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Alcohol consumption as a risk factor for pneumonia: a systematic review and meta-analysis

The aim of this study was to quantify the association between alcohol consumption and incidence of pneumonia and to examine possible pathways. This was done by a systematic review and meta-analyses on the dose–response relationship between alcohol consumption or alcohol-use disorders and the inciden...

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Published in:Epidemiology and infection 2010-12, Vol.138 (12), p.1789-1795
Main Authors: SAMOKHVALOV, A. V., IRVING, H. M., REHM, J.
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description The aim of this study was to quantify the association between alcohol consumption and incidence of pneumonia and to examine possible pathways. This was done by a systematic review and meta-analyses on the dose–response relationship between alcohol consumption or alcohol-use disorders and the incidence of community-acquired pneumonia (CAP). The relative risk (RR) of CAP increased monotonically with increasing alcohol consumption. Individuals consuming 24, 60, and 120 g of pure alcohol daily demonstrated RRs for incident CAP of 1·12 (95% CI 1·02–1·23), 1·33 (95% CI 1·06–1·67) and 1·76 (95% CI 1·13–2·77), respectively, relative to non-drinkers. Clinically defined alcohol-use disorders were associated with an eightfold increased risk of CAP (RR 8·22, 95% CI 4·85–13·95). In conclusion, alcohol was found to be a risk factor for pneumonia with a clear statistical association, and a monotonic dose–response relationship.
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V.</creatorcontrib><creatorcontrib>IRVING, H. M.</creatorcontrib><creatorcontrib>REHM, J.</creatorcontrib><title>Alcohol consumption as a risk factor for pneumonia: a systematic review and meta-analysis</title><title>Epidemiology and infection</title><addtitle>Epidemiol. Infect</addtitle><description>The aim of this study was to quantify the association between alcohol consumption and incidence of pneumonia and to examine possible pathways. This was done by a systematic review and meta-analyses on the dose–response relationship between alcohol consumption or alcohol-use disorders and the incidence of community-acquired pneumonia (CAP). The relative risk (RR) of CAP increased monotonically with increasing alcohol consumption. Individuals consuming 24, 60, and 120 g of pure alcohol daily demonstrated RRs for incident CAP of 1·12 (95% CI 1·02–1·23), 1·33 (95% CI 1·06–1·67) and 1·76 (95% CI 1·13–2·77), respectively, relative to non-drinkers. Clinically defined alcohol-use disorders were associated with an eightfold increased risk of CAP (RR 8·22, 95% CI 4·85–13·95). In conclusion, alcohol was found to be a risk factor for pneumonia with a clear statistical association, and a monotonic dose–response relationship.</description><subject>Addictive behaviors</subject><subject>Adult and adolescent clinical studies</subject><subject>Alcohol</subject><subject>alcohol dependence</subject><subject>Alcohol drinking</subject><subject>Alcohol Drinking - adverse effects</subject><subject>Alcohol related disorders</subject><subject>Alcoholic beverages</subject><subject>Alcoholism</subject><subject>Alcoholism and acute alcohol poisoning</subject><subject>Alcohols</subject><subject>Biological and medical sciences</subject><subject>causality</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Community-Acquired Infections - epidemiology</subject><subject>Datasets</subject><subject>Dose response relationship</subject><subject>Drug dosages</subject><subject>Epidemiology</subject><subject>Estimates</subject><subject>Ethanol</subject><subject>Female</subject><subject>heavy drinking</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Pneumonia</subject><subject>Pneumonia - epidemiology</subject><subject>Pneumonia and other respiratory infections</subject><subject>Predisposing factors</subject><subject>Psychology. 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source JSTOR Archival Journals and Primary Sources Collection; Cambridge University Press; PubMed Central
subjects Addictive behaviors
Adult and adolescent clinical studies
Alcohol
alcohol dependence
Alcohol drinking
Alcohol Drinking - adverse effects
Alcohol related disorders
Alcoholic beverages
Alcoholism
Alcoholism and acute alcohol poisoning
Alcohols
Biological and medical sciences
causality
Chronic obstructive pulmonary disease
Community-Acquired Infections - epidemiology
Datasets
Dose response relationship
Drug dosages
Epidemiology
Estimates
Ethanol
Female
heavy drinking
Humans
Incidence
Male
Medical sciences
Morbidity
Mortality
Pneumonia
Pneumonia - epidemiology
Pneumonia and other respiratory infections
Predisposing factors
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Risk Factors
Systematic review
Toxicology
title Alcohol consumption as a risk factor for pneumonia: a systematic review and meta-analysis
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