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Alcohol intake and the risk of coronary heart disease mortality in persons with older-onset diabetes mellitus.
JAMA 1999; 282(3):239-46JAMA

Abstract

CONTEXT

Despite nutrition information and guidelines that advise against depriving diabetic patients of the potential benefit of moderate alcohol intake against cardiovascular events, the association between alcohol consumption and risk of cardiovascular outcomes in diabetic individuals has not been determined.

OBJECTIVE

To examine the relationship between alcohol intake and coronary heart disease (CHD) mortality in persons with older-onset diabetes.

DESIGN

Population-based, prospective cohort study conducted from 1984 through 1996, with a follow-up of up to 12.3 years.

SETTING AND PARTICIPANTS

A total of 983 older-onset diabetic individuals (mean [SD] age, 68.6 [11.0] years; 45.2% male; 98.5% white) were interviewed about their past-year intake of alcoholic beverages during the 1984-1986 follow-up examination of a population-based study of diabetic persons in southern Wisconsin.

MAIN OUTCOME MEASURE

Time to mortality from CHD by category alcohol intake.

RESULTS

Alcohol use was inversely associated with risk of CHD mortality in older-onset diabetic subjects. The CHD mortality rates for never and former drinkers were 43.9 and 38.5 per 1000 person-years, respectively, while the rates for those with alcohol intakes of less than 2, 2 to 13, and 14 or more g/d were 25.3, 20.8, and 10.0 per 1000 person-years, respectively. Compared with never drinkers and controlling for age, sex, cigarette smoking, glycosylated hemoglobin level, insulin use, plasma C-peptide level, history of angina or myocardial infarction, digoxin use, and the presence and severity of diabetic retinopathy, former drinkers had a relative risk (RR) of 0.69 (95% confidence interval [CI], 0.43-1.12); for those who drank less than 2 g/d (less frequent than 1 drink a week), the RR was 0.54 (95% CI, 0.33-0.90); for 2 to 13 g/d, it was 0.44 (95% CI, 0.23-0.84); and for 14 or more g/d (about 1 drink or more a day), it was 0.21 (95% CI, 0.09-0.48). Further adjustments for blood pressure, body mass index, education, physical activity, diabetes duration, hypertension history, overt nephropathy, peripheral neuropathy, lipid measures, or intake of medications such as aspirin and antihypertensive agents did not change the associations observed.

CONCLUSION

Our results suggest an overall beneficial effect of alcohol consumption in decreasing the risk of death due to CHD in people with older-onset diabetes.

Authors+Show Affiliations

Department of Ophthalmology and Visual Sciences, University of Wisconsin-Madison Medical School, 53705-2397, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

10422992

Citation

Valmadrid, C T., et al. "Alcohol Intake and the Risk of Coronary Heart Disease Mortality in Persons With Older-onset Diabetes Mellitus." JAMA, vol. 282, no. 3, 1999, pp. 239-46.
Valmadrid CT, Klein R, Moss SE, et al. Alcohol intake and the risk of coronary heart disease mortality in persons with older-onset diabetes mellitus. JAMA. 1999;282(3):239-46.
Valmadrid, C. T., Klein, R., Moss, S. E., Klein, B. E., & Cruickshanks, K. J. (1999). Alcohol intake and the risk of coronary heart disease mortality in persons with older-onset diabetes mellitus. JAMA, 282(3), pp. 239-46.
Valmadrid CT, et al. Alcohol Intake and the Risk of Coronary Heart Disease Mortality in Persons With Older-onset Diabetes Mellitus. JAMA. 1999 Jul 21;282(3):239-46. PubMed PMID: 10422992.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Alcohol intake and the risk of coronary heart disease mortality in persons with older-onset diabetes mellitus. AU - Valmadrid,C T, AU - Klein,R, AU - Moss,S E, AU - Klein,B E, AU - Cruickshanks,K J, PY - 1999/7/28/pubmed PY - 2000/5/29/medline PY - 1999/7/28/entrez SP - 239 EP - 46 JF - JAMA JO - JAMA VL - 282 IS - 3 N2 - CONTEXT: Despite nutrition information and guidelines that advise against depriving diabetic patients of the potential benefit of moderate alcohol intake against cardiovascular events, the association between alcohol consumption and risk of cardiovascular outcomes in diabetic individuals has not been determined. OBJECTIVE: To examine the relationship between alcohol intake and coronary heart disease (CHD) mortality in persons with older-onset diabetes. DESIGN: Population-based, prospective cohort study conducted from 1984 through 1996, with a follow-up of up to 12.3 years. SETTING AND PARTICIPANTS: A total of 983 older-onset diabetic individuals (mean [SD] age, 68.6 [11.0] years; 45.2% male; 98.5% white) were interviewed about their past-year intake of alcoholic beverages during the 1984-1986 follow-up examination of a population-based study of diabetic persons in southern Wisconsin. MAIN OUTCOME MEASURE: Time to mortality from CHD by category alcohol intake. RESULTS: Alcohol use was inversely associated with risk of CHD mortality in older-onset diabetic subjects. The CHD mortality rates for never and former drinkers were 43.9 and 38.5 per 1000 person-years, respectively, while the rates for those with alcohol intakes of less than 2, 2 to 13, and 14 or more g/d were 25.3, 20.8, and 10.0 per 1000 person-years, respectively. Compared with never drinkers and controlling for age, sex, cigarette smoking, glycosylated hemoglobin level, insulin use, plasma C-peptide level, history of angina or myocardial infarction, digoxin use, and the presence and severity of diabetic retinopathy, former drinkers had a relative risk (RR) of 0.69 (95% confidence interval [CI], 0.43-1.12); for those who drank less than 2 g/d (less frequent than 1 drink a week), the RR was 0.54 (95% CI, 0.33-0.90); for 2 to 13 g/d, it was 0.44 (95% CI, 0.23-0.84); and for 14 or more g/d (about 1 drink or more a day), it was 0.21 (95% CI, 0.09-0.48). Further adjustments for blood pressure, body mass index, education, physical activity, diabetes duration, hypertension history, overt nephropathy, peripheral neuropathy, lipid measures, or intake of medications such as aspirin and antihypertensive agents did not change the associations observed. CONCLUSION: Our results suggest an overall beneficial effect of alcohol consumption in decreasing the risk of death due to CHD in people with older-onset diabetes. SN - 0098-7484 UR - https://www.unboundmedicine.com/medline/citation/10422992/Alcohol_intake_and_the_risk_of_coronary_heart_disease_mortality_in_persons_with_older_onset_diabetes_mellitus_ L2 - https://jamanetwork.com/journals/jama/fullarticle/vol/282/pg/239 DB - PRIME DP - Unbound Medicine ER -