Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid/IdiPAZ, C/Arzobispo Morcillo sn, Madrid, 28029, Spain.
CIBER of Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III Melchor Fernández Almagro, 3-5, Madrid, 28029, Spain.
Sci Rep. 2019 Jul 18;9(1):10401. doi: 10.1038/s41598-019-46591-0.
We examined prospective changes in drinking patterns and their associations with socio-behavioral and health status variables in older adults in Spain using data from a prospective cohort of 2,505 individuals (53.3% women) representative of the non-institutionalized population aged >60 years in Spain. Alcohol consumption was assessed at baseline (2008-10) and at follow-up (2012) with a validated diet history. At risk drinking was defined as consuming >14 g of alcohol/day on average or any binge drinking in the last 30 days; lower amounts were considered light drinking. A total of 26.5% of study participants changed their intake during follow-up. Most participants reduced alcohol intake, but 23.3% of men and 8.9% of women went from light to at risk drinking during the study period. Low social connectivity at baseline was linked to at risk drinking for both sexes. However, the observed associations between changes in social connectivity, morbidity, BMI, or dietary habits and changes in drinking patterns differed by sex. We concluded that since about a quarter of older adults in Spain consume more alcohol than recommended, identifying socio-behavioral factors associated with this behavior is key for designing health campaigns targeting excessive alcohol consumption in this vulnerable population.
我们使用来自西班牙一项前瞻性队列的 2505 名个体（53.3%为女性）的数据，这些个体代表了西班牙非机构化的 60 岁以上人群，研究了老年人饮酒模式的前瞻性变化及其与社会行为和健康状况变量的关系。酒精摄入量在基线（2008-10 年）和随访（2012 年）时通过验证的饮食史进行评估。危险饮酒定义为平均每天摄入>14 克酒精或在过去 30 天内任何一次狂饮；少量饮酒被认为是轻度饮酒。在随访期间，共有 26.5%的研究参与者改变了他们的饮酒量。大多数参与者减少了酒精摄入量，但在研究期间，23.3%的男性和 8.9%的女性从轻度饮酒转为危险饮酒。基线时社交联系程度低与男女两性的危险饮酒有关。然而，观察到的社会联系、发病情况、BMI 或饮食习惯的变化与饮酒模式变化之间的关联因性别而异。我们的结论是，由于西班牙约四分之一的老年人饮酒量超过推荐量，因此确定与这种行为相关的社会行为因素是为这一脆弱人群设计针对过度饮酒的健康宣传活动的关键。
