National Institute on Alcohol Abuse and Alcoholism Report on Moderate Drinking

Gunzerath, Lorraine; Faden, Vivian B.; Zakhari, Samir; Warren, K. S.

doi:10.1097/01.alc.0000128382.79375.b6

Cited by 273 publications

(235 citation statements)

References 185 publications

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“…heavy episodic drinking; binge drinking; threshold; alcohol; measurement One of the goals of public health research is understanding the risks and the benefits associated with alcohol consumption (Gunzerath, Faden, Zakhari, & Warren, 2004). Commensurate with the recommendations of the U.S. Department of Agriculture (U.S. Department of Agriculture, 2007), consumption of one to two drinks per day is associated with the lowest mortality risk for the adult U.S. population (Gunzerath et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

Heavy episodic drinking: Determining the predictive utility of five or more drinks.

Jackson

2008

Psychology of Addictive Behaviors

103

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Although the heavy episodic drinking (HED) measure of 5+ drinks (sometimes 4+ for women) is used extensively, there is no empirical basis for the designation of 5 drinks as the threshold (vs. another threshold that may perform equally). The present study sought to determine the threshold for HED that maximally predicts proximal and distal adverse-drinking-related outcomes. Participants included 115 young adults (57% female; 96% Caucasian) who partook in an 8-week Internet survey that assessed daily drinking as well as next-day hangover; 10 months later, adverse outcomes (problem drinking, alcohol-related problems, maximum number of drinks, and drug use) were surveyed. Thresholds were computed, with a range from 1+ drinks to 15+ drinks, and outcomes were predicted from each threshold. Findings for hangover measures showed relatively good convergence across multiple indicators, with greatest prediction occurring at a threshold of 10+ drinks per occasion. Different thresholds were observed for long-term outcomes, with higher thresholds indicative of outcomes with greater severity. Although alternatives to HED, such as subjective effects and blood alcohol concentration, can indicate risky drinking, a threshold measure of HED may have advantages in terms of prevention and of intervention efforts. Keywordsheavy episodic drinking; binge drinking; threshold; alcohol; measurement One of the goals of public health research is understanding the risks and the benefits associated with alcohol consumption (Gunzerath, Faden, Zakhari, & Warren, 2004). Commensurate with the recommendations of the U.S. Department of Agriculture (U.S. Department of Agriculture, 2007), consumption of one to two drinks per day is associated with the lowest mortality risk for the adult U.S. population (Gunzerath et al., 2004). Research is increasingly showing that with regard to alcohol-associated risk, particularly among youths, drinking patterns are of greater importance than is volume consumed (generally measured as the product of frequency of consumption and of quantity consumed on a "typical" occasion). Indeed, at a given volume, less frequent heavy use is associated with greater risk of experiencing a negative outcome than is frequent light drinking (Midanik, Tam, Greenfield, & Caetano, 1996;Wechsler & Nelson, 2001). Occurrence or frequency of heavy episodic drinking (HED), which gauges heavy consumption in a short time frame (Wechsler & Nelson, 2001), has become a key metric in estimations of the prevalence of problematic alcohol involvement. Those who drink heavily on a given occasion are more likely to experience negative outcomes (e.g., injury, driving after drinking, alcohol dependence) compared with those who do not drink heavily on that occasion (e.g., Knight et al., 2003;Midanik et al., 1996;Wechsler, Davenport, Dowdall, Moeykens, & Correspondence concerning this article should be addressed to Kristina M. Jackson, Center for Alcohol and Addiction Studies, Box G-S121-4, Brown University, Providence, RI 02912. Kristina_Jackson@bro...

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Section: Introductionmentioning

confidence: 99%

Heavy episodic drinking: Determining the predictive utility of five or more drinks.

Jackson

2008

Psychology of Addictive Behaviors

103

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“…Multicentre study of acute alcohol use and non-fatal injuries: data from the WHO collaborative study on alcohol and injuries Guilherme 17 The case-cross--over method seems especially appropri--ate when studying the risk of non-fatal injury among people who consume only low levels or moderate levels of alcohol, 18 when assessing differences in risk across modes of injury 1 and when determining whether alcoholics may have a different risk of non-fatal injury compared with non-dependent drinkers. 19 Although these issues have been par--tially addressed in prior case-crossover reports, 1,4,20 which have found mixed results, an important factor in a detailed analysis of these issues is the small sample size used in most studies, which affects the power of the analysis of the effects on those who consume only small amounts of alcohol and the comparisons that are made across key modifiers of the effects.…”

Section: Introductionmentioning

confidence: 99%

Multicentre study of acute alcohol use and non-fatal injuries: data from the WHO collaborative study on alcohol and injuries

Borges

Cherpitel

Orozco

et al. 2006

Bull World Health Organ

117

121

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Objectives To study the risk of non-fatal injury at low levels and moderate levels of alcohol consumption as well as the differences in risk across modes of injury and differences among alcoholics. Methods Data are from patients aged 18 years and older collected in 2001-02 by the WHO collaborative study on alcohol and injuries from 10 emergency departments around the world (n = 4320). We used a case-crossover method to compare the use of alcohol during the 6 hours prior to the injury with the use of alcohol during same day of the week in the previous week. Findings The risk of injury increased with consumption of a single drink (odds ratio (OR) = 3.3; 95% confidence interval = 1.9-5.7), and there was a 10-fold increase for participants who had consumed six or more drinks during the previous 6 hours. Participants who had sustained intentional injuries were at a higher risk than participants who had sustained unintentional injuries. Patients who had no symptoms of alcohol dependence had a higher OR. Conclusion Since low levels of drinking were associated with an increased risk of sustaining a non-fatal injury, and patients who are not dependent on alcohol may be at higher risk of becoming injured, comprehensive strategies for reducing harm should be implemented for all drinkers seen in emergency departments.

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“… Alcohol: el riesgo de ECV en personas que beben alcohol de manera moderada es menor que las que lo hacen en grandes cantidades, el exceso de alcohol puede elevar los triglicéridos , aumentar la presión arterial , producir arritmias e insuficiencia cardiaca, entre otras cosas por aportar calorías extra a la dieta e interferir en el correcto funcionamiento hepático (9).…”

Section: Factores De Riesgo Modificablesunclassified

Efectos De Los Ácidos Grasos Omega 3 en Terapia Cardiovascular

García¹

2017

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National Institute on Alcohol Abuse and Alcoholism Report on Moderate Drinking

Cited by 273 publications

References 185 publications

Heavy episodic drinking: Determining the predictive utility of five or more drinks.

Heavy episodic drinking: Determining the predictive utility of five or more drinks.

Multicentre study of acute alcohol use and non-fatal injuries: data from the WHO collaborative study on alcohol and injuries

Efectos De Los Ácidos Grasos Omega 3 en Terapia Cardiovascular

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