Abstract
Purpose
This work was aimed to study the relationships of moderate alcohol intake and the type of beverages consumed with health behaviors and quality of life in elderly people.
Methods
In this observational study, 231 subjects (55–85 years) voluntarily answering to advertisements were enrolled and divided in three study groups: abstainers and occasional consumers (ABS; n = 98), moderate drinkers of beer (BEER; n = 63) and moderate drinkers of all sorts of alcoholic beverages (MIXED; n = 70). Variables assessed included physical activity, activities of daily living, Mediterranean diet-adherence score, tobacco consumption, quality of sleep, body composition, medication and perception of health through the SF-36 questionnaire. Their relationship with alcohol consumption was assessed through general linear models including confounding variables (age, sex, chronic disease prevalence and socioeconomic status). ABS were also compared to moderate drinkers (MOD = BEER + MIXED).
Results
The mean daily alcohol consumption in each group was (mean ± SD): ABS: 0.7 ± 1.1; BEER: 12.7 ± 8.1; MIXED: 13.9 ± 10.2 g/day. MOD and MIXED showed significantly higher physical activity (metabolic standard units; METs) than ABS (p = 0.023 and p = 0.004, respectively). MOD spent significantly less time doing housework activities than ABS (p = 0.032). Daily grams of alcohol consumption were significantly associated with METs (B = 21.727, p = 0.023). Specifically, wine consumption (g/day) was associated with METs (B = 46.196, p = <0.001) and showed borderline significant relationships with mental health (B = 0.245, p = 0.062) and vitality perception (B = 0.266, p = 0.054).
Conclusion
Moderate alcohol consumption, and in particular wine consumption, is associated with a more active lifestyle and better perception of own health in the Spanish elderly subjects studied.
Similar content being viewed by others
Abbreviations
- PA:
-
Physical activity
- METs:
-
Metabolic standard units
- CATPCA:
-
Categorical principal component analysis
- ABS:
-
Abstainers group
- MOD:
-
Moderate drinkers group
- BEER:
-
Moderate drinkers of beer group
- MIXED:
-
Moderate drinkers of all short of alcoholic drinks group
References
Maraldi, C., Harris, T., Newman, A. B., Kritchevsky, S. B., Pahor, M., Koster, A., et al. (2009). Moderate alcohol consumption and risk of functional decline: Is there a causal relationship? The Health, Aging, and Body Composition. Journal of the American Geriatrics Society, 57(10), 1767–1775.
Nova, E., Baccan, G. C., Veses, A., Zapatera, B., & Marcos, A. (2012). Potential health benefits of moderate alcohol consumption: Current perspectives in research. Proceedings of the Nutrition Society, 71, 307–315.
Klatsky, A. L., & Udaltsova, N. (2007). Alcohol drinking and total mortality risk. Annals of Epidemiology, 17, 63–67.
Rimm, E. B., & Moats, C. (2007). Alcohol and coronary heart disease: Drinking patterns and mediators of effect. Annals of Epidemiology, 17, 3–7.
Mukamal, K. (2007). Alcohol intake and noncoronary cardiovascular diseases. Annals of Epidemiology, 17(5), 8–12.
Klatsky, A. L. (1999). Moderate drinking and reduced risk of heart disease. Alcohol Research and Health, 23(1), 15–23.
Howard, A. A., Arnsten, J. H., & Gourevitch, M. N. (2004). Effect of alcohol consumption on diabetes mellitus: A systematic review. Annals of Internal Medicine, 140(3), 211–219.
Joosten, M. M., Grobbee, D. E., Verschuren, W. M., Hendriks, H. F., & Beulens, J. W. (2010). Combined effect of alcohol consumption and lifestyle behaviors on risk of type 2 diabetes. American Journal of Clinical Nutrition, 91(6), 1777–1783.
Volpato, S., Pahor, M., Ferrucci, L., et al. (2004). Relationship of alcohol intake with inflammatory markers and plasminogen activator inhibitor-1 in well-functioning older adults: The Health, Aging, and Body Composition Study. Circulation, 109, 607–612.
