Average Volume of Alcohol Consumption, Patterns of Drinking and Risk of Coronary Heart Disease - A Review
Abstract
The effect of average volume of alcohol on coronary heart disease (CHD) is J-shaped in established market economies. Light to moderate drinkers have less risk than abstainers, with heavy drinkers displaying the highest level of risk. This relationship between average volume of alcohol consumption and CHD is modified by different patterns of drinking. Heavy drinking occasions as well as drinking outside meals are related to increased CHD risk, independently of volume of drinking. Beverage type does not seem to have much impact, even though there are some indications that wine is more protective than other forms of alcohol. Physiological mechanisms have been identified to explain this complex relationship between alcohol and CHD. Since patterns of drinking are important in determining CHD risk, they should be included in future epidemiologic studies, together with biomarkers further to test hypotheses about pathways.
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- Authors
- Rehm, J., Sempos, C. T., & Trevisan, M.
- Affiliations
- Centre for Addiction and Mental Health (CA)
- University at Buffalo, State University of New York (US)
- Corresponding author
- Rehm, J.
- Venue
- European Journal of Cardiovascular Prevention & Rehabilitation
- Publisher
- Oxford University Press (OUP)
- Published
- 2003-02-01
- Volume
- 10
- Issue
- 1
- Pages
- 15-20
- ISSN
- 1741-8267 (ISSN-L)
- 1741-8275
- OpenAlex
- W2147400143
- Cited by
- 164
- References
- 59
- Citations by year
- 2024: 5 · 2023: 3 · 2022: 4 · 2021: 4 · 2020: 2 · 2019: 5 · 2018: 2 · 2017: 5 · 2016: 6 · 2015: 8 · 2014: 10 · 2013: 9 · 2012: 13
- FWCI
- 9.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Cardiovascular Prevention & Rehabilitation (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Keywords
- alcohol consumption, coronary artery disease, drinking patterns, heavy drinking, binge drinking, wine, beverage type, J-curve, physiological mechanisms, biomarkers, cardiovascular risk
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