Alcohol Consumption and Longitudinal Trajectories of Physical Functioning in Central and Eastern Europe: A 10-Year Follow-up of HAPIEE Study

Yi, Huang; Pikhart, Hynek; Kubínová, Růžena; Malyutina, Sofia; Pająk, Andrzej; Besala, Agnieszka; Bell, Steven; Peasey, Anne; Marmot, Michael; Bobák, Martin

doi:10.1093/gerona/glv233

Cited by 10 publications

(9 citation statements)

References 32 publications

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“…Underreporting is linked to alcohol consumption, and it grows more common with increased alcohol intake. Moreover, self-reported data on alcohol consumption covers only 30–70% of alcohol sales data (Hu et al, 2016). Also, individuals who were institutionalised (in prison, hospital, etc.…”

Section: Discussionmentioning

confidence: 99%

The association between social characteristics, alcoholic beverage preferences, and binge drinking in a Serbian adult population

Pakovic

Todorović

Santric-Milicevic

et al. 2018

Nordic Studies on Alcohol and Drugs

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Aim: To determine the association of sociodemographic characteristics and type of alcoholic beverage consumed during binge drinking in Serbia. Method: We conducted a secondary analysis of data from the 2014 national survey on Serbian lifestyles focusing on substance abuse and gambling. The sample consisted of 5385 individuals. The respondents were divided into non-binge drinkers and binge drinkers, according to the quantity of alcohol consumed during one occasion. Binge drinkers reported consuming more than 60 g of pure alcohol (7.5 units of alcohol) during

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Section: Discussionmentioning

confidence: 99%

The association between social characteristics, alcoholic beverage preferences, and binge drinking in a Serbian adult population

Pakovic

Todorović

Santric-Milicevic

et al. 2018

Nordic Studies on Alcohol and Drugs

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“…An increase in DALY rates occurred mainly in the period 2000-2007; a slight decline was observed in the last decade. Of note, alcohol consumption in Poland (similar to some Northern and Eastern European countries) differs from the Western European pattern, as Poles tend to drink hard liquor (e.g., vodka) and beer, rather than wine, and tend to engage in binge drinking more frequently [3,46]. The large burden of alcohol use disorders urgently requires a policy response (e.g., taxation and restrictions on availability and marketing) and a health system response (expansion of treatment) [47,48].…”

Section: Interpretation Of Trends For Major Conditionsmentioning

confidence: 99%

Changes in disease burden in Poland between 1990–2017 in comparison with other Central European countries: A systematic analysis for the Global Burden of Disease Study 2017

et al. 2020

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Background Systematic collection of mortality/morbidity data over time is crucial for monitoring trends in population health, developing health policies, assessing the impact of health programs. In Poland, a comprehensive analysis describing trends in disease burden for major conditions has never been published. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) provides data on the burden of over 300 diseases in 195 countries since 1990. We used the GBD database to undertake an assessment of disease burden in Poland, evaluate changes in population health between 1990-2017, and compare Poland with other Central European (CE) countries. Methods The results of GBD 2017 for 1990 and 2017 for Poland and CE were used to assess rates and trends in years of life lost (YLLs), years lived with disability (YLDs), disability-adjusted life years (DALYs). Data came from cause-of-death registration systems, population health surveys, disease registries, hospitalization databases, and the scientific literature. Analytical approaches have been used to adjust for missing data, errors in cause-of-death certification, and differences in data collection methodology. Main estimation strategies were ensemble modelling for mortality and Bayesian meta-regression for disability. Results Between 1990-2017, age-standardized YLL rates for all causes declined in Poland by 46.0% (95% UI: 43.7-48.2), YLD rates declined by 4.0% (4.2-4.9), DALY rates by 31.7% (29.2-34.4). For both YLLs and YLDs, greater relative declines were observed for females. There was a large decrease in communicable, maternal, neonatal, and nutritional disease DALYs (48.2%; 46.3-50.4). DALYs due to non-communicable diseases (NCDs) decreased slightly (2.0%; 0.1-4.6). In 2017, Poland performed better than CE as a whole (ranked fourth for YLLs, sixth for YLDs, and fifth for DALYs) and achieved greater reductions in YLLs and DALYs than most CE countries. In 2017 and 1990, the leading cause of YLLs and DALYs in Poland and CE was ischaemic heart disease (IHD), and the leading cause of YLDs was low back pain. In 2017, the top 20 causes of YLLs and YLDs in Poland and CE were the same, although in different order. In Poland, age-standardized DALYs from neonatal causes, other cardiovascular and circulatory diseases, and road injuries declined substantially between 1990-2017, while alcohol use disorders and chronic liver diseases increased. The highest observed-to-expected ratios were seen for alcohol use disorders for YLLs, neonatal sepsis for YLDs, and falls for DALYs (3.21, 2.65, and 2.03, respectively). Conclusions There was relatively little geographical variation in premature death and disability in CE in 2017, although some between-country differences existed. Health in Poland has been improving since 1990; in 2017 Poland outperformed CE as a whole for YLLs, YLDs, and DALYs. While the health gap between Poland and Western Europe has diminished, it remains substantial. The shift to NCDs and chronic disability, together with marked between-gender health inequ...