Romeo, J., Wärnberg, J., Nova, E., Díaz, L. E., Gómez-Martinez, S., & Marcos, A. (2007). Moderate alcohol consumption and the immune system: A review. British Journal of Nutrition, 98(11), 111–115.
Bridevaux, I. P., Bradley, K. A., Bryson, C. L., McDonell, M. B., & Fihn, S. D. (2004). Alcohol screening. Results in elderly male veterans: Association with health status and mortality. Journal of the American Geriatric Society, 52(9), 1510–1517.
Stranberger, T. E., Stranberger, A. Y., Salomaa, V. V., Pitka, K., Tilvis, R. S., & Miettnen, T. A. (2007). Alcoholic beverage preference, 29-year mortality, and quality of life in men in old age. The Journals of Gerontology Series A, Biological Sciences and Medical Sciences, 62(2), 213–218.
World Health Organization. (2009). Global health risks: Mortality and burden of disease attributable to selected major risks. Geneva: World Health Organization.
Reid, M. C., Boutros, N. N., O’Connor, P. G., et al. (2002). The health-related effects of alcohol use in older persons: A systematic review. Substance Abuse, 23(3), 149–164.
Ortolá, R., García-Esquinas, E., León-Muñoz, L. M., Guallar-Castillón, P., Valencia-Martín, J. L., Galán, I., et al. (2015). Patterns of alcohol consumption and risk of frailty in community-dwelling older adults. The Journals of Gerontology Series A: Biological Sciences & Medical Sciences. doi:10.1093/gerona/glv125.
McGuire, L. C., Ajani, U. A., & Ford, E. S. (2007). Cognitive functioning in late life: The impact of moderate alcohol consumption. Annals of Epidemiology, 17(2), 93–99.
Nooyens, A. C., Bueno-de-Mesquita, H. B., van Gelder, B. M., van Boxtel, M. P., & Verschuren, W. M. (2014). Consumption of alcoholic beverages and cognitive decline at middle age: The Doetinchem Cohort Study. British Journal of Nutritoin, 111(4), 715–723.
Stampfer, M. J., Kang, J. H., Chen, J., Cherry, R., & Grodstein, F. (2005). Effects of moderate alcohol consumption on cognitive function in women. The New England Journal of Medicine, 352, 245–253.
Baum-Baicker, C. (1985). The psychological benefits of moderate alcohol consumption: A review of the literature. Drug and Alcohol Dependence, 15(4), 305–322.
Mukamal, K., Kuller, L., Fitzpatrick, A., Junior, L., Mittleman, M., & Siscovick, D. (2003). Prospective study of alcohol consumption and risk of dementia in older adults. JAMA, 289(11), 1405–1413.
World Health Organization. (2000). World Health Organization 2000 international guide for monitoring alcohol consumption and related harm. http://whqlibdoc.who.int/hq/2000/WHO_MSD_MSB_00.4.pdf.
Klatsky, A. L. (1999). Moderate drinking and reduced risk of heart disease. Alcohol Research & Health, 23(1), 15–23.
Lee, S. J., Sudore, R. L., Williams, B. A., Lindquist, K., Chen, H. L., & Covinsky, K. E. (2009). Functional limitations, socioeconomic status, and all-cause mortality in moderate alcohol drinkers. Journal of the American Geriatric Society, 57, 955–962.
Duncan, M. J., Kline, C. E., Vandelanotte, C., Sargent, C., Rogers, N. L., & Di Milia, L. (2014). Cross-sectional associations between multiple lifestyle behaviors and health-related quality of life in the 10,000 Steps cohort. PLoS ONE, 9(4), e94184.
Peel, N. M., McClure, R. J., & Bartlett, H. P. (2005). Behavioral determinants of healthy aging. American Journal of Preventive Medicine, 28(3), 298–304.
World Health Organization. (2010). European status reports on alcohol and health. http://www.euro.who.int/__data/assets/pdf_file/0004/128065/e94533.pdf. Accessed August 13, 2013.
