Moderate alcohol intake and lower risk of coronary heart disease: meta-analysis of effects on lipids and haemostatic factors
BMJ 1999; 319 doi: https://doi.org/10.1136/bmj.319.7224.1523 (Published 11 December 1999) Cite this as: BMJ 1999;319:1523Data supplement
Table A Experimental studies of alcohol intake and changes in concentrations of high density lipoprotein cholesterol and apolipoprotein A I
Study Population (age) Amount ( source of alcohol) Duration* Result Meta-analysis weight** Berg and Johansson 1973w6 8 men (22-26) 63 g/day (beer) 5 weeks High density lipoprotein cholesterol concentration ( lipoprotein) increased significantly 8 Belfrage et al 1977w8 9 men (22-29) 75 g/day (ethanol) 5 weeks High density lipoprotein cholesterol concentration ( lipoprotein) increased 30% above normal 18 Glueck et al 1980w11 7 men (18-19) 35 g/day or 53 g/day (vodka) 1 week High density lipoprotein cholesterol concentration increased by 1.5 mg/dl 24 Hulley et al 1981w12 15 men (40-62) Abstinence from average 96.2 g/day 2 weeks High density lipoprotein cholesterol concentration decreased by 7 mg/dl — Fraser et al 1983w13 11 men (20-27) Average 32 g/day
(10-74 g/day)3 weeks High density lipoprotein cholesterol concentration increased by 4.27 mg/dl and apolipoprotein A I concentration increased by 8.02 mg/dl 48 Hartung et al 1983w14 44 men: 16 marathon runners, 15 joggers, and 13 inactive (27-59)
35.9 g/day (beer) 3 weeks High density lipoprotein cholesterol concentration increased by 0.9 mg/dl in marathon runners, decreased by 6 mg/dl in joggers, and increased by 9.1 mg/dl in active men 24, 24, and 24 Thornton et al 1983w15 9 women and 3 men (39-57) 39 g/day (white wine) 6 weeks High density lipoprotein cholesterol concentration increased by 8.1 mg/dl 26 Haskell et al 1984w16 24 men (30-60) 36.8 g/day (all types) 5 weeks High density lipoprotein cholesterol concentration increased by 6.6 mg/dl 16 Crouse et al 1984w17 10 men (22-62 ) 90 g/day (ethanol) 4 weeks High density lipoprotein cholesterol C concentration increased by 5.0 mg/dl 81 Couzigou et al 1984w18 7 men (28-31) Average 29.4 g/day (red wine)
5 weeks High density lipoprotein cholesterol C concentration increased by 10.1 mg/dl and
apolipoprotein A I concentration increased by 18 mg/dl9 Camargo et al 1985w19 24 men (30-60) 36.8 g/day (all types) 5 weeks Apolipoprotein A I concentration increased by 19.2 mg/dl† and by 19.5 mg/dl‡ — Malmendier et al 1985w20 7 non-obese men (23-39) and 2 obese men (26-35) 60 g/day (spirits) for non-obese men, and 70 g/day (spirits) for obese men 4 weeks Non-obese: high density lipoprotein cholesterol concentration increased by 1.0 mg/dl and apolipoprotein A I concentration increased by 17.0 mg/dl Obese: high density lipoprotein cholesterol concentration increased by 11.5 mg/dl and apolipoprotein A I concentration increased by 17.0 mg/dl
24 and 24 Masarei et al 1986w21 24 men (25-55) and 22 men (25-55) 45.8 g/day or 52.8 g/day (beer) 6 weeks 45.8 g/day: high density lipoprotein cholesterol concentration increased by 5.0 mg/dl and apolipoprotein A I concentration increased by 17 mg/dl 52.8 g/day: high density lipoprotein cholesterol concentration increased by 6.2 mg/dl and apolipoprotein A I concentration increased by 14 mg/dl
24 and 18 Bertierie et al 1986w22 10 men (18-21) 30 g/day (red wine) 4 weeks Apolipoprotein A I concentration increased by 16.8 mg/dl§ — Burr et al 1986w23 51 men and women (20-56)
48 men and women (20-56)19 g/day or 17.8 g/day (all types) 4 weeks 19 g/day: high density lipoprotein cholesterol concentration increased by 3.1 mg/dl
17.8 g/day: high density lipoprotein cholesterol concentration increased by 3.5 mg/dl— Hartung et al 1986w24 18 active women and 18 inactive women (30-49) 30 g/day or 32 g/day (wine) 3 weeks Active: high density lipoprotein cholesterol concentration decreased by 2 mg/dl and
apolipoprotein A I concentration increased by 3 mg/dlInactive: high density lipoprotein cholesterol concentration increased by 5 mg/dl and apolipoprotein A I concentration increased by 10 mg/dl
24 and 24 Pikaar et al 1987w25 12 men (21 to 29) 25 g/day or 50 g/day (red wine) or 25 g/day (red wine weekend only) 5 weeks 25 g/day: high density lipoprotein cholesterol concentration increased by 1.9 mg/dl 50 g/day: high density lipoprotein cholesterol concentration increased by 3.5mg/dl 25 g/day weekend: high density lipoprotein cholesterol concentration increased by 1.5 mg/dl 115, 34, and — Moore et al 198810 56 men (21-60) 12.6 g/day (beer) 8 weeks High density lipoprotein cholesterol concentration decreased by 1 mg/dl and apolipoprotein A I concentration increased by 14 mg/dl†, and high density lipoprotein cholesterol concentration increased by 1 mg/dl and apolipoprotein A I concentration increased by 9 mg/dl‡ — Valimaki et al 1988w26 10 men (30-43) 30 g/day or 60 g/day (all types) 3 weeks 30/day: high density lipoprotein cholesterol concentration increased by 1 mg/dl and
