Consumption of alcohol and other alcoholic beverages is widespread in Uganda and it is the highest per capita consumer of alcohol in Africa. Many households are involved in informal alcohol production for income purpo...Consumption of alcohol and other alcoholic beverages is widespread in Uganda and it is the highest per capita consumer of alcohol in Africa. Many households are involved in informal alcohol production for income purposes, resulting in alcohol being easily available. Alcohol is consumed mostly by adults and young adults, waragi （a local brew） being high on the menu. There is a high prevalence of alcohol consumption at Makerere University so in our study we set out to assess the knowledge about dangers of alcohol consumption among these students. It was a cross-sectional descriptive study. The target population was undergraduate students of Makerere University. Data were collected using self-administered questionnaires and focus group discussions. We interviewed 435 University students, 236 （54.3%） males and 199 （45.7%） females. Median age was 21 years, similar across gender. There were more participants from year one to three compared to years four and five. Majority of the students were consuming alcohol 242 （55.6%）, 49 （11.3%） had stopped and 144 （33.1%） had never consumed alcohol. A higher proportion of males consumed alcohol compared to females; 60.2% and 50.2% respectively. Some reasons given for alcohol consumption were： peer pressure, coping with stressful situations, celebration and the need for adventure. The students were knowledgeable about the dangers of alcohol consumption like liver disease, violence, mental illness, cancer, diabetes mellitus, financial loss and death. Despite the vast knowledge about the dangers of alcohol consumption, some students were reluctant to stop consuming alcohol, so fighting this habit in this population is important. Parents and students need to be mindful of where to reside so as to avoid bad company. Some of the students who stopped consuming alcohol attributed it to concern from a relative, friend or health worker, so involving the entire public could go a long way in the fight against alcohol abuse as well as strict regulation of physical availability of alcohol on the university campus.Abstract： Consumption of alcohol and other alcoholic beverages is widespread in Uganda and it is the highest per capita consumer of alcohol in Africa. Many households are involved in informal alcohol production for income purposes, resulting in alcohol being easily available. Alcohol is consumed mostly by adults and young adults, waragi （a local brew） being high on the menu. There is a high prevalence of alcohol consumption at Makerere University so in our study we set out to assess the knowledge about dangers of alcohol consumption among these students. It was a cross-sectional descriptive study. The target population was undergraduate students of Makerere University. Data were collected using self-administered questionnaires and focus group discussions. We interviewed 435 University students, 236 （54.3%） males and 199 （45.7%） females. Median age was 21 years, similar across gender. There were more participants from year one to three compared to years four and five. Majority of the students were consuming alcohol 242 （55.6%）, 49 （11.3%） had stopped and 144 （33.1%） had never consumed alcohol. A higher proportion of males consumed alcohol compared to females; 60.2% and 50.2% respectively. Some reasons given for alcohol consumption were： peer pressure, coping with stressful situations, celebration and the need for adventure. The students were knowledgeable about the dangers of alcohol consumption like liver disease, violence, mental illness, cancer, diabetes mellitus, financial loss and death. Despite the vast knowledge about the dangers of alcohol consumption, some students were reluctant to stop consuming alcohol, so fighting this habit in this population is important. Parents and students need to be mindful of where to reside so as to avoid bad company. Some of the students who stopped consuming alcohol attributed it to concern from a relative, friend or health worker, so involving the entire public could go a long way in the fight against alcohol abuse as well as strict regulation of physical availability of alcohol on the university campus.展开更多
AIM:To investigate the effect of alcohol on the metabolic syndrome (MS) and fatty liver in Japanese men and women.METHODS:A cross-sectional study was conducted in a medical health checkup program at a general hospital...AIM:To investigate the effect of alcohol on the metabolic syndrome (MS) and fatty liver in Japanese men and women.METHODS:A cross-sectional study was conducted in a medical health checkup program at a general hospital.This study involved 18 571 Japanese men and women,18-88 years of age,with a mean body mass index of 22.6 kg/m 2.A standardized questionnaire was administered.The total amount of alcohol consumed per week was calculated,and categorized into four grades.Fatty liver was examined by ultrasound modified criteria of the revised National Cholesterol Educa-tion Program Adult Treatment Panel Ⅲ and the new International Diabetes Federation.RESULTS:The prevalence of fatty liver decreased in men and women with light to moderate alcohol consumption,whereas the prevalence of MS was not so changed.The prevalence of fatty liver of any grade in men was lower than that in those with no or minimal alcohol consumption.In women with light to moderate alcohol consumption,prevalence of fatty liver was lower than that in women with no or minimal alcohol consumption.By logistic regression analysis,the odds ratio (OR) for MS in women with light alcohol consumption was decreased to < 1.0,but this change was not clear in men.The OR for fatty liver was clearly < 1.0 in men with any level of alcohol consumption and in women with light to moderate consumption.CONCLUSION:Light to moderate alcohol consumption has a favorable effect for fatty liver,but not for MS in Japanese men and women.展开更多
BACKGROUND:Fatty liver is a common chronic liver disease worldwide.It is associated with an increasing morbidity in China in recent years.The aim of this study was to analyze the effect of drinking alcohol on the hemo...BACKGROUND:Fatty liver is a common chronic liver disease worldwide.It is associated with an increasing morbidity in China in recent years.The aim of this study was to analyze the effect of drinking alcohol on the hemoglobin and biochemical values of patients with fatty liver.METHODS:We investigated the clinical and laboratory data of 669 patients with fatty liver.Of the 669 patients,166 consumed alcohol more than 60 g per week for at least 2 years,and 503 did not have a history of long-term alcohol consumption.We further analyzed the relationship between alcohol consumption and clinical characteristics of these patients.RESULTS:The values of aspartate transaminase (AST),gammaglutamyl transpeptidase (GGT),and hemoglobin in the long-term consumption group were significantly higher than those in the non long-term consumption group (P<0.05).In the patients without long-term alcohol consumption,the values of GGT and hemoglobin in patients with light alcohol consumption were significantly higher than those in non alcohol consumers (P<0.05).CONCLUSION:Alcohol consumption is associated with significantly increased values of AST,GGT,and hemoglobin in patients with fatty liver,suggesting their potential roles in hepatic steatosis.展开更多
AIM：To quantify the association between alcohol consumption and dry eye syndrome（DES） with Meta-analysis of published case-control and cross-sectional studies. METHODS： Three databases were screened for potentiall...AIM：To quantify the association between alcohol consumption and dry eye syndrome（DES） with Meta-analysis of published case-control and cross-sectional studies. METHODS： Three databases were screened for potentially eligible studies through Nov.30,2015,Pub Med,Web of Science,and the Cochrane Library.Odds ratios（ORs） were pooled with 95% confidence intervals（CIs） to evaluate the relationship between alcohol consumption and DES risk.Subgroup analyses were performed according to diagnostic criteria,publication year,sample size,alcohol intake and adjusted factors.RESULTS： A total of 10（9 case-control and 1 crosssectional） studies from 8 articles were included in this Meta-analysis.The pooled results showed that alcohol consumption would significantly increase the risk of DES（OR 1.15,95% CI： 1.02-1.30）,and the results were independent of smoking,hypertension,diabetes and thyroid disease history.And the results of subgroup analyses indicated an increased incidence of DES diagnosed by typical DES symptoms and positive objective tests together（OR 1.18,95% CI： 1.01-1.39）among drinkers,but not by typical DES symptoms alone（OR 1.11,95% CI： 0.94-1.32）.What＇s more,any drinkers were at higher risk of suffering from DES（OR 1.33,95%CI： 1.31-1.34）,while heavy drinkers not（OR 1.01,95% CI：0.86-1.18）.CONCLUSION： The present Meta-analysis suggests that alcohol consumption may be a significant risk factor for DES.Alcohol-induced peripheral neuropathymay falsely reduce the prevalence of DES among heavy drinkers.Future prospective studies of alcohol consumption and DES risk are needed to confirm our results.展开更多
