Light to Moderate Alcohol Consumption and Disability: Variable Benefits by Health Status
In adults, light to moderate alcohol consumption is associated with lower risks for heart disease, diabetes, and mortality. This study examined whether light to moderate alcohol use is also associated with lower risk of incident physical disability over two 5-year periods in 4,276 noninstitutionaliz...
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Veröffentlicht in: | American journal of epidemiology 2009-01, Vol.169 (1), p.96-104 |
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creator | Karlamangla, Arun S. Sarkisian, Catherine A. Kado, Deborah M. Dedes, Howard Liao, Diana H. Kim, Sungjin Reuben, David B. Greendale, Gail A. Moore, Alison A. |
description | In adults, light to moderate alcohol consumption is associated with lower risks for heart disease, diabetes, and mortality. This study examined whether light to moderate alcohol use is also associated with lower risk of incident physical disability over two 5-year periods in 4,276 noninstitutionalized adults in the United States, aged 50 years or older, by using data from 3 waves of the National Health and Nutrition Examination Survey Epidemiologic Follow-up Study surveys from 1982 to 1992. Light/moderate drinking ( |
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This study examined whether light to moderate alcohol use is also associated with lower risk of incident physical disability over two 5-year periods in 4,276 noninstitutionalized adults in the United States, aged 50 years or older, by using data from 3 waves of the National Health and Nutrition Examination Survey Epidemiologic Follow-up Study surveys from 1982 to 1992. Light/moderate drinking (<15 drinks per week and <5 per drinking day or 4 per drinking day for women) was associated with reduced risk for incident disability or death over 5 years, compared with abstention (adjusted odds ratio = 0.77; P = 0.008). Among survivors, light/moderate drinking was associated with lower risk for incident disability, compared with abstention (adjusted odds ratio = 0.75; P = 0.009). In stratified analyses, disability risk decreased with light/moderate drinking in a dose-dependent fashion in men and women with good or better self-reported health but not in men or women with fair or worse self-reported health. Alcohol consumption in moderation might reduce the risk of developing physical disability in older adults in good health but not in those in poor health.</description><identifier>ISSN: 0002-9262</identifier><identifier>EISSN: 1476-6256</identifier><identifier>DOI: 10.1093/aje/kwn294</identifier><identifier>PMID: 19022829</identifier><identifier>CODEN: AJEPAS</identifier><language>eng</language><publisher>Cary, NC: Oxford University Press</publisher><subject>activities of daily living ; Aged ; alcohol drinking ; Alcohol Drinking - epidemiology ; Alcohol Drinking - mortality ; Alcohol use ; Analysis. Health state ; Biological and medical sciences ; California - epidemiology ; Cohort Studies ; Diabetes Mellitus - prevention & control ; Disability ; Disabled Persons - statistics & numerical data ; Dose-Response Relationship, Drug ; Epidemiology ; Ethanol - administration & dosage ; Female ; General aspects ; Health Status ; Health Surveys ; Heart Diseases - prevention & control ; Humans ; Life Style ; Longitudinal Studies ; Male ; Medical sciences ; Middle Aged ; Odds Ratio ; Older people ; Original Contributions ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Risk factors ; Sampling Studies ; Surveys and Questionnaires ; Survival Rate ; Temperance</subject><ispartof>American journal of epidemiology, 2009-01, Vol.169 (1), p.96-104</ispartof><rights>American Journal of Epidemiology © The Author 2008. Published by the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org. 2009</rights><rights>2009 INIST-CNRS</rights><rights>American Journal of Epidemiology © The Author 2008. Published by the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c532t-eed30a7f08773edc1d5230a909d9717d59165fe08e2c6f0c01b38962ee6eae813</citedby><cites>FETCH-LOGICAL-c532t-eed30a7f08773edc1d5230a909d9717d59165fe08e2c6f0c01b38962ee6eae813</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,1578,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21146285$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19022829$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Karlamangla, Arun S.</creatorcontrib><creatorcontrib>Sarkisian, Catherine A.</creatorcontrib><creatorcontrib>Kado, Deborah M.</creatorcontrib><creatorcontrib>Dedes, Howard</creatorcontrib><creatorcontrib>Liao, Diana H.</creatorcontrib><creatorcontrib>Kim, Sungjin</creatorcontrib><creatorcontrib>Reuben, David B.</creatorcontrib><creatorcontrib>Greendale, Gail A.