Drinking pattern and mortality in Danish nurses

Mørch, Lina Steinrud; Johansen, Ditte; Løkkegaard, Ellen; Hundrup, Yrsa Andersen; Grønbæk, Morten

doi:10.1038/sj.ejcn.1602799

Cited by 4 publications

(3 citation statements)

References 20 publications

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“…A variety of drinking patterns have been studied in relation to mortality, including overall drinking frequency (Mukamal et al, 2003), drinking primarily with meals (Stranges et al, 2004), drinking more than once per day (Britton & Marmot, 2004), drinking on weekends (Mørch, Johansen, Løkkegaard, Hundrup, & Grønbæk, 2007), and average consumption at different levels of drinking frequency (Baglietto, English, Hopper, Powles, & Giles, 2006). Although these drinking patterns capture a range of behaviors, those that show a consistent association with decreased risk primarily involve drinking frequency at low to moderate levels (McElduff & Dobson, 1997; Mukamal et al, 2003; Kerr, Greenfield, Bond, Ye, & Rehm, 2011), while increased risk is typically tied to binge or other heavy drinking (Murray et al, 2002).…”

Section: Introductionmentioning

confidence: 99%

Alcohol Consumption, Heavy Drinking, and Mortality: Rethinking the J-Shaped Curve

Plunk

Syed-Mohammed

Cavazos‐Rehg

et al. 2013

Alcohol Clin Exp Res

108

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Background High average daily consumption of alcohol has been associated with elevated mortality risk, but more moderate consumption, relative to abstinence, has been associated with reduced mortality risk. However, average daily consumption can be complicated to assess, limiting its usefulness both in research and clinical practice. There are also concerns that average consumption fails to capture the risk associated with certain drinking patterns, such as heavy episodic drinking. The current study assessed mortality associated with drinking pattern, operationalized as the frequency of both heavy and non-heavy drinking occasions. Methods Data from the 1997 – 2001 administrations of the National Health Interview Survey (NHIS; n = 128 203) were paired with the current release of the NHIS Linked Mortality Files, which provided mortality follow-up data through the end of 2006. We estimated the impact of drinking pattern on all-cause mortality, operationalized as the frequency of heavy (5+ drinks) and non-heavy (less than 5 drinks) drinking occasions. Other covariates in the model included survey wave, sex, age, race/ethnicity, ratio of family income to poverty threshold, educational attainment, BMI and smoking status. Results Over a third of past-year drinkers reported heavy drinking. Mortality risk increased steadily as heavy drinking frequency increased; daily heavy drinkers exhibited an almost two-fold risk of death compared to abstainers (p < 0.001). Regular non-heavy drinking was associated with decreased mortality, similar to the “J-shaped curve” highlighted in past research on alcohol mortality; this potential protective effect peaked around 2 non-heavy occasions per week. Conclusions Any heavy drinking likely elevates mortality risk, and substantial health benefits could be realized by reducing heavy drinking occasions or limiting overall drinking. Heavy and non-heavy drinking frequency are valid targets for clinical screening and could be helpful in assessing risk and promoting less harmful drinking behavior.

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Section: Introductionmentioning

confidence: 99%

Alcohol Consumption, Heavy Drinking, and Mortality: Rethinking the J-Shaped Curve

Plunk

Syed-Mohammed

Cavazos‐Rehg

et al. 2013

Alcohol Clin Exp Res

108

View full text Add to dashboard Cite

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“…A common method to escape the predictability and stressors of weekday life is by imbibing alcoholic beverages during the end of the week (Orcutt and Harvey 1991). The elevated rate of alcohol intake upon arrival of the weekend coincides with an upsurge in public health consequences, including physical injuries and deaths attributed to motor vehicle accidents (Matzopoulos, Peden, Bradshaw, and Jordaan 2006) and the risk of fatality in general (Mørch, Johansen, Løkkegaard, Hundrup, and Grønbæk 2008). …”

mentioning

confidence: 99%

“…Adopting a 3-day weekend paradigm, Mørch et al (2008) determined that consuming at least seven alcoholic beverages during a Friday, Saturday, and Sunday weekend, but consuming just one beverage during a 4-day weekday (Monday to Thursday), heightened the risk of death. Lahaut, Jansen, van de Mheen, and Garretsen (2003) implemented the same conceptualization of weekends and weekdays to evaluate the statistical properties of different recall assessments of alcohol usage.…”