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“…While some previous studies used objective measures of physical performance, the current analysis was based on self-report. However, we have showed earlier that the PF-10 score agreed well with objective measurements of chair rise and grip strength in the HAPIEE study, suggesting adequate validity of the PF-10 data [ 44 ]. Notwithstanding this, self-reported questionnaires provide a subjective assessment of functioning relative to age and sex-peers as well as personal expectations; thus some differences could also be expected between associations based on objective and subjective functional evaluations.…”

Section: Discussionmentioning

confidence: 90%

“…It has been suggested that alcohol consumption and the prevalence of tobacco smoking in Eastern Europe is high [ 45 , 46 ], and it is likely that these lifestyle factors have a strong relationship with physical functioning [ 47 ]. In fact, in a previous analysis we found that alcohol consumption was related to faster physical decline over time in several country-cohorts of the HAPIEE study [ 44 ]. Further studies should estimate the extent of which the different lifestyle factors contribute to the decline of physical functioning in older Eastern Europeans.…”

Section: Discussionmentioning

confidence: 99%

Mediterranean diet and physical functioning trajectories in Eastern Europe: Findings from the HAPIEE study

Stefler

Malyutina³

et al. 2018

PLoS ONE

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BackgroundUnhealthy diet may increase the risk of impaired physical functioning in older age. Although poor diet and limited physical functioning both seem to be particularly common in Eastern Europe, no previous study has assessed the relationship between these two factors in this region. The current analysis examined the association between overall diet quality and physical functioning in Eastern European populations.MethodsWe used data on 25,504 persons (aged 45–69 years at baseline) who participated in the Health Alcohol and Psychosocial factors in Eastern Europe (HAPIEE) study. Dietary assessment at baseline used food frequency questionnaire, and the overall diet quality was evaluated by the Mediterranean diet score (MDS). Physical functioning (PF) was measured by the physical functioning subscale (PF-10) of the 36-item Short-Form Health Survey at baseline and three subsequent occasions over a 10-year period. The cross-sectional and longitudinal relationships between the MDS and PF were examined simultaneously using growth curve models.ResultsMen and women with higher adherence to the Mediterranean diet had significantly better PF at baseline; after multivariable adjustment, the regression coefficient per 1-unit increase in the MDS was 0.39 (95% CI: 0.25, 0.52) in men and 0.50 (0.36, 0.64) in women. However, we found no statistically significant link between baseline MDS and the subsequent slope of PF decline in neither gender; the coefficients were -0.02 (-0.04, 0.00) in men and -0.01 (-0.03, 0.02) in women.DiscussionOur results do not support the hypothesis that the Mediterranean diet has a substantial impact on the trajectories of physical functioning, although the differences existing at baseline may be related to dietary habits in earlier life.

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Alcohol Consumption and Longitudinal Trajectories of Physical Functioning in Central and Eastern Europe: A 10-Year Follow-up of HAPIEE Study

Cited by 10 publications

References 32 publications

The association between social characteristics, alcoholic beverage preferences, and binge drinking in a Serbian adult population

The association between social characteristics, alcoholic beverage preferences, and binge drinking in a Serbian adult population

Changes in disease burden in Poland between 1990–2017 in comparison with other Central European countries: A systematic analysis for the Global Burden of Disease Study 2017

Mediterranean diet and physical functioning trajectories in Eastern Europe: Findings from the HAPIEE study

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