</creatorcontrib><creatorcontrib>Moore, Alison A.</creatorcontrib><title>Light to Moderate Alcohol Consumption and Disability: Variable Benefits by Health Status</title><title>American journal of epidemiology</title><addtitle>Am J Epidemiol</addtitle><description>In adults, light to moderate alcohol consumption is associated with lower risks for heart disease, diabetes, and mortality. This study examined whether light to moderate alcohol use is also associated with lower risk of incident physical disability over two 5-year periods in 4,276 noninstitutionalized adults in the United States, aged 50 years or older, by using data from 3 waves of the National Health and Nutrition Examination Survey Epidemiologic Follow-up Study surveys from 1982 to 1992. Light/moderate drinking (<15 drinks per week and <5 per drinking day or 4 per drinking day for women) was associated with reduced risk for incident disability or death over 5 years, compared with abstention (adjusted odds ratio = 0.77; P = 0.008). Among survivors, light/moderate drinking was associated with lower risk for incident disability, compared with abstention (adjusted odds ratio = 0.75; P = 0.009). In stratified analyses, disability risk decreased with light/moderate drinking in a dose-dependent fashion in men and women with good or better self-reported health but not in men or women with fair or worse self-reported health. Alcohol consumption in moderation might reduce the risk of developing physical disability in older adults in good health but not in those in poor health.</description><subject>activities of daily living</subject><subject>Aged</subject><subject>alcohol drinking</subject><subject>Alcohol Drinking - epidemiology</subject><subject>Alcohol Drinking - mortality</subject><subject>Alcohol use</subject><subject>Analysis. Health state</subject><subject>Biological and medical sciences</subject><subject>California - epidemiology</subject><subject>Cohort Studies</subject><subject>Diabetes Mellitus - prevention & control</subject><subject>Disability</subject><subject>Disabled Persons - statistics & numerical data</subject><subject>Dose-Response Relationship, Drug</subject><subject>Epidemiology</subject><subject>Ethanol - administration & dosage</subject><subject>Female</subject><subject>General aspects</subject><subject>Health Status</subject><subject>Health Surveys</subject><subject>Heart Diseases - prevention & control</subject><subject>Humans</subject><subject>Life Style</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Odds Ratio</subject><subject>Older people</subject><subject>Original Contributions</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Risk factors</subject><subject>Sampling Studies</subject><subject>Surveys and Questionnaires</subject><subject>Survival Rate</subject><subject>Temperance</subject><issn>0002-9262</issn><issn>1476-6256</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90U9v0zAYBvAIgVg3uPABkIXEDkhhr-3YjndAGuVPkQocGFO1i-Ukb1Z3aVxsB-i3J6hVBxw4WbJ_evy-erLsCYWXFDQ_sys8u_3RM13cyya0UDKXTMj72QQAWK6ZZEfZcYwrAEq1gIfZEdXAWMn0JFvM3c0ykeTJR99gsAnJRVf7pe_I1PdxWG-S8z2xfUPeuGgr17m0PSdXNjhbdUheY4-tS5FUWzJD26Ul-ZJsGuKj7EFru4iP9-dJ9vXd28vpLJ9_fv9hejHPa8FZyhEbDla1UCrFsalpI9h4oUE3WlHVCE2laBFKZLVsoQZa8VJLhijRYkn5SfZql7sZqvUYgH0KtjOb4NY2bI23zvz90rulufHfDVMMFMgx4HQfEPy3AWMyaxdr7Drbox-iYVAITks9wmf_wJUfQj8uZxgXmvOihBG92KE6-BgDtodJKJjfbZmxLbNra8RP_5z9ju7rGcHzPbCxtl0bbF-7eHCM0kKyUtw5P2z-_2G-cy4m_HmQNtwaqbgSZra4NlO2mF9ew5X5xH8BTjC6aA</recordid><startdate>20090101</startdate><enddate>20090101</enddate><creator>Karlamangla, Arun S.</creator><creator>Sarkisian, Catherine A.</creator><creator>Kado, Deborah M.</creator><creator>Dedes, Howard</creator><creator>Liao, Diana H.</creator><creator>Kim, Sungjin</creator><creator>Reuben, David B.</creator><creator>Greendale, Gail A.</creator><creator>Moore, Alison A.</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>BSCLL</scope><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>7QP</scope><scope>7T2</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7U1</scope><scope>5PM</scope></search><sort><creationdate>20090101</creationdate><title>Light to Moderate Alcohol Consumption and Disability: Variable Benefits by Health Status</title><author>Karlamangla, Arun S. ; Sarkisian, Catherine A. ; Kado, Deborah M. ; Dedes, Howard ; Liao, Diana H. ; Kim, Sungjin ; Reuben, David B. ; Greendale, Gail A. ; Moore, Alison A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c532t-eed30a7f08773edc1d5230a909d9717d59165fe08e2c6f0c01b38962ee6eae813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>activities of daily living</topic><topic>Aged</topic><topic>alcohol drinking</topic><topic>Alcohol Drinking - epidemiology</topic><topic>Alcohol Drinking - mortality</topic><topic>Alcohol use</topic><topic>Analysis. Health state</topic><topic>Biological and medical sciences</topic><topic>California - epidemiology</topic><topic>Cohort Studies</topic><topic>Diabetes Mellitus - prevention & control</topic><topic>Disability</topic><topic>Disabled Persons - statistics & numerical data</topic><topic>Dose-Response Relationship, Drug</topic><topic>Epidemiology</topic><topic>Ethanol - administration & dosage</topic><topic>Female</topic><topic>General aspects</topic><topic>Health Status</topic><topic>Health Surveys</topic><topic>Heart Diseases - prevention & control</topic><topic>Humans</topic><topic>Life Style</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Odds Ratio</topic><topic>Older people</topic><topic>Original Contributions</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Risk factors</topic><topic>Sampling Studies</topic><topic>Surveys and Questionnaires</topic><topic>Survival Rate</topic><topic>Temperance</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Karlamangla, Arun S.</creatorcontrib><creatorcontrib>Sarkisian, Catherine A.</creatorcontrib><creatorcontrib>Kado, Deborah M.</creatorcontrib><creatorcontrib>Dedes, Howard</creatorcontrib><creatorcontrib>Liao, Diana H.</creatorcontrib><creatorcontrib>Kim, Sungjin</creatorcontrib><creatorcontrib>Reuben, David B.</creatorcontrib><creatorcontrib>Greendale, Gail A.</creatorcontrib><creatorcontrib>Moore, Alison A.</creatorcontrib><collection>Istex</collection><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>Calcium & Calcified Tissue Abstracts</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Risk Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Karlamangla, Arun S.</au><au>Sarkisian, Catherine A.</au><au>Kado, Deborah M.</au><au>Dedes, Howard</au><au>Liao, Diana H.</au><au>Kim, Sungjin</au><au>Reuben, David B.</au><au>Greendale, Gail A.</au><au>Moore, Alison A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Light to Moderate Alcohol Consumption and Disability: Variable Benefits by Health Status</atitle><jtitle>American journal of epidemiology</jtitle><addtitle>Am J Epidemiol</addtitle><date>2009-01-01</date><risdate>2009</risdate><volume>169</volume><issue>1</issue><spage>96</spage><epage>104</epage><pages>96-104</pages><issn>0002-9262</issn><eissn>1476-6256</eissn><coden>AJEPAS</coden><abstract>In adults, light to moderate alcohol consumption is associated with lower risks for heart disease, diabetes, and mortality. This study examined whether light to moderate alcohol use is also associated with lower risk of incident physical disability over two 5-year periods in 4,276 noninstitutionalized adults in the United States, aged 50 years or older, by using data from 3 waves of the National Health and Nutrition Examination Survey Epidemiologic Follow-up Study surveys from 1982 to 1992. Light/moderate drinking (<15 drinks per week and <5 per drinking day or 4 per drinking day for women) was associated with reduced risk for incident disability or death over 5 years, compared with abstention (adjusted odds ratio = 0.77; P = 0.008). Among survivors, light/moderate drinking was associated with lower risk for incident disability, compared with abstention (adjusted odds ratio = 0.75; P = 0.009). In stratified analyses, disability risk decreased with light/moderate drinking in a dose-dependent fashion in men and women with good or better self-reported health but not in men or women with fair or worse self-reported health. Alcohol consumption in moderation might reduce the risk of developing physical disability in older adults in good health but not in those in poor health.</abstract><cop>Cary, NC</cop><pub>Oxford University Press</pub><pmid>19022829</pmid><doi>10.1093/aje/kwn294</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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subjects | activities of daily living Aged alcohol drinking Alcohol Drinking - epidemiology Alcohol Drinking - mortality Alcohol use Analysis. Health state Biological and medical sciences California - epidemiology Cohort Studies Diabetes Mellitus - prevention & control Disability Disabled Persons - statistics & numerical data Dose-Response Relationship, Drug Epidemiology Ethanol - administration & dosage Female General aspects Health Status Health Surveys Heart Diseases - prevention & control Humans Life Style Longitudinal Studies Male Medical sciences Middle Aged Odds Ratio Older people Original Contributions Public health. Hygiene Public health. Hygiene-occupational medicine Risk factors Sampling Studies Surveys and Questionnaires Survival Rate Temperance |
title | Light to Moderate Alcohol Consumption and Disability: Variable Benefits by Health Status |
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