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What Are the Health Implications of Alcohol Consumption?

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Book cover Nutritional Health

Part of the book series: Nutrition and Health ((NH))

Abstract

The harmful effects of alcohol are far better known than the beneficial effects. This is scarcely surprising: it requires no training in epidemiology to recognize the devastating harm that often comes with both drunkenness and chronic alcohol abuse. However, findings that have emerged in recent years have uncovered several surprising associations between moderate intake of alcohol and enhanced health and well-being.

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References

  1. Leon DA, Chenet L, Shkolnikov VM, et al. Huge variation in Russian mortality rates 1984–94: artefact, alcohol, or what? Lancet. 1997;350:383–8.

    Article  PubMed  CAS  Google Scholar 

  2. Walberg P, McKee M, Shkolnikov V, Chenet L, Leon DA. Economic change, crime, and mortality crisis in Russia: regional analysis. BMJ. 1998;317:312–8.

    Article  PubMed  CAS  Google Scholar 

  3. Zaridze D, Brennan P, Boreham J, et al. Alcohol and cause-specific mortality in Russia: a retrospective case-control study of 48,557 adult deaths. Lancet. 2009;373:2201–14.

    Article  PubMed  CAS  Google Scholar 

  4. Reuters. U.S. drunken driving deaths up, total fatalities down. Available at http://www.reuters.com/article/idUSN2540572120070525(2010). Last Accessed 26 July 2010.

  5. Danaei G, Ding EL, Mozaffarian D, et al. The preventable causes of death in the United States: comparative risk assessment of dietary, lifestyle, and metabolic risk factors. PLoS Med. 2009;6:e1000058.

    Article  PubMed  Google Scholar 

  6. Bagnardi V, Blangiardo M, Vecchia CL, Corrao G. A meta-analysis of alcohol drinking and cancer risk. Br J Cancer. 2001;85:1700–5.

    Article  PubMed  CAS  Google Scholar 

  7. Hankinson SE, Willett WC, Manson JE, et al. Alcohol, height, and adiposity in relation to estrogen and prolactin levels in postmenopausal women. J Natl Cancer Inst. 1995;87:1297–302.

    Article  PubMed  CAS  Google Scholar 

  8. Dorgan JF, Baer DJ, Albert PS, et al. Serum hormones and the alcohol-breast cancer association in postmenopausal women. J Natl Cancer Inst. 2001;93:710–5.

    Article  PubMed  CAS  Google Scholar 

  9. Yeomans MR. Alcohol, appetite and energy balance: is alcohol intake a risk factor for obesity? Physiol Behav. 2010;100:82–9.

    Article  PubMed  CAS  Google Scholar 

  10. Cordain L, Bryan ED, Melby CL, Smith MJ. Influence of moderate daily wine consumption on body weight regulation and metabolism in healthy free-living males. J Am Coll Nutr. 1997;16:134–9.

    PubMed  CAS  Google Scholar 

  11. Cordain L, Melby CL, Hamamoto AE, et al. Influence of moderate chronic wine consumption on insulin sensitivity and other correlates of syndrome X in moderately obese women. Metabolism. 2000;49:1473–8.

    Article  PubMed  CAS  Google Scholar 

  12. Koh-Banerjee P, Chu NF, Spiegelman D, Rosner B, Colditz G, Willett W, et al. Prospective study of the association of changes in dietary intake, physical activity, alcohol consumption, and smoking with 9-y gain in waist circumference among 16 587 US men. Am J Clin Nutr. 2003;78:719–27.

    PubMed  CAS  Google Scholar 

  13. Wang L, Lee IM, Manson JE, Buring JE, Sesso HD. Alcohol consumption, weight gain, and risk of becoming overweight in middle-aged and older women. Arch Intern Med. 2010;170:453–61.

    Article  PubMed  Google Scholar 

  14. Mozaffarian D, Hao T, Rimm EB, Willett WC, Hu FB. Changes in diet and lifestyle and long-term weight gain in women and men. N Engl J Med. 2011;364:2392–404.

    Article  PubMed  CAS  Google Scholar 

  15. Shaper AG, Wannamethee G, Walker M. Alcohol and mortality in British men: explaining the U-shaped curve. Lancet. 1988;2:1267–73.

    Article  PubMed  CAS  Google Scholar 

  16. Mukamal KJ, Jensen MK, Grønbaek M, Stampfer MJ, Manson JE, Pischon T, et al. Drinking frequency, mediating biomarkers, and risk of myocardial infarction in women and men. Circulation. 2005;112:1406–13.

    Article  PubMed  Google Scholar 

  17. Rimm E. Alcohol and cardiovascular disease. Curr Atheroscler Rep. 2000;2:529–35.

    Article  PubMed  CAS  Google Scholar 

  18. Rimm EB, Klatsky A, Grobbee D, Stampfer MJ. Review of moderate alcohol consumption and reduced risk of coronary heart disease: is the effect due to beer, wine, or spirits? BMJ. 1996;312:731–6.

