prevent and postpone diseases and death; however, studies using the same methodology in both men and women are sparse. We aimed to study the ability of health factors to prevent mortality in a population-based, 26-year follow-up of Swedish men and women.During 1969-70, a health-screening programme was offered to a stratified sample of 3064 individuals aged 18-64 years to estimate health-care needs. Missing data (largely according to protocol) for physical fitness, BMI, and smoking habits left 935 subjects, 463 men and 472 women. Alcohol consumption in grams per week and BMI was calculated. Tobacco smoking was recorded as yes/no. Multivariate analysis was performed by Cox regression with age adjusted hazard ratios (HR) and 95% confidence interval (CI).Moderate alcohol consumption did not lead to any decrease in mortality. Having two health factors halved the mortality risk in men and women (hazard ratio (HR) 0.52, confidence interval (CI) 0.39−0.70). A further risk reduction was seen in men with three health factors (HR 0.17,. Men had about 70 per cent higher risk of mortality compared with 2 women after adjustments for all health factors (HR 1.67, CI 1.26−2.23). Men compared to women had greater benefit of all three health factors. This in combination with the overall higher mortality risk in men makes a healthy lifestyle more important for them. The benefit of moderate alcohol consumption could not be detected in this study, and may be explained by an unhealthy drinking pattern in Sweden.

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Section: Discussionmentioning

confidence: 99%

Health factors and longevity in men and women: a 26-year follow-up study

2010

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“…Although studies have shown that alcohol use and smoking also frequently co-occur in countries outside of the US (e.g. Burger et al, 2004;Chiolero et al, 2006;Clausen et al, 2006), detailed examination of these relationships is still needed. National and cultural differences in social practices, norms, and policies regarding alcohol use and smoking may play a significant role in the way that the use of these two substances relate.…”

Section: Discussionmentioning

confidence: 99%

Cigarette smoking and the lifetime alcohol involvement continuum

Kahler

Strong

Papandonatos

et al. 2008

Drug and Alcohol Dependence

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Greater understanding of how alcohol use relates to the initiation, progression, and persistence of cigarette smoking is of great significance for efforts to prevent and treat smoking and excessive drinking and their substantial combined iatrogenic effects on health. Studies investigating the relationship between levels of alcohol involvement and smoking have typically been limited by analytic approaches that treat drinking behavior and alcohol use disorder diagnoses as separate phenomena rather than as indicators of a single latent alcohol involvement dimension. The purposes of the present study were (a) to create a lifetime index of alcohol involvement that integrates information about alcohol consumption and alcohol problems into a single measure and (b) to relate this index to initiation of smoking, progression from initiation to daily smoking, progression from initiation to dependence, and persistence of smoking. Rasch model analyses of data from 1,508 middle-aged (34-44 years) adults showed that creating an additive index of lifetime alcohol involvement was psychometrically supported. Significant quadratic effects of alcohol involvement on initiation, progression, and persistence of smoking demonstrated that there were specific regions of the alcohol involvement continuum that were particularly strongly related to increased smoking. These results provide the most comprehensive depiction to date of the nature of the relationship between lifetime alcohol involvement and lifetime cigarette smoking and suggest potential avenues for research on the etiology and maintenance of smoking and tobacco dependence.

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“…6 However, alcohol abuse has harmful consequences to health and is responsible for a large number of avoidable deaths.…”

Section: Descritores: Alcoolismo Epidemiologia Fatores De Risco Famentioning

confidence: 99%

Prevalence of alcohol abuse and associated factors in a population-based study

et al. 2007

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OBJECTIVE:To estimate the prevalence of alcohol abuse/dependence and identify associated factors among demographic, family, socioeconomic and mental health variables. METHODS:A household survey was carried out in the urban area of Campinas, southeastern Brazil, in 2003. A total of 515 subjects, aged 14 years or more were randomly selected using a stratifi ed cluster sample. The Self-Report Questionnaire and the Alcohol Use Disorder Identifi cation Test were used in the interview. Prevalences were calculated, and univariate and multivariate logistic analyses performed by estimating odds ratios and 95% confi dence intervals. RESULTS:The estimated prevalence of alcohol abuse/dependence was 13.1% (95% CI: 8.4;19.9) in men and 4.1% (95% CI: 1.9;8.6) in women. In the fi nal multiple logistic regression model, alcohol abuse/dependence was signifi cantly associated with age, income, schooling, religion and illicit drug use. The adjusted odds ratios were signifi cantly higher in following variables: income between 2,501 and 10,000 dollars (OR=10.29); income above 10,000 dollars (OR=10.20); less than 12 years of schooling (OR=13.42); no religion (OR=9.16) or religion other than Evangelical (OR=4.77); and illicit drug use during lifetime (OR=4.47). Alcohol abuse and dependence patterns were different according to age group. CONCLUSIONS:There is a signifi cantly high prevalence of alcohol abuse/ dependence in this population. The knowledge of factors associated with alcohol abuse, and differences in consumption patterns should be taken into account in the development of harm reduction strategies.

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Alcohol consumption and its relation to cardiovascular risk factors in Germany

Cited by 54 publications

References 54 publications

Health factors and longevity in men and women: a 26-year follow-up study

Health factors and longevity in men and women: a 26-year follow-up study

Cigarette smoking and the lifetime alcohol involvement continuum

Prevalence of alcohol abuse and associated factors in a population-based study

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