The relationship between different dimensions of alcohol use and the burden of disease-an update.

Details

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State: Public
Version: Final published version
Serval ID
serval:BIB_E6AB8D8F020B
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
The relationship between different dimensions of alcohol use and the burden of disease-an update.
Journal
Addiction
Author(s)
Rehm J., Gmel G.E., Gmel G., Hasan OSM, Imtiaz S., Popova S., Probst C., Roerecke M., Room R., Samokhvalov A.V., Shield K.D., Shuper P.A.
ISSN
1360-0443 (Electronic)
ISSN-L
0965-2140
Publication state
Published
Issued date
06/2017
Peer-reviewed
Oui
Volume
112
Number
6
Pages
968-1001
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
Alcohol use is a major contributor to injuries, mortality and the burden of disease. This review updates knowledge on risk relations between dimensions of alcohol use and health outcomes to be used in global and national Comparative Risk Assessments (CRAs).
Systematic review of reviews and meta-analyses on alcohol consumption and health outcomes attributable to alcohol use. For dimensions of exposure: volume of alcohol use, blood alcohol concentration and patterns of drinking, in particular heavy drinking occasions were studied. For liver cirrhosis, quality of alcohol was additionally considered. For all outcomes (mortality and/or morbidity): cause of death and disease/injury categories based on International Classification of Diseases (ICD) codes used in global CRAs; harm to others.
In total, 255 reviews and meta-analyses were identified. Alcohol use was found to be linked causally to many disease and injury categories, with more than 40 ICD-10 three-digit categories being fully attributable to alcohol. Most partially attributable disease categories showed monotonic relationships with volume of alcohol use: the more alcohol consumed, the higher the risk of disease or death. Exceptions were ischaemic diseases and diabetes, with curvilinear relationships, and with beneficial effects of light to moderate drinking in people without heavy irregular drinking occasions. Biological pathways suggest an impact of heavy drinking occasions on additional diseases; however, the lack of medical epidemiological studies measuring this dimension of alcohol use precluded an in-depth analysis. For injuries, except suicide, blood alcohol concentration was the most important dimension of alcohol use. Alcohol use caused marked harm to others, which has not yet been researched sufficiently.
Research since 2010 confirms the importance of alcohol use as a risk factor for disease and injuries; for some health outcomes, more than one dimension of use needs to be considered. Epidemiological studies should include measurement of heavy drinking occasions in line with biological knowledge.

Keywords
Alcoholism/epidemiology, Causality, Chronic Disease/epidemiology, Comorbidity, Cost of Illness, Health Status, Humans, Risk Assessment, Wounds and Injuries/epidemiology, Alcohol use, average volume, chronic disease, injury, patterns of drinking, risk-relations, systematic review, unrecorded consumption
Pubmed
Web of science
Open Access
Yes
Create date
28/02/2017 18:49
Last modification date
20/08/2019 16:09
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