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Patterns of alcohol consumption in 10 European countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) project

Published online by Cambridge University Press:  02 January 2007

S Sieri ,
A Agudo ,
E Kesse ,
K Klipstein-Grobusch ,
B San-José ,
AA Welch ,
V Krogh ,
R Luben ,
N Allen  and
K Overvad
...Show all authors
S Sieri*
Affiliation:
Epidemiology Unit, National Cancer Institute, Via Venezian 1, 20133 Milan, Italy
A Agudo
Affiliation:
Catalan Institute of Oncology, Barcelona, Spain
E Kesse
Affiliation:
Institute Gustave Roussy, Villejuif, France
K Klipstein-Grobusch
Affiliation:
Department of Epidemiology, German Institute of Human Nutrition, Potsdam-Rehbrücke, Germany
B San-José
Affiliation:
University of Athens, Greece
AA Welch
Affiliation:
Institute of Public Health, University of Cambridge, UK
V Krogh
Affiliation:
Epidemiology Unit, National Cancer Institute, Via Venezian 1, 20133 Milan, Italy
R Luben
Affiliation:
University of Athens, Greece
N Allen
Affiliation:
Cancer Research UK, Epidemiology Unit, University of Oxford, UK
K Overvad
Affiliation:
Department of Epidemiology and Social Medicine, University of Aarhus, Denmark
A Tjønneland
Affiliation:
Institute of Cancer Epidemiology, Copenhagen, Denmark
F Clavel-Chapelon
Affiliation:
Institute Gustave Roussy, Villejuif, France
A Thiébaut
Affiliation:
Institute Gustave Roussy, Villejuif, France
AB Miller
Affiliation:
Division of Clinical Epidemiology, German Cancer Research Centre, Heidelberg, Germany
H Boeing
Affiliation:
Department of Epidemiology, German Institute of Human Nutrition, Potsdam-Rehbrücke, Germany
M Kolyva
Affiliation:
University of Athens, Greece
C Saieva
Affiliation:
Molecular and Nutritional Epidemiology Unit, CSPO, Scientific Institute of Tuscany, Florence, Italy
E Celentano
Affiliation:
Epidemiology Unit, National Cancer Institute, Naples, Italy
MC Ocké
Affiliation:
Department for Chronic Diseases Epidemiology, National Institute for Public Health and the Environment, Bilthoven, The Netherlands
PHM Peeters
Affiliation:
Julius Center for General Practice and Patient Oriented Research, Utrecht, The Netherlands
M Brustad
Affiliation:
Institute of Community Medicine, University of Tromsø, Norway
M Kumle
Affiliation:
Institute of Community Medicine, University of Tromsø, Norway
M Dorronsoro
Affiliation:
Public Health Division of Gipuzkoa, Department of Health of Basque Government, San Sebastian, Spain
A Fernandez Feito
Affiliation:
Public Health Directorate, Health Council and Health Services Asturias, Oviedo, Spain
I Mattisson
Affiliation:
Department of Medicine, Surgery and Orthopaedics, Lund University, Malmö, Sweden
L Weinehall
Affiliation:
Epidemiology and Nutritional Research, Department of Public Health and Clinical Medicine, Umeå University, Sweden
E Riboli
Affiliation:
International Agency for Research on Cancer, Lyon, France
N Slimani
Affiliation:
International Agency for Research on Cancer, Lyon, France
*
*Corresponding author: Email [email protected]
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Abstract

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bjective:

The aim of this study was to compare the quantities of alcohol and types of alcoholic beverages consumed, and the timing of consumption, in centres participating in the European Prospective Investigation into Cancer and Nutrition (EPIC). These centres, in 10 European countries, are characterised by widely differing drinking habits and frequencies of alcohol-related diseases.

Methods:

We collected a single standardised 24-hour dietary recall per subject from a random sample of the EPIC cohort (36 900 persons initially and 35 955 after exclusion of subjects under 35 and over 74 years of age). This provided detailed information on the distribution of alcohol consumption during the day in relation to main meals, and was used to determine weekly consumption patterns. The crude and adjusted (by age, day of week and season) means of total ethanol consumption and consumption according to type of beverage were stratified by centre and sex.

Results:

Sex was a strong determinant of drinking patterns in all 10 countries. The highest total alcohol consumption was observed in the Spanish centres (San Sebastian, 41.4 g day−1) for men and in Danish centres (Copenhagen, 20.9 g day−1) for women. The lowest total alcohol intake was in the Swedish centres (Umeå, 10.2 g day−1) in men and in Greek women (3.4 g day−1). Among men, the main contributor to total alcohol intake was wine in Mediterranean countries and beer in the Dutch, German, Swedish and Danish centres. In most centres, the main source of alcohol for women was wine except for Murcia (Spain), where it was beer. Alcohol consumption, particularly by women, increased markedly during the weekend in nearly all centres. The German, Dutch, UK (general population) and Danish centres were characterised by the highest percentages of alcohol consumption outside mealtimes.

