A fascinating study published in the BMJ shows that although the French drink more than the Northern Irish each week, as they drink daily, rather than more on less occasions, the French suffered from considerably less coronary heart disease than the Northern Irish. Ruidavets and colleagues compared groups of middle aged men in France and Northern Ireland, who have very different drinking cultures and rates of heart disease.The authors found that men who "binge" drink (drink =50 g of alcohol once a week) had nearly twice the risk of myocardial infarction or death from coronary disease compared with regular drinkers over 10 years of follow-up. Similarly abstainers were at higher risk. 9,778 men aged 50-59, free of ischaemic heart disease at baseline, were recruited between 1991 and 1994. A total of 2,405 men from Belfast and 7,373 men from the French centres were included in the analyses.
The investigators related weekly alcohol consumption, incidence of binge drinking (alcohol >50 g on at least one day a week), incidence of regular drinking (at least one day a week, and alcohol < 50 g if on only one occasion), volume of alcohol intake, frequency of consumption, and types of beverage consumed to risk of coronary heart disease (CHD) events over a 10 year follow-up period. Overall, 60.5% of subjects from N. Ireland and 90.6% of French reported drinking alcohol at least once a week. Among drinkers, 12% of men in Belfast drank alcohol every day compared with 75% of men in France. Mean alcohol consumption was 22.1 g/ day in Belfast and 32.8 g/day in France. Binge drinkers comprised 9.4% and 0.5% of the Belfast and France samples, respectively.
Results showed that, after multivariate adjustment, the hazard ratio for hard CHD events compared with regular drinkers was 1.97 (95% CI 1.21 - 3.22) for binge drinkers, 2.03 (95% CI 1.41 - 2.94) for never drinkers, and 1.57 (95% CI 1.11 - 2.21) for former drinkers. The hazard ratio for hard CHD e
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Boston University Medical Center