Is Modest Alcohol Consumption Better Than None At All: An Epidemiologic Assessment

Colsher, P.

doi:10.1146/annurev.publhealth.10.1.203

Cited by 4 publications

(6 citation statements)

References 34 publications

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“…In this large, longitudinal study of middle‐aged women, self‐reported general health was best among moderate drinkers of alcohol and worst among non‐drinkers, a finding consistent with previous studies [1–3,9,32]. The finding was robust and persisted after several models were tested.…”

Section: Discussionsupporting

confidence: 89%

“…Some authors propose that there may be factors other than level of alcohol intake, such as chronic conditions, life‐style factors or family history that account for the higher mortality risk among abstainers [3,46,47]. For example, health and alcohol consumption are likely to decline with age.…”

Section: Discussionmentioning

confidence: 99%

“…Many studies of alcohol indicate that abstainers are at increased risk of mortality from all causes and coronary heart disease [1–5] and heavy alcohol consumers are at increased risk of cancers, hypertension, liver cirrhosis, injuries and violence [3,6–8] . Most studies have used alcohol intake at only one time‐point to investigate the impact of alcohol consumption on mortality or morbidity.…”

Section: Introductionmentioning

confidence: 99%

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Longitudinal analysis of alcohol consumption and health of middle‐aged women in Australia

Powers

Young

2008

Addiction

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Longitudinal analysis of alcohol consumption and health of middle‐aged women in Australia

Powers

Young

2008

Addiction

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“…Observations on the relationship between alcohol and health have shifted from an emphasis on excess mortality associated with heavy alcohol intake in the 1970s [23] to a cautious summary that there is little support for an overall health-promoting effect of low to moderate alcohol intake in the 1980s [24] and to the view that abstention from alcohol is associated with an increased all-cause mortality [6] and that there are beneficial effects of moderate alcohol consumption [25]. The benefits may be mediated by an increase in high-density lipoprotein cholesterol, a reduction in platelet aggregation, and antioxidant, vasorelaxant, and antithrombotic properties of naturally occurring compounds in wine, for example [25].…”

Section: Discussionmentioning

confidence: 99%

Lifestyle Factors and Health Outcomes in Elderly Hong Kong Chinese Aged 70 Years and Over

Woo

Ho²,

2002

Gerontology

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Background: Although increasing emphasis is being placed on strategies for successful aging, few studies have examined the relationship between lifestyle factors and mortality and other health outcomes in the old-old population. Objective: To examine the impact of physical activity, dietary habits, smoking, and alcohol consumption on 3-year mortality and other health outcomes. Methods: 2,032 Chinese subjects aged 70 years and older (mean age 80 years) were recruited territorywide by proportional random sampling and followed for 3 years. Baseline information was obtained by interview on level of physical activity, dietary habits (frequency of consumption per week of major food groups), alcohol consumption, and smoking habits. Outcome measures include mortality, self-perceived health status, frequency of hospitalization, geriatric depression score, and development of new diseases (stroke, heart disease, hypertension, diabetes mellitus, fractures). Logistic regression was used to examine the effects of lifestyle factors on each health outcome, with and without adjustment for age and baseline health status. Results: The mortality risk is reduced with increasing physical activity, daily fish intake and moderate alcohol consumption, and avoidance of smoking; hospitalization is inversely associated with increasing activity; better self-perceived health is associated with moderate alcohol consumption and a non-smoking status, and there is an inverse relationship between depressive symptoms and increasing activity and moderate alcohol consumption. After adjustment for age and baseline health status, higher levels of physical activity are associated with decreased mortality and hospitalization; non-smokers have reduced mortality and a better self-perceived health, and moderate alcohol consumption is also associated with better self-perceived health. Conclusion: Lifestyle factors may influence health outcomes even in the old-old population.

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“…10 The Lipid Research Clinics Follow-up Study provided information from a prospective study of more than 7400 men and women in 10 North American populations followed for an average of 8.5 years.1"5 In that study, moderate alcohol consumption was weakly protective for cardiovascular disease, and the effect of alcohol consumption on cardiovascular disease mortality was partially mediated by the HDL cholesterol increase.…”

Section: Introductionmentioning

confidence: 99%

High-density lipoprotein cholesterol and alcohol consumption in US white and black adults: data from NHANES II.

Linn¹,

Carroll²,

Johnson³

et al. 1993

Am J Public Health

115

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OBJECTIVES. High-density lipoprotein (HDL) cholesterol is known to be positively related to moderate alcohol consumption from studies in selected populations. This study describes the association in a representative sample of the US adult population. METHODS. Stratification and multivariate regression analyses were used to examine HDL cholesterol levels and alcohol consumption. RESULTS. Fewer women than men reported consumption of alcohol at any frequency. Similar percentages of Whites and Blacks reported alcohol consumption. Age-adjusted mean HDL cholesterol levels were higher among alcohol drinkers than among nondrinkers in all sex-race strata. Mean HDL cholesterol levels of Whites and Blacks of both sexes increased consistently with increased frequency of consumption of beer, wine, and liquor. With age, education, body mass index, smoking, and physical activity controlled for, there were higher age-adjusted HDL cholesterol levels with increasing reported quantities of alcohol consumed. Daily or weekly use of alcohol led to an increase of 5.1 mg/dL in mean HDL cholesterol level, whereas consumption of 1 g of alcohol led to an increase of 0.87 mg/dL. CONCLUSION. Even if there is a causal association between alcohol consumption and higher HDL cholesterol levels, it is suggested that efforts to reduce coronary heart disease risks concentrate on the cessation of smoking and weight control.

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Is Modest Alcohol Consumption Better Than None At All: An Epidemiologic Assessment

Cited by 4 publications

References 34 publications

Longitudinal analysis of alcohol consumption and health of middle‐aged women in Australia

Longitudinal analysis of alcohol consumption and health of middle‐aged women in Australia

Lifestyle Factors and Health Outcomes in Elderly Hong Kong Chinese Aged 70 Years and Over

High-density lipoprotein cholesterol and alcohol consumption in US white and black adults: data from NHANES II.

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