title: The Association Between Alcohol Consumption and Left Ventricular Ejection Fraction: An Observational Study on a General Population.
abstract: The results of previous studies on the relation between alcohol consumption and heart failure (HF) have been inconsistent. This study aimed to evaluate the association between alcohol consumption and left ventricular ejection fraction (LVEF) in a general population.A total of 10,824 adults were examined using a multistage cluster sampling method to select a representative sample of individuals who were at least 35-years old. The participants were asked to provide information about their alcohol consumption. Echocardiograms were obtained, and LVEF was calculated using modified Simpson's rule.Of the 10,824 participants included in the present study, 46.1% were males, and the mean participant age was 54 years; age ranged from 35 to 93 years. The overall prevalence of LVEF< 0.50 and LVEF < 0.40 in the studied population was 11.6% and 2.9%, respectively. The prevalence of LVEF < 0.5 and LVEF < 0.04 was higher in both the moderate and heavy drinker groups than in the nondrinker group (P <0.05). Multivariate logistic regression analyses corrected according to the different levels of alcohol consumption showed that moderate and heavy drinkers had an -1.3-fold and 1.2-fold higher risk of LVEF <0.5, respectively, than nondrinkers (OR: 1.381, 95% CI: 1.115-1.711, P = 0.003 for moderate drinkers; OR: 1.246, 95% CI: 1.064-1.460, P = 0.006 for heavy drinkers). Heavy drinkers had an ∼1.5-fold higher risk of decreased LVEF < 0.4 than nondrinkers (OR: 1.482, 95% CI: 1.117-1.965, P = 0.006). Moderate drinkers did not show a risk of decreased LVEF < 0.4 that was significantly higher than that of nondrinkers (OR: 1.183, 95% CI: 0.774-1.808, P = 0.437).According to these results, we concluded that increased alcohol consumption was associated with decreased LVEF compared with no alcohol consumption in this general population.
authors.affiliation: From the Department of Cardiology (ZL, XG, GS, YS), the First Hospital of China Medical University; Department of Maternal and Child Health (YB), School of Public Health, China Medical University, Shenyang, Liaoning, China; and Department of Cardiology (YG, AMR), Johns Hopkins University, Baltimore, MD.
authors.forename: Zhao
authors.initials: Z
authors.lastname: Li
authors.forename: Xiaofan
authors.initials: X
authors.lastname: Guo
authors.forename: Yinglong
authors.initials: Y
authors.lastname: Bai
authors.forename: Guozhe
authors.initials: G
authors.lastname: Sun
authors.forename: Yufan
authors.initials: Y
authors.lastname: Guan
authors.forename: Yingxian
authors.initials: Y
authors.lastname: Sun
authors.forename: Abraham Maria
authors.initials: AM
authors.lastname: Roselle
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000428:Alcohol Drinking / Q000009:adverse effects* / Q000453:epidemiology; D002681:China / Q000453:epidemiology; D004452:Echocardiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D018487:Ventricular Dysfunction, Left / Q000453:epidemiology; D016277:Ventricular Function, Left / Q000187:drug effects*