Evidence map›Paper›PMID 32233123›Full record

ArticleAddiction (Abingdon, England)2020

A life-time of hazardous drinking and harm to health among older adults: findings from the Whitehall II prospective cohort study.

Linda Ng Fat, Steven Bell, Annie Britton

Open access · hybridAbstract read
In one paragraph

Article in Addiction (Abingdon, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.5field-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

15 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Research progress in the role of gut microbiota in ethanol metabolism.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
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  10. Risk Factors and Cardiovascular Disease in the Elderly.Reviews in cardiovascular medicine · 2022
    Review
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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

3 authors at 2 institutions in 1 country.

Linda Ng FatResearch Department of Epidemiology and Public Health, University College London, London, UK.ORCID 0000-0002-7282-9526
Steven BellBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Strangeways Research Laboratory, Cambridge, UK.ORCID 0000-0001-6774-3149
Annie BrittonResearch Department of Epidemiology and Public Health, University College London, London, UK.ORCID 0000-0002-6412-5430
University College London · GBUniversity of Cambridge · GB

Funding

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
Role of mid- and late-life risk factors in social inequalities in Alzheimer's Disease and Related DementiasRF1AG062553 · NIA · INSERM PARIS 5 · PI KIVIMAKI, MIKA J, SINGH-MANOUX, ARCHANA · 2019 to 2019
$1.5M
MARITAL ADAPTATION DURING RECOVERY FROM ALCOHOLISMR03AA006638 · NIAAA · UNIVERSITY OF WISCONSIN MILWAUKEE · PI CAPTAIN, CONSTANCE G · 1985 to 1985
–
British Heart Foundation RG/13/2/30098British Heart Foundation RG/16/11/32334Department of Health PB-PG-0418-20038Medical Research Council MR/M006638/1NHLBI NIH HHS R01 HL036310NIA NIH HHS R01 AG013196NIA NIH HHS RF1 AG062553UK Medical Research Council G0902037UK Medical Research Council MR/K013351/1UK Medical Research Council/Alcohol Research UK MR/M006638/1
6 · The paper itself

Abstract

aimsTo investigate associations of life-time hazardous and binge drinking with biomarkers of cardiometabolic health, liver function, cardiovascular disease (CVD) and mortality.

designProspective cohort study with median follow-up time to CVD incidence of 4.5 years.

settingLondon, UK: civil servants within the Whitehall II Study.

participantsA total of 4820 drinkers aged 59-83 years with biological measurements during the 2011-12 survey. MEASUREMENTS: Hazardous drinking was defined as having an AUDIT-C score ≥ 5 calculated at each decade of life, forming the following groups: never hazardous drinker, former early (stopping before age 50), former later (stopping after age 50), current hazardous drinker and consistent hazardous drinker (hazardous drinker at each decade of life).

findingsMore than half the sample had been hazardous drinkers at some point during their life-time, comprising former early (< age 50) (19%), former later (≥ age 50) (11%), current (21%) and consistent hazardous drinker (AUDIT-C ≥ 5 across life (5%). After adjusting for covariates, waist circumference was larger with more persistent hazardous drinking (e.g. compared with never hazardous drinkers, former early had increased waist circumference by 1.17 cm [95% confidence interval (CI) = 0.25-2.08]; former later by 1.88 cm (CI = 0.77-2.98); current by 2.44 cm (CI = 1.50-3.34) and consistent hazardous drinker by 3.85 cm (CI = 2.23-5.47). Current hazardous drinkers had higher systolic blood pressure (2.44 mmHg, CI = 1.19-3.68) and fatty liver index scores (4.05 mmHg, CI = 2.92-5.18) than never hazardous drinkers. Current hazardous drinkers [hazard ratio (HR) = 2.75, CI = 1.44-5.22) had an elevated risk of stroke, and former later hazardous drinkers had an elevated risk of non-CVD mortality (HR = 1.93, CI = 1.19-3.14) than never hazardous drinkers. Life-time binge drinking was associated with larger waist circumferences and poorer liver function compared with never binge drinkers.

conclusionHazardous drinking may increase cardiometabolic risk factors; this is made worse by persistent hazardous drinking throughout life, particularly in relation to weight gain, suggesting benefits of early intervention.

Indexed as

Health StatusAgedAged, 80 and overAlcohol DrinkingAlcohol-Related DisordersBiomarkersCardiometabolic Risk FactorsCardiovascular DiseasesCause of DeathCohort StudiesFemaleHumansLondonMaleMiddle AgedProportional Hazards ModelsBiomarkersAgeingbinge drinkingbiomarkerscardiometaboliccardiovascularhazardous consumptionliver functionmortality

Identifiers

PMID32233123
PMCPMC7487058
OpenAlexW3010268484

What OpenQuestion holds

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LicenceCC BY
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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.