Aortic & peripheral vascular disease

Association between alcohol consumption and peripheral artery disease: two de novo prospective cohorts and a systematic review with meta-analysis

Eur J Prev CardiolPublished Prospective cohort studies and systematic review with meta-analysis of observational studies

Authors' conclusion

Alcohol intake ≤2 drinks/week was associated with a reduced risk of PAD, and the risk of PAD became pronounced with intake ≥10 drinkers/week.

Study context

Population
Swedish and British adults (two cohorts) and previously published observational studiescohorts of 70,116 and 405,406
Comparison
Light, moderate and high-to-heavy alcohol drinking vs non- or never-drinking
Outcome
Incident PAD
Methodological detailstwo de novo cohorts, nonlinear meta-analysis, sensitivity meta-analysis
  • Two de novo cohorts
  • Nonlinear meta-analysis
  • Sensitivity meta-analysis

Pooled result

As reported in the abstract

PAD risk (meta-analysis)
Each group vs Non- or never-drinkersRelative risk (95% CI)
Light
0.83(0.77–0.89)
Moderate
0.81(0.74–0.90)
High-to-heavy
0.94(0.83–1.07)

Further pooled results

Peripheral artery disease (PAD) risk in the Swedish and British cohorts

U-shaped association between alcohol consumption and incident PAD risk

Nonlinear dose-response meta-analysis

Possibly U-shaped association
P nonlinearity <0.001
Lowest PAD risk at 2 drinks/week; pronounced at ≥10 drinks/week

Sensitivity meta-analysis incl. cohort and other observational studies

All associations persisted

Original publication

Association between alcohol consumption and peripheral artery disease: two de novo prospective cohorts and a systematic review with meta-analysis. Eur J Prev Cardiol. Published 16 April 2024. doi:10.1093/eurjpc/zwae142

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