Rationale for harmful alcohol consumption as a risk factor for chronic

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Rationale for harmful alcohol consumption as a risk factor for chronic
diseases
Introduction
The questions in this module measure:
 Frequency of alcohol consumption
 Quantity of alcohol consumption
Research
findings
Some research findings related to alcohol consumption are as follows:
 In 2000, alcohol use caused 3.2% of deaths (1.8 million) worldwide, and 4% of
the global disease burden.1
 Alcohol consumption is the leading risk factor for disease burden in low
mortality developing countries and the third largest risk factor in developed
countries.2
 The proportion of disease burden attributable to alcohol use in the developing
world is between 2.6% to 9.8% of the total burden for males and 0.5% to 2.0%
of the total burden for females.3
 Besides the direct toxic effects of intoxication and addiction, alcohol use causes
about 20% to 30% of each of esophageal cancer, liver disease, homicide,
epileptic seizures, and motor vehicle accidents worldwide.2
 Heavy alcohol use increases the risk of cardiovascular disease4,5, 6, 7, 8, 9 and
stroke10, 11, 12, 13, 14.
 Alcohol consumption during pregnancy is related to various risks to the fetus,
which include Fetal Alcohol Spectrum Disorders. Alcohol consumption during
pregnancy can also lead to spontaneous abortion, low birth weight and
prematurity, and intra-uterine growth retardation.15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26,
27, 28, 29, 30
 Higher volume of alcohol consumption is also associated with depression.2
 Excessive alcohol consumption can severely impair an individual's functioning
in social roles such as parent, spouse or partner.2
Reference
1. The World Health Report 2002 - Reducing Risks, Promoting Healthy
Life. Geneva, World Health Organization, 2002.
2. Global Status Report on Alcohol 2004. Geneva, World Health
Organization, 2004.
3. Rehm J et al. Alcohol. In: Ezzati M et al., eds. Comparative
Quantification of Health Risks:Global and Regional Burden of Disease
Due to Selected Major Risk Factors. Geneva, World Health Organization,
2004.
4. Friedman H S. Cardiovascular effects of alcohol. In: Galanter M ed. The
Consequences of Alcoholism. New York, Plenum Press, 1998:135-166.
5. Klatsky A L. Cardiovascular effects of alcohol. Scientific American
Science and Medicine, Vol 2(2), 1995:28-337.
6. Puddey I B et al. Influence of pattern of drinking on cardiovascular
disease and cardiovascular risk factors - A review. Addiction, Vol 94(5),
1999:649-663.
7. Rosenqvist M. Alcohol and cardiac arrhythmias. Alcoholism, Clinical and
Experimental Research, Vol 22(7suppl), 1998:318S-322S.
8. US Department of Health and Human Services. Ninth Special Report to
the US Congress on Alcohol and Health from the Secretary of Health and
Human Services, Vol 97-4017. Rockville, MD, US Department of Health
and Human Services, Public Health Service, National Institute of Health,
National Institute on Alcohol Abuse and Alcoholism, 1997.
9. Wood D et al. Alcohol consumption and the risk of fatal breast cancer in
a prospective cohort of United States women. American Journal of
Epidemiology, Vol 145(11), 1997:262-269.
10. Berger K et al. Light to moderate alcohol consumption and risk of stroke
among US male physicians. New England Journal of Medicine, Vol
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11. Jackson R. Cardiovascular disease and alcohol consumption: evidence of
benefits from epidemiologic studies. Contemporary Drug Problems, Vol
21(1), 1994:5-24.
12. Sacco R L et al. The protective effect of moderate alcohol consumption
on ischemic stroke. Journal of the American Medical Association, Vol
281(1), 1999:53-60.
13. You R X et al. Risk Factors for stroke due to cerebral infarction in young
adults. Stroke, Vol 28(10), 1997:1913-1918.
14. Ridolfo B and Stevenson C E. The quantification of Drug-Caused
Mortality and Morbidity in Australia 1998. Canberra, Australian Institute
of Health and Welfare, 2001.
15. Alvear J, Andreani S, Cortes F. Fetal alcohol syndrome and fetal alcohol
effects:importance of early diagnosis and nutritional treatment. Revista
Medica de Chile, Vol 126(4), 1998:407-412.
16. Church M W et al. Hearing, language speech, vestibular, and dentofacial
disorders in fetal alcohol syndrome. Alcoholism, Clinical and
Experimental Research, Vol 21(2):227-237.
17. Faden V B, Graubard B I, Dufour M. The relationship of drinking and
birth outcome in a US national sample of expectant mothers. Paediatric
and Perinatal Epidemiology, Vol 11(2), 1997:167-180.
18. Habbick B F et al. Mortality in foetal alcohol syndrome. Canadian
Journal of Public Health, Vol 88(3), 1997:181-183.
19. Larkby C, Day N. The effects of prenatal alcohol exposure. Alcohol
Health and Research World, Vol 21(3), 1997:192-198.
20. Larroque B, Kaminski M. Alcohol consumption during pregnancy and
infant birth weight. Annals of Epidemiology, Vol 6(2), 1996:169-170.
21. Mattson S N et al. Heavy prenatal alcohol with or without physical
features of fetal alcohol syndrome leads to IQ deficits. Journal of
Pediatrics, Vol 131(5), 1997:718-721.
22. Passaro K T, Little R E. Childbearing and alcohol use. In: Wilsnack Rw
& Wilsnack Sc, eds. Gender and Alcohol: Individual and Social
Perspectives. New Brunswick, Rutgers Center of Alcohol Studies,
1997:90-113.
23. Passaro K T et al. The effect of maternal drinking before conception and
in early pregnancy on infant birthweight. The ALSPAC Study Team
(Avon Longitudinal Study of Pregnancy and Childhood). Epidemiology,
Vol 7(4), 1996:377-383.
24. Polygenis D et al. Moderate alcohol consumption during pregnancy and
the incidence of fetal malformations: a meta-analysis. Neurotoxicity and
Teratology, Vol 20(1), 1998:61-67.
25. Roebuck T M, Mattson S N, Riley E P. A review of neuroanatomical
findings in children with fetal alcohol syndrome or perinatal exposure to
alcohol. Alcoholism, Clinical and Experimental Research, Vol 22(2),
1998:339-344.
26. Shu I et al. Alcohol use and mortality from coronary heart disease: the
role of high density lipoprotein cholesterol. Annals of Internal Medicine,
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27. Windham G C et al. The association of moderate maternal and paternal
alcohol consumption with birthweight and gestational age. Epidemiology,
Vol 6(6), 1995:591-597.
28. Abel E L. Maternal alcohol consumption and spontaneous abortion.
Alcohol and Alcoholism, Vol 32(3), 1997:211-219.
29. Bradley K A et al. Medical risks for women who drink alcohol. Journal of
General Internal Medicine, Vol 13(9), 1998:627-639.
30. Windham G C et al. Moderate maternal alcohol consumption and risk of
spontaneous abortion. Epidemiology, Vol 8(5), 1997:509-514.
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