apolipoprotein A I concentration increased by 1.67 mg/dl60 g/day: high density lipoprotein cholesterol concentration increased by 6 mg/dl and apolipoprotein A I concentration increased by 20 mg/dl
24 and 15 Contaldo et al 1989w27 8 men (30-47) 75 g/day (red wine) 2 weeks High density lipoprotein cholesterol concentration C increased by 6.0 mg/dl and apolipoprotein A I concentration increased by 15 mg/dl 21 Frimpong et al 1989w28 8 men (21-35) 40 g/day (beer) 6 weeks High density lipoprotein cholesterol concentration increased by 5.8 mg/dl† and by 6.97 mg/dl‡ 20 Hartung et al 1990w29 26 active men and 23 inactive men (30-54) 13.7 g/day or 41 g/day (beer) 3 weeks Total: high density lipoprotein cholesterol concentration increased by 2.5 mg/dl and apolipoprotein A I concentration increased by 5.5 mg/dl Active: high density lipoprotein cholesterol concentration increased by 6.5 mg/dl and apolipoprotein A I concentration increased by 16 mg/dl
Inactive: high density lipoprotein cholesterol concentration increased by 3.5 mg/dl and apolipoprotein A I concentration increased by 3 mg/dl
24 and 24 Valimaki et al 1991w30 10 men (27-45) 60 g/day (all types) 3 weeks High density lipoprotein cholesterol concentration increased by 8 mg/dl and apolipoprotein A I concentration increased by 21.8 mg/dl 26 Hagiage et al 1992w31 7 men (average 29), average body mass index 30 kg/m2, and 7 men (average 27), average body mass index 22 kg/m2 30 g/day (red wine) 2 weeks Body mass index 30 kg/m2: high density lipoprotein cholesterol concentration increased by 5 mg/dl Body mass index 22 kg/m2: high density lipoprotein cholesterol concentration increased by 9 mg/dl
26 and 24 Cox et al 1993w32 Vigorous exercise in 37 men and light exercise in 35 men (20-45) 58.7 g/day (beer) 4 weeks Vigorous exercise: high density lipoprotein cholesterol concentration increased by 5.42 mg/dl† and apolipoprotein A I concentration increased by 18 mg/dl, and high density lipoprotein cholesterol concentration increased by 5.8 mg/dl‡ and apolipoprotein A I concentration increased by 16 mg/dl Light exercise: high density lipoprotein cholesterol concentration increased by 5.81 mg/dl† and apolipoprotein A I concentration increased by 12 mg/dl, and high density lipoprotein cholesterol concentration increased by 8.5 mg/dl‡ and apolipoprotein A I concentration increased by 14 mg/dl
— Hartung et al 1993w33 13 active men and 14 inactive men (24-56) 41 g/day (beer) 20 days Active: high density lipoprotein cholesterol concentration increased by 12 mg/dl Inactive: high density lipoprotein cholesterol concentration increased by 8 mg/dl
24 and 24 Suzukawa et al 1994w34 18 men (average 32.1) Average 35 g/day (spirits) 4 weeks High density lipoprotein cholesterol concentration increased by 3.7 mg/dl†and by 4.0 mg/dl‡ 52 Sharpe et al 1995w35 11 men and 9 women (25-60) 2 trials: 21 g/day (red wine) and 21 g/day (white wine) 10 days/trial Red wine: high density lipoprotein cholesterol concentration increased by 1.16 mg/dl and apolipoprotein A I concentration increased by 3 mg/dl
White wine: high density lipoprotein cholesterol concentration decreased by 1 mg/dl and apolipoprotein A I concentration remained the same24 and 24 Clevidence et al 1995w36 34 women (21-40) 30 g/day (grain alcohol) 3 months High density lipoprotein cholesterol concentration increased by 6.2 mg/dl and apolipoprotein A I concentration increased by 10 mg/dl 18 McConnell et al 1997w37 9 women and 11 men (23-51) 13.5 g/day (beer)
6 weeks High density lipoprotein cholesterol concentration increased by 2 mg/dl and apolipoprotein A I concentration increased by 4 mg/dl 69 Van Tol et alw54 12 men (44-59) 40 g/day with dinner (all types) 3 weeks High density lipoprotein cholesterol concentration increased at study completion (unquantified) — Rakic et alw55 41 men who were daily drinkers and 14 men who were weekend drinkers (21-65)
29-68 g/day (all types) v low alcohol beer 4 weeks Daily drinkers: high density lipoprotein cholesterol concentration increased by 4.64 mg/dl and apolipoprotein A I concentration increased by 14 mg/dl Weekend drinkers: high density lipoprotein cholesterol concentration increased by 4.64 mg/dl and apolipoprotein A I concentration increased by 12 mg/dl
226 and — *Time of treatment (or abstinence) with alcohol rather than total time of study.
