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Alcohol Consumption and Risk of Atrial Fibrillation: A Meta-Analysis

The purpose of this meta-analysis is to summarize the estimated risk of atrial fibrillation (AF) related to alcohol consumption. Results from observational studies examining the relationship between alcohol consumption and AF are inconsistent. A systematic electronic search of Medline (January 1966...

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Published in:Journal of the American College of Cardiology 2011-01, Vol.57 (4), p.427-436
Main Authors: KODAMA, Satoru, SAITO, Kazumi, OHASHI, Yasuo, YAMADA, Nobuhiro, SONE, Hirohito, TANAKA, Shiro, HORIKAWA, Chika, SAITO, Aki, HEIANZA, Yoriko, ANASAKO, Yui, NISHIGAKI, Yukako, YACHI, Yoko, TADA IIDA, Kaoruko
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container_issue 4
container_start_page 427
container_title Journal of the American College of Cardiology
container_volume 57
creator KODAMA, Satoru
SAITO, Kazumi
OHASHI, Yasuo
YAMADA, Nobuhiro
SONE, Hirohito
TANAKA, Shiro
HORIKAWA, Chika
SAITO, Aki
HEIANZA, Yoriko
ANASAKO, Yui
NISHIGAKI, Yukako
YACHI, Yoko
TADA IIDA, Kaoruko
description The purpose of this meta-analysis is to summarize the estimated risk of atrial fibrillation (AF) related to alcohol consumption. Results from observational studies examining the relationship between alcohol consumption and AF are inconsistent. A systematic electronic search of Medline (January 1966 to December 2009) and Embase (January 1974 to December 2009) databases was conducted for studies using key words related to alcohol and AF. Studies were included if data on effect measures for AF associated with habitual alcohol intake were reported or could be calculated. The effect measures for AF for the highest versus lowest alcohol intake in individual studies were pooled with a variance-based method. Linear and spline regression analyses were conducted to quantify the relationship between alcohol intake and AF risk. Fourteen eligible studies were included in this meta-analysis. The pooled estimate of AF for the highest versus the lowest alcohol intake was 1.51 (95% confidence interval: 1.31 to 1.74). A linear regression model showed that the pooled estimate for an increment of 10 g per day alcohol intake was 1.08 (95% confidence interval: 1.05 to 1.10; R(2) = 0.43, p < 0.001). A spline regression model also indicated that the AF risk increased with increasing levels of alcohol consumption. Results of this meta-analysis suggest that not consuming alcohol is most favorable in terms of AF risk reduction.
doi_str_mv 10.1016/j.jacc.2010.08.641
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A linear regression model showed that the pooled estimate for an increment of 10 g per day alcohol intake was 1.08 (95% confidence interval: 1.05 to 1.10; R(2) = 0.43, p &lt; 0.001). A spline regression model also indicated that the AF risk increased with increasing levels of alcohol consumption. Results of this meta-analysis suggest that not consuming alcohol is most favorable in terms of AF risk reduction.</description><identifier>ISSN: 0735-1097</identifier><identifier>EISSN: 1558-3597</identifier><identifier>DOI: 10.1016/j.jacc.2010.08.641</identifier><identifier>PMID: 21251583</identifier><identifier>CODEN: JACCDI</identifier><language>eng</language><publisher>New York, NY: Elsevier</publisher><subject>Alcohol Drinking - adverse effects ; Alcohol use ; Alcoholism ; Atrial Fibrillation - epidemiology ; Atrial Fibrillation - etiology ; Atrial Fibrillation - physiopathology ; Biological and medical sciences ; Cardiac arrhythmia ; Cardiac dysrhythmias ; Cardiology ; Cardiology. Vascular system ; Cardiovascular disease ; Case-Control Studies ; Confidence Intervals ; Consumption ; Electrocardiography ; Ethanol ; Female ; Heart ; Hospitals ; Humans ; Incidence ; Japan ; Linear Models ; Male ; Medical records ; Medical sciences ; Mortality ; Population ; Risk Factors ; Severity of Illness Index ; Studies ; Survival Analysis</subject><ispartof>Journal of the American College of Cardiology, 2011-01, Vol.57 (4), p.427-436</ispartof><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 American College of Cardiology Foundation. Published by Elsevier Inc. 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subjects Alcohol Drinking - adverse effects
Alcohol use
Alcoholism
Atrial Fibrillation - epidemiology
Atrial Fibrillation - etiology
Atrial Fibrillation - physiopathology
Biological and medical sciences
Cardiac arrhythmia
Cardiac dysrhythmias
Cardiology
Cardiology. Vascular system
Cardiovascular disease
Case-Control Studies
Confidence Intervals
Consumption
Electrocardiography
Ethanol
Female
Heart
Hospitals
Humans
Incidence
Japan
Linear Models
Male
Medical records
Medical sciences
Mortality
Population
Risk Factors
Severity of Illness Index
Studies
Survival Analysis
title Alcohol Consumption and Risk of Atrial Fibrillation: A Meta-Analysis
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