Mediterranean alcohol-drinking pattern and mortality in the SUN (Seguimiento Universidad de Navarra) Project: a prospective cohort study

Moderate alcohol intake has been related to lower mortality. However, alcohol use includes other dimensions beyond the amount of alcohol consumed. These aspects have not been sufficiently studied as a comprehensive entity. We aimed to test the relationship between an overall alcohol-drinking pattern...

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Autores: Gea, Alfredo, Bes Rastrollo, Maira, Toledo Atucha, Estefanía, Garcia-Lopez, Martin, Beunza, Juan J., Estruch Riba, Ramon, Martínez-González, Miguel Ángel, 1957-
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2014
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/120089
Acesso em linha:https://hdl.handle.net/2445/120089
Access Level:acceso abierto
Palavra-chave:Consum d'alcohol
Mortalitat
Epidemiologia
Factors de risc en les malalties
Espanya
Drinking of alcoholic beverages
Mortality
Epidemiology
Risk factors in diseases
Spain
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repository_id_str
spelling Mediterranean alcohol-drinking pattern and mortality in the SUN (Seguimiento Universidad de Navarra) Project: a prospective cohort studyGea, AlfredoBes Rastrollo, MairaToledo Atucha, EstefaníaGarcia-Lopez, MartinBeunza, Juan J.Estruch Riba, RamonMartínez-González, Miguel Ángel, 1957-Consum d'alcoholMortalitatEpidemiologiaFactors de risc en les malaltiesEspanyaDrinking of alcoholic beveragesMortalityEpidemiologyRisk factors in diseasesSpainModerate alcohol intake has been related to lower mortality. However, alcohol use includes other dimensions beyond the amount of alcohol consumed. These aspects have not been sufficiently studied as a comprehensive entity. We aimed to test the relationship between an overall alcohol-drinking pattern and all-cause mortality. In a Mediterranean cohort study, we followed 18 394 Spanish participants up to 12 years. A validated 136-item FFQ was used to assess baseline alcohol intake. We developed a score assessing simultaneously seven aspects of alcohol consumption to capture the conformity to a traditional Mediterranean alcohol-drinking pattern (MADP). It positively scored moderate alcohol intake, alcohol intake spread out over the week, low spirit consumption, wine preference, red wine consumption, wine consumed during meals and avoidance of binge drinking. During the follow-up, 206 deaths were identified. For each 2-point increment in a 0-9 score of adherence to the MADP, we observed a 25% relative risk reduction in mortality (95% CI 11, 38%). Within each category of alcohol intake, a higher adherence to the MADP was associated with lower mortality. Abstainers (excluded from the calculations of the MADP) exhibited higher mortality (hazard ratio 1·82, 95% CI 1·14, 2·90) than participants highly adherent to the MADP. In conclusion, better adherence to an overall healthy alcohol-drinking pattern was associated with reduced mortality when compared with abstention or departure from this pattern. This reduction goes beyond the inverse association usually observed for moderate alcohol drinking. Even moderate drinkers can benefit from the advice to follow a traditional MADP.Cambridge University Press2018201820142018info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion10 p.application/pdfhttps://hdl.handle.net/2445/120089Articles publicats en revistes (Medicina)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1017/S0007114513004376British Journal of Nutrition, 2014, vol. 111, num. 10, p. 1871-1880https://doi.org/10.1017/S0007114513004376(c) Cambridge University Press, 2014info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1200892026-05-29T05:05:01Z
dc.title.none.fl_str_mv Mediterranean alcohol-drinking pattern and mortality in the SUN (Seguimiento Universidad de Navarra) Project: a prospective cohort study
title Mediterranean alcohol-drinking pattern and mortality in the SUN (Seguimiento Universidad de Navarra) Project: a prospective cohort study
spellingShingle Mediterranean alcohol-drinking pattern and mortality in the SUN (Seguimiento Universidad de Navarra) Project: a prospective cohort study
Gea, Alfredo
Consum d'alcohol
Mortalitat
Epidemiologia
Factors de risc en les malalties
Espanya