†External control: changes in concentrations of high density lipoprotein cholesterol and apolipoprotein A I were compared between two different populations—one given alcohol and other placebo.
‡Internal control: concentrations of high density lipoprotein cholesterol and apolipoprotein A I were compared in the same individuals before and after consumption of alcohol.
§Calculation based on total protein (mg/dl) and percentage apolipoprotein A I presented in tables 1 and 2 in the BMJ (Bertiere 1986).
¶Only eight participants in fixed drinking arm were included in this analysis.
**Weight used in regression analysis (studies without weight did not meet inclusion criteria).
Table B Experimental studies of alcohol and biochemical measures of thrombolysis and coagulation
Study Population (age) Amount (source of alcohol) Duration* Result Notes Elmer et al 1984w38 7 men and 3 women 2 ml/kg (spirits)
(average 53.5 g for participant weighing 70 kg)1 day 1 and 2 hour bleeding time and platelet aggregation reduced (P<0.02). No changes in factor V, VII VIII, XII, plasminogen, or fibrinogen Assays from samples drawn only 1 and 2 hours after alcohol consumption Galli et al 1984w39 4 men (25-31) 0.48 g/kg (ethanol) 1 day Non-significant decrease in collagen induced platelet aggregation and increase in thromboxane B2 production 1 and 3 hours after ethanol Hillbom et al 1985w49 10 men (22-30) 1.5 g/kg (ethanol) 1 day ADP induced platelet aggregation and thromboxane B2 function significantly increased 4 and 12 hours after alcohol consumption Participants fasted 10 hours before and 16 hours after alcohol consumption Burr et al 1986w23 98 men and women (20-56) 18.4 g/day average
(all types)4 weeks Fibrinogen decreased but not significantly Hillbom et al 1987w41 12 men (21-33) 1.0-1.2 g/kg (ethanol) 1 day No effect on platelet aggregation. 5 hour thromboxane B2 function increased after ethanol with 8 µmol/l ADP induced aggregation. Factor VIII:c increased (P<0.01) 5 hours after ethanol but returned after 24 hours. Bleeding time only marginally increased Mikhailidis et al 1987w42 4 men and 4 women (23-45) 1 ml/kg (ethanol)
(average 26.8 g for participant weighing 70 kg)1 day 2-2.5 hours after breakfast
Significant decrease in ADP (5 µmol/l) and collagen (1mg/l) induced platelet aggregation in samples taken 30 minutes after alcohol consumption Neiman et al 1987w43 6 men
(mean 31)0.25 g/kg (ethanol)
after fast for 12 and 36 hours2 days ADP induced platelet aggregation and thromboxane B2 production not significantly affected Pikaar et al 1987w25 Kluft et al 1990w44
12 men (21 to 29) 23 g/day or 46 g/day (red wine), or 23 g/day (weekend only) 5 weeks Maximum aggregation and aggregation velocity (P<0.05). Plasminogen decreased (P<0.05) in all groups and tissue type plasminogen activator (P<0.05) decreased in the 46 g/day group only. Significant increase in plasminogen activator inhibitor-1 for regular (P<0.01) but not binge drinking. Fibrinogen and factor VII antigen were not affected Assays from samples drawn after overnight fast Sumi et al 1988w45 40 men and 38 women (20-36) 28.7-57.4 g (shochu, sake, or beer) 1 day Increased fibrinolytic activity 1, 2, and 4 hours after alcohol consumption Fibrinolytic strength was strongest for shochu, then sake, and then beer Veenstra et al 1990w46 8 men (20-30) and 8 men (45-55) 30 g (red wine and port) 1 day Ethanol increased ADP induced platelet aggregation postprandially but decreased in overnight fast; no effects on thromboxane B2; tissue type plasminogen activator decreased postprandially only; plasminogen activator inhibitor increased postprandially only High fat or high protein meal also randomised in cross over design but did not modify alcohol effects Veenstra et al 1990w47 8 men (45-55) 40 g (red wine and gin) 1 day No significant difference in collagen or ADP induced platelet aggregation between preprandial, postprandial, or next morning blood test results Numminen et al 1991w48 10 men (20-24) 1.5 g/kg (ethanol) 1 day: cross over study compared with fruit juice (blood concentrations before and after exercise) No significant change in thromboxane B2 or fibrinogen 1 hour or 9 hours after ethanol consumption Exercise also did not modify the response of ethanol on these clotting factors Hendriks et al 1994w49 8 men (45-55) 40 g (red wine, beer, or spirits) 1 day with evening meal Plasminogen activator inhibitor increased (P<0.05) 1, 3, 5, and 9 hours after meal tissue