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Association of alcohol use with years lived without major chronic diseases : A multicohort study from the IPD-Work consortium and UK Biobank

Nyberg, Solja T. (author)
Clinicum, Department of Public Health, Faculty of Medicine, University of Helsinki, Finland ; Faculty of Social Sciences, University of Tampere, Finland ; Finnish Institute of Occupational Health, Helsinki, Finland,Univ Helsinki, Fac Med, Dept Publ Hlth, Clinicum, Tukholmankatu 8B, FI-00014 Helsinki, Finland.;Univ Tampere, Fac Social Sci, Tampere, Finland.;Finnish Inst Occupat Hlth, Helsinki, Finland.
Batty, G. David (author)
Department of Epidemiology and Public Health, University College London, UK,UCL, Dept Epidemiol & Publ Hlth, London, England.
Pentti, Jaana (author)
Clinicum, Department of Public Health, Faculty of Medicine, University of Helsinki, Finland ; Department of Public Health, University of Turku and Turku University Hospital, Finland ; Centre for Population Health Research, University of Turku and Turku University Hospital, Finland,Univ Helsinki, Fac Med, Dept Publ Hlth, Clinicum, Tukholmankatu 8B, FI-00014 Helsinki, Finland.;Univ Turku, Dept Publ Hlth, Turku, Finland.;Turku Univ Hosp, Turku, Finland.;Univ Turku, Ctr Populat Hlth Res, Turku, Finland.
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Madsen, Ida E. H. (author)
National Research Centre for the Working Environment, Copenhagen, Danmark,Natl Res Ctr Working Environm, Copenhagen, Denmark.
Alfredsson, Lars (author)
Karolinska Institutet
Bjorner, Jakob B. (author)
National Research Centre for the Working Environment, Copenhagen, Denmark,Natl Res Ctr Working Environm, Copenhagen, Denmark.
Borritz, Marianne (author)
Bispebjerg University Hospital, Copenhagen, Denmark,Bispebjerg Hosp, Copenhagen, Denmark.
Burr, Hermann (author)
Federal Institute for Occupational Safety and Health (BAuA), Berlin, Germany,Fed Inst Occupat Safety & Hlth BAuA, Berlin, Germany.
Ervasti, Jenni (author)
Finnish Institute of Occupational Health, Helsinki, Finland,Finnish Inst Occupat Hlth, Helsinki, Finland.
Goldberg, Marcel (author)
Paris Descartes University, Paris, France ; Inserm UMS 011, Population-Based Epidemiological Cohorts Unit, Villejuif, France,Paris Descartes Univ, Paris, France.;INSERM, UMS 011, Populat Based Epidemiol Cohorts Unit, Villejuif, France.
Jokela, Markus (author)
Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Finland,Univ Helsinki, Fac Med, Dept Psychol & Logoped, Helsinki, Finland.
Knutsson, Anders, 1942- (author)
Mittuniversitetet,Institutionen för hälsovetenskaper (HOV),Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden
Koskinen, Aki (author)
Finnish Institute of Occupational Health, Helsinki, Finland,Finnish Inst Occupat Hlth, Helsinki, Finland.
Lallukka, Tea (author)
Clinicum, Department of Public Health, Faculty of Medicine, University of Helsinki, Finland
Lindbohm, Joni V. (author)
Clinicum, Department of Public Health, Faculty of Medicine, University of Helsinki, Finland,Univ Helsinki, Fac Med, Dept Publ Hlth, Clinicum, Tukholmankatu 8B, FI-00014 Helsinki, Finland.
Nielsen, Martin L. (author)
AS3 Companies, Viby J, Denmark
Oksanen, Tuula (author)
Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland,Univ Eastern Finland, Inst Publ Hlth & Clin Nutr, Kuopio, Finland.
Pejtersen, Jan H. (author)
VIVE-The Danish Center for Social Science Research, Copenhagen, Denmark,VIVE Danish Ctr Social Sci Res, Copenhagen, Denmark.
Pietiläinen, Olli (author)
Clinicum, Department of Public Health, Faculty of Medicine, University of Helsinki, Finland,Univ Helsinki, Fac Med, Dept Publ Hlth, Clinicum, Tukholmankatu 8B, FI-00014 Helsinki, Finland.
