Evidence map›Paper›PMID 24553426›Full record

Trial reportNeurology2014

Alcohol consumption and cognitive impairment in older men: a mendelian randomization study.

Osvaldo P Almeida, Graeme J Hankey, Bu B Yeap, Jonathan Golledge, Leon Flicker

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 5 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Effect of alcohol on blood pressure.The Cochrane database of systematic reviews · 2020
    Pooled it
  5. Pooled it
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Alcohol use and dementia: a systematic scoping review.Alzheimer's research & therapy · 2019
    Article
  17. ADH1B: From alcoholism, natural selection, and cancer to the human phenome.American journal of medical genetics. Part B, Neuropsychiatric genetics : the official publication of the International Society of Psychiatric Genetics · 2018
    Review
  18. Effects of drinking on late-life brain and cognition.Evidence-based mental health · 2018
    Review
  19. Article
  20. Alcohol-Related Dementia and Neurocognitive Impairment: A Review Study.International journal of high risk behaviors & addiction · 2016
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Osvaldo P AlmeidaFrom the School of Psychiatry & Clinical Neurosciences (O.P.A.), and School of Medicine and Pharmacology (G.J.H., B.B.Y., L.F.), University of Western Australia, Perth; WA Centre for Health & Ageing (O.P.A., L.F.), Centre for Medical Research, Perth; Departments of Psychiatry (O.P.A.) and Geriatric Medicine (L.F.), Royal Perth Hospital; Department of Neurology (G.J.H.), Sir Charles Gairdner Hospital, Perth; Department of Endocrinology (B.B.Y.), Fremantle Hospital, Fremantle; Queensland Research Centre for Peripheral Vascular Disease (J.G.), School of Medicine and Dentistry, James Cook University, Townsville; and Department of Vascular and Endovascular Surgery (J.G.), The Townsville Hospital, Townsville, Australia.
Graeme J Hankey
Bu B Yeap
Jonathan Golledge
Leon Flicker

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine whether alcohol consumption is causally associated with cognitive impairment in older men as predicted by mendelian randomization.

methodsRetrospective analysis of a cohort study of 3,542 community-dwelling men aged 65 to 83 years followed for 6 years. Cognitive impairment was established by a Mini-Mental State Examination score of 23 or less. Participants provided detailed information about their use of alcohol during the preceding year and were classified as abstainers, occasional drinkers, and regular drinkers: mild (<15 drinks/wk), moderate (15-27 drinks/wk), heavy (28-34 drinks/wk), and abusers (≥35 drinks/wk). We genotyped the rs1229984 G→A variant of the alcohol dehydrogenase 1B (ADH1B) gene, which is associated with lower prevalence of alcohol abuse and dependence. Other measures included age, education, marital status, smoking and physical activity, body mass index, diabetes, hypertension, and cardiovascular diseases.

resultsAt study entry, rs1229984 G→A polymorphism was associated with lower prevalence of regular use of alcohol and decreased consumption among regular users. Six years later, 502 men (14.2%) showed evidence of cognitive impairment. Abstainers and irregular drinkers had higher odds of cognitive impairment than regular drinkers (odds ratio [OR] = 1.23, 95% confidence interval [CI] = 1.00-1.51, after adjustment for other measured factors). The rs1229984 G→A polymorphism did not decrease the odds of cognitive impairment (AA/GG OR = 1.35, 95% CI = 0.29-6.27; GA/GG OR = 1.05, 95% CI = 0.71-1.55).

conclusionsAlcohol consumption, including heavy regular drinking and abuse, is not a direct cause of cognitive impairment in later life. Our results are consistent with the possibility, but do not prove, that regular moderate drinking decreases the risk of cognitive impairment in older men.

Indexed as

Mendelian Randomization AnalysisAgedAged, 80 and overAlcohol DehydrogenaseAlcohol DrinkingAlcoholismCognition DisordersCross-Sectional StudiesFollow-Up StudiesGenotypeHumansMalePolymorphism, Single NucleotidePrevalenceRetrospective StudiesRisk FactorsADH1B protein, humanAlcohol Dehydrogenase

Identifiers

PMID24553426
PMCPMC3962996

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.