The role of alcoholic and other beverage consumption in the etiology of gastric cancer is unknown.Several studies have summarized and established a significant association between heavy alcohol consumption and gastric...The role of alcoholic and other beverage consumption in the etiology of gastric cancer is unknown.Several studies have summarized and established a significant association between heavy alcohol consumption and gastric cancer risk,but evidence on alcohol-related cancer risk is conflicting.展开更多
OBJECTIVE It has been recognized that HBV infection and alcohol consumption are two important risk factors for primary hepatocellular carcinoma （HCC）. Recently, the role of clonorchiasis as a risk factor for HCC is ...OBJECTIVE It has been recognized that HBV infection and alcohol consumption are two important risk factors for primary hepatocellular carcinoma （HCC）. Recently, the role of clonorchiasis as a risk factor for HCC is controversial. We aimed to investigate whether these factors increase the risk of HCC in Guangxi, China. METHODS A hospital-based, case-control study of HCC was conducted from July 2005 to July 2007. We enrolled 500 consecutive patients with HCC as an experimental group and 500 patients without tumor in liver as a control group. The risk factors that the patients were exposed to were assessed. RESULTS Comparing the risks of developing the HCC, we found out the following results. The risk of developing HCC for the patients with clonorchiasis was 5 folds of that for the patients without clonorchiasis （OR = 5.0; 95% CI： 3.1-8.1）, and the risk for the patients with alcohol consumption was 3 folds of that for the patients without drinking alcohol （OR = 3.4; 95% CI： 2.3-4.9）, and similarly, the risk for the patients with HBV infection was 21 times of that for the patients without HBV infection （OR = 20.6; 95% CI： 14.3-29.7）. According to crossover analysis, there was significant interaction among clonorchiasis, HBV infection and alcohol consumption, with synergistic indices greater than 1. The etiologic fractions attributed to these interactions [EF （A × B）] are 0.7465, 0.5789 and 0.5506, respectively. CONCLUSION Clonorchiasis, HBV infection and heavy alcohol consumption are independent risk factors for developing HCC in our population in Guangxi, and as they can interact synergistically, the risk of developing HCC is increased. Data from this study may indicate new prevention strategies of developing HCC in high-risk individuals.展开更多
Objectives Apolipoprotein(Apo) A5 gene poly-morphisms and alcohol consumption have been associated with increased serum triglyceride(TG) levels,but little is known about their interactions on serum lipid levels.The pr...Objectives Apolipoprotein(Apo) A5 gene poly-morphisms and alcohol consumption have been associated with increased serum triglyceride(TG) levels,but little is known about their interactions on serum lipid levels.The present study was undertaken polymorphismsand alcohol consumption on serum lipid levels.Methods A total of 516 unrelated nondrinkers and 514 drinkers aged 15 -89 were randomly selected from our previous stratified randomized cluster samples.Genotyping of the ApoA5was performed by polymerase chain reaction and restriction fragment length polymorphism,and then confirmed by direct sequencing.Interactions of the ApoA5alcohol consumption were assessed by using a cross-product term between genotypes and the aforementioned factor.Results The levels of total cholesterol (TC),TG,high-density lipoprotein cholesterol(HDL-C), ApoA1 and ApoB were higher in drinkers than in nondrinkers (P【0.05-0.001).The genotypic and allelic frequencies of the three single nucleotide polymorphisms(SNPs) were not different between the two groups.The levels of TG in non-drinkers, and TC,TG,low-density lipoprotein cholesterol (LDL-C)and ApoB in drinkers were different among the three -1131T】C genotypes(P【0.05-0.001).The -1131C allele carriers had higher serum TC,TG,LDL-C and ApoB levels than the allele noncarriers.The levels of TG,HDL-C and ApoB in nondrinkers,and TG and HDL-C in drinkers were different between the two c.553G】T genotypes(P【0.05-0.01).The C.553T allele carriers had higher serum TG and ApoB levels,and lower HDL-C levels than the allele noncarriers.Serum lipid levels in nondrinkers were not different among the three c.457G】A genotypes(P【0.05 for all), but the levels of HDL-C,LDL-C,ApoA1 and ApoB in drinkers were different between the GG and GA/AA geno-types (P【0.05-0.001).The C.457A allele carriers had lower serum HDL-C,LDL-C,ApoAl and ApoB levels than the allele noncarriers.We also observed four haplotypes:G-G-T, G-G-C,G-A-T,and T-G-C with frequencies ranging from 0.06 to 0.87,representing 100%of all haplotypes in the both populations.The ApoA5 haplotypes were significantly(P【0.05) associated at the global level with TC,TG,HDL-C, LDL-C,Apo1,and ApoB,even after correction for multiple testing with permutation test.In particular,carriers of haplo-type G-G-C had significantly higher TC,TG,LDL-C,ApoB than noncarriers,whereas carriers of haplotype C-A-T had significantly lower TC,LDL-C,ApoAl and ApoB,and higher HDL-C than noncarriers.Serum TC levels in nondrinkers were correlated with -1131T】C genotype and allele(P【0.05 for each),whereas serum TC,TG and LDL-C levels in drinkers were associated with -1131 T】C and C.553G】T genotypes,or c.457G】A alleles(P【0.05-0.001).Serum lipid parameters were also correlated with several environmental factors in the both groups.Conclusions The differences in serum lipid profiles between the drinkers and nondrinkers might partly result from different interactions of ApoA5 gene polymor phisms and alcohol consumption.genotypes and -1131T】C, c.553G】T and c.457G】A to detect the interactions of the ApoA5展开更多
Fatty liver, including non-alcoholic fatty liver disease, is closely associated with metabolic syndrome (MS). Thus, the presence of fatty liver without MS in some conditions may be clinically important. Many studies h...Fatty liver, including non-alcoholic fatty liver disease, is closely associated with metabolic syndrome (MS). Thus, the presence of fatty liver without MS in some conditions may be clinically important. Many studies have shown that compared with no or occasional alcohol intake, moderate alcohol consumption is associated with lower prevalence rates of hypertension and type 2 diabetes, and lower levels of circulating C-reactive protein, a valuable marker for MS and insulin resistance. Considering these findings, light to moderate alcohol consumption has theoretical benefits on fatty liver and MS. Fatty liver, including non-alcoholic fatty liver disease, may be more clinically important than MS, particularly in non-obese individuals, because fatty liver can develop before MS in several conditions, such as regular alcohol consumers. Furthermore, most of the currently used MS criteria are unable to detect "true MS" because of variations in multiple factors such as age, height, medications, and complications.展开更多
Objective： The authors used a meta-analytic technique to quantify the evidence of an association between ma- ternal alcohol consumption during pregnancy and childhood acute leukemia （AL）, which provided a basis for...Objective： The authors used a meta-analytic technique to quantify the evidence of an association between ma- ternal alcohol consumption during pregnancy and childhood acute leukemia （AL）, which provided a basis for the prevention of childhood AL. Methods： Relevant literatures of maternal alcohol consumption during pregnancy were comprehensively searched and screened. Subgroup meta-analysis was conducted according to the type of leukemia. Results of research data of maternal alcohol consumption during pregnancy were tested for heterogeneity. Combined OR values and 95% CIs were statistically calculated with RevMan 4.2 software; Funnel plots were applied to conduct bias analysis for those included litera- tures. Results： Ten related literatures were included after data screening, 4593 cases in AL group and 6157 cases in control group respectively. According to heterogeneity test result （X2 = 16.26, P 〈 0.05）, the combined OR values and 95% CI were calculated with random effects model, which were 1.02 （0.92-1.14）, Z = 0.41, P = 0.68 〉 0.05, indicating that there was no significant difference between maternal alcohol consumption during pregnancy and the risk of childhood acute leukemia （AL）. Subgroup analysis： for the association between maternal alcohol consumption during pregnancy and childhood acute lympho- blastic leukemia （ALL）, the combined OR value and 95% CI were 0.92 （0.84-1.00）, Z = 1.92, P = 0.05, indicating that there was significant difference between two groups; for the association between maternal alcohol consumption during pregnancy and childhood acute non-lymphoblastic leukemia （ANLL）, the combined OR values and 95% CI were 0.82 （0.61-1.11）, Z = 1.30, P = 0.19 〉 0.05, indicating that there was no significant difference between two groups. Conclusion： Maternal alcohol consumption during pregnancy is a risk factor in childhood ALL, but not in childhood ANLL.展开更多
