Moderate drinking and reduced risk of heart disease

Authors
Citation
Al. Klatsky, Moderate drinking and reduced risk of heart disease, ALCOHOL R H, 23(1), 1999, pp. 15-23
Citations number
40
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Public Health & Health Care Science
Journal title
ALCOHOL RESEARCH & HEALTH
ISSN journal
1535-7414 → ACNP
Volume
23
Issue
1
Year of publication
1999
Pages
15 - 23
Database
ISI
SICI code
Abstract
Although heavier drinkers are at increased risk for some heart diseases, mo derate drinkers are at lower risk for the most common form of heart disease , coronary artery disease (CAD) than are either heavier drinkers or abstain ers. This association has been demonstrated in large-scale epidemiological studies from many countries. Abstainers may share traits potentially relate d to CAD risk, such as psychological characteristics, dietary habits, and p hysical exercise patterns. However, evidence supports a direct protective e ffect of alcohol, even after data have been adjusted for the presence of th ese factors. The alcohol-CAD relationship is also independent of the hypoth etically increased risk status among abstainers who stopped drinking for me dical reasons. All alcoholic beverages prefect against CAD, although some a dditional protection may be attributable to personal traits or drinking pat terns among people who share some beverage preferences or to nonalcohol ing redients in specific beverages. Alcohol's protective effect may result from favorable alterations in blood chemistry and the prevention of clot format ion in arteries that deliver blood to the heart muscle. Because CAD account s for a large proportion of fetal mortality, the risk of death from all cau ses is slightly lower among moderate drinkers than among abstainers, but he avier drinkers are at considerably higher total mortality risk.