Conclusions:

The large variation in drinking patterns among the EPIC centres provides an opportunity to better understand the relationship between alcohol and alcohol-related diseases.

Keywords

Alcohol consumption24-Hour dietary recallEPIC studyEurope
Type
Research Article
Information
Public Health Nutrition , Volume 5 , Issue 6b , December 2002 , pp. 1287 - 1296
Copyright
Copyright © CABI Publishing 2002

References

1Hupkens, CL, Knibbe, RA, Drop, MJ. Alcohol consumption in the European community: uniformity and diversity in drinking patterns. Addiction. 1993; 88(10): 1391–404.CrossRefGoogle ScholarPubMed
2English, D. The Quantification of Drug-Caused Morbidity and Mortality in Australia. Part 1–2. Canberra: Commonwealth Department of Human Services and Health, Australian Government Printing Office, 1995.Google Scholar
3World Health Organization (WHO). The World Health Report. Geneva: WHO, 1997.Google Scholar
4International Agency for Research on Cancer (IARC). Alcohol Drinking. IARC Monographs on the Evaluation of Carcinogenic Risks to Humans. Vol. 44. Lyon: IARC, 1988.Google Scholar
5World Cancer Research Fund (WCRF)/American Institute for Cancer Research (AICR). Food, Nutrition and the Prevention of Cancer: A Global Perspective. Washington, DC: WCRF/AICR, 1997.Google Scholar
6Smith-Warner, SA, Spiegelman, D, Yaun, SS, van den Brandt, PA, Folsom, AR, Goldbohm, RA, et al. Alcohol and breast cancer in women: a pooled analysis of cohort studies. J. Am. Med. Assoc. 1998; 279(7): 535–40.CrossRefGoogle ScholarPubMed
7Donahue, RP, Abbott, RD, Reed, DM, Yano, K. Alcohol and haemorrhagic stroke. The Honolulu Heart Program. J. Am. Med. Assoc. 1986; 255(17): 2311–4.Google Scholar
8Stampfer, MJ, Colditz, GA, Willett, WC, Speizer, FE, Hennekens, CH. A prospective study of moderate alcohol consumption and the risk of coronary disease and stroke in women. N. Engl. J. Med. 1988; 319(5): 267–73.CrossRefGoogle ScholarPubMed
9Keil, U, Chambless, LE, Filipiak, B, Hartel, U. Alcohol intake and blood pressure and its interaction with smoking and other behaviour variables: results from the MONICA Augsburg survey 1984–1985. J. Hypertens. 1991; 9: 491–8.CrossRefGoogle ScholarPubMed
10Keil, U, Swales, J, Grobbee, D. Alcohol consumption and its relation to hypertension. Cardiovasc. Risk Factors. 1993; 3: 189–200.Google Scholar
11Klatsky, AL. Alcohol and hypertension. Clin. Chim. Acta. 1996; 246(1–2): 91–105.CrossRefGoogle ScholarPubMed
12Criqui, 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(4): 629–37.CrossRefGoogle ScholarPubMed
13Suh, I, Jee, SH, Kim, HC, Nam, CM, Kim, IS, Appel, LJ. Low serum cholesterol and haemorrhagic stroke in men: Korea Medical Insurance Corporation Study. Lancet. 2001; 357(9260): 922–5.CrossRefGoogle ScholarPubMed
14Hein, HO, Suadicani, P, Gyntelberg, F. Alcohol consumption, serum low density lipoprotein cholesterol concentration, and risk of ischaemic heart disease: six-year follow up in the Copenhagen male study. Br. Med. J. 1996; 312(7033): 736–41.CrossRefGoogle ScholarPubMed
15Laug, WE. Ethyl alcohol enhances plasminogen activator secretion by endothelial cells. J. Am. Med. Assoc. 1983; 250(6): 772–6.CrossRefGoogle ScholarPubMed
16Krobot, K, Hense, HW, Cremer, P, Eberle, E, Keil, U. Determinants of plasma fibrinogen: relation to body weight, waist-to-hip ratio, smoking, alcohol, age, and sex. Results from the second MONICA Augsburg survey 1989–1990. Arterioscler. Thromb. 1992; 12(7): 780–8.Google Scholar
17Renaud, S, de Lorgeril, M. Wine, alcohol, platelets, and the French paradox for coronary heart disease. Lancet. 1992; 339(8808): 1523–6.CrossRefGoogle ScholarPubMed
18Ridker, PM, Vaughan, DE, Stampfer, MJ, Glynn, RJ, Hennekens, CH. Association of moderate alcohol consumption and plasma concentration of endogenous tissue-type plasminogen activator. J. Am. Med. Assoc. 1994; 272(12): 929–33.CrossRefGoogle ScholarPubMed
19Fillmore, KM, Golding, JM, Graves, KL, Kniep, S, Leino, EV, Romelsjo, A, et al. Alcohol consumption and mortality. I. Characteristics of drinking groups. Addiction. 1998; 93(2): 183–203.CrossRefGoogle ScholarPubMed
