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Alcohol use, comorbidity, and mortality.

Alison A Moore1, Lisa Giuli, Robert Gould

  • 1Department of Medicine, Division of Geriatrics, David Geffen School of Medicine, University of California at Los Angeles, 10945 Le Conte Avenue, Los Angeles, CA 90095, USA. aamoore@mednet.ucla.edu

Journal of the American Geriatrics Society
|May 16, 2006
PubMed
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At-risk drinking in older men with comorbidities increases mortality risk. Lower alcohol intake recommendations are advised for older adults with health conditions to improve longevity.

Area of Science:

  • Gerontology
  • Public Health
  • Epidemiology

Background:

  • Alcohol consumption is prevalent among older adults.
  • Comorbidities are common in this demographic, potentially interacting with alcohol's effects.
  • Understanding these combined risks is crucial for public health guidelines.

Purpose of the Study:

  • To investigate the 20-year mortality risk associated with at-risk alcohol consumption in older adults.
  • To analyze the interplay between alcohol use patterns and comorbidities in this population.
  • To determine the prevalence of at-risk drinking among older Americans.

Main Methods:

  • Longitudinal analysis of a national probability sample (NHANES I and its follow-up survey).
  • Inclusion of 4,691 adults aged 60+ with data on alcohol use.

Related Experiment Videos

  • At-risk drinking status determined by alcohol quantity and presence of comorbidities.

    • Main Results:

    • 10% of older adults (18% men, 5% women) were identified as at-risk drinkers.
    • 69% were classified as at-risk due to alcohol in combination with comorbidities.
    • In men, at-risk drinking correlated with higher mortality (HR=1.20); no significant association found for women or alcohol abstinence.

    Conclusions:

    • At-risk alcohol consumption, particularly with comorbidities, is linked to increased mortality in older men.
    • Findings suggest a need for lower alcohol intake recommendations for older adults with specific health conditions.
    • This study highlights the importance of considering comorbidity when assessing alcohol risks in geriatric populations.