Kristiansen Louise, Grønbaek Morten, Becker Ulrik, Tolstrup Janne Schurmann
National Institute of Public Health, Oster Farimagsgade 5a, DK-1399 Copenhagen K, Denmark.
Am J Epidemiol. 2008 Oct 15;168(8):932-7. doi: 10.1093/aje/kwn222. Epub 2008 Sep 8.
The association between alcohol intake and pancreatitis has been examined previously in case-control studies, mostly consisting of men. The significance of beverage type and drinking pattern is unknown. The objective of this study was to assess the association between amount, type, and frequency of alcohol intake and risk of pancreatitis. For this purpose, the authors used data on 17,905 men and women who participated in the Copenhagen City Heart Study in 1976-1978, 1981-1983, 1991-1994, and 2001-2003 in Copenhagen, Denmark. Alcohol intake and covariates were assessed by questionnaire. Information on pancreatitis was obtained from national registers. A high alcohol intake was associated with a higher risk of pancreatitis. Hazard ratios associated with drinking 1-6, 7-13, 14-20, 21-34, 35-48, and >48 drinks/week were 1.1 (95% confidence interval (CI): 0.8, 1.6), 1.2 (95% CI: 0.8, 1.8), 1.3 (95% CI: 0.8, 2.1), 1.3 (95% CI: 0.7, 2.2), 2.6 (95% CI: 1.4, 4.8), and 3.0 (95% CI: 1.6, 5.7), respectively, compared with 0 drinks/week (P(trend) < 0.001). Associations were similar for men and women. Drinking frequency did not seem to be independently associated with pancreatitis.
饮酒与胰腺炎之间的关联此前已在病例对照研究中进行过考察,这类研究大多以男性为对象。饮料类型和饮酒模式的重要性尚不清楚。本研究的目的是评估饮酒量、类型和频率与胰腺炎风险之间的关联。为此,作者使用了1976 - 1978年、1981 - 1983年、1991 - 1994年以及2001 - 2003年在丹麦哥本哈根参加哥本哈根城市心脏研究的17905名男性和女性的数据。通过问卷调查评估饮酒情况和协变量。胰腺炎信息来自国家登记处。高酒精摄入量与较高的胰腺炎风险相关。与每周饮用1 - 6杯、7 - 13杯、14 - 20杯、21 - 34杯、35 - 48杯以及超过48杯酒相比,每周饮用0杯酒的胰腺炎风险比(危险比)分别为1.1(95%置信区间(CI):0.8,1.6)、1.2(95%CI:0.8,1.8)、1.3(95%CI:0.8,2.1)、1.3(95%CI:0.7,2.2)、2.6(95%CI:1.4,4.8)和3.0(95%CI:1.6,5.7)(P趋势<0.001)。男性和女性的关联相似。饮酒频率似乎与胰腺炎无独立关联。