Relation between heavy and binge drinking and all-cause and cardiovascular mortality in Novosibirsk, Russia: a prospective cohort study

Malyutina, Sofia; Bobák, Martin; Kurilovitch, Svetlana; Гафаров, В. В.; Simonova, Galina; Nikitin, Yu. P.; Marmot, Michael

doi:10.1016/s0140-6736(02)11470-x

Cited by 210 publications

(157 citation statements)

References 24 publications

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“…Therefore, the framework also depicts the possible influence of SES, lifestyle behaviours, body-size perception, and metabolic biomarkers on MetS. Smokeless tobacco and alcohol consumption have been shown to have a role in obesity and cardiometabolic diseases [18,19]. With increasing fat accumulation, the level of adiponectin (a hormone secreted from adipose tissue) is reduced, suggesting that it may have a role in MetS [20].…”

Section: Introductionmentioning

confidence: 99%

Factors associated with obesity and metabolic syndrome in ageing black South African women

Gradidge

2017

Global Health Action

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Background: The incidence of obesity and related metabolic diseases is high and increasing in sub-Saharan African women. Evidence on the determinants of these diseases is limited, particularly in black South African women. Objective: This PhD review attempts to understand the determinants of obesity and metabolic syndrome (MetS) in a population of ageing urban-dwelling black South African women. Methods: Drawing on the longitudinal Birth-to-Twenty-Plus cohort, data were collected in 2002/03 and 2012/13, including information on behavioural factors (smoking, sitting time, physical activity, smokeless tobacco, and alcohol consumption), body-size perception, body composition (measures of adiposity and lean mass), blood pressure, and cardiometabolic biomarkers (lipid profile, fasting insulin, fasting blood glucose, insulin resistance, leptin, and adiponectin). Results: The prevalence of obesity and related cardiovascular disease risk was high and increased significantly over the 10 year period. Despite most of the study population being physically active, sitting time was high and associated with elevated blood pressure and hypertriglyceridaemia. Two groups of people were observed, those who were happy and those who were unhappy with their body size. In logistic regression analysis, the risk of MetS was lowered by abdominal subcutaneous adipose tissue and adiponectin, and increased by age, smoking, truncal lean mass, and insulin resistance. Conclusions: Obesity was confirmed to be increasing in black South African women, despite most women being sufficiently active according to guidelines of ≥150 min activity/week. Nevertheless, the contribution of sitting time to poor health outcomes is evident in this study population and must be addressed, particularly in women who are content with being obese. The novel finding of the effects of abdominal subcutaneous tissue and truncal lean mass with MetS requires further investigation. The protective effect of adiponectin against MetS is an important finding which highlights the novel interaction between adiposity and cardiometabolic diseases in black South African women.

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Section: Introductionmentioning

confidence: 99%

Factors associated with obesity and metabolic syndrome in ageing black South African women

Gradidge

2017

Global Health Action

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“…In terms of mortality, several population cohort studies have found an increased risk of deaths from external causes among individuals whose usual quantity of drinks consumed was indicative of a chronic or frequent risk drinking pattern (Laatikainen et al, 2003;Malyutina et al, 2002;Paljarvi et al, 2005). Dawson (2001) reported an increased risk among individuals whose usual intake was 5+ drinks but who drank less than once a month.…”

Section: Introductionmentioning

confidence: 99%

A prospective study of risk drinking: At risk for what?

Dawson

Grant

2008

Drug and Alcohol Dependence

171

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Data from two waves of a nationally representative U.S. population sample were used to link frequency of risk drinking in the year preceding the Wave 1 interview with the incidence or occurrence of various adverse outcomes in the approximately 3-year period between the two interviews (n = 22,245 Wave 1 drinkers who were reinterviewed at Wave 2). Risk drinking was defined as consuming the equivalent of 5+ standard drinks in a day for men and the equivalent of 4 + standard drinks in a day for women. Controls included sociodemographic and health characteristics, mean quantity of drinks consumed on risk drinking days and average volume of intake on non-risk drinking days. The odds of nonhierarchical alcohol abuse and dependence, initiation of smoking and incidence of nicotine dependence were increased at all frequencies of risk drinking and showed a fairly continuous increase in magnitude with increasing frequency, reaching OR of 3.03 -7.23 for daily/near daily risk drinking. The incidence of liver disease was strongly increased among weekly or more frequent risk drinkers (OR = 2.78 -4.76). The odds of social harm, drug use and drug dependence were increased among daily/near daily risk drinkers (OR = 1.61 -2.63), and the likelihood of marital disruption and drivers license revocation showed near-significant increases at all frequencies of risk drinking. Frequency of risk drinking interacted with volume of intake on nonrisk drinking days in predicting alcohol abuse and illicit drug use and with duration of drinking in predicting alcohol dependence. Risk drinking poses a threat of many types of harm, both directly and indirectly through its association with smoking initiation and nicotine dependence. These findings have illustrative value for prevention programs, and they indicate that frequent risk drinker is a strong marker for alcoholism.

