Moderate alcohol use and health: A consensus document

被引：122

作者：

Poli, A. ^{[1
]}

Marangoni, F. ^{[1
]}

Avogaro, A. ^{[2
]}

Barba, G. ^{[3
]}

Bellentani, S. ^{[4
]}

Bucci, M. ^{[5
,6
]}

Cambieri, R. ^{[7
]}

Catapano, A. L. ^{[8
,9
]}

Costanzo, S. ^{[10
]}

Cricelli, C. ^{[11
]}

de Gaetano, G. ^{[12
]}

Di Castelnuovo, A. ^{[13
]}

Faggiano, P. ^{[14
,15
]}

Fattirolli, F. ^{[16
,17
]}

Fontana, L. ^{[18
]}

Forlani, G. ^{[19
]}

Frattini, S. ^{[20
,21
]}

Giacco, R. ^{[22
,23
]}

La Vecchia, C. ^{[24
,25
]}

Lazzaretto, L. ^{[26
]}

Loffredo, L. ^{[27
]}

Lucchin, L. ^{[28
]}

Marelli, G.

Marrocco, W. ^{[26
]}

Minisola, S. ^{[29
,30
]}

Musicco, M. ^{[31
]}

Novo, S. ^{[32
]}

Nozzoli, C. ^{[33
]}

Pelucchi, C. ^{[24
,25
]}

Perri, L. ^{[27
]}

Pieralli, F. ^{[33
]}

Rizzoni, D. ^{[34
]}

Sterzi, R. ^{[35
]}

Vettor, R. ^{[36
]}

Violi, F. ^{[27
]}

Visioli, F. ^{[37
]}

机构：

[1] NFI, I-20124 Milan, Italy

[2] Univ Padua, I-35100 Padua, Italy

[3] CNR, Italian Natl Res Council, Inst Food Sci, SIIA Italian Soc Hypertens, Avellino, Italy

[4] Ramazzini Hosp, Local Hlth Agcy Modena, Gastroenterol & Liver Ctr, Carpi, Italy

[5] Univ G dAnnunzio, Univ G DAnnunzio Fdn, SISA Italian Soc Study Atherosclerosis, Chieti, Italy

[6] Univ G dAnnunzio, Univ G DAnnunzio Fdn, Clin Res Ctr Ce SI, Chieti, Italy

[7] SNAMID Natl Soc Med Educ, Milan, Italy

[8] Univ Milan, SITECS Italian Soc Clin & Expt Therapy, I-20122 Milan, Italy

[9] Univ Milan, Dept Pharmacol & Biomol Sci, I-20122 Milan, Italy

[10] Catholic Univ, Lab Genet & Environm Epidemiol, Campobasso, Italy

[11] SIMG Italian Soc Gen Med, Florence, Italy

[12] Catholic Univ, John Paul Fdn Res & Treatment 2, Res Labs, Campobasso, Italy

[13] Catholic Univ, John Paul Fdn Res & Treatment 2, Lab Genet & Environm Epidemiol, Campobasso, Italy

[14] Univ Brescia, ANMCO Italian Natl Assoc Hosp Cardiologists, I-25121 Brescia, Italy

[15] Univ Brescia, Chair Cardiol, I-25121 Brescia, Italy

[16] Careggi Hosp, ANMCO Italian Natl Assoc Hosp Cardiologists, Florence, Italy

[17] Univ Florence, I-50121 Florence, Italy

[18] Sandro Pertini Hosp, AMD Italian Assoc Diabetologists, Dietol Diabetol & Metab Dis Unit, Rome, Italy

[19] Univ Bologna, AMD Italian Assoc Diabetologists, Unit Metab Dis & Clin Dietet, Alma Mater Studiorum, I-40126 Bologna, Italy

[20] Ist Ospitalieri Cremona, ANMCO Italian Natl Assoc Hosp Cardiologist, Cremona, Italy

[21] Ist Ospitalieri Cremona, Cardiol Unit, Cremona, Italy

[22] Natl Res Council CNR, SID, Avellino, Italy

[23] Natl Res Council CNR, Inst Food Sci, Avellino, Italy

[24] Univ Milan, Mario Negri Pharmacol Res Inst, I-20122 Milan, Italy

[25] Univ Milan, Dept Clin Sci & Community Hlth, I-20122 Milan, Italy

[26] FIMMG Italian Federat Gen Med Doctors, Rome, Italy

[27] Univ Roma La Sapienza, SIMI, Dept Internal Med & Med Specialties, Rome, Italy

[28] ADI, Dietet & Clin Nutr Unit, Bolzano, Italy

[29] Univ Roma La Sapienza, SIOMMMS Italian Soc Osteoporosis Mineral Metab &, Dept Internal Med, Rome, Italy

[30] Univ Roma La Sapienza, Med Disciplines, Rome, Italy

[31] CNR, ITB, I-20133 Milan, Italy

[32] Univ Palermo, SIC, Chair Cardiovasc Dis, Dept Biomed Internal & Special DIBIMIS, I-90133 Palermo, Italy

[33] Univ Hosp Careggi, FADOI Italian Federat Assoc Internal Med Phys, Florence, Italy

[34] Univ Brescia, SIIA Italian Soc Hypertens, Dept Clin & Expt Sci, I-25121 Brescia, Italy

[35] Azienda Osped Niguarda Ca Granda, Italian Stroke Forum, Milan, Italy

[36] Azienda Osped Univ Padova, SIO, Dept Med & Surg Sci, Padua, Italy

[37] CEI UAM CSIC, Lab Funct Foods, Madrid Inst Adv Studies IMDEA Food, Madrid, Spain

来源：

NUTRITION METABOLISM AND CARDIOVASCULAR DISEASES | 2013年 / 23卷 / 06期

关键词：

Alcohol; Cardiovascular disease; Cancer; Prevention; Polyphenols; Diabetes; Metabolic syndrome; Cognitive decline; Overall mortality; CORONARY-HEART-DISEASE; PERIPHERAL ARTERIAL-DISEASE; BONE-MINERAL DENSITY; SUDDEN CARDIAC DEATH; 3RD NATIONAL-HEALTH; RED WINE; CARDIOVASCULAR-DISEASE; INSULIN SENSITIVITY; BLOOD-PRESSURE; RISK-FACTORS;

D O I：

10.1016/j.numecd.2013.02.007

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aims: The aim of this consensus paper is to review the available evidence on the association between moderate alcohol use, health and disease and to provide a working document to the scientific and health professional communities. Data synthesis: In healthy adults and in the elderly, spontaneous consumption of alcoholic beverages within 30 g ethanol/d for men and 15 g/d for women is to be considered acceptable and do not deserve intervention by the primary care physician or the health professional in charge. Patients with increased risk for specific diseases, for example, women with familiar history of breast cancer, or subjects with familiar history of early cardiovascular disease, or cardiovascular patients should discuss with their physician their drinking habits. No abstainer should be advised to drink for health reasons. Alcohol use must be discouraged in specific physiological or personal situations or in selected age classes (children and adolescents, pregnant and lactating women and recovering alcoholics). Moreover, the possible interactions between alcohol and acute or chronic drug use must be discussed with the primary care physician. Conclusions: The choice to consume alcohol should be based on individual considerations, taking into account the influence on health and diet, the risk of alcoholism and abuse, the effect on behaviour and other factors that may vary with age and lifestyle. Moderation in drinking and development of an associated lifestyle culture should be fostered. (C) 2013 Elsevier B.V. All rights reserved.

引用

页码：487 / 504

页数：18

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