Association between drinking patterns and cardiovascular risk: a population-based study in the Southern Cone of Latin America

Author:

Gulayin Pablo Elías12,Irazola Vilma1,Gutierrez Laura1,Elorriaga Natalia1,Lanas Fernando3,Mores Nora4,Ponzo Jaqueline5,Calandrelli Matías6,Poggio Rosana17,Rubinstein Adolfo8,Bardach Ariel17ORCID

Affiliation:

1. Instituto de Efectividad Clínica y Sanitaria, Buenos Aires, Argentina

2. Facultad de Ciencias Médicas, Universidad Nacional de La Plata, Buenos Aires, Argentina

3. CIGES, Universidad de La Frontera (UFRO), Temuco, Chile

4. Municipalidad de Marcos Paz, Buenos Aires, Argentina

5. Facultad de Medicina, Universidad de la República, Montevideo, Uruguay

6. Sanatorio San Carlos, Bariloche, Río Negro, Argentina

7. Comisión Nacional de Investigaciones Científico Tecnológicas, Argentina

8. Ministerio de Salud de la Nación, Buenos Aires, Argentina

Abstract

Abstract Background Using data from general adult population, this study aims to describe epidemiology of alcohol consumption patterns and their association with cardiovascular risk. Methods CESCAS I is a population-based study from four mid-sized cities in Argentina, Chile and Uruguay. Associations between diabetes, hypertension, dyslipidemia, cardiovascular disease (CVD) risk and history of CVD and drinking patterns were assessed using crude prevalence odds ratios (ORs) and adjusted OR. Results A total of 37.2% of the studied population never drank and 18.3% reported to be former drinkers. Among current drinkers, moderate drinking was the most frequent pattern (24.2%). For women with light and moderate consumption, the odds of having >20% CVD risk was ~40% lower than that of never drinkers. The odds of having a history of CVD was 50% lower in those with moderate consumption. For men with heavy consumption, the odds of having >20% CVD risk was about twice as high as for never drinkers. Conclusions A harmful association was observed between heavy drinking and having >20% CVD risk for men. However, for women, an apparently protective association was observed between light and moderate drinking and having >20% CVD risk and between moderate drinking and having a history of CVD.

Funder

National Heart, Lung, and Blood Institute

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,General Medicine

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