Alcohol type and ideal cardiovascular health among adults of the Multi-Ethnic Study of Atherosclerosis

Oluseye Ogunmoroti, Olatokunbo Osibogun, Robyn L. McClelland, Mariana Lazo, Lena Mathews, Victor Okunrintemi, Ebenezer T. Oni, Gregory L. Burke, Erin D. Michos

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Light to moderate alcohol consumption is associated with favorable cardiovascular health (CVH). However, the association between alcohol type and ideal CVH has not been well-established. We examined the relationship between alcohol type and ideal CVH as measured by the American Heart Association's seven CVH metrics. Methods: We analyzed data from 6,389 men and women aged 45−84 years from a multi-ethnic cohort free of cardiovascular disease. Alcohol type (wine, beer and liquor) was categorized as never, former, 0 but drink other alcohol types, >0 but <1 drink/day, 1−2 drinks/day and >2 drinks/day. A CVH score ranging from 0 to 14 points was created from the seven CVH metrics (Inadequate score, 0–8; average, 9–10; optimal, 11–14). We used multinomial logistic regression to examine the association between alcohol type and CVH, adjusting for age, sex, race/ethnicity, education, income, health insurance, field site and total calorie intake. Results: The mean (SD) age of participants was 62 (10) years and 53 % were women. Participants who consumed 1−2 drinks/day of wine had higher odds of optimal CVH scores compared to those who never drank wine [adjusted prevalence odds ratio (POR) 1.64 (1.12−2.40)]. In comparison to participants who never drank beer, those who consumed >2 drinks/day of beer had lower odds of optimal CVH scores [0.31 (0.14−0.69)]. Additionally, those who consumed >2 drinks/day of liquor had lower odds of optimal scores compared to those who never drank liquor [0.32 (0.16−0.65)]. Conclusion: Moderate consumption of wine was associated with favorable CVH. However, heavy consumption of beer or liquor was associated with poorer CVH.

Original languageEnglish (US)
Article number108358
JournalDrug and alcohol dependence
Volume218
DOIs
StatePublished - Jan 1 2021

Keywords

  • Alcohol type
  • Beverage type
  • Cardiovascular disease
  • Ideal cardiovascular health metrics
  • Life's simple 7
  • Prevention
  • Risk factors

ASJC Scopus subject areas

  • Toxicology
  • Pharmacology
  • Psychiatry and Mental health
  • Pharmacology (medical)

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