AIM： To evaluate the possible association between al-cohol consumption and Barrett’s esophagus （BE）.METHODS： We performed a systematic literaturesearch of multiple online electronic databases. Inclusioncriteria e...AIM： To evaluate the possible association between al-cohol consumption and Barrett’s esophagus （BE）.METHODS： We performed a systematic literaturesearch of multiple online electronic databases. Inclusioncriteria entailed studies about alcohol and BE. Meta-analysis was conducted to evaluate odds ratio （OR） and95%CIs for the association between alcohol consump-tion and BE. RESULTS： Twenty studies comprising 4758 patientswith BE were included in the meta-analysis. The risk ofBE in patients with alcohol consumption was increasedcompared with control groups （OR = 1.01; 95%CI： 1.00-1.02）, especially in case-control and cohort, Eu-ropean and Asian, and hospital studies, but there was a decreased risk of BE associated with alcohol con-sumption from American studies （OR = 0.86; 95%CI： 0.77-0.96）. At the same time, there was no signifcant association between BE and alcohol consumption in community studies （OR = 0.97; 95%CI： 0.84-1.12） and the type of alcohol （wine, beer and liquor） studies. CONCLUSION： Our meta-analysis found that alcohol consumption was associated with an increased risk of BE, especially for European and Asian drinkers.展开更多
This paper aims to introduce the claim that hospitality students and hospitality employees drink more alcohol than other students and employee groups and to explore and explain this alcohol consumption disparity using...This paper aims to introduce the claim that hospitality students and hospitality employees drink more alcohol than other students and employee groups and to explore and explain this alcohol consumption disparity using the sense of coherence （SOC） construct. Using a web-based questionnaire, college students were recruited, surveyed, and classified into hospitality and non-hospitality majors. Self-reported alcohol consumption, SOC, and a variety of demographic variables were measured. A total of 930 students participated of which 59.4% were female and 28% were hospitality majors. About 47% of hospitality students, 33% of other majors, 43% of women, and 38% of men were classified as at-risk consumers of alcohol. The overall SOC score was about 139 with a range of 69-191. None of the sub-populations differed significantly in SOC. While SOC does not predict major or occupational choice, SOC is a predictor of risky alcohol consumption.展开更多
Objectives Both apolipoprotein(Apo)C-Ⅲgene polymorphism and alcohol consumption have been associated with increased serum triglyceride(TG) levels,but their interactions on serum TG levels are not well known.The prese...Objectives Both apolipoprotein(Apo)C-Ⅲgene polymorphism and alcohol consumption have been associated with increased serum triglyceride(TG) levels,but their interactions on serum TG levels are not well known.The present study was undertaken to detect the interactions of the ApoC-Ⅲ3238C】G(rs5128) polymorphism and alcohol consumption on serum TG levels.Methods A total of 516 unrelated nondrinkers and 514 drinkers aged 15-89 were randomly selected from our previous stratified randomized cluster samples. Genotyping of the ApoC-Ⅲ3238C】G was performed by polymerase chain reaction and restriction fragment length polymorphism combined with gel electrophoresis,and then confirmed by direct sequencing.Interactions of the ApoC-Ⅲ3238C】G genotype and alcohol consumption was assessed by using a cross-product term between genotypes and the afore-mentioned factor.Results Serum total cholesterol(TC), TG,high-density lipoprotein cholesterol(HDL-C),ApoA-I and ApoB levels were higher in drinkers than in nondrinkers (P【0.05-0.001).There was no significant difference in the genotypic and allelic frequencies between the two groups. Serum TG levels in nondrinkers were higher in CG genotype than in CC genotype(P【0,01).Serum TC,TG,low-density lipoprotein cholesterol(LDL-C) and ApoB levels in drinkers were higher in GG genotype than in CC or CG genotype(P【0.01 for all).Serum HDL-C levels in drinkers were higher in CG genotype than in CC genotype(P【0.01).Serum TC, TG,HDL-C and ApoA-I levels in CC genotype,TC,HDL-C, ApoA-I levels and the ratio of ApoA-I to ApoB in CG genotype, and TC,TG,LDL-C,ApoA-I and ApoB levels in GG genotype were higher in drinkers than in nondrinkers(P【0.05-0.01).But the ratio of ApoA-I to ApoB in GG genotype was lower in drinkers than in nondrinkers(P【0.01). Multivariate logistic regression analysis showed that the levels of TC,TG and ApoB were correlated with genotype in non drinkers(P【0.05 for all).The levels of TC,LDL-C and ApoB were associated with genotype in drinkers(P【0.01 for all). Serum lipid parameters were also correlated with age,sex,alcohol consumption,cigarette smoking,blood pressure,body weight,and body mass index in both groups.Conclusions This study suggests that the ApoC-Ⅲ3238CG heterozygotes benefited more from alcohol consumption than CC and GG homozygotes in increasing serum levels of HDL-C,ApoA-I, and the ratio of ApoA-I to ApoB,and lowering serum levels of TC and TG.展开更多
Aims: To investigate alcohol consumption patterns in Estonia in 1996, which represents the transition period after the collapse of the Soviet Union, and in 2006, which is characterized by economic growth. Methods: Dat...Aims: To investigate alcohol consumption patterns in Estonia in 1996, which represents the transition period after the collapse of the Soviet Union, and in 2006, which is characterized by economic growth. Methods: Data from all 25 – 64 year olds from the nationally representative 1996 and 2006 Estonian Health Interview Surveys were analysed. The frequency of alcohol consumption and heavy episodic drinking (HED) were examined. The odds ratios of at least weekly alcohol consumption and HED according to socio-demographic characteristics were calculated using logistic regression models. Results: In comparison with 1996, at least weekly alcohol consumption was nearly twice as high among men in 2006. No association between HED and the study year was found. Alcohol consumption was lower among respondents in the oldest age group. Weekly alcohol consumption was lower among non-Estonian men in both study years. HED was higher among non-Estonian men and women in 1996 but this difference disappeared in 2006. Weekly alcohol consumption was lower among less educated men in 1996 but not in 2006. No clear tendency in weekly alcohol consumption by education was found among women. HED was higher among less educated men in both study years;however, this association was weaker in 2006. While HED was not associated with education among women in 1996, an inverse relationship was found in 2006. Conclusions: The study confirmed that rapid societal changes had an effect on alcohol consumption patterns in Estonia. Estonia needs the implementation of a comprehensive alcohol policy to decrease harmful alcohol consumption in the whole society.展开更多
Alcohol-related liver disease(ALD)and metabolic dysfunction-associated steatotic liver disease(MASLD)are the most common causes of chronic liver disease worldwide(1).Daily alcohol consumption thresholds(<20 g/day f...Alcohol-related liver disease(ALD)and metabolic dysfunction-associated steatotic liver disease(MASLD)are the most common causes of chronic liver disease worldwide(1).Daily alcohol consumption thresholds(<20 g/day for women and<30 g/day for men)are used to arbitrarily differentiate MASLD from ALD(2).However,“safe”levels of alcohol intake are difficult to define because of wide variations in the factors that contribute to its susceptibility and multiple effect modifiers.In MASLD,conflicting results on whether light alcohol intake is detrimental or beneficial.展开更多
