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Alcohol consumption and risk of heart failure: a meta-analysis
Heather Padilla1, J Michael Gaziano, Luc Djoussé
1Division of Aging, Department of Medicine, Brigham and Women's Hospital, Boston, MA 02120, USA. hpadilla02@gmail.com
Insights
Infrequent and light-to-moderate alcohol consumption appears to lower heart failure risk. Heavy drinking was not assessed, but lighter intake showed a protective association in this meta-analysis.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- Heart failure (HF) is a prevalent condition in older adults, incurring significant healthcare costs.
- Identifying modifiable risk factors for HF is crucial for prevention strategies.
- Alcohol consumption is a known modifiable risk factor for cardiovascular diseases, with varying effects based on intake levels.
Purpose of the Study:
- To investigate the association between different levels of alcohol consumption and the incidence of heart failure.
- To clarify the relationship between light-to-moderate drinking and heart failure risk.
Main Methods:
- A meta-analysis was performed, synthesizing data from 6 relevant studies identified via PubMed.
- Participants were categorized into never, former, and current drinkers.
- Current drinkers were further stratified by weekly alcohol intake: 0.1–0.9, 1–7, 8–14, and >14 drinks per week.
Main Results:
- Compared to never drinkers, former drinkers showed a non-significant increased risk (RR 1.16, 95% CI 0.90-1.51).
- Current drinkers consuming 0.1–0.9 drinks/week had a reduced risk (RR 0.90, 95% CI 0.83-0.98).
- Higher intake levels (1–7, 8–14, >14 drinks/week) also demonstrated a dose-dependent reduction in heart failure risk (RR 0.80, 0.78, 0.77 respectively).
Conclusions:
- The findings suggest that infrequent and light-to-moderate alcohol consumption is associated with a reduced risk of developing heart failure.
- These results contribute to understanding alcohol's complex role in cardiovascular health.
Background:
Heart failure is highly prevalent among older adults and is associated with high treatment costs. Identifying modifiable determinants of heart failure may help in prevention. Alcohol consumption has emerged as a modifiable risk factor for cardiovascular diseases. Although many studies have suggested a positive association between heavy drinking and cardiomyopathy, the association between infrequent or light-to-moderate drinking and heart failure risk has been less conclusive.
Purpose:
To examine the relation between various levels of alcohol intake and incident heart failure.
Methods:
We conducted a meta-analysis of 6 studies obtained through a PubMed literature search. Alcohol drinkers were classified as never, former, and current drinkers of 0.1 to 0.9, 1 to 7, 8 to 14, and > 14 drinks per week.
Results:
Compared with never drinkers, the pooled relative risks were 1.16 (95% confidence interval [CI], 0.90-1.51) for former drinkers, 0.90 (95% CI, 0.83-0.98), 0.80 (95% CI, 0.73-0.88), 0.78 (95% CI, 0.65-0.95), and 0.77 (95% CI, 0.63-0.95) for current drinkers of 0.1 to 0.9, 1 to 7, 8 to 14, and > 14 drinks per week, respectively, in a random effects model.
Conclusion:
These data suggest that infrequent and light-to-moderate drinking is associated with a lower risk of heart failure.
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