Alcohol Consumption and Longitudinal Trajectories of Physical Functioning in Central and Eastern Europe: A 10-Year Follow-up of HAPIEE Study.
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Authors
Hu, Yaoyue
Pikhart, Hynek
Kubinova, Ruzena
Malyutina, Sofia
Pajak, Andrzej
Besala, Agnieszka
Peasey, Anne
Marmot, Michael
Bobak, Martin
Publication Date
2016-08Journal Title
J Gerontol A Biol Sci Med Sci
ISSN
1079-5006
Publisher
Oxford University Press (OUP)
Volume
71
Issue
8
Pages
1063-1068
Language
eng
Type
Article
This Version
VoR
Physical Medium
Print-Electronic
Metadata
Show full item recordCitation
Hu, Y., Pikhart, H., Kubinova, R., Malyutina, S., Pajak, A., Besala, A., Bell, S., et al. (2016). Alcohol Consumption and Longitudinal Trajectories of Physical Functioning in Central and Eastern Europe: A 10-Year Follow-up of HAPIEE Study.. J Gerontol A Biol Sci Med Sci, 71 (8), 1063-1068. https://doi.org/10.1093/gerona/glv233
Abstract
BACKGROUND: Physical functioning (PF) is an essential domain of older persons' health and quality of life. Health behaviors are the main modifiable determinants of PF. Cross-sectionally, alcohol consumption appears to be linked to better PF, but longitudinal evidence is mixed and very little is known about alcohol consumption and longitudinal PF trajectories. METHODS: We conducted longitudinal analyses of 28,783 men and women aged 45-69 years from Novosibirsk (Russia), Krakow (Poland), and seven towns of the Czech Republic. At baseline, alcohol consumption was measured by a graduated frequency questionnaire and problem drinking was evaluated using the CAGE questionnaire. PF was assessed using the Physical Functioning Subscale of the SF-36 instrument at baseline and three subsequent occasions. Growth curve modeling was used to estimate the associations between alcohol consumption and PF trajectories over 10-year follow-up. RESULTS: PF scores declined during follow-up in all three cohorts. Faster decline in PF over time was found in Russian female frequent drinkers, Polish female moderate drinkers, and Polish male regular heavy drinkers, in comparison with regular and/or light-to-moderate drinkers. Nondrinking was associated with a faster decline compared with light drinking only in Russian men. Problem drinking and past drinking were not related to the decline rate of PF. CONCLUSIONS: This large longitudinal study in Central and Eastern European populations with relatively high alcohol intake does not strongly support the existence of a protective effect of alcohol on PF trajectories; if anything, it suggests that alcohol consumption is associated with greater deterioration in PF over time.
Keywords
Humans, Risk Assessment, Risk Factors, Longitudinal Studies, Follow-Up Studies, Alcohol Drinking, Quality of Life, Physical Fitness, Aged, Czech Republic, Poland, Russia, Female, Male, Surveys and Questionnaires
Sponsorship
Medical Research Council (MR/M006638/1)
Identifiers
External DOI: https://doi.org/10.1093/gerona/glv233
This record's URL: https://www.repository.cam.ac.uk/handle/1810/286543
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