Effect of Alcohol Consumption on Cardiovascular Health

Goel, Sunny; Sharma, Abhishek; Garg, Aakash

doi:10.1007/s11886-018-0962-2

Cited by 62 publications

(54 citation statements)

References 87 publications

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“…There is a “J” or “U” shaped relationship between alcohol consumption and some health outcomes. For example, light to moderate alcohol intake is associated with a lower risk of cardiovascular disease relative to people who are never drinkers or those who are heavy drinkers . For other conditions, such as breast cancer, there is no known safe level of alcohol consumption .…”

Section: Discussionmentioning

confidence: 99%

Alcohol Intake and Weight Loss During Intensive Lifestyle Intervention for Adults with Overweight or Obesity and Diabetes

Chao

Wadden

Tronieri

et al. 2018

Obesity

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Objective This study aimed to assess whether alcohol consumption decreases during an intensive lifestyle intervention (ILI) and whether alcohol consumption is associated with weight loss among participants with overweight or obesity and type 2 diabetes. Methods Participants (n = 4,901) were from the Action for Health in Diabetes (Look AHEAD) study, a randomized controlled trial that compared an ILI with a diabetes support and education (DSE) control. Mixed‐effects models were used to estimate the effect of the ILI on alcohol consumption and the influence of alcohol consumption on weight loss at year 4. Results ILI and DSE participants did not differ in changes in alcohol consumption. Alcohol intake was not associated with weight loss at year 1 of the ILI. ILI participants who abstained from alcohol lost 5.1% ± 0.3% of initial weight at year 4 compared with a significantly (P = 0.04) smaller 2.4% ± 1.3% for consistent heavy drinkers. ILI participants who abstained from alcohol consumption over the 4 years lost 1.6% ± 0.5% more weight relative to individuals who drank alcohol at any time during the intervention (P = 0.003). DSE participants did not differ in weight loss by alcohol consumption. Conclusions Heavy alcohol drinkers are at risk for suboptimal long‐term weight loss. Decreasing alcohol consumption may improve weight management among individuals with diabetes.

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Section: Discussionmentioning

confidence: 99%

Alcohol Intake and Weight Loss During Intensive Lifestyle Intervention for Adults with Overweight or Obesity and Diabetes

Chao

Wadden

Tronieri

et al. 2018

Obesity

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“…Those results suggest a non-linear association between alcohol consumption and certain aspects of burnout syndrome; however, no direct relationship was observed as linear regression models were employed. It should be noted that such U-shaped associations have frequently been observed between alcohol consumption and the function of the cardiovascular system or cognitive activity: small to moderate amounts of alcohol have a protective effect, while excessive amounts increase the risk of dementia and adverse cardiovascular events (Goel et al 2018;Gutwinski et al 2018). It is possible that a similar association may exist between alcohol consumption and burnout; however, this is only the first study to propose such a relationship.…”

Section: Other Findingsmentioning

confidence: 80%

Can chronotype and social jet lag predict burnout among physical therapists?

Mokros

Koprowicz

Leszczyński

et al. 2019

Biological Rhythm Research

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Burnout syndrome can be described as a set of psychological and somatic responses to chronic stress related to professional work. The aim of this study was to verify whether chronotype and social jetlag (SJL) are predictors of burnout symptoms among physical therapists. The studied sample consisted of 61 physical therapists. Variables of interest included raw scores of the following tools: the Link Burnout Questionnaire (LBQ), Chronotype Questionnaire (CQ), Pittsburgh Sleep Quality Index (PSQI) and an authored questionnaire regarding sociodemographics and information required to calculate SJL. Linear regression models were constructed to predict LBQ dimension scores. An increase in the Psychophysical Exhaustion score was associated with a decrease in CQ Morningness-Eveningness (ME) score, an increase in CQ Distinctness of the Rhythm (DI) score and a decrease in SJL. Also, the Psychophysical Exhaustion score was higher for subjects reporting fairly poor quality sleep (PSQI) than for rating it as very good. An interaction was identified between SJL and ME. An increase in Sense of Professional Ineffectiveness was predicted by a decreased SJL score, and increased Disillusionment was associated with higher DI score. Both chronotype and SJL may prove useful predictors of certain aspects of burnout among physical therapists, but they should be considered together.

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“…Goel et al, however, show that light to moderate alcohol intake has been associated with lower risk of heart failure [25].…”

Section: Strong Evidencementioning

confidence: 96%

“…Data are contrasting, however, regarding the moderate consumption of alcohol: positive association [23]; negative association [24,25] Use of cocaine (associated with increased cardiovascular risk, e.g. tachycardia, arrhythmias, hypertension and vasospasm of the coronary arteries) [26].…”

Section: Strong Evidencementioning

confidence: 99%

Best practice in psychological activities in cardiovascular prevention and rehabilitation: Position Paper

Angelino

Porta

Abatello

et al. 2018

Monaldi Arch Chest Dis

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Recent guidelines on cardiovascular disease prevention suggest multimodal behavioral interventions for psychosocial risk factors and referral for psychotherapy in the case of clinically significant symptoms of depression and anxiety overall. Accordingly, psychologists of the Italian Association for Cardiovascular Prevention, Rehabilitation and Epidemiology (GICR-IACPR) have reviewed the key components of psychological activities in cardiovascular prevention and rehabilitation (CPR). The aim of this study was to elaborate a position paper on the best practice in routine psychological activities in CPR based on efficacy, effectiveness and sustainability. The steps followed were: i) a review of the latest international guidelines and position papers; ii) analysis of the evidence-based literature; iii) a qualitative analysis of the psychological services operating in some reference Italian cardiac rehabilitation facilities; iv) classification of the psychological activities in CPR as low or high intensity based on the NICE Guidelines on psychological interventions on anxiety and depression. We confirm the existence of an association between depression, anxiety, social factors, stress, personality and illness onset/outcome and coronary heart disease. Evidence for an association between depression, social factors and disease outcome emerges particularly for chronic heart failure. Some positive psychological variables (e.g., optimism) are associated to illness outcome. Evidence is reported on the impact of psychological activities on 'new' conditions which are now indicated for cardiac rehabilitation: pulmonary hypertension, grown-up congenital heart, end-stage heart failure, implantable cardioverter-defribrillator and mechanical ventricular assist devices, frail and oldest-old patients, and end-of-life care. We also report evidence related to caregivers. The Panel divided evidence-based psychological interventions into: i) low intensity (counseling, psycho-education, self-care, self-management, telemedicine, self-help); or ii) high intensity (individual, couples and/or family and group psychotherapy, such as stress management). The results show that psychotherapy is mainly consisting of cognitive-behavior therapy, interpersonal therapy, and short-term psycho-dynamic therapy. The current data further refine the working tools available for psychological activities in CPR, giving clear directions about the choice of interventions, which should be evidence-based and have at least a minimum standard. This document provides a comprehensive update on new knowledge and new paths for psychologists working in the CPR settings.

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Effect of Alcohol Consumption on Cardiovascular Health

Cited by 62 publications

References 87 publications

Alcohol Intake and Weight Loss During Intensive Lifestyle Intervention for Adults with Overweight or Obesity and Diabetes

Alcohol Intake and Weight Loss During Intensive Lifestyle Intervention for Adults with Overweight or Obesity and Diabetes

Can chronotype and social jet lag predict burnout among physical therapists?

Best practice in psychological activities in cardiovascular prevention and rehabilitation: Position Paper

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