饮酒习惯的变化和心房的风险:全国性基于人口的研究
Jae-Woo Lee1, Seung-Young Roh2, Woong-Su Yoon3
1Department of Family Medicine, Chungbuk National University Hospital, Chungju-si, South Korea.
European journal of preventive cardiology
|September 6, 2023
概括
对于大量饮酒的人来说,实现绝对戒酒显著降低了发展心房动 (AF) 的风险. 与持续大量饮酒相比,减少饮酒没有显著的益处.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 过度饮酒是心房动 (AF) 的已知危险因素.
- 严重饮酒者饮酒习惯的变化对发生的AF的影响需要进一步调查.
研究的目的:
- 评估绝对戒酒或减少饮酒是否会降低沉重习惯性饮酒者的AF发病率.
主要方法:
- 从韩国国家健康保险服务数据库 (2005-2008) 分析了一组19425名重度饮酒消费者的队列.
- 饮酒习惯的变化 (持续的重度饮酒,减少饮酒,绝对戒酒) 从2009年至2012年被跟踪.
- 用治疗权重的逆概率 (IPTW) 来控制混变量.
主要成果:
- 绝对戒酒与与持续饮酒相比,新发动的肌肉前列腺炎的发生率降低了63% (IPTW HR:0.379).
- 禁欲显著降低了在没有伴随性疾病 (如高血压,糖尿病或心力衰竭) 的亚组中AF发生率.
- 减少饮酒并没有显示出与持续饮酒相比,AF发生率在统计学上有显著差异.
结论:
- 绝对戒酒是一种可行的策略,可以减少重度饮酒者心房的发生率.
- 建议重饮者采取公共卫生倡议和鼓励戒酒的临床干预措施.
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