Association between alcohol consumption and subclinical carotid atherosclerosis : The study of health in Pomerania

Epidemiologic studies have shown a J-shaped association between alcohol consumption and vascular diseases. However, only few studies have reported on the association between alcohol intake and subclinical atherosclerosis. The aim of the study was to investigate the relation between alcohol intake an...

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Veröffentlicht in:Stroke (1970) 2005-08, Vol.36 (8), p.1746-1752
Hauptverfasser: SCHMINKE, Ulf, LUEDEMANN, Jan, BERGER, Klaus, ALTE, Dietrich, MITUSCH, Rolf, WOOD, William G, JASCHINSKI, Anke, BARNOW, Sven, JOHN, Ulrich, KESSLER, Christof
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container_end_page 1752
container_issue 8
container_start_page 1746
container_title Stroke (1970)
container_volume 36
creator SCHMINKE, Ulf
LUEDEMANN, Jan
BERGER, Klaus
ALTE, Dietrich
MITUSCH, Rolf
WOOD, William G
JASCHINSKI, Anke
BARNOW, Sven
JOHN, Ulrich
KESSLER, Christof
description Epidemiologic studies have shown a J-shaped association between alcohol consumption and vascular diseases. However, only few studies have reported on the association between alcohol intake and subclinical atherosclerosis. The aim of the study was to investigate the relation between alcohol intake and carotid intima-media thickness (IMT) in participants of the population-based Study of Health in Pomerania. In 1230 men and 1190 women, the mean IMT of the right and left common carotid arteries was measured by B-mode ultrasonography. Alcohol consumption was assessed with a computer-assisted face-to-face interview. In men, carotid IMT as a function of alcohol intake was depicted as a J-shaped curve with a nadir for the alcohol intake category of 61 to 80 g/d. Linear regression models controlled for age, diabetes, systolic blood pressure, leisure time physical activity, food frequency patterns, smoking status, and education revealed a significant inverse association between IMT and alcohol intake < or =80 g/d in men (beta=-0.009, P
doi_str_mv 10.1161/01.STR.0000173159.65228.68
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However, only few studies have reported on the association between alcohol intake and subclinical atherosclerosis. The aim of the study was to investigate the relation between alcohol intake and carotid intima-media thickness (IMT) in participants of the population-based Study of Health in Pomerania. In 1230 men and 1190 women, the mean IMT of the right and left common carotid arteries was measured by B-mode ultrasonography. Alcohol consumption was assessed with a computer-assisted face-to-face interview. In men, carotid IMT as a function of alcohol intake was depicted as a J-shaped curve with a nadir for the alcohol intake category of 61 to 80 g/d. Linear regression models controlled for age, diabetes, systolic blood pressure, leisure time physical activity, food frequency patterns, smoking status, and education revealed a significant inverse association between IMT and alcohol intake &lt; or =80 g/d in men (beta=-0.009, P&lt;0.02), which became insignificant after further controlling for HDL cholesterol and fibrinogen (beta=-0.007, P=NS). In women, neither a J-shaped relation nor significant differences in IMT between the drinking and nondrinking groups were found. Alcohol consumption is inversely correlated with carotid IMT in men but not in women. However, the total daily level of alcohol intake that shows a maximum protective effect against atherosclerosis is above the threshold where severe alcohol related comorbidity and organ damage have been reported.</description><identifier>ISSN: 0039-2499</identifier><identifier>EISSN: 1524-4628</identifier><identifier>DOI: 10.1161/01.STR.0000173159.65228.68</identifier><identifier>PMID: 16002763</identifier><identifier>CODEN: SJCCA7</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams &amp; Wilkins</publisher><subject>Adult ; Aged ; Alcohol Drinking ; Animals ; Atherosclerosis (general aspects, experimental research) ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood Pressure ; Cardiology. Vascular system ; Carotid Arteries - pathology ; Carotid Artery Diseases - epidemiology ; Carotid Artery Diseases - etiology ; Carotid Artery Diseases - pathology ; Cholesterol, HDL - metabolism ; Female ; Germany ; Humans ; Linear Models ; Male ; Medical