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Alcohol, smoking, coffee and risk of non-fatal acute myocardial infarction in Italy.
Eur J Epidemiol. 2001; 17(12):1131-7.EJ

Abstract

OBJECTIVES

To assess the relation between cigarette smoking, alcohol, coffee, decaffeinated coffee and tea consumption, and the risk of non-fatal acute myocardial infarction (AMI).

DESIGN AND SETTING

Hospital-based case-control study conducted in 1995-1999 in Milan, Italy.

PATIENTS

507 cases with a first episode of non-fatal AMI, and 478 controls admitted to hospital for acute diseases.

METHODS

Information was collected by interviewer-administered questionnaires. Odds ratios (OR) and 95% confidence intervals (CI) were calculated by multiple logistic regression.

RESULTS

Compared to alcohol non-drinkers the OR was 0.6 (95% CI: 0.4-0.9) in drinkers, and 0.5 in drinkers of > 3 drinks/day. The OR for > 1 drink/day of wine was 0.5, and those for beer, amari, grappa and spirits ranged between 0.4 and 0.6. Compared to never smokers, the OR was 2.2 (95% CI: 1.5-3.1) among current smokers, and 4.6 among current smokers of > or = 25 cigarettes/day. The risk was similar to that of never smokers > or = 5 years after cessation (OR: 1.1 after 5-9 years, 0.7 after > or = 10 years). The OR was 2.3 for low tar cigarettes and 2.0 for high tar ones. The OR for coffee intake (expresso and mocha) was around unity up to 3 cups/ day, but rose to 1.9 (95% CI: 1.1-3.3) for > or = 6 cups/ day. Moderate decaffeinated coffee and tea intake was not associated with AMI risk. Compared to non-smokers drinking < or = 3 cups of coffee/day, the OR was 1.6 among non-smokers drinking > 3 cups of coffee/ day and 3.3 (95% CI: 2.1-5.0) among current smokers drinking < or = 3 cups of coffee/day. Compared to alcohol drinkers with a coffee intake of < or = 3 cups/ day, alcohol non-drinkers with higher coffee intake had an OR of 2.2, and compared to non-smokers alcohol drinkers, the OR was 3.3 in current smokers alcohol non-drinkers.

CONCLUSIONS

In this Italian population alcohol intake was inversely associated to AMI risk, while smoking and heavy (but not moderate) coffee drinking increased the risk.

Authors+Show Affiliations

Istituto di Ricerche, Farmacologiche Mario Negri, Milan, Italy. tavani@marionegri.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

12530773

Citation

Tavani, A, et al. "Alcohol, Smoking, Coffee and Risk of Non-fatal Acute Myocardial Infarction in Italy." European Journal of Epidemiology, vol. 17, no. 12, 2001, pp. 1131-7.
Tavani A, Bertuzzi M, Negri E, et al. Alcohol, smoking, coffee and risk of non-fatal acute myocardial infarction in Italy. Eur J Epidemiol. 2001;17(12):1131-7.
Tavani, A., Bertuzzi, M., Negri, E., Sorbara, L., & La Vecchia, C. (2001). Alcohol, smoking, coffee and risk of non-fatal acute myocardial infarction in Italy. European Journal of Epidemiology, 17(12), 1131-7.
Tavani A, et al. Alcohol, Smoking, Coffee and Risk of Non-fatal Acute Myocardial Infarction in Italy. Eur J Epidemiol. 2001;17(12):1131-7. PubMed PMID: 12530773.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Alcohol, smoking, coffee and risk of non-fatal acute myocardial infarction in Italy. AU - Tavani,A, AU - Bertuzzi,M, AU - Negri,E, AU - Sorbara,L, AU - La Vecchia,C, PY - 2003/1/18/pubmed PY - 2003/3/5/medline PY - 2003/1/18/entrez SP - 1131 EP - 7 JF - European journal of epidemiology JO - Eur. J. Epidemiol. VL - 17 IS - 12 N2 - OBJECTIVES: To assess the relation between cigarette smoking, alcohol, coffee, decaffeinated coffee and tea consumption, and the risk of non-fatal acute myocardial infarction (AMI). DESIGN AND SETTING: Hospital-based case-control study conducted in 1995-1999 in Milan, Italy. PATIENTS: 507 cases with a first episode of non-fatal AMI, and 478 controls admitted to hospital for acute diseases. METHODS: Information was collected by interviewer-administered questionnaires. Odds ratios (OR) and 95% confidence intervals (CI) were calculated by multiple logistic regression. RESULTS: Compared to alcohol non-drinkers the OR was 0.6 (95% CI: 0.4-0.9) in drinkers, and 0.5 in drinkers of > 3 drinks/day. The OR for > 1 drink/day of wine was 0.5, and those for beer, amari, grappa and spirits ranged between 0.4 and 0.6. Compared to never smokers, the OR was 2.2 (95% CI: 1.5-3.1) among current smokers, and 4.6 among current smokers of > or = 25 cigarettes/day. The risk was similar to that of never smokers > or = 5 years after cessation (OR: 1.1 after 5-9 years, 0.7 after > or = 10 years). The OR was 2.3 for low tar cigarettes and 2.0 for high tar ones. The OR for coffee intake (expresso and mocha) was around unity up to 3 cups/ day, but rose to 1.9 (95% CI: 1.1-3.3) for > or = 6 cups/ day. Moderate decaffeinated coffee and tea intake was not associated with AMI risk. Compared to non-smokers drinking < or = 3 cups of coffee/day, the OR was 1.6 among non-smokers drinking > 3 cups of coffee/ day and 3.3 (95% CI: 2.1-5.0) among current smokers drinking < or = 3 cups of coffee/day. Compared to alcohol drinkers with a coffee intake of < or = 3 cups/ day, alcohol non-drinkers with higher coffee intake had an OR of 2.2, and compared to non-smokers alcohol drinkers, the OR was 3.3 in current smokers alcohol non-drinkers. CONCLUSIONS: In this Italian population alcohol intake was inversely associated to AMI risk, while smoking and heavy (but not moderate) coffee drinking increased the risk. SN - 0393-2990 UR - https://www.unboundmedicine.com/medline/citation/12530773/Alcohol_smoking_coffee_and_risk_of_non_fatal_acute_myocardial_infarction_in_Italy_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&amp;PAGE=linkout&amp;SEARCH=12530773.ui DB - PRIME DP - Unbound Medicine ER -