González-Gross, M., Lebrón, M., & Marcos, A. (2000). Revisión bibliográfica sobre los efectos del consumo moderado de cerveza sobre la salud. Ed. Centro de Información cerveza y salud. Madrid.
Sánchez-Villegas, A., Irala, J., & Martínez-González, M. A. (2002). Dieta mediterránea y enfermedad cardiovascular: Resultados del estudio piloto del proyecto SUN [Mediterranean diet and cardiovascular disease: Results of the SUN pilot study]. Revista de Medicina-Universidad de Navarra, 46(3), 9–16.
Martínez, D., Eisenmann, J., Gómez, S., Veses, A., Marcos, A., & Veiga, O. (2010). Sedentarismo, adiposidad y factores de riesgo cardiovascular en adolescentes. Estudio AFINOS [Sedentarism, adiposity and cardiovascular risk factors in adolescents. The AFINOS study]. Revista Española de Cardiología, 63(03), 277–285.
Ainsworth, B. E., Haskell, W. L., Herrmann, S. D., Meckes, N., Bassett, D. R, Jr, Tudor-Locke, C., et al. (2011). Compendium of physical activities: A second update of codes and MET values. Medicinal Sciences in Sports and Exercise, 43(8), 1575–1581.
Martínez-González, M. A., García-Arellano, A., Toledo, E., Salas-Salvadó, J., Buil-Cosiales, P., et al. (2012). A 14-item Mediterranean diet assessment tool and obesity indexes among high-risk subjects: The PREDIMED trial. PLoS ONE, 7(8), e43134. doi:10.1371/journal.pone.0043134.
Encuesta Nacional de Salud [Spanish National Health Survey]. (2011). Ministry of Health, Spain. http://www.msps.es.
Lugo, A., García, G., & Gómez, R. (2006). Confiabilidad del cuestionario de calidad de vida en salud SF-36 en Medellín, Colombia [Confiability of the health-related wuality of life questionnaire SF-36 in Medellín, Colombia]. Revista de la Facultad Nacional de Salud Pública, 24(2), 37–50.
Linting, M., & van der Kooij, A. (2012). Nonlinear principal components analysis with CATPCA: A tutorial. Journal of Personality Assessment, 94(1), 12–25.
Smothers, B., & Bertolucci, D. (2001). Alcohol consumption and health-promoting behavior in a US household sample: Leisure-time physical activity. Journal of Studies on Alcohol, 62(4), 467–476.
Barrett, D. H., Anda, R. F., Croft, J. B., Serdula, M. K., & Lane, M. J. (1995). The association between alcohol use and health behaviours related to the risk of cardiovascular disease: The South Carolina Cardiovascular Disease Prevention Project. Journal of Studies on Alcohol, 56(1), 9–15.
Bjurj, A. L., Wen, W., Gao, Y. T., Matthews, C. E., Yang, G., Li, H. L., et al. (2007). Patterns and correlates of physical activity: A crosssectional study in urban Chinese women. BMC Public Health, 21(7), 213.
French, M., Popovici, I., & Maclean, J. (2009). Do alcohol consumers exercise more? Findings from a National Survey. American Journal of Health Promotion, 24(1), 2–10.
Lima, M., Barros, M., César, C., Goldbaum, M., Carandina, L., & Alves, M. (2011). Health-related behavior and quality of life among the elderly: A population-based study. Revista de Saúde Publica, 45(3), 485–493.
Touvier, M., Druesne-Pecollo, N., Kesse-Guyot, E., Andreeva, V. A., Galan, P., Hercberg, S., & Latino-Martel, P. (2014). Demographic, socioeconomic, disease history, dietary and lifestyle cancer risk factors associated with alcohol consumption. International Journal of Cancer, 134(2), 445–459.
Guallar-Castillón, P., Santa-Olalla Peralta, P., Banegas, J. R., López, E., & Rodríguez-Artalejo, F. (2004). Physical activity and quality of life in older adults in Spain. Medicina Clinica (Barcelona), 123(16), 606–610.
