Acute and Chronic Alcohol Consumption and the Risk of Atrial Fibrillation: What Did We Learn in 2021? — The Skeptical Cardiologist

As we approach the eve of the New Year, the skeptical cardiologist recognizes that many of you will be consuming vast quantities of alcohol tomorrow night. Whether this is done in celebration or in hopes of transiently forgetting pandemical stressors please be aware that as the fermented beverage of your choice begins to cloud your…

Acute and Chronic Alcohol Consumption and the Risk of Atrial Fibrillation: What Did We Learn in 2021? — The Skeptical Cardiologist

Thank you Dr. Pearson.

Trends in Binge Drinking

The study included 18,794 adults aged 65 years and older who participated in the 2015-2019 National Survey on Drug Use and Health. Binge drinking was defined as consuming 5 or more drinks on the same occasion for men and 4 or more drinks for women. Binge drinking among older men increased from 12.8% in 2015 to 15.7% in 2019 but remained stable among older women (7.6% to 7.3%). Having a college degree was associated with a higher risk of binge drinking among women but a lower risk among men. Men who were separated or divorced were also at higher risk, but women were not. Both men and women who reported use of tobacco or cannabis in the past month were at higher risks of binge drinking.

Wiley. “Trends in binge drinking among older men and women in the United States.” ScienceDaily. http://www.sciencedaily.com/releases/2021/12/211208090023.htm (accessed December 8, 2021).

Alcohol (just a wee bit) Lowers CVD Mortality Risk

Moderate alcohol intake – defined as no more than one alcoholic drink for women and two for men per day – may be associated with a lower risk of dying from cardiovascular disease when compared with individuals who abstain from drinking or partake in excessive drinking, according to a new study. Of the 53,064 participants, 7,905 (15%) experienced a major adverse cardiovascular event: 17% in the low alcohol intake group and 13% in the moderate alcohol intake group. People who reported moderate alcohol intake were found to have a 20% lower chance of having a major event compared to low alcohol intake (in adjusted analysis), and also had lower stress-related brain activity. Kenechukwu Mezue, MD, the study’s lead author, cautions that these findings should not encourage alcohol use, but that they could open doors to new therapeutics or prescribing stress-relieving activities like exercise or yoga to help minimize stress signals in the brain.

SOURCE: American College of Cardiology, news release, May 6, 2021 accessed 05.08.21 — https://www.acc.org/latest-in-cardiology/articles/2021/05/05/14/48/new-acc-21-research-explores-flu-vaccines-sleep-htn-secondhand-smoke-alcohol-and-stress-acc-2021

My liver understands but does not necessarily agree with the findings of this study.

Watch Your Quarantini Intake

Nielsen reports alcohol sales in stores were up 54% in late March compared to that time last year, while online sales were up nearly 500% in late April. According to a Morning Consult poll of 2,200 U.S. adults conducted in early April, 16% of all adults said they were drinking more during the pandemic, with higher rates among younger adults: One in 4 Millennials and nearly 1 in 5 Gen Xers said they had upped their alcohol intake.

COVID-19 pandemic brings new concerns about excessive drinking

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I stumbled upon the same AHA news article in several other websites.  The entire article was reprinted in its entirety and just one website provided attribution to the source.  The copyright notice and proper attribution is included above.

Alcohol Delivery Sales Surge Amidst Social Distancing — VinePair

Americans are spending more time than ever at home right now, with trips outdoors limited to only the absolutely necessary. While alcohol businesses, including wine and liquor stores, wineries, breweries, and distilleries, have been deemed “essential” in states where work restrictions are in effect, U.S. drinkers are increasingly making their alcohol purchases online. Over the…

via Alcohol Delivery Sales Surge Amidst Social Distancing — VinePair

Triple. Digit. Growth.

As an EM doc said in a prior post Coronavirus made simple by your friendly neighborhood emergency physician when you fall don’t go to the ER.

Alcohol consumption in later life and reaching longevity: the Netherlands Cohort Study

Key points

  • The highest probability of reaching 90 years of age (longevity) was found for men and women drinking 5– < 15 g alcohol/day (or 0.5–1.5 glass/day); the exposure–response relationship was significantly non-linear in women.
  • Usual drinking pattern and binge drinking were not significantly associated with longevity, but the risk estimates indicate to avoid binge drinking.
  • The estimated modest risk ratios (RRs) should not be used as motivation to start drinking if one does not drink alcoholic beverages.
Results

 

We found statistically significant positive associations between baseline alcohol intake and the probability of reaching 90 years in both men and women. Overall, the highest probability of reaching 90 was found in those consuming 5– < 15 g/d alcohol, with RR = 1.36 (95% CI, 1.20–1.55) when compared with abstainers. The exposure-response relationship was significantly non-linear in women, but not in men. Wine intake was positively associated with longevity (notably in women), whereas liquor was positively associated with longevity in men and inversely in women. Binge drinking pointed towards an inverse relationship with longevity. Alcohol intake was associated with longevity in those without and with a history of selected diseases.

 

Alcohol consumption in later life and reaching longevity: the Netherlands Cohort Study

Hormesis?

Binge Drinkers Bingeing More

Binge Drinkers Drinking More

The CDC looked at self-reported data from the Behavioral Risk Factor Surveillance System to assess binge-drinking trends from 2011 to 2017.

During this time, the overall prevalence of binge drinking decreased from 18.9% to 18.0%. However, among those who binge drank, the total number of binge drinks consumed annually per adult increased 12%.

LINK(S):

MMWR article (Free)

Anyone surprised?

Deaths from Cirrhosis rose in all but one state between 1999-2016

Liver disease deaths jumped by 65 percent in the United States, from 1999-2016, disproportionately affecting adults ages 25-34. The increase in deaths among young adults was driven entirely by alcohol-related liver disease, according to a new study.

Liver specialist Elliot B. Tapper, M.D., says he’s witnessed the disturbing shift in demographics among the patients with liver failure he treats at Michigan Medicine. National data collected by Tapper and study co-author Neehar Parikh, M.D., M.S., confirms that in communities across the country more young people are drinking themselves to death.

Read the source article here.