Association between alcohol and cardiovascular disease: Mendelian randomisation analysis based on individual participant data

Holmes, M. V. et al. (2014) Association between alcohol and cardiovascular disease: Mendelian randomisation analysis based on individual participant data. British Medical Journal, 349, g4164. (doi: 10.1136/bmj.g4164) (PMID:25011450) (PMCID:PMC4091648)

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Objective: To use the rs1229984 variant in the alcohol dehydrogenase 1B gene (ADH1B) as an instrument to investigate the causal role of alcohol in cardiovascular disease. Design: Mendelian randomisation meta-analysis of 56 epidemiological studies. Participants: 261 991 individuals of European descent, including 20 259 coronary heart disease cases and 10 164 stroke events. Data were available on ADH1B rs1229984 variant, alcohol phenotypes, and cardiovascular biomarkers. Main outcome measures: Odds ratio for coronary heart disease and stroke associated with the ADH1B variant in all individuals and by categories of alcohol consumption. Results: Carriers of the A-allele of ADH1B rs1229984 consumed 17.2% fewer units of alcohol per week (95% confidence interval 15.6% to 18.9%), had a lower prevalence of binge drinking (odds ratio 0.78 (95% CI 0.73 to 0.84)), and had higher abstention (odds ratio 1.27 (1.21 to 1.34)) than non-carriers. Rs1229984 A-allele carriers had lower systolic blood pressure (−0.88 (−1.19 to −0.56) mm Hg), interleukin-6 levels (−5.2% (−7.8 to −2.4%)), waist circumference (−0.3 (−0.6 to −0.1) cm), and body mass index (−0.17 (−0.24 to −0.10) kg/m2). Rs1229984 A-allele carriers had lower odds of coronary heart disease (odds ratio 0.90 (0.84 to 0.96)). The protective association of the ADH1B rs1229984 A-allele variant remained the same across all categories of alcohol consumption (P=0.83 for heterogeneity). Although no association of rs1229984 was identified with the combined subtypes of stroke, carriers of the A-allele had lower odds of ischaemic stroke (odds ratio 0.83 (0.72 to 0.95)). Conclusions: Individuals with a genetic variant associated with non-drinking and lower alcohol consumption had a more favourable cardiovascular profile and a reduced risk of coronary heart disease than those without the genetic variant. This suggests that reduction of alcohol consumption, even for light to moderate drinkers, is beneficial for cardiovascular health.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Ford, Professor Ian and Padmanabhan, Professor Sandosh and Dominiczak, Professor Anna and Sattar, Professor Naveed
Authors: Holmes, M. V., Dale, C. E., Zuccolo, L., Silverwood, R. J., Guo, Y., Ye, Z., Prieto-Merino, D., Dehghan, A., Trompet, S., Wong, A., Cavadino, A., Drogan, D., Padmanabhan, S., Li, S., Yesupriya, A., Leusink, M., Sundstrom, J., Hubacek, J. A., Pikhart, H., Swerdlow, D. I., Panayiotou, A. G., Borinskaya, S. A., Finan, C., Shah, S., Kuchenbaecker, K. B., Shah, T., Engmann, J., Folkersen, L., Eriksson, P., Ricceri, F., Melander, O., Sacerdote, C., Gamble, D. M., Rayaprolu, S., Ross, O. A., McLachlan, S., Vikhireva, O., Sluijs, I., Scott, R. A., Adamkova, V., Flicker, L., Bockxmeer, F. M. v., Power, C., Marques-Vidal, P., Meade, T., Marmot, M. G., Ferro, J. M., Paulos-Pinheiro, S., Humphries, S. E., Talmud, P. J., Leach, I. M., Verweij, N., Linneberg, A., Skaaby, T., Doevendans, P. A., Cramer, M. J., Harst, P. v. d., Klungel, O. H., Dowling, N. F., Dominiczak, A. F., Kumari, M., Nicolaides, A. N., Weikert, C., Boeing, H., Ebrahim, S., Gaunt, T. R., Price, J. F., Lannfelt, L., Peasey, A., Kubinova, R., Pajak, A., Malyutina, S., Voevoda, M. I., Tamosiunas, A., Maitland-van der Zee, A. H., Norman, P. E., Hankey, G. J., Bergmann, M. M., Hofman, A., Franco, O. H., Cooper, J., Palmen, J., Spiering, W., Jong, P. A. d., Kuh, D., Hardy, R., Uitterlinden, A. G., Ikram, M. A., Ford, I., Hypponen, E., Almeida, O. P., Wareham, N. J., Khaw, K.-T., Hamsten, A., Husemoen, L. L. N., Tjonneland, A., Tolstrup, J. S., Rimm, E., Beulens, J. W. J., Verschuren, W. M. M., Onland-Moret, N. C., Hofker, M. H., Wannamethee, S. G., Whincup, P. H., Morris, R., Vicente, A. M., Watkins, H., Farrall, M., Jukema, J. W., Meschia, J., Cupples, L. A., Sharp, S. J., Fornage, M., Kooperberg, C., LaCroix, A. Z., Dai, J. Y., Lanktree, M. B., Siscovick, D. S., Jorgenson, E., Spring, B., Coresh, J., Li, Y. R., Buxbaum, S. G., Schreiner, P. J., Ellison, R. C., Tsai, M. Y., Patel, S. R., Redline, S., Johnson, A. D., Hoogeveen, R. C., Hakonarson, H., Rotter, J. I., Boerwinkle, E., Bakker, P. I. W. d., Kivimaki, M., Asselbergs, F. W., Sattar, N., Lawlor, D. A., Whittaker, J., Davey Smith, G., Mukamal, K., Psaty, B. M., Wilson, J. G., Lange, L. A., Hamidovic, A., Hingorani, A. D., Nordestgaard, B. G., Bobak, M., Leon, D. A., Langenberg, C., Palmer, T. M., Reiner, A. P., Keating, B. J., Dudbridge, F., and Casas, J. P.
College/School:College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health
College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Robertson Centre
Journal Name:British Medical Journal
Publisher:BMJ Publishing Group
ISSN (Online):1756-1833
Copyright Holders:Copyright © 2014 The Authors
First Published:First published in BMJ 349:g4164
Publisher Policy:Reproduced under a Creative Commons License

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