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J Addict Dis. 2009 Jul;28(3):243-9. doi: 10.1080/10550880903014205.

Is self-reported "moderate" drinking in the cardiovascular benefit range associated with alcoholic behavior? A population based study.

Author information

  • 1Mayo Clinic and Foundation, Rochester, MN 55905, USA. ammar.khawaja@mayo.edu

Abstract

This article aims at identifying a threshold number of drinks per day beyond which there is a high risk of developing alcoholic behavior that would enable physicians to more confidently support the use of alcohol for cardiovascular risk prevention. In a randomly selected, population-based sample of 2,042 adults 45 years or older, we graded alcohol drinking behavior using the Self-Administered Alcoholism Screening Test, quantified alcohol amount by questionnaire, and assessed the prevalence of cardiovascular disease (coronary, peripheral, or cerebrovascular disease) by medical record review. Although optimal alcohol use (< or = 2 drinks/day) was associated with reduced odds of cardiovascular disease, 43% of alcoholics and 82% of problem drinkers reported alcohol use in the optimal range as well. The association of alcohol use in the optimal range with alcohol-related behavioral problems supports the reluctance in physicians from recommending alcohol use for cardiovascular benefit, not withstanding the underreporting of alcohol use by alcoholics.

PMID:
20155593
[PubMed - indexed for MEDLINE]
PMCID:
PMC2824886
Free PMC Article
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