Evidence map›Paper›PMID 29580627›Full record

ArticleThe American journal of cardiology2018

Alcohol Consumption and Risk of Coronary Artery Disease (from the Million Veteran Program).

Rebecca J Song, Xuan-Mai T Nguyen, Rachel Quaden, Yuk-Lam Ho, Amy C Justice, David R Gagnon, Kelly Cho, Christopher J O'Donnell, John Concato, J Michael Gaziano and 2 more

Open access · greenAbstract read
In one paragraph

Article in The American journal of cardiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 pooled it
2.7field-weighted citation impact, top 10% of its field
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

20 citing papers in PubMed, 4 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Alcohol Consumption and Cardiovascular Health.The American journal of medicine · 2022
    Pooled it
  4. Pooled it
  5. Article
  6. Review
  7. Article
  8. Alcohol use, heavy episodic drinking, and associated cardiovascular risk in Guyana.Revista panamericana de salud publica = Pan American journal of public health · 2025
    Article
  9. Article
  10. New Modifiable Risk Factors Influencing Coronary Artery Disease Severity.International journal of molecular sciences · 2024
    Review
  11. Review
  12. Review
  13. Alcohol and Cardiovascular Disease: Helpful or Hurtful.Reviews in cardiovascular medicine · 2023
    Review
  14. Article
  15. Is drinking wine in moderation good for health or not?European heart journal supplements : journal of the European Society of Cardiology · 2022
    Article
  16. Article
  17. Article
  18. Racial and Ethnic Disparities in U.S. Veteran Health Characteristics.International journal of environmental research and public health · 2021
    Article
  19. Gender Differences in Demographic and Health Characteristics of the Million Veteran Program Cohort.Women's health issues : official publication of the Jacobs Institute of Women's Health · 2019
    Article
  20. Article
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

12 authors at 4 institutions in 1 country.

Rebecca J SongMassachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston, Massachusetts; Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts. Electronic address: Rebecca.Song@va.gov.
Xuan-Mai T NguyenMassachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston, Massachusetts; Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Rachel QuadenMassachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston, Massachusetts.
Yuk-Lam HoMassachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston, Massachusetts.
Amy C JusticeVeterans Aging Cohort Study Coodring Center, VA Connecticut Healthcare System, West Haven, Connecticut; Department of Internal Medicine, Yale University Schools of Medicine and Public Health, New Haven, Connecticut; Center for Interdisciplinary Research on AIDS, Yale University School of Public Health, New Haven, Connecticut.
David R GagnonMassachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston, Massachusetts; Department of Biostatistics, Boston University School of Public Health, Boston, Massachusetts.
Kelly ChoMassachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston, Massachusetts; Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Christopher J O'DonnellMassachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston, Massachusetts; Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts; National Heart, Lung, and Blood Institute, National Institutes of Health, Boston, Massachusetts.
John ConcatoDepartment of Internal Medicine, Yale University Schools of Medicine and Public Health, New Haven, Connecticut; Clinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, Connecticut.
J Michael GazianoMassachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston, Massachusetts; Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Luc DjousséMassachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston, Massachusetts; Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
VA Million Veteran Program
Brigham and Women's Hospital · USBoston University · USVA Boston Healthcare System · USYale University · US

Funding

Cardiovascular Disease Risk Factors, Prevalent Cardiovascular Disease, and Genetics in the Million Veteran ProgramI01BX003340 · VA · VETERANS HEALTH ADMINISTRATION · PI CHO, KELLY, WILSON, PETER WYMAN · 2017 to 2017
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Prediction of CVD Risk in VeteransI01CX001025 · VA · VETERANS HEALTH ADMINISTRATION · PI CHO, KELLY, WILSON, PETER WYMAN · 2014 to 2025
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BLRD VA I01 BX003340CSRD VA I01 CX001025
6 · The paper itself

Abstract

Moderate alcohol consumption has been associated with a lower risk of coronary artery disease (CAD) in the general population but has not been well studied in US veterans. We obtained self-reported alcohol consumption from Million Veteran Program participants. Using electronic health records, CAD events were defined as 1 inpatient or 2 outpatient diagnosis codes for CAD, or 1 code for a coronary procedure. We excluded participants with prevalent CAD (n = 69,995) or incomplete alcohol information (n = 8,449). We used a Cox proportional hazards model to estimate hazard ratios and 95% confidence intervals for CAD, adjusting for age, gender, body mass index, race, smoking, education, and exercise. Among 156,728 participants, the mean age was 65.3 years (standard deviation = 12.1) and 91% were men. There were 6,153 CAD events during a mean follow-up of 2.9 years. Adjusted hazard ratios (95% confidence intervals) for CAD were 1.00 (reference), 1.02 (0.92 to 1.13), 0.83 (0.74 to 0.93), 0.77 (0.67 to 0.87), 0.71 (0.62 to 0.81), 0.62 (0.51 to 0.76), 0.58 (0.46 to 0.74), and 0.95 (0.85 to 1.06) for categories of never drinker; former drinker; current drinkers of ≤0.5 drink/day, >0.5 to 1 drink/day, >1 to 2 drinks/day, >2 to 3 drinks/day, and >3 to 4 drinks/day; and heavy drinkers (>4 drinks/day) or alcohol use disorder, respectively. For a fixed amount of ethanol, intake at ≥3 days/week was associated with lower CAD risk compared with ≤1 day/week. Beverage preference (beer, wine, or liquor) did not influence the alcohol-CAD relation. Our data show a lower risk of CAD with light-to-moderate alcohol consumption among US veterans, and drinking frequency may provide a further reduction in risk.

Indexed as

AgedAlcohol DrinkingAlcoholic BeveragesAlcoholismCoronary Artery DiseaseFemaleHumansMaleMiddle AgedProportional Hazards ModelsProtective FactorsRisk FactorsSelf ReportUnited StatesVeterans

Identifiers

PMID29580627
PMCPMC6734183
OpenAlexW2793395083

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.