Drinking of alcoholic beverages
Mortality
Epidemiology
Risk factors in diseases
Spain
title_short Mediterranean alcohol-drinking pattern and mortality in the SUN (Seguimiento Universidad de Navarra) Project: a prospective cohort study
title_full Mediterranean alcohol-drinking pattern and mortality in the SUN (Seguimiento Universidad de Navarra) Project: a prospective cohort study
title_fullStr Mediterranean alcohol-drinking pattern and mortality in the SUN (Seguimiento Universidad de Navarra) Project: a prospective cohort study
title_full_unstemmed Mediterranean alcohol-drinking pattern and mortality in the SUN (Seguimiento Universidad de Navarra) Project: a prospective cohort study
title_sort Mediterranean alcohol-drinking pattern and mortality in the SUN (Seguimiento Universidad de Navarra) Project: a prospective cohort study
dc.creator.none.fl_str_mv Gea, Alfredo
Bes Rastrollo, Maira
Toledo Atucha, Estefanía
Garcia-Lopez, Martin
Beunza, Juan J.
Estruch Riba, Ramon
Martínez-González, Miguel Ángel, 1957-
author Gea, Alfredo
author_facet Gea, Alfredo
Bes Rastrollo, Maira
Toledo Atucha, Estefanía
Garcia-Lopez, Martin
Beunza, Juan J.
Estruch Riba, Ramon
Martínez-González, Miguel Ángel, 1957-
author_role author
author2 Bes Rastrollo, Maira
Toledo Atucha, Estefanía
Garcia-Lopez, Martin
Beunza, Juan J.
Estruch Riba, Ramon
Martínez-González, Miguel Ángel, 1957-
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Consum d'alcohol
Mortalitat
Epidemiologia
Factors de risc en les malalties
Espanya
Drinking of alcoholic beverages
Mortality
Epidemiology
Risk factors in diseases
Spain
topic Consum d'alcohol
Mortalitat
Epidemiologia
Factors de risc en les malalties
Espanya
Drinking of alcoholic beverages
Mortality
Epidemiology
Risk factors in diseases
Spain
description Moderate alcohol intake has been related to lower mortality. However, alcohol use includes other dimensions beyond the amount of alcohol consumed. These aspects have not been sufficiently studied as a comprehensive entity. We aimed to test the relationship between an overall alcohol-drinking pattern and all-cause mortality. In a Mediterranean cohort study, we followed 18 394 Spanish participants up to 12 years. A validated 136-item FFQ was used to assess baseline alcohol intake. We developed a score assessing simultaneously seven aspects of alcohol consumption to capture the conformity to a traditional Mediterranean alcohol-drinking pattern (MADP). It positively scored moderate alcohol intake, alcohol intake spread out over the week, low spirit consumption, wine preference, red wine consumption, wine consumed during meals and avoidance of binge drinking. During the follow-up, 206 deaths were identified. For each 2-point increment in a 0-9 score of adherence to the MADP, we observed a 25% relative risk reduction in mortality (95% CI 11, 38%). Within each category of alcohol intake, a higher adherence to the MADP was associated with lower mortality. Abstainers (excluded from the calculations of the MADP) exhibited higher mortality (hazard ratio 1·82, 95% CI 1·14, 2·90) than participants highly adherent to the MADP. In conclusion, better adherence to an overall healthy alcohol-drinking pattern was associated with reduced mortality when compared with abstention or departure from this pattern. This reduction goes beyond the inverse association usually observed for moderate alcohol drinking. Even moderate drinkers can benefit from the advice to follow a traditional MADP.
publishDate 2014
dc.date.none.fl_str_mv 2014
2018
2018
2018
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/120089
url https://hdl.handle.net/2445/120089
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1017/S0007114513004376
British Journal of Nutrition, 2014, vol. 111, num. 10, p. 1871-1880
https://doi.org/10.1017/S0007114513004376
dc.rights.none.fl_str_mv (c) Cambridge University Press, 2014
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) Cambridge University Press, 2014
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 10 p.
application/pdf
dc.publisher.none.fl_str_mv Cambridge University Press
publisher.none.fl_str_mv Cambridge University Press
dc.source.none.fl_str_mv Articles publicats en revistes (Medicina)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.811543

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