Alkoholpolitik und Volksgesundheit

Archiv für die Kategorie 'mortality'

Research: Alcohol Consumption at Midlife and Risk of Stroke

Donnerstag 5. Februar 2015 von htm

Original Contribution
Alcohol Consumption at Midlife and Risk of Stroke During 43 Years of Follow-Up
Cohort and Twin Analyses
Pavla Kadlecová, MSc,
Ross Andel, PhD,
Robert Mikulík, PhD,
Elizabeth P. Handing, BA and
Nancy L. Pedersen, PhD
STROKE AHA.114.006724
Published online before print January 29, 2015, doi: 10.1161/STROKEAHA.114.006724

From the International Clinical Research Center, Neurology Department, St. Anne’s Hospital, Brno, Czech Republic (P.K., R.A., R.M.); School of Aging Studies, University of South Florida, Tampa (R.A., E.P.H.); Department of Neurology, St. Anne’s University Hospital and Medical Faculty of Masaryk University, Brno, Czech Republic (R.M.); Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden (N.L.P.); and Department of Psychology, University of Southern California, Los Angeles (N.L.P.).
Correspondence to Pavla Kadlecová, MSc, Pekařská 53, 656 91 Brno, Czech Republic. E-mail kadlecovap{at}fnusa.cz


Background and Purpose—Although alcohol–stroke association is well known, the age-varying effect of alcohol drinking at midlife on subsequent stroke risk across older adulthood has not been examined. The effect of genetic/early-life factors is also unknown. We used cohort and twin analyses of data with 43 years of follow-up for stroke incidence to help address these gaps.

Methods—All 11 644 members of the population-based Swedish Twin Registry born 1886 to 1925 with alcohol data aged ≤60 years were included. The interaction of midlife alcohol consumption by age at stroke was evaluated in Cox-regression and analyses of monozygotic twins were used. Covariates were baseline age, sex, cardiovascular diseases, diabetes mellitus, stress reactivity, depression, body mass index, smoking, and exercise.

Results—Altogether 29% participants developed stroke. Compared with very-light drinkers (<0.5 drink/d), heavy drinkers (>2 drinks/d) had greater risk of stroke (hazard ratio, 1.34; P=0.02) and the effect for nondrinkers approached significance (hazard ratio, 1.11; P=0.08). Age increased stroke risk for nondrinkers (P=0.012) and decreased it for heavy drinkers (P=0.040). Midlife heavy drinkers were at high risk from baseline until the age of 75 years when hypertension and diabetes mellitus grew to being the more relevant risk factors. In analyses of monozygotic twin-pairs, heavy drinking shortened time to stroke by 5 years (P=0.04).

Conclusions—Stroke-risk associated with heavy drinking (>2 drinks/d) in midlife seems to predominate over well-known risk factors, hypertension and diabetes, until the age of ≈75 years and may shorten time to stroke by 5 years above and beyond covariates and genetic/early-life factors. Alcohol consumption should be considered an age-varying risk factor for stroke.

Kategorie: adults, Allgemein, consumption, Education, English Website, Global, Health, mortality, Non-communicable diseases, Research, Statistics | Keine Kommentare »

Eurocare_Press_Release re World Cancer Day (4th of Febr.)

Donnerstag 5. Februar 2015 von htm



Kategorie: Alerts, Allgemein, consumption, drinking guidelines, English Website, Events, Health, morbidity, mortality, Non-communicable diseases, Publications, safe level, WHO | Keine Kommentare »

THE GLOBE – Issue 3, 2012

Samstag 11. August 2012 von htm

65th World Health Assembly – Non-communicable Diseases – Alcohol Target Missing
Also in this issue:

– NCDA Global Platform faces opposition from COI coalition
– One in eight deaths in Europe between the ages of 15 and 64 “is caused by alcohol”
– German medical students not taught about alcohol problems
– Leading alcohol beverage producers agree to extend common marketing standards and reinforce selfregulation across the EU
– Study on the affordability of alcoholic beverages in the EU
– Irish Republic and Northern Ireland come together to hold first All-Island conference on alcohol
– French Breathalyser Law
THE GLOBE, Issue 3 2012

Kategorie: Allgemein, Education, Global, mortality, Non-communicable diseases, Parliaments / Governments, Politics, Prevention, Publications, Research, Watchdogs, WHO | Keine Kommentare »

USA: Wade Michael Page: Excessive drinking cost Sikh temple shooter his military career, civilian job

Donnerstag 9. August 2012 von htm

OAK CREEK, Wis. —Wade Michael Page, the gunman in Sunday’s Sikh temple shooting, had a history of problems with alcohol, which led to him losing his military career and, more recently, a job as a trucker.

