The association between alcohol intake and incident atrial fibrillation in older adults: The ARIC cohort
The association of alcohol intake with incident atrial fibrillation (AF) remains controversial, particularly among older adults. This study explores the association of alcohol intake with incident AF in older adults in the Atherosclerosis Risk in Communities (ARIC) cohort. Data were obtained from AR...
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| description | The association of alcohol intake with incident atrial fibrillation (AF) remains controversial, particularly among older adults. This study explores the association of alcohol intake with incident AF in older adults in the Atherosclerosis Risk in Communities (ARIC) cohort. Data were obtained from ARIC, a community-based cohort aimed to identify risk factors for cardiovascular disease. Alcohol intake was assessed through interviewer-administered questionnaires. Incident AF was ascertained between the 2011-2013 visit and 2019. Participants were classified as current, former, or never drinkers. Former drinkers were further categorized on weekly alcohol consumption: light, moderate, heavy. Covariates included demographic characteristics, prevalent cardiovascular disease, and other risk factors. The association between drinking characteristics and incident AF was analyzed using Cox proportional hazard models. There were 5,131 participants with mean (SD) age 75.2 (5.0) years, 41% male, 23% Black, and 739 (14%) cases of incident AF. Current and former drinkers had a similar risk of AF compared to never drinkers (HR 1.04, 95% CI 0.83-1.29; HR 1.16, 95% CI 0.93-1.45). Within former drinkers, heavy and moderate drinkers had a similar risk compared to light drinkers (HR 1.14, 95% CI 0.84-1.55; HR 1.15, 95% CI 0.75-1.78). AF risk did not differ per 5-year increase in years of abstinence (HR 1.00, 95% CI 0.96-1.03) or drinking (HR 1.07, 95% CI 0.96-1.19). We did not find consistent evidence supporting an increased risk of AF associated with alcohol intake in older adults, highlighting the need to further explore this relationship in older populations. |
| doi_str_mv | 10.1371/journal.pone.0314207 |
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This study explores the association of alcohol intake with incident AF in older adults in the Atherosclerosis Risk in Communities (ARIC) cohort. Data were obtained from ARIC, a community-based cohort aimed to identify risk factors for cardiovascular disease. Alcohol intake was assessed through interviewer-administered questionnaires. Incident AF was ascertained between the 2011-2013 visit and 2019. Participants were classified as current, former, or never drinkers. Former drinkers were further categorized on weekly alcohol consumption: light, moderate, heavy. Covariates included demographic characteristics, prevalent cardiovascular disease, and other risk factors. The association between drinking characteristics and incident AF was analyzed using Cox proportional hazard models. There were 5,131 participants with mean (SD) age 75.2 (5.0) years, 41% male, 23% Black, and 739 (14%) cases of incident AF. Current and former drinkers had a similar risk of AF compared to never drinkers (HR 1.04, 95% CI 0.83-1.29; HR 1.16, 95% CI 0.93-1.45). Within former drinkers, heavy and moderate drinkers had a similar risk compared to light drinkers (HR 1.14, 95% CI 0.84-1.55; HR 1.15, 95% CI 0.75-1.78). AF risk did not differ per 5-year increase in years of abstinence (HR 1.00, 95% CI 0.96-1.03) or drinking (HR 1.07, 95% CI 0.96-1.19). We did not find consistent evidence supporting an increased risk of AF associated with alcohol intake in older adults, highlighting the need to further explore this relationship in older populations.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0314207</identifier><identifier>PMID: 39570908</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Abstinence ; Adults ; Aged ; Alcohol Drinking - adverse effects ; Alcohol Drinking - epidemiology ; Alcohol use ; Alcoholic beverages ; Alcoholics ; Alcohols ; Anticoagulants ; Antihypertensives ; Arteriosclerosis ; Atherosclerosis ; Atrial fibrillation ; Atrial Fibrillation - epidemiology ; Atrial Fibrillation - etiology ; Beverages ; Biology and Life Sciences ; Blood pressure ; Body mass index ; Cardiac arrhythmia ; Cardiovascular disease ; Cardiovascular diseases ; Care and treatment ; Cohort Studies ; Diabetes ; Diagnosis ; Distribution ; Drinking ; Drinking behavior ; Education ; Female ; Fibrillation ; Health aspects ; Heart failure ; Humans ; Hypertension ; Incidence ; Liquor ; Male ; Medicine and Health Sciences ; Older people ; People and Places ; Prevention ; Proportional Hazards Models ; Risk Factors ; Self report ; Statistical analysis ; Statistical models ; Stroke ; Womens health</subject><ispartof>PloS one, 2024-11, Vol.19 (11), p.e0314207</ispartof><rights>Copyright: © 2024 Li et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2024 Public Library of Science</rights><rights>2024 Li et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 Li et al 2024 Li et al</rights><rights>2024 Li et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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This study explores the association of alcohol intake with incident AF in older adults in the Atherosclerosis Risk in Communities (ARIC) cohort. Data were obtained from ARIC, a community-based cohort aimed to identify risk factors for cardiovascular disease. Alcohol intake was assessed through interviewer-administered questionnaires. Incident AF was