BACKGROUND:Previous studies have reported inconsistent results with positive,negative,and J-shaped associations between alcohol consumption and the hazard of aortic aneurysm and dissection(AAD).This study aimed to exa...BACKGROUND:Previous studies have reported inconsistent results with positive,negative,and J-shaped associations between alcohol consumption and the hazard of aortic aneurysm and dissection(AAD).This study aimed to examine the connections between weekly alcohol consumption and the subsequent risk of AAD.METHODS:The UK Biobank study is a population-based cohort study.Weekly alcohol consumption was assessed using self-reported questionnaires and the congenital risk of alcohol consumption was also evaluated using genetic risk score(GRS).Cox proportional hazards models were used to estimate hazard ratios(HRs)with 95% confidence intervals(CIs)for the associations between alcohol consumption and AAD.Several sensitivity analyses were performed to assess the robustness of the results.RESULTS:Among the 388,955 participants(mean age:57.1 years,47.4% male),2,895 incident AAD cases were documented during a median follow-up of 12.5 years.Compared with never-drinkers,moderate drinkers(adjusted HR:0.797,95%CI:0.646-0.984,P<0.05)and moderate-heavy drinkers(adjusted HR:0.794,95%CI:0.635-0.992,P<0.05)were significantly associated with a decreased risk of incident AAD.Interaction-based subgroup analysis revealed that the protective effect of moderate drinking was reflected mainly in participants younger than 65 years and women.CONCLUSION:Our findings support a protective effect of moderate alcohol consumption on AAD,but are limited to participants younger than 65 years and women.展开更多
Alcohol consumption alters gut microflora and damages intestinal tight junction barriers,which may affect arsenic(As)oral bioavailability.In this study,mice were exposed to arsenate in the diet(6μg/g)over a 3-week pe...Alcohol consumption alters gut microflora and damages intestinal tight junction barriers,which may affect arsenic(As)oral bioavailability.In this study,mice were exposed to arsenate in the diet(6μg/g)over a 3-week period and gavaged daily with Chinese liquor(0.05 or 0.10 mL per mouse per day).Following ingestion,78.0%and 72.9%of the total As intake was absorbed and excreted via urine when co-exposed with liquor at daily doses of 0.05 or 0.10 mL,significantly greater than when As was supplied alone(44.7%).Alcohol co-exposure significantly altered gut microbiota but did not significantly alter As biotransformation in the intestinal tract or tissue.Significantly lower relative mRNA expression was observed for genes encoding for tight junctions in the ileum of liquor co-exposed mice,contributing to greater As bioavailability attributable to enhanced As absorption via the intestinal paracellular pathway.However,As concentration in the liver,kidney,and intestinal tissue of liquortreated mice was decreased by 24.4%-42.6%,27.5%-38.1%,and 28.1%-48.9%compared to control mice.This was likely due to greater renal glomerular filtration rate induced by alcohol,as suggested by significantly lower expression of genes encoding for renal tight junctions.In addition,in mice gavaged daily with 0.05 mL liquor,the serum antidiuretic hormone level was significantly lower than control mice(2.83±0.59 vs.5.40±1.10 pg/mL),suggesting the diuretic function of alcohol consumption,which may facilitate As elimination via urine.These results highlight that alcohol consumption has a significant impact on the bioavailability and accumulation of As.展开更多
Due to peer pressure playing a crucial role in the decision to drink,people who have a more fragile temperament might be expected to be at higher risk.Moreover,many studies have investigated the influence of peer press...Due to peer pressure playing a crucial role in the decision to drink,people who have a more fragile temperament might be expected to be at higher risk.Moreover,many studies have investigated the influence of peer pressure on alcohol consumption,but few have examined the relationship between heavy drinking and peer pressure via a spatial autoregressive model(SAR)in low/middle-income countries,such as Thailand.This paper investigated the connection between heavy drinkers over the age of 15 years who drink more than or equal to 60 grams of unmixed alcohol at least once per month based on the Thai Survey of Cigarette Smoking and Alcoholic Drinking Behavior,2014.Further,the drinkers were assumed to socialize with two peer groups:immediate family and close friends.Our paper considered a SAR model because SAR can overcome the reflection problem encountered using a linear-in-means model and the correlated effect problem found with hierarchical models.The mainfinding was the discovery of a significant and positive peer effect on alcohol consumption among heavy drinkers.In addition,there was evidence of education having an effect,but no evidence of income affecting on alcohol consumption.Specifically,a higher level of education was linked with lower levels of alcohol consumption.The results not only help us to understand the peer effect and alcohol consumption behavior,but policymakers can also apply peer effect-based strategies to formulate effective policies to decrease the alcohol consumption rate in Thailand.展开更多
Objective:Epidemiological studies indicate that alcohol increases gastric cancer(GC)risk,yet most studies have focused on heavy alcohol intake,leaving other factors understudied.A comprehensive investigation of the ef...Objective:Epidemiological studies indicate that alcohol increases gastric cancer(GC)risk,yet most studies have focused on heavy alcohol intake,leaving other factors understudied.A comprehensive investigation of the effects of the frequency and amount of alcohol intake may help elucidate the GC risk associated with drinking behavior.Methods:The Health Examinees-Gem(HEXA-G)study,a community-based large-scale prospective cohort study,enrolled Korean adults 40–69 years of age between the years 2004 and 2013.Incident GC cases were identified through linkage to Korea Central Cancer Registry data until December 31,2017.Self-reported questionnaires were used to survey alcohol consumption-related factors(duration,frequency,amount,and type of alcoholic beverages).The frequency and amount of alcohol consumption were combined to explore GC risk according to 4 drinking patterns:“infrequent-light”,“frequent-light”,“infrequent-heavy”,and“frequent-heavy”.We used Cox proportional hazard models to estimate the adjusted hazard ratios(HRs)and 95%confidence intervals(CIs),and investigate the relationship between alcohol intake and GC incidence.Results:A total of 128,218 participants were included in the analysis.During an average follow-up period of 8.6 years,462 men and 385 women were diagnosed with GC.In men,current drinkers showed a 31%greater risk of GC than non-drinkers(HR 1.31,95%CI 1.03–1.66),whereas no significant association was observed in women.In men,GC risk was associated with a higher frequency(P trend 0.02)and dose of ethanol intake in grams(P trend 0.03).In men,the“frequent-light”(≥5 times/week and<40 g ethanol/day)drinking pattern was associated with a 46%greater risk of GC(HR 1.46,95%CI 1.02–2.07)than the“infrequent-light”pattern(<5 times/week and<40 g ethanol/day).Conclusions:This study suggests that frequent intake of alcohol,even in low quantities per session,increases GC risk.Further research is warranted to evaluate the relationship between alcohol and GC in detail.展开更多
Alcohol use disorders represent a heterogeneous spectrum of clinical manifestations that have been defined by the Diagnostic and Statistical Manual of Mental Disorders-5. Excessive alcohol intake can lead to damage of...Alcohol use disorders represent a heterogeneous spectrum of clinical manifestations that have been defined by the Diagnostic and Statistical Manual of Mental Disorders-5. Excessive alcohol intake can lead to damage of various organs, including the liver. Alcoholic liver disease includes different injuries ranging from steatosis to cirrhosis and implicates a diagnostic assessment of the liver disease and of its possible complications. There is growing interest in the possible different tools for assessing previous alcohol consumption and for establishing the severity of liver injury, especially by noninvasive methods.展开更多
Objective: To investigate whether sustained long-term changes in alcohol intake are predictive of cardiovascular risk. Methods: The study population was a subpopulation of the five-year intervention study, Inter99 stu...Objective: To investigate whether sustained long-term changes in alcohol intake are predictive of cardiovascular risk. Methods: The study population was a subpopulation of the five-year intervention study, Inter99 study, (1999-2006), Copenhagen, Denmark (n = 2117;30 - 60 years). Alcohol intake was assessed by questionnaires at baseline, one-, three- and five-year follow-up. The associations between sustained long-term changes in alcohol intake and cardiovascular risk factors (HDL and non-HDL cholesterol, systolic and diastolic blood pressure (BP);the absolute risk of ischemic heart disease (CRS)) at five-year follow-up were explored by linear regression models. The alcohol variables were tested for linear association with the response variable. Results: Sustained increased alcohol intake was significantly associated with increased CRS (β = 0.0028;P = 0.006) and a decreased HDL cholesterol (β = -0.0028;P = 0.005). Among participants with a moderate overall alcohol in-take at baseline increased alcohol intake was significantly associated with an increased plasma triglyceride (β = 0.0069;P = 0.04). No association with triglyceride was found for participants with a high alcohol intake. Change in wine intake was significantly negatively associated with changes in diastolic BP (β = 0.0015;P = 0.02). Conclusions: Sustained increase in the long-term intake of alcohol was a significant risk factor for an increased CRS, increased triglyceride level and decreased HDL cholesterol. Increased wine intake was associated with decreased diastolic BP.展开更多
