医生健康研究I中的酒精消费和心力衰竭风险
Luc Djoussé1, J Michael Gaziano
1Division of Aging, Brigham and Women's Hospital and Harvard Medical School, 1620 Tremont St, 3rd Floor, Boston MA 02120, USA. ldjousse@rics.bwh.harvard.edu
Circulation
|November 30, 2006
概括
适度饮酒可以降低心力衰竭 (HF) 的风险. 应该避免大量饮酒,但适度摄入可能会带来心血管方面的好处,可能通过改善冠状动脉疾病.
科学领域:
- 心脏病学 心脏病学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 心力衰竭是老年人住院的主要原因之一.
- 40岁以上的五分之一的成年人有患高血压风险.
- 现有的关于中度饮酒和高血压风险的数据有限且相互矛盾.
研究的目的:
- 调查适度饮酒与发生性心力衰竭的风险之间的关联.
- 为了澄清不同程度的酒精摄入量与HF发病率之间的关系.
主要方法:
- 来自医生健康研究I的21,601名参与者的前性队列研究.
- 从1982年到2005年,对酒精消费的基线评估和对发生的HF病例的后续行动.
- 通过调查问卷确定了HF病例,并使用Framingham标准进行验证,并对共变量进行了调整.
主要成果:
- 在长达18.4年的随访期间,记录了904例HF病例.
- 适度饮酒 (5-7杯/周) 显示了降低HF风险的趋势 (HR 0.84;95% CI 0.71-0.99).
- 较高的饮酒量 (>7杯/周) 与显著降低的HF风险相关 (HR 0.62;95% CI 0.41-0.96).
结论:
- 适度饮酒可能与心力衰竭风险降低有关.
- 适度饮酒对HF的潜在益处可能与对冠状动脉疾病的积极影响有关.
- 由于健康风险,应避免大量饮酒.
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