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首页> 外文期刊>The journals of gerontology.Series A. Biological sciences and medical sciences >Alcoholic beverage preference, 29-year mortality, and quality of life in men in old age.
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Alcoholic beverage preference, 29-year mortality, and quality of life in men in old age.

机译：老年男性对酒精饮料的偏爱，29岁的死亡率以及生活质量。

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BACKGROUND: Harms of excessive alcohol consumption are obvious, but moderate wine consumption is frequently advocated for prevention of cardiovascular diseases. We compared 29-year mortality and quality of life in old age by alcoholic beverage preference (beer, wine, or spirits) in a cohort of men whose socioeconomic status was similar in their adult life. METHODS: In 1974, cardiovascular risk factors and beverage preference were assessed in 2468 businessmen and executives aged 40-55 years. Of them, 131 did not use alcohol, 455 did not report a single preference, and 694, 251, and 937 preferred beer, wine, and spirits, respectively. Quality of life with a RAND-36 Short Form (SF)-36 instrument was surveyed in 2000 in survivors. Mortality was retrieved from registers during the 29-year follow-up. RESULTS: Alcoholic beverage preference tracked well during the follow-up. Total alcohol consumption was not significantly different between preference groups. Men with wine preference had the lowest total mortality due to lower cardiovascular mortality. With the spirits group as the reference category and age, cardiovascular risk factors, and total alcohol consumption as covariates, wine drinkers had a 34% lower total mortality (relative risk 0.66; 95% confidence interval, 0.45-0.98); relative risk for beer preferers was 0.91 (95% confidence interval, 0.68-1.14). In 2000, wine preferers had the highest scores in all RAND-36 scales; general health (p =.007) and mental health (p =.01) were also significantly different. CONCLUSION: In this male cohort from the highest social class, wine preference was associated with lower mortality and better quality of life in old age. Mortality advantage was independent of overall alcohol consumption and cardiovascular risk factors, but contributing personal characteristics or early life differences cannot be excluded.
机译：背景：过量饮酒的危害显而易见，但经常提倡适度饮酒以预防心血管疾病。我们比较了成年男性社会经济地位相似的一组人群中按酒精饮料偏好（啤酒，葡萄酒或烈酒）的29岁死亡率和老年人的生活质量。方法：1974年，对2468名40-55岁的商人和高管进行了心血管危险因素和饮料偏爱评估。其中，有131个未使用酒精饮料，有455个未报告单一偏好，分别有694、251和937个偏好的啤酒，葡萄酒和烈性酒。 2000年，对RAND-36短型（SF）-36仪器的生活质量进行了调查。在为期29年的随访中从登记册中获取了死亡率。结果：在随访期间，对酒精饮料的喜好情况良好。偏好人群之间的总饮酒量没有显着差异。偏爱葡萄酒的人由于心血管疾病的死亡率较低，因此总死亡率最低。以烈酒组为参考类别，以年龄，心血管危险因素和总饮酒量作为协变量，饮酒者的总死亡率降低了34％（相对危险度为0.66; 95％置信区间为0.45-0.98）;啤酒偏爱者的相对风险为0.91（95％置信区间为0.68-1.14）。在2000年，葡萄酒偏爱者在所有RAND-36量表中得分最高。总体健康状况（p = .007）和心理健康状况（p = .01）也有显着差异。结论：在这个来自最高社会阶层的男性队列中，葡萄酒的偏爱与较低的死亡率和较高的生活质量有关。死亡率优势与总体饮酒量和心血管危险因素无关，但不能排除造成个人特征或早期生活差异的因素。

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