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Alcohol and lung airways function.

Stanton T Siu1, Natalia Udaltsova, Carlos Iribarren

  • 1Department of Pulmonary and Critical Care Medicine, Oakland Medical Center, CA, USA. stanton.siu@kp.org

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Light to moderate alcohol consumption is associated with better lung function, including improved one-second forced expiratory volume (FEV(1)) and forced vital capacity (FVC). This J-shaped relationship suggests potential benefits for lung health in moderate drinkers.

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Area of Science:

  • Pulmonary Medicine
  • Epidemiology
  • Public Health

Background:

  • Existing research suggests a potential link between moderate alcohol consumption and improved lung airways function.
  • However, previous studies often failed to adequately control for confounding factors like smoking and pre-existing coronary disease.
  • There was also a risk of bias from including former drinkers who quit due to illness in the non-drinker group.

Purpose of the Study:

  • To investigate the association between alcohol consumption and lung airways function in a large, free-living population.
  • To control for potential confounders, including smoking and cardiorespiratory illness.
  • To examine the relationship using objective lung function measurements.

Main Methods:

  • A cross-sectional analysis was conducted on 177,721 health plan members.
  • Alcohol intake was self-reported via questionnaire, categorizing consumption levels.
  • Lung function was assessed by measuring one-second forced expiratory volume (FEV(1)), forced vital capacity (FVC), and their ratio (FEV(1)/FVC), with adjustments for covariates.

Main Results:

  • Individuals consuming two or fewer drinks per day, and those consuming three to five drinks per day, exhibited significantly better lung airways function compared to non-drinkers (p < 0.001).
  • Heavier alcohol consumption was associated with worse lung function, indicating a J-shaped relationship.
  • This J-shaped pattern persisted across various subgroups, including those with and without reported cardiorespiratory illness.

Conclusions:

  • Light to moderate alcohol intake is independently associated with superior lung function (FEV(1), FVC, FEV(1)/FVC) compared to abstinence, even after accounting for smoking and cardiovascular/respiratory disease.
  • While causality cannot be definitively established, moderate alcohol consumption may confer some benefits to lung function.
  • The findings highlight a complex relationship between alcohol and respiratory health, warranting further investigation.