type plasminogen activator antigen increased (P<0.05) 3, 5, and 9 hours after meal tissue type plasminogen activator activity decreased (P<0.05) 1, 3, and 5 hours after meal and increased (P<0.001) 13 hours after meal Changes were similar for each beverage type except increases in plasminogen activator inhibitor and in 13 hour tissue type plasminogen activator activity were slightly stronger for spirits than for other beverages Pellegrini et al 1996w50 11 men (20-45) 30 g/day (red wine or ethanol in fruit juice) 4 weeks Fibrinogen: 5 mg/100 ml (red wine) and 16 mg/100 ml (ethanol) Tissue type plasminogen activator: 0.2 ng/ml (red wine) and 0.8 ng/ml (ethanol) von Willebrand factor: 0.8% (red wine) and 0.9% (ethanol)
Platelet aggregation decreased in both groups (P<0.03)†
No differences in bleeding time, ADP induced platelet aggregation, or plasminogen
McConnell et al 1997w37 11 men and 9 women
(23-51)13.5 g/day (beer) 6 weeks Tissue type plasminogen activator antigen, tissue type plasminogen activator activity, plasminogen activator inhibitor-1 antigen, plasminogen activator inhibitor-1 activity, prothrombin factor and thrombin antithrombin increased and von Willebrand factor decreased None of the associations were significant Sumi et al 1998w53 10 men and 10 women (20-52)
28.7-57.4 g/day (citrus wine, red wine, white wine, or rice wine) 1 day In vitro: red wine inhibited plasma (thrombotic effect) but not white wine, citrus wine, or shochu In vivo: Plasminogen activity increased for all beverages 1 hour after drinking (thrombolytic effect) *Time of treatment (or abstinence) of alcohol rather than total time of study.
†Platelet aggregation measured as concentration of collagen giving a 50% decrease in optical density.
- Kondo K, Matsumoto A, Kurata H, Tanahashi H, Koda H, Amachi T, et al. Inhibition of oxidation of low-density lipoprotein with red wine. Lancet 1994;344:1152.
- Frankel EN, Waterhouse AL, Kinsella JE. Inhibition of human LDL oxidation by resveratrol. Lancet 1993;341:1103-4.
- Carbonneau MA, Leger CL, Monnier L, Bonnet C, Michel F, Fouret G, et al. Supplementation with wine phenolic compounds increases the antioxidant capacity of plasma and vitamin E of low-density lipoprotein without changing the lipoprotein Cu(2+)-oxidizability: possible explanation by phenolic location. Eur J Clin Nutr 1997;51:682-90.
- De Rijke YB, Demacker PN, Assen NA, Sloots LM, Katan MB, Stalenhoef AF. Red wine consumption does not affect oxidizability of low-density lipoproteins in volunteers. Am J Clin Nutr 1996;63:329-34.
- Furman B, Lavy A, Aviram M. Consumption of red wine with meals reduces the susceptibility of human plasma and low-density lipoprotein to lipid peroxidation. Am J Clin Nutr 1995;61:549-54.
- Berg B, Johansson B. Effects of parameters on liver function, plasma lipid concentrations and lipoprotein patterns. Acta Med Scand 1973;552(suppl):13-8.
- Belfrage P, Berg B, Cronholm T, Elmqvist D, Hagerstrand I, Nilsson-Ehle P, et al. Prolonged administration of ethanol to young, healthy volunteers: effects on biochemical, morphological and neurophysiological parameters. Acta Med Scand 1973;552(suppl):1-44.
- Belfrage P, Berg B, Hagerstrand I, Nilsson-Ehle P, Tornqvist H, Wiebe T. Alterations of lipid metabolism in healthy volunteers during long-term ethanol intake. Eur J Clin Invest 1977;7:127-31.
- Barboriak JJ, Hogan WJ. Preprandial drinking and plasma lipids in man. Atherosclerosis 1976;24:323-5.
- Ginsberg H, Olefsky JD, Farquhar JW, Reaven GM. Moderate ethanol ingestion and plasma triglyceride levels. Ann Intern Med 1974;80:143-9.
- Glueck CJ, Hogg E, Allen C, Gartside PS. Effects of alcohol ingestion on lipids and lipoproteins in normal men: isocaloric metabolic studies. Am J Clin Nutr 1980;33:2287-93.
- Hulley SB, Gordon S. Alcohol and high-density lipoprotein cholesterol. Causal inference from diverse study designs. Circulation 1981;64(suppl III):57-63.
- Fraser GE, Anderson JT, Foster N, Goldberg R, Jacobs D, Blackburn H. The effect of alcohol on serum high density lipoprotein (HDL): a controlled experiment. Atherosclerosis 1983;46:275-86.
- Hartung GH, Foreyt JP, Mitchell RE, Mitchell JG, Reeves RS, Gotto AM, Jr. Effect of alcohol intake on high-density lipoprotein cholesterol levels in runners and inactive men. JAMA 1983;249:747-50.
- Thornton J, Symes C, Heaton K. Moderate alcohol intake reduces bile cholesterol saturation and raises HDL cholesterol. Lancet 1983;2:819.