Elizondo-Armendáriz, J. J., Guillén Grima, F., & Aguinaga Ontoso, I. (2005). Prevalencia de actividad física y su relación con variables sociodemográficas y estilos de vida en la población de 18 a 65 años de Pamplona [Prevalence of physical activity and its relationship with sociodemographic variables and lifestyles in the 18–65 year old population of Pamplona]. Revista Española de Salud Pública, 79, 559–567.
Palacios-Ceña, D., Alonso-Blanco, C., Jiménez-Garcia, R., Hernández-Barrera, V., Carrasco-Garrido, P., Pileño-Martinez, E., & Fernández-de-Las-Peñas, C. (2011). Time trends in leisure time physical activity and physical fitness in elderly people: 20 year follow up of the Spanish population national health survey (1987–2006). BMC Public Health, 11, 799.
Sun, F., Norman, I. J., & While, A. E. (2013). Physical activity in older people: A systematic review. BMC Public Health, 6(13), 449.
Ruidavets, J. B., Bataille, V., Dallongeville, J., et al. (2004). Alcohol intake and diet in France, the prominent role of lifestyle. European Heart Journal, 25, 1153–1162.
Kim, K., & Taylor, L. (2005). Factors associated with physical activity among older people—A population-based study. Preventive Medicine, 40, 33–40.
Merom, D., Bowles, H. R., & Bauman, A. (2009). Measuring walking for physical activity surveillance the effect of prompts and respondents’ interpretation of walking in a leisure-time survey. Journal of Physical Activity and Health, 6, 81–88.
Strawbridge, W. J., Cohen, R. D., Shema, S. J., & Kaplan, G. A. (1996). Successful aging: Predictors and associated activities. American Journal of Epidemiology, 144, 135–141.
World Health Organization. (2010). Global recommendations on physical activity for health. http://whqlibdoc.who.int/publications/2010/9789241599979_eng.pdf. Accessed January 30, 2011.
Saito, I., Okamura, T., Fukuhara, S., Tanaka, T., Suzukamo, Y., Okayama, A., et al. (2005). A cross-sectional study of alcohol drinking and health-related quality of life among male workers in Japan. Journal of Occupational Health, 47(6), 496–503.
Chan, A., Von-Mühlenemail, D., Kritz-Silverstein, D., & Barrett-Connor, E. (2009). Regular alcohol consumption is associated with increasing quality of life and mood in older men and women: The Rancho Bernardo Study. Maturitas, 62(3), 294–300.
Byles, J., Young, A., Furuya, H., & Parkinson, L. (2006). A drink to healthy aging: The association between older women’s use of alcohol and their health-related quality of life. Journal of the American Geriatric Society, 54, 1341–1347.
Rodgers, B., Korten, A., Jorm, A., Christensen, H., Henderson, S., & Jacomb, P. (2000). Risk factors for depression and anxiety in abstainers, moderate drinkers and heavy drinkers. Addiction, 95, 1833–1845.
Perrine, M., Mundt, J., Searles, J., & Lester, L. (1995). Validation of daily self-reported alcohol consumption using interactive voice response (IVR) technology. Journal of Studies on Alcohol, 56(5), 487–490.
Hu, E. A., Toledo, E., Diez-Espino, J., Estruch, R., Corella, D., Salas-Salvado, J., et al. (2013). Lifestyles and risk factors associated with adherence to the Mediterranean diet: A baseline assessment of the PREDIMED trial. PLoS ONE, 8(4), e60166.
Acknowledgments
The authors are grateful to Ms. Laura Barrios for her statistical advice.
Funding
This study received funding from the Beer and Health Information Center in Spain in the manner of a personal grant to author ISM (reference: XII call “Manuel de Oya—Beer, Health and Nutrition”) to carry out this study.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Informed consent
Informed consent was obtained from all individual participants included in the study.
Rights and permissions
About this article
Cite this article
González-Rubio, E., San Mauro, I., López-Ruíz, C. et al. Relationship of moderate alcohol intake and type of beverage with health behaviors and quality of life in elderly subjects. Qual Life Res 25, 1931–1942 (2016). https://doi.org/10.1007/s11136-016-1229-2
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11136-016-1229-2