ascertained between the 2011-2013 visit and 2019. Participants were classified as current, former, or never drinkers. Former drinkers were further categorized on weekly alcohol consumption: light, moderate, heavy. Covariates included demographic characteristics, prevalent cardiovascular disease, and other risk factors. The association between drinking characteristics and incident AF was analyzed using Cox proportional hazard models. There were 5,131 participants with mean (SD) age 75.2 (5.0) years, 41% male, 23% Black, and 739 (14%) cases of incident AF. Current and former drinkers had a similar risk of AF compared to never drinkers (HR 1.04, 95% CI 0.83-1.29; HR 1.16, 95% CI 0.93-1.45). Within former drinkers, heavy and moderate drinkers had a similar risk compared to light drinkers (HR 1.14, 95% CI 0.84-1.55; HR 1.15, 95% CI 0.75-1.78). AF risk did not differ per 5-year increase in years of abstinence (HR 1.00, 95% CI 0.96-1.03) or drinking (HR 1.07, 95% CI 0.96-1.19). We did not find consistent evidence supporting an increased risk of AF associated with alcohol intake in older adults, highlighting the need to further explore this relationship in older populations.</description><subject>Abstinence</subject><subject>Adults</subject><subject>Aged</subject><subject>Alcohol Drinking - adverse effects</subject><subject>Alcohol Drinking - epidemiology</subject><subject>Alcohol use</subject><subject>Alcoholic beverages</subject><subject>Alcoholics</subject><subject>Alcohols</subject><subject>Anticoagulants</subject><subject>Antihypertensives</subject><subject>Arteriosclerosis</subject><subject>Atherosclerosis</subject><subject>Atrial fibrillation</subject><subject>Atrial Fibrillation - epidemiology</subject><subject>Atrial Fibrillation - etiology</subject><subject>Beverages</subject><subject>Biology and Life Sciences</subject><subject>Blood pressure</subject><subject>Body mass index</subject><subject>Cardiac arrhythmia</subject><subject>Cardiovascular 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This study explores the association of alcohol intake with incident AF in older adults in the Atherosclerosis Risk in Communities (ARIC) cohort. Data were obtained from ARIC, a community-based cohort aimed to identify risk factors for cardiovascular disease. Alcohol intake was assessed through interviewer-administered questionnaires. Incident AF was ascertained between the 2011-2013 visit and 2019. Participants were classified as current, former, or never drinkers. Former drinkers were further categorized on weekly alcohol consumption: light, moderate, heavy. Covariates included demographic characteristics, prevalent cardiovascular disease, and other risk factors. The association between drinking characteristics and incident AF was analyzed using Cox proportional hazard models. There were 5,131 participants with mean (SD) age 75.2 (5.0) years, 41% male, 23% Black, and 739 (14%) cases of incident AF. Current and former drinkers had a similar risk of AF compared to never drinkers (HR 1.04, 95% CI 0.83-1.29; HR 1.16, 95% CI 0.93-1.45). Within former drinkers, heavy and moderate drinkers had a similar risk compared to light drinkers (HR 1.14, 95% CI 0.84-1.55; HR 1.15, 95% CI 0.75-1.78). AF risk did not differ per 5-year increase in years of abstinence (HR 1.00, 95% CI 0.96-1.03) or drinking (HR 1.07, 95% CI 0.96-1.19). We did not find consistent evidence supporting an increased risk of AF associated with alcohol intake in older adults, highlighting the need to further explore this relationship in older populations.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>39570908</pmid><doi>10.1371/journal.pone.0314207</doi><tpages>e0314207</tpages><orcidid>https://orcid.org/0009-0003-1398-9698</orcidid><orcidid>https://orcid.org/0000-0002-2225-8323</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Public Library of Science; Full-Text Journals in Chemistry (Open access); PubMed Central; Directory of Open Access Journals; EZB Electronic Journals Library |
| subjects | Abstinence Adults Aged Alcohol Drinking - adverse effects Alcohol Drinking - epidemiology Alcohol use Alcoholic beverages Alcoholics Alcohols Anticoagulants Antihypertensives Arteriosclerosis Atherosclerosis Atrial fibrillation Atrial Fibrillation - epidemiology Atrial Fibrillation - etiology Beverages Biology and Life Sciences Blood pressure Body mass index Cardiac arrhythmia Cardiovascular disease Cardiovascular diseases Care and treatment Cohort Studies Diabetes Diagnosis Distribution Drinking Drinking behavior Education Female Fibrillation Health aspects Heart failure Humans Hypertension Incidence Liquor Male Medicine and Health Sciences Older people People and Places Prevention Proportional Hazards Models Risk Factors Self report Statistical analysis Statistical models Stroke Womens health |
| title | The association between alcohol intake and incident atrial fibrillation in older adults: The ARIC cohort |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-04T15%3A55%3A40IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20association%20between%20alcohol%20intake%20and%20incident%20atrial%20fibrillation%20in%20older%20adults:%20The%20ARIC%20cohort&rft.jtitle=PloS%20one&rft.au=Li,%20Louis%20Y&rft.date=2024-11-21&rft.volume=19&rft.issue=11&rft.spage=e0314207&rft.pages=e0314207-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0314207&rft_dat=%3Cgale_plos_%3EA817044320%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3131776958&rft_id=info:pmid/39570908&rft_galeid=A817044320&rft_doaj_id=oai_doaj_org_article_b884c24dc9f24129a6c91d1f7e52b6b9&rfr_iscdi=true |