- Haskell WL, Camargo C, Jr, Williams PT, Vranizan KM, Krauss RM, Lindgren FT, et al. The effect of cessation and resumption of moderate alcohol intake on serum high-density-lipoprotein subfractions. A controlled study. N Engl J Med 1984;310:805-10.
- Crouse JR, Grundy SM. Effects of alcohol on plasma lipoproteins and cholesterol and triglyceride metabolism in man. J Lipid Res 1984;25:486-96.
- Couzigou P, Fleury B, Crockett R, Rautou JJ, Blanchard P, Lemoine F, et al. High density lipoprotein cholesterol and apoprotein A1 in healthy volunteers during long-term moderate alcohol intake. Ann Nutr Metab 1984;28:377-84.
- Camargo CA, Jr, Williams PT, Vranizan KM, Albers JJ, Wood PD. The effect of moderate alcohol intake on serum apolipoproteins A-I and A-II: a controlled study. JAMA 1985;253:2854-7.
- Malmendier CL, Delcroix C. Effect of alcohol intake on high and low density lipoprotein metabolism in healthy volunteers. Clin Chim Acta 1985;152:281-8.
- Masarei JRL, Puddey IB, Rouse IL, Lynch WJ, Vandongen R, Beilin LJ. Effects of alcohol consumption on serum lipoprotein-lipid and apolipoprotein concentrations. Results from an intervention study in healthy subjects. Atherosclerosis 1986;60:79-87.
- Bertiere MC, Betoulle D, Apfelbaum M, Girard-Globa A. Time-course, magnitude and nature of the changes induced in HDL by moderate alcohol intake in young non-drinking males. Atherosclerosis 1986;61:7-14.
- Burr ML, Fehily AM, Butland BK, Bolton CH, Eastham RD. Alcohol and high-density-lipoprotein cholesterol: a randomized controlled trial. Br J Nutr 1986;56:81-6.
- Hartung GH, Reeves RS, Foreyt JP, Patsch W, Gotto AM Jr. Effect of alcohol intake and exercise on plasma high-density lipoprotein cholesterol subfractions and apolipoprotein A-1 women. Am J Cardiol 1986;58:148-51.
- Pikaar NA, Wedel M, van der Beek EJ, van Dokkum W, Kempen HJM, Kluft C, et al. Effects of moderate alcohol consumption on platelet aggregation, fibrinolysis, and blood lipids. Metabolism 1987;36:538-43.
- Valimaki M, Taskinen M-R, Ylikahri R, Roine R, Kuusi T, Nikkila EA. Comparison of the effects of two different doses of alcohol on serum lipoproteins, HDL-subfractions and apolipoproteins A-I and A-II: a controlled study. Eur J Clin Invest 1988;18:472-80.
- Contaldo F, D'Arrigo E, Carandente V, Cortese C, Coltorti A, Mancini M, et al. Short-term effects of moderate alcohol consumption on lipid metabolism and energy balance in normal men. Metabolism 1989;38:166-71.
- Frimpong NA, Lapp JA. Effects of moderate alcohol intake in fixed or variable amounts on concentation of serum lipids and liver enzymes in healthy young men. Am J Clin Nutr 1989;50:987-91.
- Hartung GH, Foreyt JP, Reeves RS, Krock LP, Patsch W, Patsch JR, et al. Effect of alcohol dose on plasma lipoprotein subfractions and lipolytic enzyme activity in active and inactive men. Metabolism 1990;39:81-6.
- Valimaki M, Laitinen K, Ylikahri R, Ehnholm C, Jauhiainen M, Bard JM, et al. The effect of moderate alcohol intake on serum apolipoprotein A-I-containing lipoproteins and lipoprotein (a). Metabolism 1991;40:1168-72.
- Hagiage M, Marti C, Rigaud D, Senault C, Fumeron F, Apfelbaum M, et al. Effect of moderate alcohol intake on the lipoproteins of normotriglyceridemic obese subjects compared with normoponderal controls. Metabolism 1992;41:856-61.
- Cox KL, Puddey IB, Morton AR, Beilin LJ, Vandongen R, Masarei JRL. The combined effects of aerobic exercise and alcohol restriction on blood pressure and serum lipids: a two-way factorial study in sedentary men. J Hypertens 1993;11:191-201.
- Hartung GH, Lawrence SJ, Reeves RS, Foreyt JP. Effect of alcohol and exercise on postprandial lipemia nd triglyceride clearance in men. Atherosclerosis 1993;100:33-40.
- Suzukawa M, Ishikawa T, Yoshida H, Hosoai K, Nishio E, Yamashita T, et al. Effects of alcohol consumption on antioxidant content and susceptibility of low-density lipoprotein to oxidative modification. J Am Coll Nutr 1994;13:237-42.
- Sharpe PC, McGrath LT, McClean E, Young IS, Archbold GPR. Effect of red wine consumption on lipoprotein (a) and other risk factors for atherosclerosis. Quart J Med 1995;88:101-8.
