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Press backgrounder EURO 02/2001
Copenhagen and Stockholm, 19 February 2001

Alcohol: no benefits to the heart noted at population level

European Comparative Alcohol Study

The European Comparative Alcohol Study (ECAS)¹ describes and analyzes changes in alcohol policies, consumption trends, drinking patterns and alcohol-related problems in 14 European Union (EU) countries,² plus Norway. 

Key findings
  • ECAS noted no benefits from alcohol consumption to heart health at the population level.

  • “More is worse”; increases in per capita drinking increase alcohol-related mortality and harm.

  • European alcohol consumption patterns and control policies are slowly converging.

Heart disease unaffected by total consumption  

ECAS results suggest that there is no relationship between total alcohol consumption and mortality from ischaemic heart disease. This lack of evidence for a possible beneficial effect of alcohol consumption was found in all countries, as well as in different age groups of men and women. This suggests that an increase in per caput alcohol consumption does not provide any protective effect on heart health at the population level. 

Converging alcohol consumption patterns and control policies  

Decreases in consumption in wine-drinking countries and increases in beer-drinking countries³ resulted in converging per caput consumption levels over the study period (see Fig. 1). The average difference between the beer- and wine-drinking countries in total consumption now appears to be no more than a few decilitres pure alcohol.

In the year 2000 a significant decrease was noted in the control of production and sales of alcoholic beverages and the regulation of alcohol availability. Nevertheless, control measures targeted at demand or alcohol-related problems have become more prevalent. Overall, control scores haves dropped substantially for the countries in Europe that formerly had the strictest alcohol policies: Finland, Norway and Sweden. This is primarily a result of EU requirements for trade harmonization.

Effects of drinking on mortality

The relationship between total alcohol consumption and total mortality was significantly positive in most of countries studied, and in no country were increases in consumption significantly associated with decreases in mortality. The relationship between consumption and harm was stronger in northern and weakest in southern Europe, suggesting a changing impact of drinking culture and its drinking patterns.

An example of this is the link between alcohol and suicide; it is quite marked in northern Europe, but weak or non-existent in southern and central Europe. ECAS results also suggest that differences between countries in alcohol-related mortality are strongly influenced by cultural differences in recording practices.

Fig. 1. Trends in alcohol consumption per head in people aged 15 years and over for three groups of  

¹  ECAS was carried out by researchers in Helsinki, Stockholm and Oslo, with support staff at the Swedish Institute for Public Health, and collaborating partners from each of the study countries. ECAS was granted funding by the European Commission, D-G V/F in August 1998, and is scheduled to be completed in the summer of 2001. The focus is on the time period 1950–1995 based on data collected in 1998.  

[1]² Luxembourg was not included for methodological reasons. 

[1]³ Beer-drinking countries include those where spirits were formerly more popular.

For more information, contact:

Technical Information

Alcohol and all-cause mortality; integration of findings:
Thor Norström (ECAS coordinator)
Swedish Institute for Social Research, Sweden
E-mail:
totto@sofi.su.se

Drinking patterns; integration of findings: Jussi Simpura (Ecas coordinator),
National Research Centre for Welfare and Health
Stakes, Finland
E-mail:
jussi.simpura@stakes.fi

Press Information

Franklin Apfel or Annette Andkjaer
Communication and Advocacy
WHO Regional Office for Europe
Scherfigsvej 8, DK-2100
Copenhagen Ø, Denmark
Mobile: +45 201 499 17
Tel: +45 39 17 13 36 or +45 39 17 13 44
fax: +45 39 17 18 80
E-mail:
fap@who.dk or
ana@who.dk


Press releases on WorldWide Web site (http://www.who.dk/cpa/cpa.htm)

Health information for media professionals
WHO/Europe programme for Communications and Advocacy (CMA)

        

Alcol: non si notano benefici al cuore   a livello di popolazione

Studio Europeo comparativo (Oms)

 Lo Studio Europeo Comparativo sull'Alcol (ECAS) descrive ed analizza i cambiamenti nelle politiche sull'alcol,

 
    Principali risultati ottenuti:
- L'ECAS non ha notato effetti benefici per la salute del cuore, derivanti dal consumo di alcol, a livello di 
- "Di più è peggio": aumenti nei consumi pro-capite aumentano la mortalità alcol correlata ed i danni relativi
- Le tipologie dei consumi di alcol e le politiche di controllo in Europa stanno lentamente convergendo
 
    I risultati dell'ECAS non suggeriscono alcuna relazione fra il consumo totale di alcol e la mortalità
Questo suggerisce che un aumento del consumo pro capite non produce alcun effetto protettivo sulla salute
 
    I paesi che consumano in prevalenza vino hanno diminuito i consumi, e quelli che consumano in prevalenza
La differenza media fra i paesi consumatori di vino e quelli consumatori di birra adesso sembra essere
In generale, i controlli sono diminuiti sostanzialmente in quei paesi che avevano le politiche più
 
Effetti del bere sulla mortalità
    La relazione fra il consumo totale di alcol ed il totale della mortalità è significativamente
positiva nella maggior parte dei paesi studiati, ed in nessun paese si è visto che un aumento
 
 
    ECAS è stato realizzato da ricercatori ad Helsinki, Stoccolma e Oslo, col supporto dello
staff dell'Istituto Svedese della Sanità Pubblica, e con la collaborazione di partners di ciascun
I paesi consumatori di birra includono quelli dove i liquori erano in precedenza più diffusi.
 

Traduzione a cura di Ennio Palmesino

 

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