| Titre : | The relation between alcohol and cardiovascular disease in Eastern Europe : explaining the paradox. (2000) |
| Auteurs : | A. BRITTON ; M. MCKEE ; European Centre on Health of Societies in Transition. London School of Hygiene and Tropical Medicine. Keppel Street. London. GBR |
| Type de document : | Article |
| Dans : | Journal of epidemiology and community health (vol. 54, n° 5, 2000) |
| Pagination : | 328-332 |
| Langues: | Anglais |
| Mots-clés : | Cardiopathie ; Homme ; Europe de l'Est ; Europe ; Association ; Protection ; Consommation ; Boisson alcoolisée ; Epidémiologie ; Appareil circulatoire [pathologie] |
| Résumé : | [BDSP. Notice produite par INIST cNdmR0x6. Diffusion soumise à autorisation]. Background-Recent evidence from Eastern Europe of a positive association between alcohol and cardiovascular disease has challenged the prevailing view that drinking is cardioprotective. Consuming amounts of alcohol comparable to those consumed in France has been linked to detrimental cardiovascular effects. One possibility is that this could be related to the particular consequences of binge drinking, which is common in Russia. Methods-A systematic review of literature on the relation between cardiovascular disease and heavy drinking and irregular (binge) drinking. Results-Most existing reviews of the relation between alcohol and cardiovascular disease have examined the amount drunk per week or month and have not looked at the pattern of drinking. These have consistently shown that alcohol has a cardioprotective effect, even at high levels of consumption. In contrast, studies that have looked at pattern of drinking, either directly, or indirectly, using indicators such as frequency of hangovers or reports of the consequences of drunkenness, have consistently found an invcreased risk of cardiovascular death, particularly sudden death. A separate review of the physiological basis for a difference between regular heavy drinking and heavy binge drinking demonstrates that the two types of drinking have quite different effects. Conclusion-An association between binge drinking and cardiovascular death meets the standard criteria for causality. (...) |
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