Page, 40, was shot to death by a Wisconsin police officer after he killed six Sikh worshipers at a temple here and shot another officer. He was discharged from the Army in 1998 because he had been found drunk during military exercises, according to law enforcement authorities. He was convicted of driving under the influence a year later in Colorado. And a trucking company confirmed Tuesday morning that it fired Page two years ago after he was pulled over in North Carolina for driving while impaired. ….
(Source: Join Together, 08/08/12) washingtonpost.com, 08/07/12

This to remember for all those who believe that their drinking is only their own business,their private affair.

Kategorie: Addiction, Allgemein, Court Case, Driving under the Influence, Global, morbidity, mortality, Religion, societal effects, Transportation, Violence and crimes, Workplace | Keine Kommentare »

Introducing a minimum unit price for alcohol in Scotland

Samstag 28. Juli 2012 von htm

Considerations under European Law and the implications for European public health
Scotland has amongst the highest rates of alcohol-related harms in Western Europe and over the last three decades has observed an approximate 3-fold increase in alcohol-related mortality.1 The Scottish Government has identified the affordability of alcohol as a key component for an effective strategy in addressing these harms. While increases in alcohol duty can be used to reduce affordability, responsibility for determining alcohol duty lies with the UK rather than Scottish Parliament so the introduction of a minimum unit price (MUP) is being considered as a more targeted alternative. Its potential introduction raises a number of important legal considerations that bear relevance to future public health legislative measures across the European Union. In this article, we outline some of the main considerations as illustrated by the case study of MUP in Scotland and discuss the implications for countries across Europe and other areas of public health policy. …
(Source: Alcohol Reports, 07/27/12) eurpub.oxfordjournals.org, August 2012 (payable) Eur J Public Health (2012) 22 (4): 457-458. doi: 10.1093/eurpub/cks091

Kategorie: Alcohol industry, Allgemein, Availability, consumption, Global, mortality, Parliaments / Governments, Politics, Prevention, Price, Publications, Statistics | Keine Kommentare »

DUI fatalities drop sharply after interlock law

Donnerstag 26. Juli 2012 von htm

Preliminary results show alcohol-related traffic fatalities dropped in the year since the state began requiring an ignition interlock for those convicted of drunken driving.

The Kansas Department of Transportation reported Friday that the state recorded 59 alcohol-related traffic fatalities between July 1, 2011 — when the law took effect — and June 30 of this year. That compares with 125 and 137, respectively, for the previous two years. …
(Source: Alcohol Reports, 07/25/12) sfgate.com, 07/20/12

Kategorie: Allgemein, Driving under the Influence, Global, mortality, Prevention, Research, societal effects, Statistics | Keine Kommentare »

UK: ‚Can promotion of lower strength alcohol products help reduce alcohol consumption?‘

Donnerstag 5. Juli 2012 von htm

A report exploring the potential role of promoting lower strength drinks to address alcohol harms has been produced by the Liverpool John Moores University (JMU) Centre for Public Health.

The rapid literature review identified both opportunities and threats to improved health through the increased availability of lower strength alcohol. The report suggests that if lower strength drinks result in ’substitution‘ for higher strength drinks there can be potential public health benefits. However it also identifies ‚addition‘ as a likely affect, whereby lower strength drinks result in an increased number of situations where alcohol is consumed. The report concludes that encouraging production and consumption of lower alcohol products in a single product category is unlikely to maximise effects on population level harms. …
(Source: Alcohol Policy UK, 07/3/12)

Kategorie: Addiction, Alcohol industry, Alcohol taxes, Allgemein, consumption, Global, morbidity, mortality, Parliaments / Governments, Politics, Prevention, Price, Publications, Research, societal effects, Statistics | Keine Kommentare »

Eurocare warns of alcohol-related cancer risks

Montag 2. Juli 2012 von htm

The European Alcohol Policy Alliance has launched a new website to flag up the risks associated with alcohol consumption and cancer.