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confidence: 99%

Conceptualizing and Measuring Weekend versus Weekday Alcohol Use: Item Response Theory and Confirmatory Factor Analysis

2016

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Culturally, people tend to abstain from alcohol intake during the weekdays and wait to consume in greater frequency and quantity during the weekends. The current research sought to empirically justify the days representing weekday versus weekend alcohol consumption. In study 1 (N = 419), item response theory was applied to a two-parameter (difficulty and discrimination) model that evaluated the days of drinking (frequency) during the typical 7-day week. Item characteristic curves were most similar for Monday, Tuesday, and Wednesday (prototypical weekday) and for Friday and Saturday (prototypical weekend). Thursday and Sunday, however, exhibited item characteristics that bordered the properties of weekday and weekend consumption. In study 2 (N = 403), confirmatory factor analysis was applied to test six hypothesized measurement structures representing drinks per day (quantity) during the typical week. The measurement model producing the strongest fit indices was a correlated two-factor structure involving separate weekday and weekend factors that permitted Thursday and Sunday to double load on both dimensions. The proper conceptualization and accurate measurement of the days demarcating the normative boundaries of “dry” weekdays and “wet” weekends are imperative to inform research and prevention efforts targeting temporal alcohol intake patterns.

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Mediterranean alcohol-drinking pattern and mortality in the SUN (Seguimiento Universidad de Navarra) Project: a prospective cohort study

et al. 2014

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Moderate alcohol intake has been related to lower mortality. However, alcohol use includes other dimensions beyond the amount of alcohol consumed. These aspects have not been sufficiently studied as a comprehensive entity. We aimed to test the relationship between an overall alcohol-drinking pattern and all-cause mortality. In a Mediterranean cohort study, we followed 18 394 Spanish participants up to 12 years. A validated 136-item FFQ was used to assess baseline alcohol intake. We developed a score assessing simultaneously seven aspects of alcohol consumption to capture the conformity to a traditional Mediterranean alcohol-drinking pattern (MADP). It positively scored moderate alcohol intake, alcohol intake spread out over the week, low spirit consumption, wine preference, red wine consumption, wine consumed during meals and avoidance of binge drinking. During the follow-up, 206 deaths were identified. For each 2-point increment in a 0 -9 score of adherence to the MADP, we observed a 25 % relative risk reduction in mortality (95 % CI 11, 38 %). Within each category of alcohol intake, a higher adherence to the MADP was associated with lower mortality. Abstainers (excluded from the calculations of the MADP) exhibited higher mortality (hazard ratio 1·82, 95 % CI 1·14, 2·90) than participants highly adherent to the MADP. In conclusion, better adherence to an overall healthy alcohol-drinking pattern was associated with reduced mortality when compared with abstention or departure from this pattern. This reduction goes beyond the inverse association usually observed for moderate alcohol drinking. Even moderate drinkers can benefit from the advice to follow a traditional MADP.

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Drinking pattern and mortality in Danish nurses

Cited by 4 publications

References 20 publications

Alcohol Consumption, Heavy Drinking, and Mortality: Rethinking the J-Shaped Curve

Alcohol Consumption, Heavy Drinking, and Mortality: Rethinking the J-Shaped Curve

Conceptualizing and Measuring Weekend versus Weekday Alcohol Use: Item Response Theory and Confirmatory Factor Analysis

Mediterranean alcohol-drinking pattern and mortality in the SUN (Seguimiento Universidad de Navarra) Project: a prospective cohort study

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