Rahkonen, Ossi (author)
Clinicum, Department of Public Health, Faculty of Medicine, University of Helsinki, Finland,Univ Helsinki, Fac Med, Dept Publ Hlth, Clinicum, Tukholmankatu 8B, FI-00014 Helsinki, Finland.
Rugulies, Reiner (author)
National Research Centre for the Working Environment, Copenhagen, Denmark ; Department of Public Health and Department of Psychology, University of Copenhagen, Denmark,Natl Res Ctr Working Environm, Copenhagen, Denmark.;Univ Copenhagen, Dept Publ Hlth, Copenhagen, Denmark.;Univ Copenhagen, Dept Psychol, Copenhagen, Denmark.
Shipley, Martin J. (author)
Department of Epidemiology and Public Health, University College London, UK,UCL, Dept Epidemiol & Publ Hlth, London, England.
Sipilä, Pyry N. (author)
Clinicum, Department of Public Health, Faculty of Medicine, University of Helsinki, Finland,Univ Helsinki, Fac Med, Dept Publ Hlth, Clinicum, Tukholmankatu 8B, FI-00014 Helsinki, Finland.
Sørensen, Jeppe K. (author)
National Research Centre for the Working Environment, Copenhagen, Denmark,Natl Res Ctr Working Environm, Copenhagen, Denmark.
Stenholm, Sari (author)
Department of Public Health, University of Turku and Turku University Hospital, Finland ; Centre for Population Health Research, University of Turku and Turku University Hospital, Finland,Univ Turku, Dept Publ Hlth, Turku, Finland.;Turku Univ Hosp, Turku, Finland.;Univ Turku, Ctr Populat Hlth Res, Turku, Finland.
Suominen, Sakari (author)
Högskolan i Skövde,Institutionen för hälsovetenskaper,Forskningsmiljön hälsa, hållbarhet och digitalisering,Department of Public Health, University of Turku and Turku University Hospital, Finland,Medborgarcentrerad hälsa (MeCH),Univ Turku, Dept Publ Hlth, Turku, Finland.;Turku Univ Hosp, Turku, Finland.;Univ Skövde, Sch Hlth Sci, Skövde, Sweden.
Väänänen, Ari (author)
Finnish Institute of Occupational Health, Helsinki, Finland,Finnish Inst Occupat Hlth, Helsinki, Finland.
Vahtera, Jussi (author)
Department of Public Health, University of Turku and Turku University Hospital, Finland ; Centre for Population Health Research, University of Turku and Turku University Hospital, Finland,Univ Turku, Dept Publ Hlth, Turku, Finland.;Turku Univ Hosp, Turku, Finland.;Univ Turku, Ctr Populat Hlth Res, Turku, Finland.
Virtanen, Marianna (author)
Karolinska Institutet
Westerlund, Hugo, 1966- (author)
Stockholms universitet,Stressforskningsinstitutet,Stockholm Univ, Stress Res Inst, Stockholm, Sweden.,Stress Research Institute, Stockholm University, Sweden
Zins, Marie (author)
Paris Descartes University, Paris, France ; Inserm UMS 011, Population-Based Epidemiological Cohorts Unit, Villejuif, France,Paris Descartes Univ, Paris, France.;INSERM, UMS 011, Populat Based Epidemiol Cohorts Unit, Villejuif, France.
Singh-Manoux, Archana (author)
Department of Epidemiology and Public Health, University College London, UK ; Inserm U1153, Epidemiology of Ageing and Neurodegenerative Diseases, Université de Paris, France,UCL, Dept Epidemiol & Publ Hlth, London, England.;Univ Paris, Epidemiol Ageing & Neurodegenerat Dis, INSERM, U1153, Paris, France.
Kivimäki, Mika (author)
Clinicum, Department of Public Health, Faculty of Medicine, University of Helsinki, Finland ; Department of Epidemiology and Public Health, University College London, UK,Univ Helsinki, Fac Med, Dept Publ Hlth, Clinicum, Tukholmankatu 8B, FI-00014 Helsinki, Finland.;UCL, Dept Epidemiol & Publ Hlth, London, England.
