Associations of Binge Drinking With the Risks of Ischemic Heart Disease and Stroke: a study of pooled Norwegian health surveys

Eirik Degerud*, Gudrun Høiseth, Jørg Mørland, Inger Ariansen, Sidsel Graff-Iversen, Eivind Ystrom, Luisa Zuccolo, Grethe S Tell, Øyvind Næss

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

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Abstract

Norwegian health survey data (1987 - 2003) were analysed to determine if binge drinking increases the risk of incident major events from ischemic heart disease (IHD) and stroke. Among current drinkers reporting average alcohol intakes between 2 to 60 g/day (n = 44,476), frequent binge drinking (5+ units ≥ once per month) was not associated with a greater risk of IHD (adjusted hazard ratio = 0.91, 95% confidence interval: 0.76, 1.09) nor stroke (adjusted hazard ratio = 0.98, 95% confidence interval: 0.81, 1.19), in comparison with participants who reported that they never or only infrequently (<once per month) had episodes of binge drinking. Participants with an average alcohol intake between 2 - 60 g/day had a lower risk of IHD in comparison with participants with very low intakes (<2 g/day) both among frequent binge drinkers (adjusted hazard ratio = 0.67, 95% confidence interval: 0.56, 0.80) and among never/infrequent binge drinkers (adjusted hazard ratio = 0.75, 95% confidence interval: 0.67, 0.84). The findings suggest that frequent binge drinking does not, independently of the average alcohol intake, increase the risk of incident IHD or stroke events. However, the findings should be interpreted in light of the limitations of the study design.

Original languageEnglish
Article numberkwab063
Pages (from-to)1592-1603
Number of pages12
JournalAmerican Journal of Epidemiology
Volume190
Issue number8
DOIs
Publication statusPublished - 1 Aug 2021

Keywords

  • alcohol consumption
  • binge drinking
  • ischemic heart disease
  • stroke
  • prospective observational study

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