Evidence map›Paper›PMID 34863124›Full record

ArticleBMC public health2021

The associations between alcohol intake and cardiometabolic risk in African-origin adults spanning the epidemiologic transition.

Danny Baghdan, Lara R Dugas, Candice Choo-Kang, Jacob Plange-Rhule, Pascal Bovet, Bharathi Viswanathan, Terrence Forrester, Estelle V Lambert, Walter Riesen, Wolfgang Korte and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 40% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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 7 institutions in 6 countries.

Danny BaghdanParkinson School of Health Sciences & Public Health, Loyola University Chicago, 2160 S. 1st Ave, Maywood, IL, 60153, USA.
Lara R DugasParkinson School of Health Sciences & Public Health, Loyola University Chicago, 2160 S. 1st Ave, Maywood, IL, 60153, USA. ldugas@luc.edu.ORCID 0000-0002-0692-8585
Candice Choo-KangParkinson School of Health Sciences & Public Health, Loyola University Chicago, 2160 S. 1st Ave, Maywood, IL, 60153, USA.
Jacob Plange-RhuleKwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Pascal BovetUniversity of Lausanne, Lausanne, Switzerland.
Bharathi ViswanathanMinistry of Health and Social Development, Public Health Authority, Victoria Hospital, Mahé, Republic of Seychelles.
Terrence ForresterSolutions for Developing Countries, University of the West Indies, Mona, Kingston, Jamaica.
Estelle V LambertResearch Unit for Exercise Science and Sports Medicine, University of Cape Town, Cape Town, South Africa.
Walter RiesenCenter for Laboratory Medicine, Canton Hospital, St. Gallen, Switzerland.
Wolfgang KorteCenter for Laboratory Medicine, Canton Hospital, St. Gallen, Switzerland.
Mashkoor A ChoudhryStritch School of Medicine, Loyola University Chicago, Maywood, IL, USA.
Amy LukeParkinson School of Health Sciences & Public Health, Loyola University Chicago, 2160 S. 1st Ave, Maywood, IL, 60153, USA.
Loyola University Chicago · USUniversity of Cape Town · ZAUniversity of St.Gallen · CHKwame Nkrumah University of Science and Technology · GHMinistry of Health · SCUniversity of Lausanne · CHUniversity of the West Indies System · JM

Funding

Training in Neuroimmunoendocrine Effects of AlcoholT32AA013527 · NIAAA · LOYOLA UNIVERSITY CHICAGO · PI CHOUDHRY, MASHKOOR A · 2002 to 2021
$4.4M
Modeling the epidemiologic transition: Energy expenditure, obesity and diabetesR01DK080763 · NIDDK · LOYOLA UNIVERSITY CHICAGO · PI LUKE, AMY H · 2009 to 2012
$2.4M
NIAAA NIH HHS T32 AA013527NIAAA NIH HHS T32-AA013527NIDDK NIH HHS R01 DK080763NIH HHS R01-DK080763
6 · The paper itself

Abstract

backgroundCardiometabolic (CM) risk affects approximately 25% of adults globally, and is diagnosed by meeting 3 out of 5 of the following CM risk factors: elevated blood pressure, high triglycerides, elevated blood sugar, low high-density lipoprotein (HDL) level, and abdominal obesity. Adults with CM risk are approximately 22% more likely to have higher mortality rates, and alcohol consumption may be associated with higher CM risk. While previous studies have investigated this potential connection, the majority of them did not include African-origin adults. Therefore, the study aimed to explore the association between alcohol intake and CM risk in 5 African-origin cohorts, spanning the epidemiologic transition in Ghana, South Africa, Jamaica, Seychelles and the United States of America.

methodsMeasurements included clinical measures for CM risk and self-reported alcohol consumption. Each participant was categorized into one of three drinking categories: non-drinker, light drinker (1-3 drinks daily for men and 1-2 drinks daily for women) and heavy drinker (4 or more drinks every day for men and 3 or more drinks per day for women). Using non-drinker status as the reference, the association between alcohol consumption status and prevalence of each of the five CM risk factors and overall elevated CM risk (having 3 out of 5 risk factors) was explored, adjusting for site, age and sex. Associations were explored using logistic regression and significance was determined using odds ratios (OR) and 95% confidence intervals.

resultsNeither light nor heavy drinking was associated with increased odds for having higher CM risk compared to nondrinkers (OR = 1.05, p = 0.792 and OR = 1.11, p = 0.489, respectively). However, light drinking was associated with lower odds for having low high density lipoproteins (HDL) cholesterol (OR = 0.69, p = 0.002) and increased risk for high triglycerides (OR = 1.48, p = 0.030). Heavy drinking was associated with elevated blood pressure (OR = 1.59, p = 0.002), high triglycerides (OR = 1.73, p = 0.006) and decreased risk of low HDL-cholesterol (OR = 0.621, p < 0.0005). Finally, country-specific analyses indicated that the relationship between heavy drinking and elevated CM risk varied widely across sites.

conclusionWhile several CM risk factors were associated with alcohol consumption, the associations were inconsistent and varied widely across five international cohorts of African-origin. Future studies should focus on understanding the individual site-related effects.

Indexed as

HypertensionAdultAlcohol DrinkingCholesterol, HDLFemaleHumansMaleObesityRisk FactorsUnited StatesCholesterol, HDLAfrican-origin populationsAlcohol consumptionAnd Epidemiologic transitionCardiometabolic risk

Identifiers

PMID34863124
PMCPMC8642964
OpenAlexW4225738415

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.