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Alcohol Intake and Risk of Coronary Heart Disease in Younger, Middle-Aged, and Older Adults

BACKGROUND—: Light to moderate alcohol consumption is associated with a reduced risk of coronary heart disease. This protective effect of alcohol, however, may be confined to middle-aged or older individuals. Coronary heart disease incidence is low in men

Journal Title: Circulation 2010, Vol.121(14), pp.1589-1597
Main Author: Hvidtfeldt, Ulla A.
Other Authors: Tolstrup, Janne S. , Jakobsen, Marianne U. , Heitmann, Berit L. , Grønbæk, Morten , Oʼreilly, Eilis , Bälter, Katarina , Goldbourt, Uri , Hallmans, Göran , Knekt, Paul , Liu, Simin , Pereira, Mark , Pietinen, Pirjo , Spiegelman, Donna , Stevens, June , Virtamo, Jarmo , Willett, Walter C. , Rimm, Eric B. , Ascherio, Alberto
Format: Electronic Article Electronic Article
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ID: ISSN: 0009-7322 ; DOI: 10.1161/CIRCULATIONAHA.109.887513
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title: Alcohol Intake and Risk of Coronary Heart Disease in Younger, Middle-Aged, and Older Adults
format: Article
creator:
  • Hvidtfeldt, Ulla A.
  • Tolstrup, Janne S.
  • Jakobsen, Marianne U.
  • Heitmann, Berit L.
  • Grønbæk, Morten
  • Oʼreilly, Eilis
  • Bälter, Katarina
  • Goldbourt, Uri
  • Hallmans, Göran
  • Knekt, Paul
  • Liu, Simin
  • Pereira, Mark
  • Pietinen, Pirjo
  • Spiegelman, Donna
  • Stevens, June
  • Virtamo, Jarmo
  • Willett, Walter C.
  • Rimm, Eric B.
  • Ascherio, Alberto
subjects:
  • Medicine
  • Anatomy & Physiology
ispartof: Circulation, 2010, Vol.121(14), pp.1589-1597
description: BACKGROUND—: Light to moderate alcohol consumption is associated with a reduced risk of coronary heart disease. This protective effect of alcohol, however, may be confined to middle-aged or older individuals. Coronary heart disease incidence is low in men
language:
source:
identifier: ISSN: 0009-7322 ; DOI: 10.1161/CIRCULATIONAHA.109.887513
fulltext: fulltext
issn:
  • 0009-7322
  • 00097322
url: Link