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“…A case-control study of men aged 20-55 years in the major cities of the Udmurd Republic in 1998-1999 found that history of heavy drinking in the past few years is strongly associated with risk of death from CVD (OR=2.42;CI:2.35-7.55) [10]. These findings provided first individual-level evidence in support of the hypothesis that binge drinking is key to explaining the heavy burden of CVD mortality in Russia.Another prospective cohort study of 6502 men aged 25-64 years in Novosibirsk showed that frequent heavy drinking, defined as drinking at least three times a week in a dose greater than 120 g of ethanol per occasion, is significantly associated with incidence of cardiovascular mortality compared with moderate drinking (RR=2,05: 1,69-3,86) [11]. A more recent large retrospective study in three typical Russian cities (Barnaul, Byisk and Tomsk) based on proxy information on alcohol consumption from families of 48 557 adults who had died in 1990-2001 had found strong dose-response association between alcohol consumption and CVD mortality [12].…”

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confidence: 99%

“…Another prospective cohort study of 6502 men aged 25-64 years in Novosibirsk showed that frequent heavy drinking, defined as drinking at least three times a week in a dose greater than 120 g of ethanol per occasion, is significantly associated with incidence of cardiovascular mortality compared with moderate drinking (RR=2,05: 1,69-3,86) [11]. A more recent large retrospective study in three typical Russian cities (Barnaul, Byisk and Tomsk) based on proxy information on alcohol consumption from families of 48 557 adults who had died in 1990-2001 had found strong dose-response association between alcohol consumption and CVD mortality [12].…”

mentioning

confidence: 99%

Alcohol and cardiovascular mortality crisis in Russia

Ye¹

2016

J Integr Cardiol

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Cardiovascular disease (CVD) remains the leading cause of death in Europe and despite recent decreases in mortality rates in many countries, it is still accounting for over 4.35 million deaths each year [1]. The burden of CVD in Europe varies dramatically between countries. Russia has one of the highest CVD morbidity and mortality rates, accounting for 57% of all deaths in the country [2]. In Russia, premature CVD mortality was estimated to cost 24,400.4 million Euros in 2009 [3]. The main diseases that define a high level of mortality from CVD are coronary heart disease (CHD) and cerebrovascular diseases, which are responsible for 49.3 percent and 35.3 percent of deaths, respectively [4]. A distinctive feature of CVD mortality in Russia is that the high rates occur in working age population, especially in males [5].High mortality from CVD in Russia and its profound fluctuations over the past decades have attracted considerable interest. It was repeatedly emphasized that phenomenon of high CVD mortality in Russia is only partially associated with the traditional CVD risk factors identified in epidemiologic studies [2,6]. It was suggested that alcohol provides the most plausible explanation for both the high rate and the dramatic fluctuation in Russian CHD mortality rate during the last decades. Some experts have underlined the importance of binge drinking as the main reason for the CVD mortality crisis in Russia [7][8][9]. There is direct individual-level evidence linking excessive drinking and CVD in Russia. A case-control study of men aged 20-55 years in the major cities of the Udmurd Republic in 1998-1999 found that history of heavy drinking in the past few years is strongly associated with risk of death from CVD (OR=2.42;CI:2.35-7.55) [10]. These findings provided first individual-level evidence in support of the hypothesis that binge drinking is key to explaining the heavy burden of CVD mortality in Russia.Another prospective cohort study of 6502 men aged 25-64 years in Novosibirsk showed that frequent heavy drinking, defined as drinking at least three times a week in a dose greater than 120 g of ethanol per occasion, is significantly associated with incidence of cardiovascular mortality compared with moderate drinking (RR=2,05: 1,69-3,86) [11]. A more recent large retrospective study in three typical Russian cities (Barnaul, Byisk and Tomsk) based on proxy information on alcohol consumption from families of 48 557 adults who had died in 1990-2001 had found strong dose-response association between alcohol consumption and CVD mortality [12]. Several CVD codes were strongly associated with heavy drinking (3 or more bottles of vodka per week) in men: acute ischemic heart disease other than myocardial infarction (RR=3.04;CI:2.73-3.39) and chronic ischemic heart disease (RR=1.49;CI:1.33-1.68). Cardiovascular diagnoses were even more strongly associated with alcohol in women: acute myocardial infarction (RR=2.04;CI:1.59-2.61), acute ischemic heart disease other than myocardial infarction (RR=9.29;CI:7.97-10.74), ...

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Relation between heavy and binge drinking and all-cause and cardiovascular mortality in Novosibirsk, Russia: a prospective cohort study

Cited by 210 publications

References 24 publications

Factors associated with obesity and metabolic syndrome in ageing black South African women

Factors associated with obesity and metabolic syndrome in ageing black South African women

A prospective study of risk drinking: At risk for what?

Alcohol and cardiovascular mortality crisis in Russia

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