title: Could more than three million older people in England be at risk of alcohol-related harm? A cross-sectional analysis of proposed age-specific drinking limits.
abstract: OBJECTIVE
  to determine the impact of recently proposed age-specific alcohol consumption limits on the proportion and number of older people classified at risk of alcohol-related harm.
  
  
  METHODS
  nationally representative cross-sectional population data from the Health Survey for England (HSE).
  
  
  METHODS
  adults with valid alcohol consumption data, comprising 14,718 participants from 2003 and 14,939 from 2008.
  
  
  METHODS
  the prevalence of alcohol consumption in excess of existing and recently proposed consumption limits, plus associated population estimates.
  
  
  RESULTS
  the number of individuals aged 65 or over and drinking in excess of daily recommended limits would have increased 2.5-fold to over 3 million in 2008 under age-specific recommendations proposed in a report from the Royal College of Psychiatrists, equating to an at-risk population 809,000 individuals greater than found within the 16-24 age group during the same year. Suggested revisions to existing binge drinking classifications would have defined almost 1,200,000 people aged 65 or over as hazardous consumers of alcohol in 2008-a 3.6-fold increase over existing definitions.
  
  
  CONCLUSIONS
  age-specific drinking recommendations proposed in the Royal College of Psychiatrists Report would increase the number of older drinkers classified as hazardous alcohol consumers to a level greater than found among young adults aged 16-24.
authors.affiliation: Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London WC1E 6BT UK. craig.knott10@ucl.ac.uk
authors.forename: Craig S
authors.initials: CS
authors.lastname: Knott
authors.forename: Shaun
authors.initials: S
authors.lastname: Scholes
authors.forename: Nicola J
authors.initials: NJ
authors.lastname: Shelton
mesh_terms: D000293:Adolescent; D017677:Age Distribution; D000367:Age Factors; D000368:Aged; D000428:Alcohol Drinking / Q000009:adverse effects* / Q000453:epidemiology*; D019973:Alcohol-Related Disorders / Q000453:epidemiology*; D000434:Alcoholic Beverages / Q000009:adverse effects*; D063425:Binge Drinking / Q000453:epidemiology; D003430:Cross-Sectional Studies; D004739:England / Q000453:epidemiology; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D064167:Recommended Dietary Allowances; D018570:Risk Assessment; D012307:Risk Factors; D055815:Young Adult
keywords: adolescent; aged; alcohol consumption; alcoholism; older people; population