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titleAlcohol Intake and Risk of Coronary Heart Disease in Younger, Middle-Aged, and Older Adults
creatorHvidtfeldt, Ulla A. ; Tolstrup, Janne S. ; Jakobsen, Marianne U. ; Heitmann, Berit L. ; Grønbæk, Morten ; Oʼreilly, Eilis ; Bälter, Katarina ; Goldbourt, Uri ; Hallmans, Göran ; Knekt, Paul ; Liu, Simin ; Pereira, Mark ; Pietinen, Pirjo ; Spiegelman, Donna ; Stevens, June ; Virtamo, Jarmo ; Willett, Walter C. ; Rimm, Eric B. ; Ascherio, Alberto
ispartofCirculation, 2010, Vol.121(14), pp.1589-1597
identifierISSN: 0009-7322 ; DOI: 10.1161/CIRCULATIONAHA.109.887513
descriptionBACKGROUND—: Light to moderate alcohol consumption is associated with a reduced risk of coronary heart disease. This protective effect of alcohol, however, may be confined to middle-aged or older individuals. Coronary heart disease incidence is low in men <40 years of age and in women <50 years of age; for this reason, study cohorts rarely have the power to investigate the effects of alcohol on coronary heart disease risk in younger adults. This study examined whether the beneficial effect of alcohol on coronary heart disease depends on age. METHODS AND RESULTS—: In this pooled analysis of 8 prospective studies from North America and Europe including 192 067 women and 74 919 men free of cardiovascular diseases, diabetes, and cancers at baseline, average daily alcohol intake was assessed at baseline with a food frequency or diet history questionnaire. An inverse association between alcohol and risk of coronary heart disease was observed in all age groups; hazard ratios among moderately drinking men (5.0 to 29.9 g/d) 39 to 50, 50 to 59, and ≥60 years of age were 0.58 (95% confidence interval [CI], 0.36 to 0.93), 0.72 (95% CI, 0.60 to 0.86), and 0.85 (95% CI, 0.75 to 0.97) compared with abstainers. However, the analyses indicated a smaller incidence rate difference between abstainers and moderate consumers in younger adults (incidence rate difference, 45 per 100 000; 90% CI, 8 to 84) than in middle-aged (incidence rate difference, 64 per 100 000; 90% CI, 24 to 102) and older (incidence rate difference, 89 per 100 000; 90% CI, 44 to 140) adults. Similar results were observed in women. CONCLUSION—: Alcohol is also associated with a decreased risk of coronary heart disease in younger adults; however, the absolute risk was small compared with middle-aged and older adults.
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1Tolstrup, Janne S
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4Grønbæk, Morten
5OʼReilly, Eilis
6Bälter, Katarina
7Goldbourt, Uri
8Hallmans, Göran
9Knekt, Paul
10Liu, Simin
11Pereira, Mark
12Pietinen, Pirjo
13Spiegelman, Donna
14Stevens, June
15Virtamo, Jarmo
16Willett, Walter C
17Rimm, Eric B
18Ascherio, Alberto
titleAlcohol Intake and Risk of Coronary Heart Disease in Younger, Middle-Aged, and Older Adults
descriptionBACKGROUND—: Light to moderate alcohol consumption is associated with a reduced risk of coronary heart disease. This protective effect of alcohol, however, may be confined to middle-aged or older individuals. Coronary heart disease incidence is low in men <40 years of age and in women <50 years of age; for this reason, study cohorts rarely have the power to investigate the effects of alcohol on coronary heart disease risk in younger adults. This study examined whether the beneficial effect of alcohol on coronary heart disease depends on age. METHODS AND RESULTS—: In this pooled analysis of 8 prospective studies from North America and Europe including 192 067 women and 74 919 men free of cardiovascular diseases, diabetes, and cancers at baseline, average daily alcohol intake was assessed at baseline with a food frequency or diet history questionnaire. An inverse association between alcohol and risk of coronary heart disease was observed in all age groups; hazard ratios among moderately drinking men (5.0 to 29.9 g/d) 39 to 50, 50 to 59, and ≥60 years of age were 0.58 (95% confidence interval [CI], 0.36 to 0.93), 0.72 (95% CI, 0.60 to 0.86), and 0.85 (95% CI, 0.75 to 0.97) compared with abstainers. However, the analyses indicated a smaller incidence rate difference between abstainers and moderate consumers in younger adults (incidence rate difference, 45 per 100 000; 90% CI, 8 to 84) than in middle-aged (incidence rate difference, 64 per 100 000; 90% CI, 24 to 102) and older (incidence rate difference, 89 per 100 000; 90% CI, 44 to 140) adults. Similar results were observed in women. CONCLUSION—: Alcohol is also associated with a decreased risk of coronary heart disease in younger adults; however, the absolute risk was small compared with middle-aged and older adults.
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010.1161/CIRCULATIONAHA.109.887513
1© 2010 American Heart Association, Inc.
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7Goldbourt, Uri
8Hallmans, Göran
9Knekt, Paul
10Liu, Simin
11Pereira, Mark
12Pietinen, Pirjo
13Spiegelman, Donna
14Stevens, June
15Virtamo, Jarmo
16Willett, Walter C.
17Rimm, Eric B.
18Ascherio, Alberto
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1Tolstrup, Janne S.
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6Bälter, Katarina
7Goldbourt, Uri
8Hallmans, Göran
9Knekt, Paul
10Liu, Simin
11Pereira, Mark
12Pietinen, Pirjo
13Spiegelman, Donna
14Stevens, June
15Virtamo, Jarmo
16Willett, Walter C.
17Rimm, Eric B.
18Ascherio, Alberto
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abstractBACKGROUND—: Light to moderate alcohol consumption is associated with a reduced risk of coronary heart disease. This protective effect of alcohol, however, may be confined to middle-aged or older individuals. Coronary heart disease incidence is low in men <40 years of age and in women <50 years of age; for this reason, study cohorts rarely have the power to investigate the effects of alcohol on coronary heart disease risk in younger adults. This study examined whether the beneficial effect of alcohol on coronary heart disease depends on age. METHODS AND RESULTS—: In this pooled analysis of 8 prospective studies from North America and Europe including 192 067 women and 74 919 men free of cardiovascular diseases, diabetes, and cancers at baseline, average daily alcohol intake was assessed at baseline with a food frequency or diet history questionnaire. An inverse association between alcohol and risk of coronary heart disease was observed in all age groups; hazard ratios among moderately drinking men (5.0 to 29.9 g/d) 39 to 50, 50 to 59, and ≥60 years of age were 0.58 (95% confidence interval [CI], 0.36 to 0.93), 0.72 (95% CI, 0.60 to 0.86), and 0.85 (95% CI, 0.75 to 0.97) compared with abstainers. However, the analyses indicated a smaller incidence rate difference between abstainers and moderate consumers in younger adults (incidence rate difference, 45 per 100 000; 90% CI, 8 to 84) than in middle-aged (incidence rate difference, 64 per 100 000; 90% CI, 24 to 102) and older (incidence rate difference, 89 per 100 000; 90% CI, 44 to 140) adults. Similar results were observed in women. CONCLUSION—: Alcohol is also associated with a decreased risk of coronary heart disease in younger adults; however, the absolute risk was small compared with middle-aged and older adults.
pub© 2010 American Heart Association, Inc.
doi10.1161/CIRCULATIONAHA.109.887513
eissn15244539
date2010-04