sciences ; Middle Aged ; Models, Statistical ; Multivariate Analysis ; Neurology ; Neurosurgery ; Regression Analysis ; Sex Factors ; Skull, brain, vascular surgery ; Smoking ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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However, only few studies have reported on the association between alcohol intake and subclinical atherosclerosis. The aim of the study was to investigate the relation between alcohol intake and carotid intima-media thickness (IMT) in participants of the population-based Study of Health in Pomerania. In 1230 men and 1190 women, the mean IMT of the right and left common carotid arteries was measured by B-mode ultrasonography. Alcohol consumption was assessed with a computer-assisted face-to-face interview. In men, carotid IMT as a function of alcohol intake was depicted as a J-shaped curve with a nadir for the alcohol intake category of 61 to 80 g/d. Linear regression models controlled for age, diabetes, systolic blood pressure, leisure time physical activity, food frequency patterns, smoking status, and education revealed a significant inverse association between IMT and alcohol intake &lt; or =80 g/d in men (beta=-0.009, P&lt;0.02), which became insignificant after further controlling for HDL cholesterol and fibrinogen (beta=-0.007, P=NS). In women, neither a J-shaped relation nor significant differences in IMT between the drinking and nondrinking groups were found. Alcohol consumption is inversely correlated with carotid IMT in men but not in women. 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Vascular system</subject><subject>Carotid Arteries - pathology</subject><subject>Carotid Artery Diseases - epidemiology</subject><subject>Carotid Artery Diseases - etiology</subject><subject>Carotid Artery Diseases - pathology</subject><subject>Cholesterol, HDL - metabolism</subject><subject>Female</subject><subject>Germany</subject><subject>Humans</subject><subject>Linear Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Models, Statistical</subject><subject>Multivariate Analysis</subject><subject>Neurology</subject><subject>Neurosurgery</subject><subject>Regression Analysis</subject><subject>Sex Factors</subject><subject>Skull, brain, vascular surgery</subject><subject>Smoking</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Tunica Intima - diagnostic imaging</subject><subject>Tunica Intima - pathology</subject><subject>Tunica Media - diagnostic imaging</subject><subject>Tunica Media - pathology</subject><subject>Ultrasonography</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0039-2499</issn><issn>1524-4628</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkN1q3DAQRkVJaTZpX6GIQnpnR3-W5NyFkCaBQEq7vRaz8gir2NbWsgl5-yrJwupiJPjOjJhDyDfOas41v2S8_r39VbNyuJG8aWvdCGFrbT-QDW-EqpQW9oRsGJNtJVTbnpKznP8WXkjbfCKnXJen0XJD5uuck4-wxDTRHS7PiBOFwac-DdSnKa_j_i2DqaN53fkhTtFDyWBOS-woLD3OKfvhtcZMr-i2R5qXtXuhKdAeYVh6Gif6M404wxThM_kYYMj45XCfkz8_brc399Xj093DzfVj5aXQS6WCUKG1yirWGQTvZauaoFBYaEKD3EAHjQTNmfWqE0ZZY0woiVDceNTynHx_n7uf078V8-LGmD0OA0yY1uy0ZVYazgp49Q76skKeMbj9HEeYXxxn7tW4Y9wV4-5o3L0ZLyNK89fDL-tuxO7YelBcgIsDALmIC8WBj_nIGcasElr-B6WNi6o</recordid><startdate>20050801</startdate><enddate>20050801</enddate><creator>SCHMINKE, Ulf</creator><creator>LUEDEMANN, Jan</creator><creator>BERGER, Klaus</creator><creator>ALTE, Dietrich</creator><creator>MITUSCH, Rolf</creator><creator>WOOD, William G</creator><creator>JASCHINSKI, Anke</creator><creator>BARNOW, Sven</creator><creator>JOHN, Ulrich</creator><creator>KESSLER, Christof</creator><general>Lippincott Williams &amp; Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20050801</creationdate><title>Association between alcohol consumption and subclinical carotid atherosclerosis : The study of health in Pomerania</title><author>SCHMINKE, Ulf ; LUEDEMANN, Jan ; BERGER, Klaus ; ALTE, Dietrich ; MITUSCH, Rolf ; WOOD, William G ; JASCHINSKI, Anke ; BARNOW, Sven ; JOHN, Ulrich ; KESSLER, Christof</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-4f24f984840d7eacc3945f4e28a5f5e17ada53a6108c4d2748777ff5e2417ce63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Alcohol Drinking</topic><topic>Animals</topic><topic>Atherosclerosis (general aspects, experimental research)</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood Pressure</topic><topic>Cardiology. Vascular system</topic><topic>Carotid Arteries - pathology</topic><topic>Carotid Artery