文摘Consumption of alcohol and other alcoholic beverages is widespread in Uganda and it is the highest per capita consumer of alcohol in Africa. Many households are involved in informal alcohol production for income purposes, resulting in alcohol being easily available. Alcohol is consumed mostly by adults and young adults, waragi （a local brew） being high on the menu. There is a high prevalence of alcohol consumption at Makerere University so in our study we set out to assess the knowledge about dangers of alcohol consumption among these students. It was a cross-sectional descriptive study. The target population was undergraduate students of Makerere University. Data were collected using self-administered questionnaires and focus group discussions. We interviewed 435 University students, 236 （54.3%） males and 199 （45.7%） females. Median age was 21 years, similar across gender. There were more participants from year one to three compared to years four and five. Majority of the students were consuming alcohol 242 （55.6%）, 49 （11.3%） had stopped and 144 （33.1%） had never consumed alcohol. A higher proportion of males consumed alcohol compared to females; 60.2% and 50.2% respectively. Some reasons given for alcohol consumption were： peer pressure, coping with stressful situations, celebration and the need for adventure. The students were knowledgeable about the dangers of alcohol consumption like liver disease, violence, mental illness, cancer, diabetes mellitus, financial loss and death. Despite the vast knowledge about the dangers of alcohol consumption, some students were reluctant to stop consuming alcohol, so fighting this habit in this population is important. Parents and students need to be mindful of where to reside so as to avoid bad company. Some of the students who stopped consuming alcohol attributed it to concern from a relative, friend or health worker, so involving the entire public could go a long way in the fight against alcohol abuse as well as strict regulation of physical availability of alcohol on the university campus.Abstract： Consumption of alcohol and other alcoholic beverages is widespread in Uganda and it is the highest per capita consumer of alcohol in Africa. Many households are involved in informal alcohol production for income purposes, resulting in alcohol being easily available. Alcohol is consumed mostly by adults and young adults, waragi （a local brew） being high on the menu. There is a high prevalence of alcohol consumption at Makerere University so in our study we set out to assess the knowledge about dangers of alcohol consumption among these students. It was a cross-sectional descriptive study. The target population was undergraduate students of Makerere University. Data were collected using self-administered questionnaires and focus group discussions. We interviewed 435 University students, 236 （54.3%） males and 199 （45.7%） females. Median age was 21 years, similar across gender. There were more participants from year one to three compared to years four and five. Majority of the students were consuming alcohol 242 （55.6%）, 49 （11.3%） had stopped and 144 （33.1%） had never consumed alcohol. A higher proportion of males consumed alcohol compared to females; 60.2% and 50.2% respectively. Some reasons given for alcohol consumption were： peer pressure, coping with stressful situations, celebration and the need for adventure. The students were knowledgeable about the dangers of alcohol consumption like liver disease, violence, mental illness, cancer, diabetes mellitus, financial loss and death. Despite the vast knowledge about the dangers of alcohol consumption, some students were reluctant to stop consuming alcohol, so fighting this habit in this population is important. Parents and students need to be mindful of where to reside so as to avoid bad company. Some of the students who stopped consuming alcohol attributed it to concern from a relative, friend or health worker, so involving the entire public could go a long way in the fight against alcohol abuse as well as strict regulation of physical availability of alcohol on the university campus.
基金Supported by A grant from the Gifu Medical AssociationYoung Scientists (B) from Japan Society for the Promotion of Science,No.23790791,in part
文摘AIM:To investigate the effect of alcohol on the metabolic syndrome (MS) and fatty liver in Japanese men and women.METHODS:A cross-sectional study was conducted in a medical health checkup program at a general hospital.This study involved 18 571 Japanese men and women,18-88 years of age,with a mean body mass index of 22.6 kg/m 2.A standardized questionnaire was administered.The total amount of alcohol consumed per week was calculated,and categorized into four grades.Fatty liver was examined by ultrasound modified criteria of the revised National Cholesterol Educa-tion Program Adult Treatment Panel Ⅲ and the new International Diabetes Federation.RESULTS:The prevalence of fatty liver decreased in men and women with light to moderate alcohol consumption,whereas the prevalence of MS was not so changed.The prevalence of fatty liver of any grade in men was lower than that in those with no or minimal alcohol consumption.In women with light to moderate alcohol consumption,prevalence of fatty liver was lower than that in women with no or minimal alcohol consumption.By logistic regression analysis,the odds ratio (OR) for MS in women with light alcohol consumption was decreased to < 1.0,but this change was not clear in men.The OR for fatty liver was clearly < 1.0 in men with any level of alcohol consumption and in women with light to moderate consumption.CONCLUSION:Light to moderate alcohol consumption has a favorable effect for fatty liver,but not for MS in Japanese men and women.
文摘BACKGROUND:Fatty liver is a common chronic liver disease worldwide.It is associated with an increasing morbidity in China in recent years.The aim of this study was to analyze the effect of drinking alcohol on the hemoglobin and biochemical values of patients with fatty liver.METHODS:We investigated the clinical and laboratory data of 669 patients with fatty liver.Of the 669 patients,166 consumed alcohol more than 60 g per week for at least 2 years,and 503 did not have a history of long-term alcohol consumption.We further analyzed the relationship between alcohol consumption and clinical characteristics of these patients.RESULTS:The values of aspartate transaminase (AST),gammaglutamyl transpeptidase (GGT),and hemoglobin in the long-term consumption group were significantly higher than those in the non long-term consumption group (P<0.05).In the patients without long-term alcohol consumption,the values of GGT and hemoglobin in patients with light alcohol consumption were significantly higher than those in non alcohol consumers (P<0.05).CONCLUSION:Alcohol consumption is associated with significantly increased values of AST,GGT,and hemoglobin in patients with fatty liver,suggesting their potential roles in hepatic steatosis.
基金Supported by Zhejiang Key Laboratory Fund of China(No.2011E10006)
文摘AIM：To quantify the association between alcohol consumption and dry eye syndrome（DES） with Meta-analysis of published case-control and cross-sectional studies. METHODS： Three databases were screened for potentially eligible studies through Nov.30,2015,Pub Med,Web of Science,and the Cochrane Library.Odds ratios（ORs） were pooled with 95% confidence intervals（CIs） to evaluate the relationship between alcohol consumption and DES risk.Subgroup analyses were performed according to diagnostic criteria,publication year,sample size,alcohol intake and adjusted factors.RESULTS： A total of 10（9 case-control and 1 crosssectional） studies from 8 articles were included in this Meta-analysis.The pooled results showed that alcohol consumption would significantly increase the risk of DES（OR 1.15,95% CI： 1.02-1.30）,and the results were independent of smoking,hypertension,diabetes and thyroid disease history.And the results of subgroup analyses indicated an increased incidence of DES diagnosed by typical DES symptoms and positive objective tests together（OR 1.18,95% CI： 1.01-1.39）among drinkers,but not by typical DES symptoms alone（OR 1.11,95% CI： 0.94-1.32）.What＇s more,any drinkers were at higher risk of suffering from DES（OR 1.33,95%CI： 1.31-1.34）,while heavy drinkers not（OR 1.01,95% CI：0.86-1.18）.CONCLUSION： The present Meta-analysis suggests that alcohol consumption may be a significant risk factor for DES.Alcohol-induced peripheral neuropathymay falsely reduce the prevalence of DES among heavy drinkers.Future prospective studies of alcohol consumption and DES risk are needed to confirm our results.
