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Is Drinking Alcohol Really Linked to Cardiovascular Health? Evidence from the Kardiovize 2030 Project
Andrea Maugeri1,2, Ota Hlinomaz1, Antonella Agodi2
1International Clinical Research Center, St Anne's University Hospital, 65691 Brno, Czech Republic.
Insights
Alcohol consumption impacts cardiovascular health (CVH), with heavy drinking linked to poorer metrics. Wine drinkers showed better CVH compared to beer drinkers, suggesting amount and type matter.
Area of Science:
- Cardiology
- Public Health
- Nutritional Science
Background:
- Existing research highlights alcohol's mixed effects on cardiovascular diseases (CVD).
- The American Heart Association's cardiovascular health (CVH) score lacks evaluation regarding alcohol consumption's influence.
- Understanding alcohol's role in CVH is crucial for public health guidelines.
Purpose of the Study:
- To investigate the association between alcohol consumption patterns and the CVH score.
- To analyze how different amounts, patterns, and types of alcohol affect cardiovascular health metrics.
- To determine if alcohol consumption should be considered in CVH assessments.
Main Methods:
- Cross-sectional analysis of the Kardiovize cohort (n=1773) in Brno, Czech Republic.
- Inclusion of subjects aged 25-64 years with no prior history of CVD.
- Comparison of CVD risk factors and CVH metrics (BMI, diet, activity, smoking, blood pressure, glucose, cholesterol) across drinking categories.
Main Results:
- Alcohol consumption's relationship with CVH varied by amount, pattern, and beverage type.
- Heavy drinkers exhibited higher levels of diastolic blood pressure, fasting glucose, triglycerides, and LDL-cholesterol compared to non-drinkers.
- Exclusive wine drinkers demonstrated better CVH compared to exclusive beer drinkers.
Conclusions:
- Alcohol consumption is generally associated with cardiovascular health.
- Drinking patterns, quantity, and beverage choice significantly modify this relationship.
- Further prospective research is warranted to integrate alcohol consumption data into CVH assessments.
Abstract:
Existing data have described benefits and drawbacks of alcohol consumption on cardiovascular diseases (CVD), but no research has evaluated its association with the cardiovascular health (CVH) score proposed by the American Heart Association. Here, we conducted a cross-sectional analysis on the Kardiovize cohort (Brno, Czech Republic), to investigate the relationship between alcohol consumption and CVH. We included 1773 subjects (aged 25-64 years; 44.2% men) with no history of CVD. We compared CVD risk factors, CVH metrics (i.e., BMI, healthy diet, physical activity level, smoking status, blood pressure, fasting glucose, and total cholesterol) and CVH score between and within several drinking categories. We found that the relationship between drinking habits and CVH was related to the amount of alcohol consumed, drinking patterns, and beverage choices. Heavy drinkers were more likely to smoke tobacco, and to report diastolic blood pressure, fasting glucose, triglycerides, and low-density lipoprotein (LDL)-cholesterol at higher level than non-drinkers. Among drinkers, however, people who exclusively drank wine exhibited better CVH than those who exclusively drank beer. Although our findings supported the hypothesis that drinking alcohol was related to the CVH in general, further prospective research is needed to understand whether the assessment of CVH should incorporate information on alcohol consumption.
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