Diseases - epidemiology</topic><topic>Carotid Artery Diseases - etiology</topic><topic>Carotid Artery Diseases - pathology</topic><topic>Cholesterol, HDL - metabolism</topic><topic>Female</topic><topic>Germany</topic><topic>Humans</topic><topic>Linear Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Models, Statistical</topic><topic>Multivariate Analysis</topic><topic>Neurology</topic><topic>Neurosurgery</topic><topic>Regression Analysis</topic><topic>Sex Factors</topic><topic>Skull, brain, vascular surgery</topic><topic>Smoking</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Tunica Intima - diagnostic imaging</topic><topic>Tunica Intima - pathology</topic><topic>Tunica Media - diagnostic imaging</topic><topic>Tunica Media - pathology</topic><topic>Ultrasonography</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SCHMINKE, Ulf</creatorcontrib><creatorcontrib>LUEDEMANN, Jan</creatorcontrib><creatorcontrib>BERGER, Klaus</creatorcontrib><creatorcontrib>ALTE, Dietrich</creatorcontrib><creatorcontrib>MITUSCH, Rolf</creatorcontrib><creatorcontrib>WOOD, William G</creatorcontrib><creatorcontrib>JASCHINSKI, Anke</creatorcontrib><creatorcontrib>BARNOW, Sven</creatorcontrib><creatorcontrib>JOHN, Ulrich</creatorcontrib><creatorcontrib>KESSLER, Christof</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Stroke (1970)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SCHMINKE, Ulf</au><au>LUEDEMANN, Jan</au><au>BERGER, Klaus</au><au>ALTE, Dietrich</au><au>MITUSCH, Rolf</au><au>WOOD, William G</au><au>JASCHINSKI, Anke</au><au>BARNOW, Sven</au><au>JOHN, Ulrich</au><au>KESSLER, Christof</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between alcohol consumption and subclinical carotid atherosclerosis : The study of health in Pomerania</atitle><jtitle>Stroke (1970)</jtitle><addtitle>Stroke</addtitle><date>2005-08-01</date><risdate>2005</risdate><volume>36</volume><issue>8</issue><spage>1746</spage><epage>1752</epage><pages>1746-1752</pages><issn>0039-2499</issn><eissn>1524-4628</eissn><coden>SJCCA7</coden><abstract>Epidemiologic studies have shown a J-shaped association between alcohol consumption and vascular diseases. However, only few studies have reported on the association between alcohol intake and subclinical atherosclerosis. The aim of the study was to investigate the relation between alcohol intake and carotid intima-media thickness (IMT) in participants of the population-based Study of Health in Pomerania. In 1230 men and 1190 women, the mean IMT of the right and left common carotid arteries was measured by B-mode ultrasonography. Alcohol consumption was assessed with a computer-assisted face-to-face interview. In men, carotid IMT as a function of alcohol intake was depicted as a J-shaped curve with a nadir for the alcohol intake category of 61 to 80 g/d. 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However, the total daily level of alcohol intake that shows a maximum protective effect against atherosclerosis is above the threshold where severe alcohol related comorbidity and organ damage have been reported.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>16002763</pmid><doi>10.1161/01.STR.0000173159.65228.68</doi><tpages>7</tpages></addata></record>
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source MEDLINE; American Heart Association Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Complete; Alma/SFX Local Collection
subjects Adult
Aged
Alcohol Drinking
Animals
Atherosclerosis (general aspects, experimental research)
Biological and medical sciences
Blood and lymphatic vessels
Blood Pressure
Cardiology. Vascular system
Carotid Arteries - pathology
Carotid Artery Diseases - epidemiology
Carotid Artery Diseases - etiology
Carotid Artery Diseases - pathology
Cholesterol, HDL - metabolism
Female
Germany
Humans
Linear Models
Male
Medical sciences
Middle Aged
Models, Statistical
Multivariate Analysis
Neurology
Neurosurgery
Regression Analysis
Sex Factors
Skull, brain, vascular surgery
Smoking
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tunica Intima - diagnostic imaging
Tunica Intima - pathology
Tunica Media - diagnostic imaging
Tunica Media - pathology
Ultrasonography
Vascular diseases and vascular malformations of the nervous system
title Association between alcohol consumption and subclinical carotid atherosclerosis : The study of health in Pomerania
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