Table 1.
Wine/Alcohol Consumption and CVD Risk |
Number of Subjects | Study Design | References |
---|---|---|---|
Alcohol consumption is inversely related to coronary heart disease incidence (p for trend < 0.001). | 51,529 male healthy professionals | Prospective study | Rimm et al., 1991 [92] |
Strong negative association between moderate alcohol consumption and the risk of nonfatal myocardial infarction and death from coronary heart disease. | 7705 Japanese men living in Hawaii | Cohort study | Yano et al., 1977 [93] |
Risk of coronary heart disease decreased from 0 to 20 g/day of alcohol (RR = 0.80; 95% CI: 0.78, 0.83); evidence of a protective effect up to 72 g/day (RR = 0.96; 95% CI: 0.92, 1.00) and increased risk above 89 g/day (RR = 1.05; 95% CI: 1.00, 1.11). Lower protective effects in women and in men living in countries outside the Mediterranean area. | 28 cohort studies | Meta-analysis | Corrao et al., 2000 [94] |
Compared with non-drinkers, light drinkers who avoid wine have a relative risk for death from coronary heart disease of 0.76 (CI, 0.63 to 0.92) and those who drank wine have a risk of 0.58 (CI, 0.47 to 0.72). | 13,064 men and 11,459 women 20 to 98 years of age | Pooled cohort studies | Grønbaek et al., 1995 [95] |
IHD-associated mortality: 62 men. In men, RR for IHD in drinkers vs nondrinkers was 0.51 (95% CI, 0.27–0.95). Report a cardioprotective effect from IHD in a predominantly beer drinking population (starts with 0.1–0.99 g/d alcohol intake), and effect did not decrease with higher consumption. | 2084 subjects (1071 men; 1013 women) |
Population-based prospective study | Keil et al., 1997 [97] |
Wine drinkers had lower mortality from IHD than non-wine drinkers (p = 0.007). At all levels of intake of alcohol, wine drinkers were at a significantly lower risk for all-cause mortality than nonwine drinkers (p < 0.001). | 24,525 (13,064 men; 11,459 women) |
Population-based prospective cohort | Grønbaek et al., 2000 [98] |
For middle-aged women, moderate alcohol consumption decreased the risk of IHD. (Women who consumed 5–14 g alcohol/d had a RR of 0.6; 15–24 g/d RR 0.6; ≥25 g/d RR 0.4.) | 87,526 women | Population-based prospective cohort | Stampfer et al., 1988 [96] |
Moderate intake of wine was associated with a significant reduction in cardiovascular events including cardiovascular death, non-fatal MI and nonfatal strokes: HR, 0.87 (95% CI, 0.76–0.99). Risk of cardiovascular events was significantly reduced by 13% with wine consumption up to 0.5 L/d (defined as moderate consumption). | 11,248 patients with recent myocardial infarction (MI) (9601 men; 1647 women) | Multicenter open-label prospective study | Levantesi et al., 2013 [99] |