Kozela, M;
Doryńska, A;
Bobak, M;
Pająk, A;
(2020)
Alcohol use disorder increases the risk of nonfatal and fatal cardiovascular disease: an 11-year follow-up of a Polish population-based cohort. The HAPIEE study.
Polish Archives of Internal Medicine
, 130
(11)
pp. 960-966.
10.20452/pamw.15616.
Preview |
Text
PAIM-20-00269_orig_OBROT.pdf - Published Version Download (178kB) | Preview |
Abstract
INTRODUCTION: Self‑reported alcohol intake is an inaccurate measure, especially in heavy drinkers. The simple 4‑item CAGE questionnaire assessing alcohol use disorder was found to be positively as‑ sociated with alcohol consumption and mortality. OBJECTIVES This study aimed to investigate the relationship between alcohol use disorder assessed with the CAGE questionnaire and the incidence of cardiovascular disease (CVD) in a population‑based Polish sample. PATIENTS AND METHODS: A cohort study with an 11‑year follow‑up was conducted. A random sample of 10 728 residents of Kraków aged 45 to 69 years completed baseline examination, including the CAGE questionnaire. Information on new cases of CVD was obtained from further questionnaires and con‑ firmed by clinical diagnosis. Data on mortality and causes of death were obtained from the local registry, the Central Statistical Office, and the participants’ families. The effect of the CAGE score on the risk of CVD was assessed using Cox proportional hazard models. RESULTS: The analysis included 7112 individuals who completed the CAGE questionnaire and were free of CVD at baseline. No alcohol use disorder was reported in 94% of the participants. There was a positive association between the CAGE score and the risk of CVD. In the fully adjusted model, compared with participants scoring 0, the hazard ratios among those scoring 3 and 4 points were 2.19 (95% CI, 1.43–3.37) and 2.79 (95% CI, 1.65–4.73), respectively. The association was somewhat stronger for fatal CVD. CONCLUSIONS: We found a strong, graded association between the CAGE score and the risk of CVD incidence, which was independent of other risk factors for CVD. The CAGE questionnaire might be con‑ sidered as an additional tool to identify individuals at high risk of CVD.
| Type: | Article |
|---|---|
| Title: | Alcohol use disorder increases the risk of nonfatal and fatal cardiovascular disease: an 11-year follow-up of a Polish population-based cohort. The HAPIEE study |
| Location: | Poland |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.20452/pamw.15616 |
| Publisher version: | https://doi.org/10.20452/pamw.15616 |
| Language: | English |
| Additional information: | This is an Open Access article distributed under the terms of the Creative Commons Attribution‑NonCommercial‑ShareAlike 4.0 Inter‑ national License (CC BY‑NC‑SA 4.0), allowing third parties to copy and re‑ distribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited, distrib‑ uted under the same license, and used for noncommercial purposes only http://creativecommons.org/licenses/by-nc-sa/4.0 |
| Keywords: | alcohol use disorder, CAGE questionnaire, cardiovascular disease incidence |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10117022 |
Archive Staff Only
 |
View Item |
