Changes in Alcohol Intake and Their Relationship with Health Status over a 24-Year Follow-Up Period in Community-Dwelling Older Adults
Changes in Alcohol Intake and Their Relationship with Health Status over a 24-Year Follow-Up Period in Community-Dwelling Older Adults
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DOI：
10.1111/jgs.12366
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发表时间：
2013-08-01
影响因子：
6.3
通讯作者：
Laughlin, Gail A.
中科院分区：
文献类型：
--
作者：
McEvoy, Linda K.;Kritz-Silverstein, Donna;Laughlin, Gail A.
目的：确定老年人饮酒是否随时间变化以及饮酒是否与常见慢性病相关。设计：24年纵向研究。地点：南加州社区。参与者：1076名基线年龄在50至89岁的兰乔贝尔纳多队列成员。测量：参与者在1984年至2009年期间以大约4年的间隔完成了2至6次研究访问。在每次访问中，参与者完成了关于酒精使用，慢性疾病和行为的标准问卷。混合效应线性模型被用来检查平均每周酒精摄入量随时间的变化和健康状况的关系。结果：在整个研究中，酒精使用的流行率和频率很高，超过60%的参与者报告每周饮酒。无论是否患有八种最常见的慢性病，平均消费量都随着年龄的增长而下降。在所有的访问中，饮酒超过年龄和性别特异性低风险指南的患病率都很高，并且没有根据疾病负担而变化。在最后一次访问中，29%的参与者喝超过低风险饮酒指南，其中包括28%的高血压和31%的糖尿病mellitus.CONCLUSION：患病率和饮酒频率保持稳定超过24年的后续队列中受过教育的，白色，中产阶级，老年人，虽然平均消费量随着年龄的增长而下降。尽管有这种下降，但很大一部分老年人，包括那些患有常见慢性健康状况的人，饮酒量超过了目前的指南。临床医生应该提供更多的教育，对老年人节制酒精摄入的重要性。
OBJECTIVES: To determine whether alcohol use changes over time in older adults and whether alcohol intake is associated with common chronic diseases.DESIGN: Twenty-four-year longitudinal study.SETTING: Southern California community.PARTICIPANTS: One thousand seventy-six members of the Rancho Bernardo cohort aged 50 to 89 at baseline.MEASUREMENTS: Participants completed two to six research visits at approximately 4-year intervals between 1984 and 2009. At each visit, participants completed standard questionnaires on alcohol use, chronic diseases, and behaviors. Mixed-effects linear models were used to examine changes in average weekly alcohol intake over time and in relationship to health status.RESULTS: Prevalence and frequency of alcohol use was high throughout the study, with more than 60% of participants reporting weekly alcohol intake. The average amount consumed declined with advancing age, regardless of the presence of any of the eight most common chronic diseases. Prevalence of drinking in excess of age-and sex-specific low-risk guidelines was high across all visits and did not vary according to disease burden. At the final visit, 29% of participants drank in excess of low-risk drinking guidelines, including 28% of those with hypertension and 31% with diabetes mellitus.CONCLUSION: Prevalence and frequency of alcohol intake remained stable over a 24 year follow-up in this cohort of educated, white, middle-class, older adults, although average amount consumed decreased with advancing age. Despite this decrease, a high proportion of older adults, including those with common chronic health conditions, drank in excess of current guidelines. Clinicians should provide more education on the importance of older adults moderating alcohol intake.