Alcohol consumption patterns across Europe and adherence to the European guidelines in coronary patients: Findings from the ESC-EORP EUROASPIRE V survey

van de Luitgaarden, Inge A.T. and Schrieks, Ilse C. and De Bacquer, Dirk and van Oort, Sabine and Mirrakhimov, Erkin M. and Pogosova, Nana and Davletov, Kairat and Dolzhenko, Maryna and van Ballegooijen, Adriana J. and Kotseva, Kornelia and Grobbee, Diederick E. and Beulens, Joline W.J. and ..., . and Azarenko, V. and Potabashny, V. and Kolesnik, T. and Kosova, H. (2020) Alcohol consumption patterns across Europe and adherence to the European guidelines in coronary patients: Findings from the ESC-EORP EUROASPIRE V survey. Atherosclerosis, 313. pp. 35-42. ISSN 0021-9150

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Abstract

Background and aims: Alcohol consumption is an important risk factor for cardiovascular morbidity and mortality worldwide. The highest levels of alcohol consumption are observed in Europe, where alcohol as contributing cause of coronary heart disease (CHD) is also most significant. We aimed to describe alcohol consumption patterns across European regions and adherence to the current guidelines in patients with a recent CHD event. Methods: The ESC-EORP survey (EUROASPIRE V) has been conducted in 2016–2017 at 131 centers in 27 European countries in 7350 patients with a recent CHD. Median alcohol consumption, as well as the proportion of abstainers and excessive drinkers (i.e. >70 g/week for women and >140 for men, as recommended by the European guidelines on cardiovascular prevention), was calculated for each region. To assess adherence to guidelines, proportions of participants who were advised to reduce excessive alcohol consumption and participants who were incorrectly not advised were calculated per region. Results: Mean age was 64 years (SD: 9.5), 75% were male. Abstention rates were 53% in males and 77% in females, whereas excessive drinking was reported by 9% and 5% of them, respectively. Overall, 57% of the participants were advised to reduce alcohol consumption. In the total population, 3% were incorrectly not advised, however, this percentage differed per region (range: 1%–9%). In regions where alcohol consumption was highest, participants were less often advised to reduce their consumption. Conclusion: In this EUROASPIRE V survey, the majority of CHD patients adhere to the current drinking guidelines, but substantial heterogeneity exists between European regions.

Item Type:	Article
Additional Information:	https://doi.org/10.1016/j.atherosclerosis.2020.09.009
Uncontrolled Keywords:	EUROASPIRE; Alcohol consumption; Cardiovascular risk factors; Adherence; Guidelines; Epidemiology.
Subjects:	Cardiology
Divisions:	Faculty of Postgraduate Education > Department of Therapy, cardiology and family medicine FPE Departments > Department of Internal Medicine
Depositing User:	Елена Шрамко
Date Deposited:	26 Oct 2020 13:24
Last Modified:	26 Oct 2020 13:24
URI:	http://repo.dma.dp.ua/id/eprint/5888

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