Community prevalence of alcohol use and concomitant use of medication—a source of possible risk in the elderly aged 75 and older?

Aira, Marja; Hartikainen, Sirpa; Sulkava, Raimo

doi:10.1002/gps.1340

Cited by 65 publications

(91 citation statements)

References 31 publications

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“…But mechanisms underlying the relationships between specifi c life events occurring to older individuals are complex. For example, persons experiencing adverse health events may be advised to reduce alcohol consumption or stop it entirely (see, e.g., Aira et al, 2005). Yet the evidence suggests that moderate alcohol consumption appears to have no effect on glycemic control and a decreased probability of cardiovascular events, the risk of which tends to increase in persons diagnosed with diabetes (Howard et al, 2004).…”

Section: Discussionmentioning

confidence: 99%

Alcohol-Consumption Trajectories and Associated Characteristics Among Adults Older Than Age 50

Platt¹,

Sloan²,

Costanzo³

2010

J. Stud. Alcohol Drugs

105

118

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ABSTRACT. Objective: This study examined changes in drinking behavior after age 50 and baseline personal characteristics and subsequent life events associated with different alcohol-consumption trajectories during a 14-year follow-up period. Method: Data were taken from the Health and Retirement Study. The study sample included individuals ages 51-61 in 1992 who survived the sample period (1992)(1993)(1994)(1995)(1996)(1997)(1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006) and had at least fi ve interviews with alcohol consumption information, yielding an analysis sample of 6,787 (3,760 women). We employed linear regression to determine drinking trajectories over 1992-2006. Based on these fi ndings, each sample person was classifi ed into one of fi ve drinking categories. We used multinomial logit analysis to assess the relationship between personal demographic, income, health, and attitudinal characteristics as well as life events and drinking-trajectory category. Results:Overall, alcohol consumption declined. However, rates of decline differed appreciably among sample persons, and for a minority, alcohol consumption increased. Persons with increasing consumption over time were more likely to be affl uent (relative-risk ratio [RRR] = 1.09, 95% CI [1.05, 1.12]), highly educated (RRR = 1.20, 95% CI [1.09, 1.31]), male, White (RRR = 3.54, 95% CI [1.01, 12.39]), unmarried, less religious, and in excellent to good health. A history of problem drinking before baseline was associated with increases in alcohol use, whereas the reverse was true for persons with histories of few or no drinking problems. Conclusions: There are substantial differences in drinking trajectories at the individual level in midlife and late life. A problem-drinking history is predictive of alcohol consumption patterns in later life. (J. Stud. Alcohol Drugs, 71, 169-179, 2010)

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Section: Discussionmentioning

confidence: 99%

Alcohol-Consumption Trajectories and Associated Characteristics Among Adults Older Than Age 50

Platt¹,

Sloan²,

Costanzo³

2010

J. Stud. Alcohol Drugs

105

118

View full text Add to dashboard Cite

show abstract

“…Older adults frequently use both alcohol and prescription medications. Recent publications show that 86.9% of Finnish adults aged 75 years or over used both alcohol and medications on a regular basis including those known to have an interaction with alcohol [51] , and data from an American prescription medicine assistance program for older persons found that 19% were using alcohol-interactive medications concomitantly with alcohol [52] . Alcohol may interact with medications to reduce cognitive performance.…”

Section: Individual Differences: Comorbidity Genetics and Sex Differmentioning

confidence: 99%

Alcohol Exposure and Cognitive Development: An Example of Why We Need a Contextualized, Dynamic Life Course Approach to Cognitive Ageing – A Mini-Review

Anstey

2008

Gerontology

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Background: A substantial literature exists that demonstrates associations between putative risk factors and cognitive decline in late life. However, there is a need to integrate this broad literature within a framework that incorporates the interaction of behavioral and ecological influences with cognitive development. Such a framework is required for developing a range of personal and environmental interventions to optimize cognitive development in the population, and to reduce the risk of cognitive impairment in late life. Objective: This review aims to identify the key considerations for developing a life course model of the various factors that influence cognitive development and cognitive decline. A contextualized, dynamic approach to life course epidemiology is proposed. Methods: A theoretical evaluation of key methodological and interpretational issues relating to how risk factors influence cognitive development and cognitive impairment was conducted. This focused on the example of alcohol consumption as a risk factor for cognitive decline and dementia. Results: This review identified dimensions that need to be accounted for in life course theories of cognitive development and cognitive impairment. These include: (a) intergenerational influences; (b) methodological and interpretational issues; (c) individual differences (personal factors); (d) contextual factors (environmental or ecological factors), and (e) cognitive ability as determinant. The methodological and interpretational factors included measurement of exposure and outcome variables; the important distinction between level of ability versus change over time; nonlinear relationships among exposures and outcomes, and outcomes and age; the distinction between association and cause, and between short-term effects and long-term change. Conclusion: A contextualized, dynamic approach to life course epidemiology accounts for the complex range of influences over the life course that interact to determine normal and pathological cognitive ageing. This approach provides a framework for the development of interventions to maximize cognitive gains in early life, and minimize cognitive loss in late life.

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“…This may be due the adverse effects alcohol can have on the health or medication use of those with chronic conditions (Aira et al 2005). Additionally, the risk of multiple chronic diseases increases with age, whereas alcohol misuse and depression are more common among younger age groups.…”

Section: Discussionmentioning

confidence: 99%

Do rates of depression vary by level of alcohol misuse in Australian general practice?

Hobden

Bryant

Sanson‐Fisher

et al. 2017

Aust. J. Prim. Health

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Abstract. Limited data exist regarding co-occurring alcohol misuse and depression among general practice patients. This study examined the prevalence of depression by level of alcohol misuse, and the sociodemographic factors associated with depression and increased alcohol misuse severity. A cross-sectional survey was administered to 3559 Australian general practice patients. Patients completed their demographic details, the Patient Health Questionnaire (9-item) and the Alcohol Use Disorder Identification Test (Consumption items). The prevalence of alcohol misuse and depression was 6.7%, and depression prevalence varied significantly according to level of alcohol misuse (P < 0.001). Age, gender, Aboriginality and number of chronic diseases were associated with depression and higher levels of alcohol misuse. These findings may assist General Practitioners in identifying those at risk of experiencing co-morbid depression and alcohol use, and aid in effective treatment and referral.Additional keywords: epidemiologic factors, mental health, primary health care.

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Community prevalence of alcohol use and concomitant use of medication—a source of possible risk in the elderly aged 75 and older?

Cited by 65 publications

References 31 publications

Alcohol-Consumption Trajectories and Associated Characteristics Among Adults Older Than Age 50

Alcohol-Consumption Trajectories and Associated Characteristics Among Adults Older Than Age 50

Alcohol Exposure and Cognitive Development: An Example of Why We Need a Contextualized, Dynamic Life Course Approach to Cognitive Ageing – A Mini-Review

Do rates of depression vary by level of alcohol misuse in Australian general practice?

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