Alcohol is a carcinogenic (cancer causing) substance, yet only 1 in 5 people are aware of the risks that alcohol can bring. 10% of the total cancers in males and 3% of the total cancers in females are thought to be associated with alcohol consumption. A range of cancers are linked to alcohol, including liver cancer and prostate cancer. Any alcohol can increase the risk, so there isn’t a „safer“ alcoholic drink to gravitate to. …
(Source: Eurocare, 07/02/12)

Kategorie: Allgemein, consumption, Documents, drinking guidelines, Global, Health, Media, morbidity, mortality, Non-communicable diseases, Prevention, Publications, Research, Statistics, Watchdogs | Keine Kommentare »

USA: Pennsylvania Alcohol Privatization Off the Table

Donnerstag 28. Juni 2012 von htm

State Control of Alcohol: Protecting the Public’s Health

Pennsylvania Republican House Majority Leader Michael Turzai recently gave up the fight to privatize liquor sales in the state, at least for the moment. The battle to privatize Pennsylvania’s 620 state-owned liquor and wine stores, and to allow the sale of alcohol by non-state retailers, has been raging in Pennsylvania for several years. In 2010, then-gubernatorial candidate (now governor) Tom Corbett made alcohol privatization a key part of his election campaign. Since then, advocates for state control and new research findings regarding its effectiveness have helped fight off the ill-fated plan.

When the 21st Amendment repealed national prohibition in 1933, states became responsible for
regulating alcoholic beverages. While many states decided to license private businesses to sell alcohol,
18 states chose to control alcohol sales themselves. The goal was to provide a legal way for people
to obtain alcohol, but also encourage moderate consumption by reducing economic incentives for
maximum sales.

States that currently have monopolies over control either beer, wine, or spirits (or some combination)
are: Alabama, Idaho, Iowa, Maine, Michigan, Mississippi, Montana, New Hampshire, North Carolina,
Ohio, Oregon, Pennsylvania, Utah, Vermont, Virginia, Washington, West Virginia, and Wyoming. In
addition, Montgomery County, Maryland controls spirits, beer, and wine (the only jurisdiction that
controls all three). …
(Source: Alcohol Justice, 06/27/12)

Kategorie: Addiction, adults, Alcohol industry, Alcohol taxes, Allgemein, Availability, consumption, Driving under the Influence, Global, Health, mortality, Parliaments / Governments, Politics, Prevention, Research, societal effects, Statistics, Watchdogs, Youth | Keine Kommentare »

NZ: The effect of resveratrol on longevity across species: a meta-analysis

Samstag 23. Juni 2012 von htm

Resveratrol has shown evidence of decreasing cancer incidence, heart disease, metabolic syndrome and neural degeneration in animal studies. However, the effects on longevity are mixed. We aimed to quantify the current knowledge of life extension from resveratrol. We used meta-analytic techniques to assess the effect resveratrol has on survival, using data from 19 published papers, including six species: yeast, nematodes, mice, fruitflies, Mexican fruitflies and turquoise killifish. Overall, our results indicate that resveratrol acts as a life-extending agent. The effect is most potent in yeast and nematodes, with diminished reliability in most higher-order species. Turquoise killifish were especially sensitive to life-extending effects of resveratrol but showed much variation. Much of the considerable heterogeneity in our analysis was owing to unexplained variation between studies. In summary, we can report that few species conclusively show life extension in response to resveratrol. As such, we question the practice of the substance being marketed as a life-extending health supplement for humans.
(Source: rsbl.royalsocietypublishing.org, 06/20/12)

Kategorie: Allgemein, Global, Health, mortality, Publications, Research | Keine Kommentare »

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