文摘The role of alcoholic and other beverage consumption in the etiology of gastric cancer is unknown.Several studies have summarized and established a significant association between heavy alcohol consumption and gastric cancer risk,but evidence on alcohol-related cancer risk is conflicting.
基金supported by a grant from the National Natural Science Foundation of China(No.30660162).
文摘OBJECTIVE It has been recognized that HBV infection and alcohol consumption are two important risk factors for primary hepatocellular carcinoma （HCC）. Recently, the role of clonorchiasis as a risk factor for HCC is controversial. We aimed to investigate whether these factors increase the risk of HCC in Guangxi, China. METHODS A hospital-based, case-control study of HCC was conducted from July 2005 to July 2007. We enrolled 500 consecutive patients with HCC as an experimental group and 500 patients without tumor in liver as a control group. The risk factors that the patients were exposed to were assessed. RESULTS Comparing the risks of developing the HCC, we found out the following results. The risk of developing HCC for the patients with clonorchiasis was 5 folds of that for the patients without clonorchiasis （OR = 5.0; 95% CI： 3.1-8.1）, and the risk for the patients with alcohol consumption was 3 folds of that for the patients without drinking alcohol （OR = 3.4; 95% CI： 2.3-4.9）, and similarly, the risk for the patients with HBV infection was 21 times of that for the patients without HBV infection （OR = 20.6; 95% CI： 14.3-29.7）. According to crossover analysis, there was significant interaction among clonorchiasis, HBV infection and alcohol consumption, with synergistic indices greater than 1. The etiologic fractions attributed to these interactions [EF （A × B）] are 0.7465, 0.5789 and 0.5506, respectively. CONCLUSION Clonorchiasis, HBV infection and heavy alcohol consumption are independent risk factors for developing HCC in our population in Guangxi, and as they can interact synergistically, the risk of developing HCC is increased. Data from this study may indicate new prevention strategies of developing HCC in high-risk individuals.
文摘Objectives Apolipoprotein(Apo) A5 gene poly-morphisms and alcohol consumption have been associated with increased serum triglyceride(TG) levels,but little is known about their interactions on serum lipid levels.The present study was undertaken polymorphismsand alcohol consumption on serum lipid levels.Methods A total of 516 unrelated nondrinkers and 514 drinkers aged 15 -89 were randomly selected from our previous stratified randomized cluster samples.Genotyping of the ApoA5was performed by polymerase chain reaction and restriction fragment length polymorphism,and then confirmed by direct sequencing.Interactions of the ApoA5alcohol consumption were assessed by using a cross-product term between genotypes and the aforementioned factor.Results The levels of total cholesterol (TC),TG,high-density lipoprotein cholesterol(HDL-C), ApoA1 and ApoB were higher in drinkers than in nondrinkers (P【0.05-0.001).The genotypic and allelic frequencies of the three single nucleotide polymorphisms(SNPs) were not different between the two groups.The levels of TG in non-drinkers, and TC,TG,low-density lipoprotein cholesterol (LDL-C)and ApoB in drinkers were different among the three -1131T】C genotypes(P【0.05-0.001).The -1131C allele carriers had higher serum TC,TG,LDL-C and ApoB levels than the allele noncarriers.The levels of TG,HDL-C and ApoB in nondrinkers,and TG and HDL-C in drinkers were different between the two c.553G】T genotypes(P【0.05-0.01).The C.553T allele carriers had higher serum TG and ApoB levels,and lower HDL-C levels than the allele noncarriers.Serum lipid levels in nondrinkers were not different among the three c.457G】A genotypes(P【0.05 for all), but the levels of HDL-C,LDL-C,ApoA1 and ApoB in drinkers were different between the GG and GA/AA geno-types (P【0.05-0.001).The C.457A allele carriers had lower serum HDL-C,LDL-C,ApoAl and ApoB levels than the allele noncarriers.We also observed four haplotypes:G-G-T, G-G-C,G-A-T,and T-G-C with frequencies ranging from 0.06 to 0.87,representing 100%of all haplotypes in the both populations.The ApoA5 haplotypes were significantly(P【0.05) associated at the global level with TC,TG,HDL-C, LDL-C,Apo1,and ApoB,even after correction for multiple testing with permutation test.In particular,carriers of haplo-type G-G-C had significantly higher TC,TG,LDL-C,ApoB than noncarriers,whereas carriers of haplotype C-A-T had significantly lower TC,LDL-C,ApoAl and ApoB,and higher HDL-C than noncarriers.Serum TC levels in nondrinkers were correlated with -1131T】C genotype and allele(P【0.05 for each),whereas serum TC,TG and LDL-C levels in drinkers were associated with -1131 T】C and C.553G】T genotypes,or c.457G】A alleles(P【0.05-0.001).Serum lipid parameters were also correlated with several environmental factors in the both groups.Conclusions The differences in serum lipid profiles between the drinkers and nondrinkers might partly result from different interactions of ApoA5 gene polymor phisms and alcohol consumption.genotypes and -1131T】C, c.553G】T and c.457G】A to detect the interactions of the ApoA5
文摘Fatty liver, including non-alcoholic fatty liver disease, is closely associated with metabolic syndrome (MS). Thus, the presence of fatty liver without MS in some conditions may be clinically important. Many studies have shown that compared with no or occasional alcohol intake, moderate alcohol consumption is associated with lower prevalence rates of hypertension and type 2 diabetes, and lower levels of circulating C-reactive protein, a valuable marker for MS and insulin resistance. Considering these findings, light to moderate alcohol consumption has theoretical benefits on fatty liver and MS. Fatty liver, including non-alcoholic fatty liver disease, may be more clinically important than MS, particularly in non-obese individuals, because fatty liver can develop before MS in several conditions, such as regular alcohol consumers. Furthermore, most of the currently used MS criteria are unable to detect "true MS" because of variations in multiple factors such as age, height, medications, and complications.
文摘Objective： The authors used a meta-analytic technique to quantify the evidence of an association between ma- ternal alcohol consumption during pregnancy and childhood acute leukemia （AL）, which provided a basis for the prevention of childhood AL. Methods： Relevant literatures of maternal alcohol consumption during pregnancy were comprehensively searched and screened. Subgroup meta-analysis was conducted according to the type of leukemia. Results of research data of maternal alcohol consumption during pregnancy were tested for heterogeneity. Combined OR values and 95% CIs were statistically calculated with RevMan 4.2 software; Funnel plots were applied to conduct bias analysis for those included litera- tures. Results： Ten related literatures were included after data screening, 4593 cases in AL group and 6157 cases in control group respectively. According to heterogeneity test result （X2 = 16.26, P 〈 0.05）, the combined OR values and 95% CI were calculated with random effects model, which were 1.02 （0.92-1.14）, Z = 0.41, P = 0.68 〉 0.05, indicating that there was no significant difference between maternal alcohol consumption during pregnancy and the risk of childhood acute leukemia （AL）. Subgroup analysis： for the association between maternal alcohol consumption during pregnancy and childhood acute lympho- blastic leukemia （ALL）, the combined OR value and 95% CI were 0.92 （0.84-1.00）, Z = 1.92, P = 0.05, indicating that there was significant difference between two groups; for the association between maternal alcohol consumption during pregnancy and childhood acute non-lymphoblastic leukemia （ANLL）, the combined OR values and 95% CI were 0.82 （0.61-1.11）, Z = 1.30, P = 0.19 〉 0.05, indicating that there was no significant difference between two groups. Conclusion： Maternal alcohol consumption during pregnancy is a risk factor in childhood ALL, but not in childhood ANLL.
