Association between drinking patterns and cardiovascular risk: a population-based study in the Southern Cone of Latin America

GULAYIN, PABLO ELÍAS; IRAZOLA, VILMA; GUTIERREZ, LAURA; ELORRIAGA, NATALIA; LANAS, FERNANDO; MORES, NORA; PONZO, JAQUELINE; CALANDRELLI, MATÍAS; POGGIO, ROSANA; RUBINSTEIN, ADOLFO; BARDACH, ARIEL

JOURNAL OF PUBLIC HEALTH

OXFORD UNIV PRESS

Lugar: Oxford; Año: 2019

1741-3842

J Public Health (Oxf). 2019 Jan 11. doi: 10.1093/pubmed/fdy226. [Epub ahead ofprint]Association between drinking patterns and cardiovascular risk: a population-basedstudy in the Southern Cone of Latin America.Gulayin PE(1)(2), Irazola V(1), Gutierrez L(1), Elorriaga N(1), Lanas F(3), MoresN(4), Ponzo J(5), Calandrelli M(6), Poggio R(1)(7), Rubinstein A(8), BardachA(1)(7).Author information: (1)Instituto de Efectividad Clínica y Sanitaria, Buenos Aires, Argentina.(2)Facultad de Ciencias Médicas, Universidad Nacional de La Plata, Buenos Aires, Argentina.(3)CIGES, Universidad de La Frontera (UFRO), Temuco, Chile.(4)Municipalidad de Marcos Paz, Buenos Aires, Argentina.(5)Facultad de Medicina, Universidad de la República, Montevideo, Uruguay.(6)Sanatorio San Carlos, Bariloche, Río Negro, Argentina.(7)Comisión Nacional de Investigaciones Científico Tecnológicas, Argentina.(8)Ministerio de Salud de la Nación, Buenos Aires, Argentina.Background: Using data from general adult population, this study aims to describeepidemiology of alcohol consumption patterns and their association withcardiovascular risk.Methods: CESCAS I is a population-based study from four mid-sized cities inArgentina, Chile and Uruguay. Associations between diabetes, hypertension,dyslipidemia, cardiovascular disease (CVD) risk and history of CVD and drinkingpatterns were assessed using crude prevalence odds ratios (ORs) and adjusted OR.Results: A total of 37.2% of the studied population never drank and 18.3%reported to be former drinkers. Among current drinkers, moderate drinking was themost frequent pattern (24.2%). For women with light and moderate consumption, theodds of having >20% CVD risk was ~40% lower than that of never drinkers. The oddsof having a history of CVD was 50% lower in those with moderate consumption. For men with heavy consumption, the odds of having >20% CVD risk was about twice ashigh as for never drinkers.Conclusions: A harmful association was observed between heavy drinking and having>20% CVD risk for men. However, for women, an apparently protective associationwas observed between light and moderate drinking and having >20% CVD risk andbetween moderate drinking and having a history of CVD.DOI: 10.1093/pubmed/fdy226 PMID: 30649400