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Clinicum, Department of Public Health, Faculty of Medicine, University of Helsinki, Finland ; Faculty of Social Sciences, University of Tampere, Finland ; Finnish Institute of Occupational Health, Helsinki, Finland Univ Helsinki, Fac Med, Dept Publ Hlth, Clinicum, Tukholmankatu 8B, FI-00014 Helsinki, Finland;Univ Tampere, Fac Social Sci, Tampere, Finland.;Finnish Inst Occupat Hlth, Helsinki, Finland. (creator_code:org_t)
Elsevier, 2022
2022
English.
In: The Lancet Regional Health - Europe. - : Elsevier. - 2666-7762. ; 19
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Background Heavy alcohol consumption increases the risk of several chronic diseases. In this multicohort study, we estimated the number of life-years without major chronic diseases according to different characteristics of alcohol use.Methods In primary analysis, we pooled individual-level data from up to 129,942 adults across 12 cohort studies with baseline data collection on alcohol consumption, drinking patterns, and history between 1986 and 2005 (the IPD-Work Consortium). Self-reported alcohol consumption was categorised according to UK guidelines - non-drinking (never or former drinkers); moderate consumption (1-14 units); heavy consumption (>14 units per week). We further subdivided moderate and heavy drinkers by binge drinking pattern (alcohol-induced loss of consciousness). In addition, we assessed problem drinking using linked data on hospitalisations due to alcohol abuse or poisoning. Follow-up for chronic diseases for all participants included incident type 2 diabetes, coronary heart disease, stroke, cancer, and respiratory disease (asthma and chronic obstructive pulmonary disease) as ascertained via linkage to national morbidity and mortality registries, repeated medical examinations, and/or self-report. We estimated years lived without any of these diseases between 40 and 75 years of age according to sex and characteristics of alcohol use. We repeated the main analyses using data from 427,621 participants in the UK Biobank cohort study.Findings During 1.73 million person-years at risk, 22,676 participants in IPD-Work cohorts developed at least one chronic condition. From age 40 to 75 years, never-drinkers [men: 29.3 (95%CI 27.9-30.8) years, women 29.8 (29.2 - 30.4) years)] and moderate drinkers with no binge drinking habit [men 28.7 (28.4-29.0) years, women 29.6 (29.4-29.7) years] had the longest disease-free life span. A much shorter disease-free life span was apparent in participants who experienced alcohol poisoning [men 23.4 (20.9-26.0) years, women 24.0 (21.4-26.5) years] and those with self-reported heavy overall consumption and binge drinking [men: 26.0 (25.3-26.8), women 27.5 (26.4 - 28.5) years]. The pattern of results for alcohol poisoning and self-reported alcohol consumption was similar in UK Biobank. In IPD-Work and UK Biobank, differences in disease-free years between self-reported moderate drinkers and heavy drinkers were 1.5 years or less.Interpretation Individuals with alcohol poisonings or heavy self-reported overall consumption combined with a binge drinking habit have a marked 3- to 6-year loss in healthy longevity. Differences in disease-free life between categories of self-reported weekly alcohol consumption were smaller.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Medicinska och farmaceutiska grundvetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Basic Medicine (hsv//eng)

Keyword

Alcohol consumption
Binge drinking
Disease free life years
Chronic diseases
Research on Citizen Centered Health, University of Skövde (Reacch US)
Medborgarcentrerad hälsa (Mech)

Publication and Content Type

ref (subject category)
art (subject category)

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