מתוך medicontext.co.il
WESTPORT, CT (Reuters Health) – Men with type 2 diabetes who consume between one half and two alcoholic drinks per day reduce their risk of coronary heart disease, Harvard researchers report.
Dr. Mihaela Tanasescu, from the Harvard School of Public Health in Boston, and colleagues collected data on 2419 diabetic men who participated in the Health Professionals' Follow-up Study. Altogether, 150 new cases of CHD were seen during 11,411 person-years of followup, including 69 fatal cases and 81 cases of nonfatal myocardial infarction, the researchers report in the Journal of the American College of Cardiology for December.
The risk of CHD proved to be inversely associated with alcohol use. Compared with nondrinkers, the relative risk of CHD in men who consumed half a drink or less per day was 0.76, for men who consumed one half to two drinks per day it was 0.64 and for men who drank more than two drinks per day it was 0.59 (p for trend = 0.06), Dr. Tanasescu's group found.
After adjustment for other risk factors the relative risks of CHD were 0.78, 0.62 and 0.48, respectively (p for trend = 0.03). Beer, wine and liquor were each inversely associated with CHD.
"The results of this study are consistent with previous reports in other populations showing CHD risk reduction due to light or moderate alcohol intake among patients with type 2 diabetes," Dr. Tanasescu and colleagues note.
"Light-to-moderate drinking with meals may be an attractive and beneficial lifestyle component for the patient with diabetes. It remains for the clinician to decide whether to include alcohol recommendations as part of the treatment plan for type 2 diabetes. For most, the benefits would likely outweigh the risks," they conclude.
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