Evidence map›Paper›PMID 20148795›Full record

ArticleAddiction (Abingdon, England)2010

How does variability in alcohol consumption over time affect the relationship with mortality and coronary heart disease?

Annie Britton, Michael G Marmot, Martin J Shipley

Registry-linked trialAbstract read
In one paragraph

Article in Addiction (Abingdon, England), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03133689 (Alcohol Consumption and Time-to-onset for Coronary Heart Disease), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03133689 completednot on this mapstarted 2017, after this paper: background citation

Alcohol Consumption and Time-to-onset for Coronary Heart Disease: An Individual Participant Data Meta-analysis

TypeobservationalSponsorUniversity College, LondonRan2017 to 2017Enrolled35,132ConditionsCoronary Heart Disease
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  13. Focus on: The cardiovascular system: what did we learn from the French (Paradox)?Alcohol research & health : the journal of the National Institute on Alcohol Abuse and Alcoholism · 2010
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Annie BrittonDepartment of Epidemiology and Public Health, University College London, London, UK. a.britton@ucl.ac.uk
Michael G Marmot
Martin J Shipley

Funding

CHANGES IN HEALTH: SOCIO-ECONOMIC STATUS AND PATHWAYSR37AG013196 · NIA · UNIVERSITY OF LONDON INST OF NEUROLOGY · PI MARMOT, MICHAEL G · 1999 to 2008
$4.3M
Socio-economic status and heterogeneity in agingR01AG013196 · NIA · UNIVERSITY OF LONDON INST OF NEUROLOGY · PI MARMOT, MICHAEL G, SINGH-MANOUX, ARCHANA · 1996 to 2013
$3.5M
Socioeconomic gradient in CHD in early old ageR01HL036310 · NHLBI · UNIVERSITY OF LONDON · PI KIVIMAKI, MIKA J, MARMOT, MICHAEL G · 1986 to 2012
$3.1M
British Heart Foundation RG/07/008/23674Department of HealthMedical Research Council G0100222Medical Research Council G0902037Medical Research Council G19/35Medical Research Council G8802774NHLBI NIH HHS R01 HL036310NIA NIH HHS R01 AG013196NIA NIH HHS R37 AG013196
6 · The paper itself

Abstract

objectiveTo examine the relationship between alcohol consumption and risk of mortality and incident coronary heart disease (CHD), taking account of variation in intake during follow-up.

methodProspective cohort study of 5411 male civil servants aged 35-55 years at entry to the Whitehall II study in 1985-88. Alcohol consumption was reported five times over a 15-year period. Mortality, fatal CHD, clinically verified incident non-fatal myocardial infarction and definite angina were ascertained during follow-up.

resultsWe found evidence that drinkers who vary their intake during follow-up, regardless of average level, have increased risk of total mortality (hazard ratio of high versus low variability 1.52: 95% CI: 1.07-2.17), but not of incident CHD. Using average consumption level, as opposed to only a baseline measure, gave slightly higher risk estimates for CHD compared to moderate drinkers at the extremes of the drinking range.

conclusionsMultiple repeated measures are required to explore the effects of variation in exposure over time. Caution is needed when interpreting risks of exposures measured only once at baseline, without consideration of changes over time.

Indexed as

AdultAlcohol DrinkingCentral Nervous System DepressantsCoronary DiseaseDose-Response Relationship, DrugEpidemiologic MethodsEthanolHumansMaleMiddle AgedSmokingTime FactorsCentral Nervous System DepressantsEthanol

Identifiers

PMID20148795
PMCPMC2862167

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.