- Clevidence BA, Reichman ME, Judd JT, Muesing RA, Schatzkin A, Schaefer EJ, et al. Effects of alcohol consumption of lipoproteins of premenopausal women: a controlled diet study. Arterioscler Thromb Vasc Biol 1995;15:179-84.
- McConnell MV, Vavouranakis I, Wu LL, Vaughan DE, Ridker PM. Effects of a single, daily alcoholic beverage on lipid and hemostatic markers of cardiovascular risk. Am J Cardiol 1997;80:1226-8.
- Elmer O, Goransson G, Zoucas E. Impairment of primary hemostatis and platelet function after alcohol ingestion in man. Haemostasis 1984;14:223-8.
- Galli C, Colli S, Gianfranceschi G, Maderna P, Petroni A, Tremoli E, et al. Acute effects of ethanol, caffeine, or both on platelet aggregation, thromboxane formation, and plasma-free fatty acids in normal subjects. Drug-Nutrient Interact 1984;3:61-7.
- Hillbom M, Kangasaho M, Kaste M, Numminen H, Vapaatalo H. Acute ethanol ingestion increases platelet reactivity: is there a relationship to stroke? Stroke 1985;16:19-23.
- Hillbom M, Muuronen A, Neiman J, Bjork G, Egberg N, Kangasaho M. Effects of vitamin E therapy on ethanol-induced changes in platelet aggregation, thromboxane formation, factor VIII levels and serum lipids. Eur J Clin Invest 1987;17:68-74.
- Mikhailidis DP, Barradas MA, Epemolu O, Dandona P. Ethanol ingestion inhibits human whole blood platelet impedance aggregation. Am J Clin Pathol 1987;88:342-5.
- Neiman J, Jones AW, Numminen H, Hillbom M. Combined effect of a small dose of ethanol and 36 hr fasting on blood-glucose response, breath-acetone profiles and platelet function in healthy men. Alcohol Alcohol 1987;22:265-70.
- Kluft C, Veenstra J, Schaafsma G, Pikaar NA. Regular moderate wine consumption for five weeks increases plasma activity of the plasminogen activator inhibitor-1 (PAI-1) in healthy young volunteers. Fibrinolysis 1990;4(suppl):69-70.
- Sumi H, Hamada H, Tsushima H, Mihara H. Urokinase-like plasminogen activator increased in plasma after alcohol drinking. Alcohol Alcohol 1988;23:33-43.
- Veenstra J, Kluft C, Ockhuizen T, van de Pol H, Wedel M, Schaafsma G. Effects of moderate alcohol consumption on platelet function, tissue-type plasminogen activator and plasminogen activator inhibitor. Thromb Haemostasis 1990;63:345-8.
- Veenstra J, van de Pol H, Schaafsma G. Moderate alcohol consumption and platelet aggregation in healthy middle-aged men. Alcohol 1990;7:547-9.
- Numminen H, Hillbom M, Vapaatalo H, Seppala E, Laustiola K, Benthin G, et al. Effects of exercise and ethanol ingestion on platelet thromboxane release in healthy men. Metabolism 1991;40:695-701.
- Hendriks HF, Veenstra J, Velthuis-te Wierik EJM, Schaafsma G, Kluft C. Effect of moderate dose of alcohol with evening meal on fibrinolytic factors. BMJ 1994;308:1003-6.
- Pellegrini N, Pareti FI, Stabile F, Brusamolino A, Simonetti P. Effects of moderate consumption of red wine on platelet aggregation and haemostatic variables in healthy volunteers. Eur J Clin Nutr 1996;50:209-13.
- Sharpe PC, Young IS, Evans AE. Effect of moderate alcohol consumption on Lp(a) lipoproteinC reduction is supported by other studies. [Letter.] BMJ 1998;316:1675.
- Duthie GG, Pedersen MW, Gardner PT, Morrice PC, Jenkinson AM, McPhail DB, et al. The effect of whisky and wine consumption on total phenol content and antioxidant capacity of plasma from healthy volunteers. Eur J Clin Nutr 1998;52:733-6.
- Sumi H, Kozaki Y, Yatagai C, Hamada H. Effects of wine on plasma fibrinolytic and coagulation systems. Jpn J Alcohol Drug Depend 1998;33:263-72.
- Van Tol A, van der Gaag MS, Scheek LM, van Gent T, Hendriks HFJ. Changes in postprandial lipoproteins of low and high density caused by moderate alcohol consumption with dinner. Atherosclerosis 1998;141:101-3S.
- Rakic V, Puddey IB, Dimmitt SB, Burke V, Beilin LJ. A controlled trial of effects of pattern of alcohol intake on serum lipid levels in regular drinkers. Atherosclerosis 1998;137:243-52.
- Criqui MH, Cowan LD, Tyroler HA, Bangdiwala S, Heiss G, Wallace RB, et al. Lipoproteins as mediators for the effects of alcohol consumption and cigarette smoking on cardiovascular mortality: results from the lipid research clinics follow-up study. Am J Epidemiol 1987;126:629-37.
- Langer RD, Criqui MH, Reed DM. Lipoproteins and blood pressure as biological pathways for effect of moderate alcohol consumption on coronary heart disease. Circulation 1992;85:910-5.
