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Cited by 382

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Identification and Intervention of Heavy Drinking in Middle‐Aged Men: Results and Follow‐up of 24–60 Months of Long‐Term Study with Randomized Controls

Kristenson, Hans, Öhlin, Hans, Hultén‐Nosslin, Maj‐Britt, Trell, Erik, Hood, Bertil·1983·Alcoholism: Clinical and Experimental Research
DOI 10.1111/j.1530-0277.1983.tb05441.x
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Abstract

In a continuing screening and intervention programme in Malmó, elevated serum‐yglutamyltransferase (GGT) values were used for selection of heavy drinkers. The study population consisted of 585 individuals born 1926–1933 with two consecutive GGT values in the upper decile of the GGT distribution, randomly allocated either to an intervention group of to a control group. The subjects in the intervention group were further investigated and 75% of them were judged to have elevated GGT values caused by alcohol consumption. These individuals were repeatedly encouraged to lower their overall alcohol consumption and GGT measurements were used as biofeedback method in the treatment program. The controls were informed by letter to be restrictive with their alcohol consumption and that they should receive new invitations for measurements of their liver enzymes after 2, 4, and 6 years. The intervention and control groups were well matched and followed over a 2–6‐year period. Two and 4 years after the screening investigation, the GGT values in both groups were significantly decreased. There were differences, however, between the two groups with regard to sick absenteeism, hospitalization, and mortality. A significant reduction was found in sick absence during 4 years by 80%, in hospital days during 5 years by 60%, and in mortality during 6 years by 50% in the intervention group compared with the control group. Thus, the intervention program was effective in preventing medico‐social consequences of heavy drinking.

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Authors
Kristenson, H., Öhlin, H., Hultén‐Nosslin, M., Trell, E., & Hood, B.
Venue
Alcoholism: Clinical and Experimental Research
Publisher
Wiley
Published
1983-03
Volume
7
Issue
2
Pages
203-209
ISSN
  • 0145-6008 (ISSN-L)
  • 1530-0277
DOI
10.1111/j.1530-0277.1983.tb05441.x
OpenAlex
W2163318525
Cited by
382
References
0
FWCI
6.99
Type
journal article
Language
en
Open access
closed

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