    Article  PubMed  CAS  Google Scholar 

  19. Corrao G, Bagnardi V, Zambon A, La Vecchia C. A meta-analysis of alcohol consumption and the risk of 15 diseases. Prev Med. 2004;38:613–9.

    Article  PubMed  Google Scholar 

  20. Puddey IB, Beilin LJ, Vandongen R, Rouse IL, Rogers P. Evidence for a direct effect of alcohol consumption on blood pressure in normotensive men. A randomized controlled trial. Hypertension. 1985;7:707–13.

    Article  PubMed  CAS  Google Scholar 

  21. Thadhani R, Camargo Jr CA, Stampfer MJ, Curhan GC, Willett WC, Rimm EB. Prospective study of moderate alcohol consumption and risk of hypertension in young women. Arch Intern Med. 2002;162:569–74.

    Article  PubMed  Google Scholar 

  22. Bacon CG, Mittleman MA, Kawachi I, Giovannucci E, Glasser DB, Rimm EB. Sexual function in men older than 50 years of age: results from the health professionals follow-up study. Ann Intern Med. 2003;139:161–8.

    PubMed  Google Scholar 

  23. Leitzmann MF, Giovannucci EL, Stampfer MJ, et al. Prospective study of alcohol consumption patterns in relation to symptomatic gallstone disease in men. Alcohol Clin Exp Res. 1999;23:835–41.

    Article  PubMed  CAS  Google Scholar 

  24. Rapuri PB, Gallagher JC, Balhorn KE, Ryschon KL. Alcohol intake and bone metabolism in elderly women. Am J Clin Nutr. 2000;72:1206–13.

    PubMed  CAS  Google Scholar 

  25. Feskanich D, Korrick SA, Greenspan SL, Rosen HN, Colditz GA. Moderate alcohol consumption and bone density among postmenopausal women. J Womens Health. 1999;8:65–73.

    Article  PubMed  CAS  Google Scholar 

  26. Macdonald HM, New SA, Golden MH, Campbell MK, Reid DM. Nutritional associations with bone loss during the menopausal transition: evidence of a beneficial effect of calcium, alcohol, and fruit and vegetable nutrients and of a detrimental effect of fatty acids. Am J Clin Nutr. 2004;79:155–65.

    PubMed  CAS  Google Scholar 

  27. Popelka MM, Cruikshanks KJ, Wiley TL, et al. Moderate alcohol consumption and hearing loss: a protective effect. J Am Geriatr Soc. 2000;48:1273–8.

    PubMed  CAS  Google Scholar 

  28. Britton A, Singh-Manoux A, Marmot M. Alcohol consumption and cognitive function in the Whitehall II Study. Am J Epidemiol. 2004;160:240–7.

    Article  PubMed  Google Scholar 

  29. Leroi I, Sheppard JM, Lyketsos CG. Cognitive function after 11.5 years of alcohol use: relation to alcohol use. Am J Epidemiol. 2002;156:747–52.

    Article  PubMed  Google Scholar 

  30. Kalmijn S, van Boxtel MP, Verschuren MW, Jolles J, Launer LJ. Cigarette smoking and alcohol consumption in relation to cognitive performance in middle age. Am J Epidemiol. 2002;156:936–44.

    Article  PubMed  Google Scholar 

  31. Stampfer MJ, Kang JH, Chen J, Cherry R, Grodstein F. Effects of moderate alcohol consumption on cognitive function in women. N Engl J Med. 2005;352:245–53.

    Article  PubMed  CAS  Google Scholar 

  32. Espeland MA, Gu L, Masaki KH, et al. Association between reported alcohol intake and cognition: results from the Women’s Health Initiative Memory Study. Am J Epidemiol. 2005;161:228–38.

    Article  PubMed  Google Scholar 

  33. Ruitenberg A, van Swieten JC, Witteman JC, et al. Alcohol consumption and risk of dementia: the Rotterdam Study. Lancet. 2002;359:281–6.

    Article  PubMed  Google Scholar 

  34. Huang W, Qiu C, Winblad B, Fratiglioni L. Alcohol consumption and incidence of dementia in a community sample aged 75 years and older. J Clin Epidemiol. 2002;55:959–64.

    Article  PubMed  Google Scholar 

  35. Mukamal KJ, Kuller LH, Fitzpatrick AL, Longstreth Jr WT, Mittleman MA, Siscovick DS. Prospective study of alcohol consumption and risk of dementia in older adults. JAMA. 2003;289:1405–13.

    Article  PubMed  CAS  Google Scholar 

  36. Platz EA, Rimm EB, Kawachi I, et al. Alcohol consumption, cigarette smoking, and risk of benign prostatic hyperplasia. Am J Epidemiol. 1999;149:106–15.

    Article  PubMed  CAS  Google Scholar 

  37. Howard AA, Arnsten JH, Gourevitch MN. Effect of alcohol consumption on diabetes mellitus: a systematic review. Ann Intern Med. 2004;140:211–9.

    PubMed  Google Scholar 

  38. Tanasescu M, Hu FB, Willett WC, Stampfer MJ, Rimm EB. Alcohol consumption and risk of coronary heart disease among men with type 2 diabetes mellitus. J Am Coll Cardiol. 2001;38:1836–42.