- Suh I, Shaten J, Cutler JA, Kuller L. Alcohol use and mortality from coronary heart disease: the role of high-density lipoprotein cholesterol. Ann Intern Med 1992;116:881-7.
- Gaziano JM, Buring JE, Breslow JL, Goldhaber SZ, Rosner B, VanDenburgh M, et al. Moderate alcohol intake, increased levels of high-density lipoprotein and its subfractions, and decreased risk of myocardial infarction. N Engl J Med 1993;329:1829-34.
- Marques-Vidal P, Ducimetiere P, Evans A, Cambou J-P, Arveiler D. Alcohol consumption and myocardial infarction: a case-control study in France and Northern Ireland. Am J Epidemiol 1996;143:1089-93.
- Gaziano JM, Hennekens CH, Godfried SL, Sesso HD, Glynn RJ, Breslow JL, et al. Type of alcoholic beverage and risk of myocardial infarction. Am J Cardiol 1999;83:52-7.
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- 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines
- 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines
- Effects of drinking on late-life brain and cognition
- Association between the TIMD4-HAVCR1 variants and serum lipid levels, coronary heart disease and ischemic stroke risk and atorvastatin lipid-lowering efficacy
- Wine and Cardiovascular Health: A Comprehensive Review
- Lessons and Challenges from a 6-Month Randomized Pilot Study of Daily Ethanol Consumption: Research Methodology and Study Design
- Longitudinal study of alcohol consumption and HDL concentrations: a community-based study
- Effects of Dietary Flavonoids on Reverse Cholesterol Transport, HDL Metabolism, and HDL Function
- Alcohol Consumption and Cardiac Disease: Where Are We Now?
- Assessing the Effects of Diet and Behavior on Cardiovascular Disease: The Role of Biomarkers in Understanding Biology and Mechanism
- The Alternative Healthy Eating Index Is Associated with a Lower Risk of Fatal and Nonfatal Acute Myocardial Infarction in a Chinese Adult Population
- Associations of alcoholic beverage preference with cardiometabolic and lifestyle factors: the NQplus study
- The relationships between alcohol, wine and cardiovascular diseases -A review
- Alcohol Intake and Risk of Incident Psoriatic Arthritis in Women
- All cause mortality and the case for age specific alcohol consumption guidelines: pooled analyses of up to 10 population based cohorts
- A Lipoprotein Lipase Gene Polymorphism Interacts with Consumption of Alcohol and Unsaturated Fat to Modulate Serum HDL-Cholesterol Concentrations
- Long-term change in alcohol-consumption status and variations in fibrinogen levels: the coronary artery risk development in young adults (CARDIA) study
- Binge Drinking and Vascular Function: A Sober Look at the Data
- Management of Low Levels of High-Density Lipoprotein-Cholesterol
- Effect of acute and chronic red wine consumption on lipopolysaccharide concentrations
- Impact of alcohol intake on total mortality and mortality from major causes in Japan: a pooled analysis of six large-scale cohort studies
- Understanding the Mechanisms That Link Alcohol and Lower Risk of Coronary Heart Disease
- Alcohol Consumption and Risk of Stroke in Women
- Controlling for High-Density Lipoprotein Cholesterol Does Not Affect the Magnitude of the Relationship Between Alcohol and Coronary Heart Disease
- Components of a Cardioprotective Diet: New Insights
- Triglycerides and Cardiovascular Disease: A Scientific Statement From the American Heart Association
- Adherence Index Based on the AHA 2006 Diet and Lifestyle Recommendations Is Associated with Select Cardiovascular Disease Risk Factors in Older Puerto Ricans
- Effect of alcohol consumption on biological markers associated with risk of coronary heart disease: systematic review and meta-analysis of interventional studies
- Association of alcohol consumption with selected cardiovascular disease outcomes: a systematic review and meta-analysis
- Lifetime Fruit and Vegetable Consumption and Arterial Pulse Wave Velocity in Adulthood: The Cardiovascular Risk in Young Finns Study
- Circulating palmitoleic acid and risk of metabolic abnormalities and new-onset diabetes
- Cardiovascular and Overall Mortality Risk in Relation to Alcohol Consumption in Patients With Cardiovascular Disease
- Alcohol Intake and Risk of Coronary Heart Disease in Younger, Middle-Aged, and Older Adults
- Alcohol Consumption and Mortality in Patients With Cardiovascular Disease: A Meta-Analysis
- Alcohol Consumption and Cardiovascular Mortality Among U.S. Adults, 1987 to 2002
- Dietary, lifestyle, and clinical predictors of lipoprotein-associated phospholipase A2 activity in individuals without coronary artery disease
- Alcohol as a Risk Factor for Type 2 Diabetes: A systematic review and meta-analysis
- Long-term wine consumption is related to cardiovascular mortality and life expectancy independently of moderate alcohol intake: the Zutphen Study
- Red Wine Polyphenols Prevent Acceleration of Neovascularization by Angiotensin II in the Ischemic Rat Hindlimb
- Relationship between job strain and smoking cessation: the Finnish Public Sector Study
- Alcohol consumption and n-3 polyunsaturated fatty acids in healthy men and women from 3 European populations
- Alcohol and coronary artery calcium prevalence, incidence, and progression: results from the Multi-Ethnic Study of Atherosclerosis (MESA)
- Who benefits most from the cardioprotective properties of alcohol consumption--health freaks or couch potatoes?
