Preventive cardiologyJoint Associations of Alcohol Consumption and Physical Activity With All-Cause and Cardiovascular Mortality
Section snippets
Methods
We used data from 4 population-based studies (the 1997 and 1998 Health Surveys for England [HSE] and the 1998 and 2003 Scottish Health Surveys [SHS]), which were linked prospectively to cause-specific mortality records.10, 11 Data collection was household based, and methodologies were almost identical across all 4 cohorts. Each baseline survey data collection featured nationally representative samples of adults living in households in England and Scotland.12 Samples were drawn using multistage
Results
In the four surveys, data of 40,220 respondents were collected. After exclusion of those below the age of 40 years (n = 15,666), we had 24,554 adults left. Those with diagnosed diabetes mellitus (n = 1,126) and those who stopped drinking due to health conditions (n = 500) were excluded from analyses. Among the remaining 22,928 adults, 99.7% (n = 22,720) completed the alcohol consumption questionnaire. The sample included 20,005 participants after exclusion of adults with missing values for the
Discussion
Our study is among the few to investigate the joint associations between 2 key health-related behaviors, physical activity and alcohol consumption. Low physical activity combined with high levels of drinking had the highest impact on CVM and all-cause mortality compared with active moderate or moderately high drinking. In the joint association analyses, low physical activity compared with higher activity (similar alcohol groups) had a higher negative impact on CVM than higher levels of drinking
Disclosures
The authors have no conflicts of interest to disclose.
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2020, Preventive MedicineCitation Excerpt :We classified participants' physical activity as low (0–599 MET-min PA/week), moderate (600–1199 MET-min/week) and high (≥1200 MET-min week). In line with previous research (Perreault et al., 2017; Shuval et al., 2012; Soedamah-Muthu et al., 2013), we included age, sex, diet, socioeconomic status, BMI, PA (using the aforementioned categorisations of MET-min PA/week), smoking status, sedentary behaviour, and baseline hypertension and diabetes as covariates in the model. We calculated body mass index (BMI) from the participant's measured weight (kg)/height (m2).
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2017, MaturitasCitation Excerpt :Our findings, additionally, confirmed a positive relationship between “Psychological distress” and female gender that typically has a two-fold increased risk for depression and/or anxiety manifestation during the life span, potentially due to psychosocial contributors (e.g., sexual abuse and chronic stressors), as well as genetic and neurobiological factors [30,31]. Furthermore, in accordance with previous findings, “Psychological distress” was associated with sedentariness and central obesity [32,33], which have been both linked to cardiovascular health [34,35] while our observed unexpected positive association with Mediterranean diet could be attributed to sex influences as it disappeared after the adjustment for gender. Of note, although the literature supports the co-existence of depression-anxiety and high alcohol consumption [36], no such associations were identified in our study but there could have been non-linear associations, which we could have failed to detect due to our dichotomization of these variables.
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2015, Journal of Science and Medicine in SportCitation Excerpt :In accordance with the latter finding, our results suggest that non- and rare drinkers are considerably less likely to be physically active than low risk drinkers. A recent study among men and women (median age 55 years) from four population-based studies in the UK, showed that moderate drinking combined with higher levels of PA resulted in lower cardiovascular and all-cause mortality risk than low PA combined with high levels of alcohol or low PA combined with no alcohol consumption.28 Another study among healthy women only (aged 30–60 years), showed that moderate alcohol consumption was associated with several important indicators for diabetes risk reduction.29
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The Scottish Health Survey is funded by the Scottish Executive. The Health Survey for England is funded by the Health and Social Care Information Centre (a subsidiary of the English Department of Health). This study is independent research arising partly from a Career Development Fellowship (to Dr. Stamatakis) supported by the National Institute for Health Research. The views expressed in this publication are those of the authors and not necessarily those of the National Health Service, the National Institute for Health Research, or the Department of Health.
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