老年人中适度饮酒和心力衰竭的风险
J L Abramson1, S A Williams, H M Krumholz
1Emory University School of Medicine, Department of Medicine, Division of Cardiology, 1256 Briarcliff Rd NE, Suite 1 North, Atlanta, GA 30306, USA. jerome@ecor.cardio.emory.edu
JAMA
|April 20, 2001
概括
适度饮酒与老年人心力衰竭风险较低有关. 即使考虑到其他健康因素和心肌梗塞 (MI) 风险,这一发现仍然成立.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 公共卫生 公共卫生
背景情况:
- 过度饮酒是心力衰竭的已知危险因素.
- 适度饮酒对心力衰竭风险的影响尚不清楚.
研究的目的:
- 调查老年人中适度饮酒与心力衰竭风险之间的关联.
- 要确定这种关联是否独立于心肌梗塞 (MI) 风险.
主要方法:
- 对2235名老年参与者的前性队列研究,长达14年.
- 酒精消费量是根据基线前一个月的摄入量进行评估的.
- 心力衰竭事件 (致命或非致命) 被追踪为主要结局.
主要成果:
- 增加中度饮酒量 (1-70司/月) 与降低心力衰竭率有关.
- 对心力衰竭的调整后相对风险分别为1.00,0.79和0.53对于不饮酒者,1-20司和21-70司的消费者.
- 随着中度酒精摄入量增加,心力衰竭风险的下降趋势在统计学上显著 (P=.02).
结论:
- 适度饮酒与老年人心力衰竭风险降低有关.
- 这种关联独立于几个混因素.
- 对心力衰竭的保护作用似乎不仅仅是由于心脏病发作风险的降低.
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