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Published on: November 15, 2024
Low-to-moderate alcohol intake and health status in heart failure patients
Adam C Salisbury1, John A House, Mark W Conard
1University of Missouri-Kansas City, Missouri, USA.
Insights
Moderate alcohol consumption did not negatively impact heart failure patients' health status or outcomes. This study suggests complete alcohol abstinence may not be necessary for all heart failure patients who drink moderately.
Area of Science:
- Cardiology
- Clinical Nutrition
- Public Health
Background:
- Heart failure (HF) guidelines often recommend alcohol abstinence.
- Limited evidence exists on alcohol's impact on HF patient survival and health status.
- No data available on alcohol consumption's association with symptoms, function, or quality of life in HF patients.
Purpose of the Study:
- To investigate the association between moderate alcohol consumption and health status in heart failure (HF) outpatients.
- To assess the impact of moderate alcohol intake on HF patient outcomes, including mortality and hospitalizations.
Main Methods:
- A multicenter observational study involving 420 HF outpatients.
- Quantified alcohol use and compared baseline and 1-year health status using Kansas City Cardiomyopathy Questionnaire (KCCQ) and Short Form-12 (SF-12) scores.
- Utilized multivariable analyses to control for baseline differences in outcomes.
Main Results:
- No significant differences in baseline or 1-year KCCQ and SF-12 scores between moderate alcohol drinkers (1-60 drinks/month) and abstainers.
- Similar 1-year mortality rates (10.5% vs. 11.6%) and HF hospitalization rates (18.0% vs. 15.4%) between the groups.
- Multivariable analyses confirmed no significant associations between moderate alcohol consumption and changes in health status, mortality, or HF hospitalizations.
Conclusions:
- Moderate alcohol consumption showed no relationship with health status or 1-year outcomes in HF patients.
- Findings do not support mandatory alcohol abstinence for all HF patients who consume alcohol moderately.
- Further research may clarify the role of moderate alcohol intake in heart failure management.
Background:
Although heart failure (HF) guidelines recommend alcohol abstinence, existing evidence indicates that alcohol may not worsen survival and no data about associations between alcohol and health status (patients' symptoms, function, and quality of life) exist.
Methods And Results:
Alcohol use was quantified in 420 HF outpatients. The associations between moderate alcohol intake (1 to 60 drinks/month) and health status were assessed by comparing baseline and 1-year Kansas City Cardiomyopathy Questionnaire (KCCQ) and Short Form-12 (SF-12) scores between moderate and nondrinkers. No differences in baseline KCCQ or SF-12 scores between abstainers (n = 245) and moderate drinkers (n = 175) were observed (KCCQ 60.5 +/- 24 versus 61.9 +/- 23.5, P = .55; SF-12 Physical Component Score (PCS) 33.6 +/- 11.2 versus 35.3 +/- 10.2, P = .14; and SF-12 Mental Component Score (MCS) 49.1 +/- 11.1 versus 49.4 +/- 11.4, P = .78). Abstainers and drinkers also had similar 1-year KCCQ scores (65.8 +/- 24.5 versus 69.3 +/- 24.1, P = .23), mortality (10.5% versus 11.6%, P = .72) and HF hospitalizations (18.0% versus 15.4%, P = .51). Multivariable analyses controlling for baseline differences also revealed similar outcomes between abstainers and drinkers-1-year KCCQ change = 4.3 +/- 1.8 versus 5.2 +/- 2.5; P = .75), mortality (OR = 1.33, 95% CI 0.67-2.64), or HF hospitalization (OR = 1.13, 95% CI 0.60-2.11).
Conclusion:
No relationships between moderate alcohol consumption and health status or 1-year outcomes were identified in this multicenter observational study. These data do not support the need for complete alcohol abstinence for all HF patients among those who drink in moderation.
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