- Alcohol Consumption, Mediating Biomarkers, and Risk of Type 2 Diabetes Among Middle-Aged Women
- Combined impact of lifestyle factors on mortality: prospective cohort study in US women
- Chronic intake of fermented floral nectar by wild treeshrews
- Red wine, chocolate and vascular health: developing the evidence base
- Prospective study of alcohol consumption and metabolic syndrome
- Alcohol Consumption and the Risk of Hypertension in Women and Men
- Ethanol Abolishes Ischemic Preconditioning in Humans
- Low organisational justice and heavy drinking: a prospective cohort study
- Interrelation of saturated fat, trans fat, alcohol intake, and subclinical atherosclerosis
- Comparison of demography, diet, lifestyle, and serum lipid levels between the Guangxi Bai Ku Yao and Han populations
- Glycemic Effects of Moderate Alcohol Intake Among Patients With Type 2 Diabetes: A multicenter, randomized, clinical intervention trial
- Relationship Among Alcohol, Body Weight, and Cardiovascular Risk Factors in 27,030 Korean Men
- To Drink or Not to Drink? That Is the Question
- Alcohol Consumption and Type 2 Diabetes: Influence of Genetic Variation in Alcohol Dehydrogenase
- Beyond HDL-cholesterol increase: phospholipid enrichment and shift from HDL3 to HDL2 in alcohol consumers
- Effect of alcoholic beverages on postprandial glycemia and insulinemia in lean, young, healthy adults
- Moderate Alcohol Consumption Is More Cardioprotective in Men with the Metabolic Syndrome
- Effect of varying the ratio of n-6 to n-3 fatty acids by increasing the dietary intake of {alpha}-linolenic acid, eicosapentaenoic and docosahexaenoic acid, or both on fibrinogen and clotting factors VII and XII in persons aged 45-70 y: the OPTILIP Study.
- Impact of Dietary Patterns and Interventions on Cardiovascular Health
- Healthy Lifestyle Factors in the Primary Prevention of Coronary Heart Disease Among Men: Benefits Among Users and Nonusers of Lipid-Lowering and Antihypertensive Medications
- Coronary Atherosclerosis and Alcohol Consumption: Angiographic and Mortality Data
- Alcohol Use, Vascular Disease, and Lipid-Lowering Drugs
- Total fluid intake and use of individual beverages and risk of renal cell cancer in two large cohorts.
- Changing drinking pattern does not influence health perception: a longitudinal study of the atherosclerosis risk in communities study.
- Alcohol Consumption in Relation to Metabolic Regulation, Inflammation, and Adiponectin in 64-Year-Old Caucasian Women: A population-based study with a focus on impaired glucose regulation
- Alcohol and Coronary Heart Disease: The Answer Awaits a Randomized Controlled Trial
- Drinking Frequency, Mediating Biomarkers, and Risk of Myocardial Infarction in Women and Men
- Association Between Alcohol Consumption and Subclinical Carotid Atherosclerosis: The Study of Health in Pomerania
- Alcohol and the Cardiovascular System: Research Challenges and Opportunities
- Alcohol intake modulates the genetic association between HDL cholesterol and the PPAR{gamma}2 Pro12Ala polymorphism
- Association between dietary factors and plasma adiponectin concentrations in men
- Moderate Alcohol Consumption Lowers the Risk of Type 2 Diabetes: A meta-analysis of prospective observational studies
- Alcohol Consumption and the Prevalence of the Metabolic Syndrome in the U.S.: A cross-sectional analysis of data from the Third National Health and Nutrition Examination Survey
- Multivariate Assessment of Lipid Parameters as Predictors of Coronary Heart Disease Among Postmenopausal Women: Potential Implications for Clinical Guidelines
- Alcohol intake in relation to brain magnetic resonance imaging findings in older persons without dementia
- A dietary pattern derived to explain biomarker variation is strongly associated with the risk of coronary artery disease
- Moderate Daily Intake of Red Wine Inhibits Mural Thrombosis and Monocyte Tissue Factor Expression in an Experimental Porcine Model
- Alcohol consumption and the metabolic syndrome in Korean adults: the 1998 Korean National Health and Nutrition Examination Survey
- Lipoprotein-Associated Phosphatidylethanol Increases the Plasma Concentration of Vascular Endothelial Growth Factor
- Is alcohol anti-inflammatory in the context of coronary heart disease?
- Effect of employee worktime control on health: a prospective cohort study
- Factors behind the Increase in Cardiovascular Mortality in Russia: Apolipoprotein AI and B Distribution in the Arkhangelsk Study 2000
- Alcohol Consumption and Carotid Atherosclerosis in Older Adults: The Cardiovascular Health Study