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Published on: November 8, 2024
Alcohol consumption and risk of all-cause and cardiovascular disease mortality in men
Erin K Howie1, Xuemei Sui, Duck-Chul Lee
1Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
Insights
Moderate alcohol consumption, specifically less than six drinks weekly, was associated with a reduced risk of cardiovascular disease mortality in men. All-cause mortality risk showed no significant difference across alcohol intake levels in this study.
Area of Science:
- Epidemiology
- Cardiovascular Health
- Public Health
Background:
- Understanding the relationship between alcohol consumption and mortality is crucial for public health guidelines.
- Previous research on alcohol's impact on cardiovascular disease (CVD) and all-cause mortality has yielded varied results.
- Specific consumption levels and their differential effects require further investigation.
Purpose of the Study:
- To investigate the association between alcohol beverage consumption and all-cause and cardiovascular disease (CVD) mortality.
- To analyze these associations within a large cohort of men.
- To evaluate if current public health recommendations on alcohol intake align with observed mortality risks.
Main Methods:
- A cohort study involving 31,367 men.
- Cox proportional hazards models were utilized for statistical analysis.
- Adjustments were made for various potential confounders including age, BMI, smoking, CVD history, and fitness levels.
Main Results:
- No significant differences in all-cause mortality risk were observed across different alcohol intake groups.
- A reduced risk of cardiovascular disease (CVD) mortality was noted: 29% in the lowest quartile (HR=0.71) and 25% in the second quartile (HR=0.75) of alcohol consumption.
- The beneficial effect on CVD mortality was associated with consuming fewer than six alcoholic drinks per week, below current recommendations.
Conclusions:
- Consumption of less than six alcoholic drinks per week may be associated with a reduced risk of cardiovascular disease mortality in men.
- Current public health recommendations for alcohol consumption may need re-evaluation based on these findings.
- Further research is warranted to confirm these associations and inform public health strategies regarding alcohol intake.
Abstract:
This study examined the association between consumption of alcoholic beverages and all-cause and cardiovascular disease (CVD) mortality in a cohort of men (n = 31,367). In the Cox proportional hazards model adjusted for age, year of examination, body mass index (BMI), smoking, family history of CVD, and aerobic fitness, there were no significant differences in risk of all-cause mortality across alcohol intake groups. Risk of CVD mortality was reduced 29% in quartile 1 (HR = 0.71, 95% confidence interval (CI): 0.53, 0.95) and 25% in quartile 2 (HR = 0.75, 95% CI: 0.58, 0.98). The amount of alcohol consumed to achieve this risk reduction was <6 drinks/week; less than the amount currently recommended. The addition of other potential confounders and effect modifiers including blood pressure, insulin sensitivity, lipid levels, and psychological variables did not affect the magnitude of association. Future research is needed to validate the current public health recommendations for alcohol consumption.
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