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International Journal of Epidemiology 2001;30:734-737
© International Epidemiological Association 2001

Special theme: Alcohol: Reiteration

Commentary: Alcohol, coronary heart disease and public health: which evidence-based policy

Pascal Bovet and Fred Paccaud

University Institute of Social and Preventive Medicine, Bugnon 17, 1005 Lausanne, Switzerland.

The first 150 words of the full text of this article appear below.

In a comprehensive review of the evidence available in 1984, Marmot concluded that moderate alcohol intake was associated with decreased coronary heart disease (CHD) mortality while heavy drinking resulted in higher mortality compared to non-drinkers.1 The consistency of the findings across ecological, case-control and prospective studies and the availability of convincing data on plausible mechanisms suggested a cardioprotective effect of moderate alcohol consumption. However, Marmot warned that increased intake was not recommended in view of the social and medical consequences of an increase of alcohol consumption in the population. Epidemiological data published since this review support the original conclusions by Marmot and have provided further information to fine tune our understanding of the relation of alcohol to CHD and their relevance to policy.

Large prospective cohort studies have provided further solid data since 1984. Cohorts among middle-aged or elderly people included, for example, 51 529 American male health professionals with . . . [Full Text of this Article]


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