    Article  PubMed  CAS  Google Scholar 

  39. Ajani UA, Gaziano JM, Lotufo PA, et al. Alcohol consumption and risk of coronary heart disease by diabetes status. Circulation. 2000;102:500–5.

    Article  PubMed  CAS  Google Scholar 

  40. Solomon CG, Hu FB, Stampfer MJ, et al. Moderate alcohol consumption and risk of coronary heart disease among women with type 2 diabetes mellitus. Circulation. 2000;102:494–9.

    Article  PubMed  CAS  Google Scholar 

  41. Valmadrid CT, Klein R, Moss SE, Klein BE, Cruickshanks KJ. Alcohol intake and the risk of coronary heart disease mortality in persons with older-onset diabetes mellitus. JAMA. 1999;282:239–46.

    Article  PubMed  CAS  Google Scholar 

  42. Tabak C, Smit HA, Rasanen L, et al. Alcohol consumption in relation to 20-year COPD ­mortality and pulmonary function in middle-aged men from three European countries. Epidemiology. 2001;12:239–45.

    Article  PubMed  CAS  Google Scholar 

  43. Pratt PC, Vollmer RT. The beneficial effect of alcohol consumption on the prevalence and extent of centrilobular emphysema. Chest. 1984;85:372–7.

    Article  PubMed  CAS  Google Scholar 

  44. Thun MJ, Peto R, Lopez AD, Monaco JH, Henley SJ, Heath Jr CW, et al. Alcohol consumption and mortality among middle-aged and elderly U.S. adults. N Engl J Med. 1997;337:1705–14.

    Article  PubMed  CAS  Google Scholar 

  45. Fuchs CS, Stampfer MJ, Colditz GA, et al. Alcohol consumption and mortality among women. N Engl J Med. 1995;332:1245–50.

    Article  PubMed  CAS  Google Scholar 

  46. Britton A, McPherson K. Mortality in England and Wales attributable to current alcohol consumption. J Epidemiol Community Health. 2001;55:383–8.

    Article  PubMed  CAS  Google Scholar 

  47. White IR. The level of alcohol consumption at which all-cause mortality is least. J Clin Epidemiol. 1999;52:967–75.

    Article  PubMed  CAS  Google Scholar 

  48. Lee SJ, Sudore RL, Williams BA, Lindquist K, Chen HL, Covinsky KE. Functional limitations, socioeconomic status, and all-cause mortality in moderate alcohol drinkers. J Am Geriatr Soc. 2009;57:955–62.

    Article  PubMed  Google Scholar 

  49. Rehm J, Greenfield TK, Rogers JD. Average volume of alcohol consumption, patterns of drinking, and all-cause mortality: results from the US National Alcohol Survey. Am J Epidemiol. 2001;153:64–71.

    Article  PubMed  CAS  Google Scholar 

  50. Laatikainen T, Manninen L, Poikolainen K, Vartiainen E. Increased mortality related to heavy alcohol intake pattern. J Epidemiol Community Health. 2003;57:379–84.

    Article  PubMed  CAS  Google Scholar 

  51. Murray RP, Connett JE, Tyas SL, et al. Alcohol volume, drinking pattern, and cardiovascular disease morbidity and mortality: is there a U-shaped function? Am J Epidemiol. 2002;155:242–8.

    Article  PubMed  Google Scholar 

  52. Conigrave KM, Hu BF, Camargo Jr. CA, Stampfer MJ, Willett WC, Rimm EB. A prospective study of drinking patterns in relation to risk of type 2 diabetes among men. Diabetes. 2001;50:2390–5.

    Article  PubMed  CAS  Google Scholar 

  53. Wannamethee SG, Shaper AG. Taking up regular drinking in middle age: effect on major coronary heart disease events and mortality. Heart. 2002;87:32–6.

    Article  PubMed  CAS  Google Scholar 

  54. Simons LA, McCallum J, Friedlander Y, Ortiz M, Simons J. Moderate alcohol intake is associated with survival in the elderly: the Dubbo Study. Med J Aust. 2000;173:121–4.

    PubMed  CAS  Google Scholar 

  55. Thompson A, Temple NJ. The case for statins: has it really been made? J R Soc Med. 2004;97:461–4.

    Article  PubMed  Google Scholar 

  56. Colhoun H, Ben-Shlomo Y, Dong W, Bost L, Marmot M. Ecological analysis of collectivity of alcohol consumption in England: importance of average drinker. BMJ. 1997;314:1164–8.

    Article  PubMed  CAS  Google Scholar 

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Acknowledgment

This chapter is a revision of a previous version co-authored with Eric Rimm and published in the second edition of this book. The author thanks Dr Rimm for his substantial contributions.

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Correspondence to Norman J. Temple PhD .

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Temple, N.J. (2012). What Are the Health Implications of Alcohol Consumption?. In: Temple, N., Wilson, T., Jacobs, Jr., D. (eds) Nutritional Health. Nutrition and Health. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-61779-894-8_15

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  • DOI: https://doi.org/10.1007/978-1-61779-894-8_15

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