基金Supported by National Natural Science Foundation of China,No.81300273 and 81300130
文摘AIM： To evaluate the possible association between al-cohol consumption and Barrett’s esophagus （BE）.METHODS： We performed a systematic literaturesearch of multiple online electronic databases. Inclusioncriteria entailed studies about alcohol and BE. Meta-analysis was conducted to evaluate odds ratio （OR） and95%CIs for the association between alcohol consump-tion and BE. RESULTS： Twenty studies comprising 4758 patientswith BE were included in the meta-analysis. The risk ofBE in patients with alcohol consumption was increasedcompared with control groups （OR = 1.01; 95%CI： 1.00-1.02）, especially in case-control and cohort, Eu-ropean and Asian, and hospital studies, but there was a decreased risk of BE associated with alcohol con-sumption from American studies （OR = 0.86; 95%CI： 0.77-0.96）. At the same time, there was no signifcant association between BE and alcohol consumption in community studies （OR = 0.97; 95%CI： 0.84-1.12） and the type of alcohol （wine, beer and liquor） studies. CONCLUSION： Our meta-analysis found that alcohol consumption was associated with an increased risk of BE, especially for European and Asian drinkers.
文摘This paper aims to introduce the claim that hospitality students and hospitality employees drink more alcohol than other students and employee groups and to explore and explain this alcohol consumption disparity using the sense of coherence （SOC） construct. Using a web-based questionnaire, college students were recruited, surveyed, and classified into hospitality and non-hospitality majors. Self-reported alcohol consumption, SOC, and a variety of demographic variables were measured. A total of 930 students participated of which 59.4% were female and 28% were hospitality majors. About 47% of hospitality students, 33% of other majors, 43% of women, and 38% of men were classified as at-risk consumers of alcohol. The overall SOC score was about 139 with a range of 69-191. None of the sub-populations differed significantly in SOC. While SOC does not predict major or occupational choice, SOC is a predictor of risky alcohol consumption.
文摘Objectives Both apolipoprotein(Apo)C-Ⅲgene polymorphism and alcohol consumption have been associated with increased serum triglyceride(TG) levels,but their interactions on serum TG levels are not well known.The present study was undertaken to detect the interactions of the ApoC-Ⅲ3238C】G(rs5128) polymorphism and alcohol consumption on serum TG levels.Methods A total of 516 unrelated nondrinkers and 514 drinkers aged 15-89 were randomly selected from our previous stratified randomized cluster samples. Genotyping of the ApoC-Ⅲ3238C】G was performed by polymerase chain reaction and restriction fragment length polymorphism combined with gel electrophoresis,and then confirmed by direct sequencing.Interactions of the ApoC-Ⅲ3238C】G genotype and alcohol consumption was assessed by using a cross-product term between genotypes and the afore-mentioned factor.Results Serum total cholesterol(TC), TG,high-density lipoprotein cholesterol(HDL-C),ApoA-I and ApoB levels were higher in drinkers than in nondrinkers (P【0.05-0.001).There was no significant difference in the genotypic and allelic frequencies between the two groups. Serum TG levels in nondrinkers were higher in CG genotype than in CC genotype(P【0,01).Serum TC,TG,low-density lipoprotein cholesterol(LDL-C) and ApoB levels in drinkers were higher in GG genotype than in CC or CG genotype(P【0.01 for all).Serum HDL-C levels in drinkers were higher in CG genotype than in CC genotype(P【0.01).Serum TC, TG,HDL-C and ApoA-I levels in CC genotype,TC,HDL-C, ApoA-I levels and the ratio of ApoA-I to ApoB in CG genotype, and TC,TG,LDL-C,ApoA-I and ApoB levels in GG genotype were higher in drinkers than in nondrinkers(P【0.05-0.01).But the ratio of ApoA-I to ApoB in GG genotype was lower in drinkers than in nondrinkers(P【0.01). Multivariate logistic regression analysis showed that the levels of TC,TG and ApoB were correlated with genotype in non drinkers(P【0.05 for all).The levels of TC,LDL-C and ApoB were associated with genotype in drinkers(P【0.01 for all). Serum lipid parameters were also correlated with age,sex,alcohol consumption,cigarette smoking,blood pressure,body weight,and body mass index in both groups.Conclusions This study suggests that the ApoC-Ⅲ3238CG heterozygotes benefited more from alcohol consumption than CC and GG homozygotes in increasing serum levels of HDL-C,ApoA-I, and the ratio of ApoA-I to ApoB,and lowering serum levels of TC and TG.
基金the Estonian Science foundation (grant ETF7416) the Norwegian Financial Mechanism/EEA (grant EE0016) the Estonian Ministry of Education and Science (target funding SF0180060s09 )
文摘Aims: To investigate alcohol consumption patterns in Estonia in 1996, which represents the transition period after the collapse of the Soviet Union, and in 2006, which is characterized by economic growth. Methods: Data from all 25 – 64 year olds from the nationally representative 1996 and 2006 Estonian Health Interview Surveys were analysed. The frequency of alcohol consumption and heavy episodic drinking (HED) were examined. The odds ratios of at least weekly alcohol consumption and HED according to socio-demographic characteristics were calculated using logistic regression models. Results: In comparison with 1996, at least weekly alcohol consumption was nearly twice as high among men in 2006. No association between HED and the study year was found. Alcohol consumption was lower among respondents in the oldest age group. Weekly alcohol consumption was lower among non-Estonian men in both study years. HED was higher among non-Estonian men and women in 1996 but this difference disappeared in 2006. Weekly alcohol consumption was lower among less educated men in 1996 but not in 2006. No clear tendency in weekly alcohol consumption by education was found among women. HED was higher among less educated men in both study years;however, this association was weaker in 2006. While HED was not associated with education among women in 1996, an inverse relationship was found in 2006. Conclusions: The study confirmed that rapid societal changes had an effect on alcohol consumption patterns in Estonia. Estonia needs the implementation of a comprehensive alcohol policy to decrease harmful alcohol consumption in the whole society.
文摘Alcohol-related liver disease(ALD)and metabolic dysfunction-associated steatotic liver disease(MASLD)are the most common causes of chronic liver disease worldwide(1).Daily alcohol consumption thresholds(<20 g/day for women and<30 g/day for men)are used to arbitrarily differentiate MASLD from ALD(2).However,“safe”levels of alcohol intake are difficult to define because of wide variations in the factors that contribute to its susceptibility and multiple effect modifiers.In MASLD,conflicting results on whether light alcohol intake is detrimental or beneficial.
基金supported by grants from the Ministry of Science and Technology of the People’s Republic of China,(No.2020AAA0109605 to XL)grants from the National Natural Science Foundation of China(No.82272246 and 82072225 to XL)+1 种基金Science and Technology Program of Guangzhou,China(No.202206010044 to XL)High-level Hospital Construction Project of Guangdong Provincial People’s Hospital(No.DFJHBF202104 to XL).
文摘BACKGROUND:Previous studies have reported inconsistent results with positive,negative,and J-shaped associations between alcohol consumption and the hazard of aortic aneurysm and dissection(AAD).This study aimed to examine the connections between weekly alcohol consumption and the subsequent risk of AAD.METHODS:The UK Biobank study is a population-based cohort study.Weekly alcohol consumption was assessed using self-reported questionnaires and the congenital risk of alcohol consumption was also evaluated using genetic risk score(GRS).Cox proportional hazards models were used to estimate hazard ratios(HRs)with 95% confidence intervals(CIs)for the associations between alcohol consumption and AAD.Several sensitivity analyses were performed to assess the robustness of the results.RESULTS:Among the 388,955 participants(mean age:57.1 years,47.4% male),2,895 incident AAD cases were documented during a median follow-up of 12.5 years.Compared with never-drinkers,moderate drinkers(adjusted HR:0.797,95%CI:0.646-0.984,P<0.05)and moderate-heavy drinkers(adjusted HR:0.794,95%CI:0.635-0.992,P<0.05)were significantly associated with a decreased risk of incident AAD.Interaction-based subgroup analysis revealed that the protective effect of moderate drinking was reflected mainly in participants younger than 65 years and women.CONCLUSION:Our findings support a protective effect of moderate alcohol consumption on AAD,but are limited to participants younger than 65 years and women.
