 |
|
Alcohol Consumption and Risk for Coronary Heart Disease in Men With Healthy Lifestyles
Kenneth J. Mukamal, MD, MPH, MA;
Stephanie E. Chiuve, ScD;
Eric B. Rimm, ScD
Arch Intern Med. 2006;166:2145-2150.
Background Although moderate alcohol intake is associated with lower risk for myocardial infarction (MI), guidelines generally suggest that adults seek other lifestyle measures to reduce cardiovascular risk. We studied whether alcohol consumption is inversely associated with risk for coronary heart disease in men who report consistently favorable lifestyle behaviors.
Methods From 51 529 male participants of the Health Professionals Follow-up Study who have reported diet and other lifestyle factors in biennial questionnaires since 1986, we defined a cohort of 8867 men free of major illness to participate in a prospective study. All participants reported 4 healthy lifestyle behaviors, including a body mass index (calculated as weight in kilograms divided by height in meters squared) of less than 25, moderate to vigorous activity for 30 minutes or more per day, abstention from smoking, and a summary diet score in the top 50% for men. High dietary scores reflected a high intake of vegetables, fruits, cereal fiber, fish, chicken, nuts, soy, and polyunsaturated fat; low consumption of trans-fat, and red and processed meats; and multivitamin use. We ascertained the incidence of nonfatal MI and fatal coronary heart disease according to reported intake of beer, wine, and liquor every 4 years.
Results During 16 years of follow-up, we documented 106 incident cases of MI. Compared with abstention, the hazard ratios for MI were 0.98 (95% confidence interval, 0.55-1.74) for alcohol intake of 0.1 to 4.9 g/d, 0.59 (95% confidence interval, 0.33-1.07) for alcohol intake of 5.0 to 14.9 g/d, 0.38 (95% confidence interval, 0.16-0.89) for alcohol intake of 15.0 to 29.9 g/d, and 0.86 (95% confidence interval, 0.36-2.05) for alcohol intake of 30.0 g/d or more. In men who met 3 criteria, the lower risk associated with alcohol intake of 5.0 to 29.9 g/d tended to be similar to the lower risk associated with the remaining healthy lifestyle behavior.
Conclusion Even in men already at low risk on the basis of body mass index, physical activity, smoking, and diet, moderate alcohol intake is associated with lower risk for MI.
Author Affiliations: Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center (Dr Mukamal); Departments of Nutrition (Drs Chiuve and Rimm) and Epidemiology (Dr Rimm), Harvard School of Public Health; and Division of Preventive Medicine (Dr Chiuve) and Channing Laboratory (Dr Rimm), Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Mass.
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
RELATED LETTERS
Does Alcohol Prevent Mortality or Does It Just Prevent Coronary Heart Disease?
Daniel J. Fink
Arch Intern Med. 2007;167(9):970.
EXTRACT
| FULL TEXT
Does Alcohol Prevent Mortality or Does It Just Prevent Coronary Heart Disease?—Reply
Kenneth J. Mukamal, Stephanie E. Chiuve, and Eric B. Rimm
Arch Intern Med. 2007;167(9):970.
EXTRACT
| FULL TEXT
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Culture, risk factors and mortality: can Switzerland add missing pieces to the European puzzle?
Faeh et al.
J. Epidemiol. Community Health 2009;63:639-645.
ABSTRACT
| FULL TEXT
Who benefits most from the cardioprotective properties of alcohol consumption--health freaks or couch potatoes?
Britton et al.
J. Epidemiol. Community Health 2008;62:905-908.
ABSTRACT
| FULL TEXT
Red wine, chocolate and vascular health: developing the evidence base
Corder
Heart 2008;94:821-823.
FULL TEXT
Alcohol and Cardiovascular Health: The Razor-Sharp Double-Edged Sword
O'Keefe et al.
J Am Coll Cardiol 2007;50:1009-1014.
ABSTRACT
| FULL TEXT
To Drink or Not to Drink? That Is the Question
Kloner and Rezkalla
Circulation 2007;116:1306-1317.
ABSTRACT
| FULL TEXT
The red wine hypothesis: from concepts to protective signalling molecules
Opie and Lecour
Eur Heart J 2007;28:1683-1693.
ABSTRACT
| FULL TEXT
Does Alcohol Prevent Mortality or Does It Just Prevent Coronary Heart Disease?
Fink
Arch Intern Med 2007;167:970-970.
FULL TEXT
Does Alcohol Prevent Mortality or Does It Just Prevent Coronary Heart Disease?--Reply
Mukamal et al.
Arch Intern Med 2007;167:970-970.
FULL TEXT
Fitness, Antioxidants, and Moderate Drinking: All to Lower Cardiovascular Risk
Miner
AMERICAN JOURNAL OF LIFESTYLE MEDICINE 2007;1:110-112.
ABSTRACT
|
