Dixon Andrew F, Dixon John B, O'Brien Paul E
Monash University, Alfred Hospital, Melbourne, Victoria.
Aust Fam Physician. 2003 Aug;32(8):649-52.
In recent years strong epidemiological evidence has arisen associating significant cardiovascular benefit with light to moderate alcohol consumption. Increased benefit in high cardiovascular risk individuals has been particularly evident. With Australian levels of obesity and type 2 diabetes now reaching epidemic proportions, lifestyle factors that can reduce cardiovascular risk are of critical importance.
This article aims to inform general practitioners of the potential cardiovascular benefit of light to moderate alcohol consumption.
In offering tailored alcohol advice to patients, the GP should have two goals: to minimise harm and maximise benefit. Blanket discouragement of all levels of alcohol consumption can no longer be justified.
近年来,出现了强有力的流行病学证据,表明轻度至中度饮酒对心血管具有显著益处。在心血管疾病高风险个体中,这种益处尤为明显。鉴于澳大利亚肥胖和2型糖尿病的发病率现已达到流行程度,能够降低心血管疾病风险的生活方式因素至关重要。
本文旨在告知全科医生轻度至中度饮酒对心血管的潜在益处。
在为患者提供个性化的饮酒建议时,全科医生应有两个目标:将危害降至最低并使益处最大化。全面劝阻所有程度的饮酒行为已不再合理。