基金supported by the National Natural Science Foundation of China(42022058,and 41877356)Jiangsu Agricultural Independent Innovation Program[CX(21)3095].
文摘Alcohol consumption alters gut microflora and damages intestinal tight junction barriers,which may affect arsenic(As)oral bioavailability.In this study,mice were exposed to arsenate in the diet(6μg/g)over a 3-week period and gavaged daily with Chinese liquor(0.05 or 0.10 mL per mouse per day).Following ingestion,78.0%and 72.9%of the total As intake was absorbed and excreted via urine when co-exposed with liquor at daily doses of 0.05 or 0.10 mL,significantly greater than when As was supplied alone(44.7%).Alcohol co-exposure significantly altered gut microbiota but did not significantly alter As biotransformation in the intestinal tract or tissue.Significantly lower relative mRNA expression was observed for genes encoding for tight junctions in the ileum of liquor co-exposed mice,contributing to greater As bioavailability attributable to enhanced As absorption via the intestinal paracellular pathway.However,As concentration in the liver,kidney,and intestinal tissue of liquortreated mice was decreased by 24.4%-42.6%,27.5%-38.1%,and 28.1%-48.9%compared to control mice.This was likely due to greater renal glomerular filtration rate induced by alcohol,as suggested by significantly lower expression of genes encoding for renal tight junctions.In addition,in mice gavaged daily with 0.05 mL liquor,the serum antidiuretic hormone level was significantly lower than control mice(2.83±0.59 vs.5.40±1.10 pg/mL),suggesting the diuretic function of alcohol consumption,which may facilitate As elimination via urine.These results highlight that alcohol consumption has a significant impact on the bioavailability and accumulation of As.
文摘Due to peer pressure playing a crucial role in the decision to drink,people who have a more fragile temperament might be expected to be at higher risk.Moreover,many studies have investigated the influence of peer pressure on alcohol consumption,but few have examined the relationship between heavy drinking and peer pressure via a spatial autoregressive model(SAR)in low/middle-income countries,such as Thailand.This paper investigated the connection between heavy drinkers over the age of 15 years who drink more than or equal to 60 grams of unmixed alcohol at least once per month based on the Thai Survey of Cigarette Smoking and Alcoholic Drinking Behavior,2014.Further,the drinkers were assumed to socialize with two peer groups:immediate family and close friends.Our paper considered a SAR model because SAR can overcome the reflection problem encountered using a linear-in-means model and the correlated effect problem found with hierarchical models.The mainfinding was the discovery of a significant and positive peer effect on alcohol consumption among heavy drinkers.In addition,there was evidence of education having an effect,but no evidence of income affecting on alcohol consumption.Specifically,a higher level of education was linked with lower levels of alcohol consumption.The results not only help us to understand the peer effect and alcohol consumption behavior,but policymakers can also apply peer effect-based strategies to formulate effective policies to decrease the alcohol consumption rate in Thailand.
基金supported by the Research Program funded by the Korea Centers for Disease Control and Prevention(Grant Nos.2004-E71004-00,2005-E71011-00,2005-E71009-00,2006-E71001-00,2006-E71004-00,2006-E71010-00,2006-E71003-00,2007-E71004-00,2007-E71006-00,2008-E7100600,2008-E71008-00,2009-E71009-00,2010-E71006-00,2011E71006-00,2012-E71001-00,and 2013-E71009-00).
文摘Objective:Epidemiological studies indicate that alcohol increases gastric cancer(GC)risk,yet most studies have focused on heavy alcohol intake,leaving other factors understudied.A comprehensive investigation of the effects of the frequency and amount of alcohol intake may help elucidate the GC risk associated with drinking behavior.Methods:The Health Examinees-Gem(HEXA-G)study,a community-based large-scale prospective cohort study,enrolled Korean adults 40–69 years of age between the years 2004 and 2013.Incident GC cases were identified through linkage to Korea Central Cancer Registry data until December 31,2017.Self-reported questionnaires were used to survey alcohol consumption-related factors(duration,frequency,amount,and type of alcoholic beverages).The frequency and amount of alcohol consumption were combined to explore GC risk according to 4 drinking patterns:“infrequent-light”,“frequent-light”,“infrequent-heavy”,and“frequent-heavy”.We used Cox proportional hazard models to estimate the adjusted hazard ratios(HRs)and 95%confidence intervals(CIs),and investigate the relationship between alcohol intake and GC incidence.Results:A total of 128,218 participants were included in the analysis.During an average follow-up period of 8.6 years,462 men and 385 women were diagnosed with GC.In men,current drinkers showed a 31%greater risk of GC than non-drinkers(HR 1.31,95%CI 1.03–1.66),whereas no significant association was observed in women.In men,GC risk was associated with a higher frequency(P trend 0.02)and dose of ethanol intake in grams(P trend 0.03).In men,the“frequent-light”(≥5 times/week and<40 g ethanol/day)drinking pattern was associated with a 46%greater risk of GC(HR 1.46,95%CI 1.02–2.07)than the“infrequent-light”pattern(<5 times/week and<40 g ethanol/day).Conclusions:This study suggests that frequent intake of alcohol,even in low quantities per session,increases GC risk.Further research is warranted to evaluate the relationship between alcohol and GC in detail.
文摘Alcohol use disorders represent a heterogeneous spectrum of clinical manifestations that have been defined by the Diagnostic and Statistical Manual of Mental Disorders-5. Excessive alcohol intake can lead to damage of various organs, including the liver. Alcoholic liver disease includes different injuries ranging from steatosis to cirrhosis and implicates a diagnostic assessment of the liver disease and of its possible complications. There is growing interest in the possible different tools for assessing previous alcohol consumption and for establishing the severity of liver injury, especially by noninvasive methods.
基金The Danish Medical Research Council The Danish Centre for Evaluation and Health Tech- nology Assessment+6 种基金 Novo Nordisk Copenhagen County The Danish Heart FoundationThe Danish Pharmaceutical Association Augustinus foundationIb Henriksen foundation Becket foundation.
文摘Objective: To investigate whether sustained long-term changes in alcohol intake are predictive of cardiovascular risk. Methods: The study population was a subpopulation of the five-year intervention study, Inter99 study, (1999-2006), Copenhagen, Denmark (n = 2117;30 - 60 years). Alcohol intake was assessed by questionnaires at baseline, one-, three- and five-year follow-up. The associations between sustained long-term changes in alcohol intake and cardiovascular risk factors (HDL and non-HDL cholesterol, systolic and diastolic blood pressure (BP);the absolute risk of ischemic heart disease (CRS)) at five-year follow-up were explored by linear regression models. The alcohol variables were tested for linear association with the response variable. Results: Sustained increased alcohol intake was significantly associated with increased CRS (β = 0.0028;P = 0.006) and a decreased HDL cholesterol (β = -0.0028;P = 0.005). Among participants with a moderate overall alcohol in-take at baseline increased alcohol intake was significantly associated with an increased plasma triglyceride (β = 0.0069;P = 0.04). No association with triglyceride was found for participants with a high alcohol intake. Change in wine intake was significantly negatively associated with changes in diastolic BP (β = 0.0015;P = 0.02). Conclusions: Sustained increase in the long-term intake of alcohol was a significant risk factor for an increased CRS, increased triglyceride level and decreased HDL cholesterol. Increased wine intake was associated with decreased diastolic BP.