20Kauhanen, J, Kaplan, GA, Goldberg, DE, Salonen, JT. Beer binging and mortality: results from the Kuopio ischaemic heart disease risk factor study, a prospective population-based study. Br. Med. J. 1997; 315(7112): 846–51.Google Scholar
21McElduff, P, Dobson, AJ. How much alcohol and how often? Population-based case–control study of alcohol consumption and risk of a major coronary event. Br. Med. J. 1997; 314(7088): 1159–64.Google Scholar
22Frezza, M, di Padova, C, Pozzato, G, Terpin, M, Baraona, E, Lieber, CS. High blood alcohol levels in women. The role of decreased gastric alcohol dehydrogenase activity and first-pass metabolism. N. Engl. J. Med. 1990; 322(2): 95–9.CrossRefGoogle ScholarPubMed
23Riboli, E, Kaaks, R. The EPIC Project: rationale and study design. European Prospective Investigation into Cancer and Nutrition. Int. J. Epidemiol. 1997; 26(Suppl. 1): S6–14.Google Scholar
24Riboli, E, Hunt, KJ, Slimani, N, Ferrari, P, Norat, T, Fahey, M, et al. European Prospective Investigation into Cancer and Nutrition (EPIC): study populations and data collection. Public Health Nutr. 2002; 5(6B): 1113–24.Google Scholar
25Slimani, N, Ferrari, P, Ocké, M, Welch, A, Boeing, H, Liere, M, et al. Standardisation of the 24-hour diet recall calibration method used in the European Prospective Investigation into Cancer and Nutrition (EPIC): general concepts and preliminary results. Eur. J. Clin. Nutr. 2000; 54(12): 900–17.CrossRefGoogle ScholarPubMed
26Gould, W. Stata Corporation. Clarification on analytic weights with linear regression. Stata Tech. Bull. 1999; 20.Google Scholar
27Gomberg, ES. Recent developments in alcoholism: gender issues. Recent Dev. Alcohol. 1993; 11: 95–107.Google Scholar
28Gomberg, ES. Women and alcohol: use and abuse. J. Nerv. Ment. Dis. 1993; 181(4): 211–9.CrossRefGoogle ScholarPubMed
29Jang, KL, Livesley, WJ, Vernon, PA. Gender-specific etiological differences in alcohol and drug problems: a behavioural genetic analysis. Addiction. 1997; 92(10): 1265–76.Google ScholarPubMed
30Dawson, DA, Archer, L. Gender differences in alcohol consumption: effects of measurement. Br. J. Addict. 1992; 87(1): 119–23.CrossRefGoogle ScholarPubMed
31Storm, T, Cutler, RE. Observations of drinking in natural settings: Vancouver beer parlors and cocktail lounges. J. Stud. Alcohol. 1981; 42(11): 972–97.Google Scholar
32Klatsky, AL, Armstrong, MA, Kipp, H. Correlates of alcoholic beverage preference: traits of persons who choose wine, liquor or beer. Br. J. Addict. 1990; 85(10): 1279–89.CrossRefGoogle ScholarPubMed
33Parkin, DM, Whelan, SL, Ferlay, J, Raymond, L, Young, J, eds. Cancer Incidence in Five Continents. Vol. VII. IARC Scientific Publication No. 143. Lyon: International Agency for Research on Cancer (IARC), 1997.Google Scholar
34World Health Organization (WHO). Annual Epidemiological and Vital Statistics. Geneva: WHO, 1995.Google Scholar
35Dubowski, K. Human pharmacokinetics of ethanol. I. Peak blood concentrations and elimination in male and female subjects. Alcohol. Tech. Rep. 1976; 5: 55–63.Google Scholar
36Mishra, L, Sharma, S, Potter, JJ, Mezey, E. More rapid elimination of alcohol in women as compared to their male siblings. Alcohol. Clin. Exp. Res. 1989; 13(6): 752–4.Google Scholar
37Arthur, MJ, Lee, A, Wright, R. Sex differences in the metabolism of ethanol and acetaldehyde in normal subjects. Clin. Sci. (Colch.). 1984; 67(4): 397–401.Google Scholar
38Trevisan, M, Schisterman, E, Mennotti, A, Farchi, G, Conti, S. Drinking pattern and mortality: the Italian risk factor and life expectancy pooling project. Ann. Epidemiol. 2001; 11(5): 312–9.Google Scholar
39Veenstra, J, Schenkel, JA, Erp-Baart, AM, Brants, HA, Hulshof, KF, Kistemaker, C, et al. Alcohol consumption in relation to food intake and smoking habits in the Dutch National Food Consumption Survey. Eur. J. Clin. Nutr. 1993; 47(7): 482–9.Google ScholarPubMed
40Slimani, N, Kaaks, R, Ferrari, P, Casagrande, C, Clavel-Chapelon, F, Lotze, G, et al. European Prospective Investigation into Cancer and Nutrition (EPIC) calibration study: rationale, design and population characteristics. Public Health Nutr. 2002; 5(6B): 1125–45.CrossRefGoogle ScholarPubMed