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Alcohol and ideal cardiovascular health: The Multi-Ethnic Study of Atherosclerosis

Clinical Cardiology Jan 30, 2019

Ogunmoroti O, et al. - In a multi-ethnic population including 6,506 participants free of cardiovascular disease (CVD; aged 45 to 84 years), researchers explored links between alcohol consumption and cardiovascular health (CVH)—assessed by the American Heart Association's (AHA) Life's Simple 7 (LS7) metrics—and determined the impact of sex on these associations. The investigators scored each LS7 metric on a scale of 0-2 points. Total score was categorized as inadequate (0-8), average (9-10), and optimal (11-14). Participants were categorized as never, former, or current drinkers, of whom 53% were women. Further classification of current drinkers was < 1 (light), 1 to 2 (moderate), and > 2 (heavy) drinks/day. They used multinomial logistic regression models to assess the links, adjusted for age, sex, race/ethnicity, education, income, and health insurance. Those with > 2 drinks/day were less likely to have average and optimal CVH vs never drinkers. Overall, unfavorable CVH was observed in association with heavy alcohol consumption. In addition, they noted a more favorable CVH in association with light or moderate drinking among women; however, the association was not strong.

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