0 25

Cited 0 times in

Changes in alcohol consumption habits and risk of atrial fibrillation: a nationwide population-based study

Authors
 Jae-Woo Lee  ;  Seung-Young Roh  ;  Woong-Su Yoon  ;  Jinseob Kim  ;  Eunseo Jo  ;  Dae-Hwan Bae  ;  Min Kim  ;  Ju-Hee Lee  ;  Sang Min Kim  ;  Woong Gil Choi  ;  Jang-Whan Bae  ;  Kyung-Kuk Hwang  ;  Dong-Woon Kim  ;  Myeong-Chan Cho  ;  Ye-Seul Kim  ;  Yonghwan Kim  ;  Hyo-Sun You 1  ;  Hee-Taik Kang  ;  Dae-In Lee 
Citation
 EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY, Vol.31(1) : 49-58, 2024-01 
Journal Title
EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY
ISSN
 2047-4873 
Issue Date
2024-01
MeSH
Alcohol Drinking / adverse effects ; Alcohol Drinking / epidemiology ; Atrial Fibrillation* / diagnosis ; Atrial Fibrillation* / epidemiology ; Atrial Fibrillation* / etiology ; Habits ; Heart Failure* / complications ; Humans ; Risk Factors
Keywords
Alcohol abstinence ; Alcohol drinking ; Arrhythmia ; Atrial fibrillation
Abstract
AIMS: Heavy alcohol consumption is an established risk factor for atrial fibrillation (AF). However, the association between habitual changes in heavy habitual drinkers and incident AF remains unclear. The aim of this study was to evaluate whether absolute abstinence or reduced drinking decreases incident AF in heavy habitual drinkers. METHODS AND RESULTS: Atrial fibrillation-free participants with heavy alcohol consumption registered in the Korean National Health Insurance Service database between 2005 and 2008 were enrolled. Habitual changes in alcohol consumption between 2009 and 2012 were classified as sustained heavy drinking, reduced drinking, and absolute abstinence. The primary outcome measure was new-onset AF during the follow-up. To minimize the effect of confounding variables on outcome events, inverse probability of treatment weighting (IPTW) analysis was performed. Overall, 19 425 participants were evaluated. The absolute abstinence group showed a 63% lower incidence of AF (IPTW hazard ratio: 0.379, 95% confidence interval: 0.169-0.853) than did the sustained heavy drinking group. Subgroup analysis identified that abstinence significantly reduced incident AF in participants with normal body mass index and without hypertension, diabetes, dyslipidaemia, heart failure, stroke, chronic kidney disease, or coronary artery disease (all P-value <0.05). There was no statistical difference in incident AF in participants with reduced drinking compared with sustained heavy alcohol group. CONCLUSION: Absolute abstinence could reduce the incidence of AF in heavy alcohol drinkers. Comprehensive clinical measures and public health policies are warranted to motivate alcohol abstinence in heavy drinkers. © The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology.; In this study of 19 425 participants, we investigated whether alcohol consumption reduction was associated with lower risk of incident atrial fibrillation (AF) in individuals with chronic heavy alcohol consumption. The absolute abstinence significantly reduced incident AF, but reducing alcohol consumption was not associated with a lower incident AF. The benefit of absolute abstinence for incidence of AF was significantly identified in participants with normal body mass index and without hypertension, diabetes, dyslipidaemia, heart failure, stroke, chronic kidney disease, or coronary artery disease.
Full Text
https://academic.oup.com/eurjpc/article/31/1/49/7261670
DOI
10.1093/eurjpc/zwad270
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Family Medicine (가정의학교실) > 1. Journal Papers
Yonsei Authors
Kang, Hee Taik(강희택) ORCID logo https://orcid.org/0000-0001-8048-6247
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/199115
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links