Coronary Heart Disease Clinical Trial
Official title:
Alcohol Consumption and Time-to-onset for Coronary Heart Disease: An Individual Participant Data Meta-analysis
The primary aim of this study is to examine if long-term patterns of alcohol consumption are associated with time-to-onset for incident coronary heart disease (fatal and non-fatal), using data from multiple cohorts.
The relationship between alcohol consumption and coronary heart disease (CHD) remains an
issue of debate. By capturing drinking trajectories over time, we may be equipped to obtain
new insights into this relationship. Studies have shown that such trajectories have
differential associations for intermediate traits (carotid intima-media thickness, pulse wave
velocity and inflammatory markers), but no studies exist that link stability of drinking to
actual CHD. The current study will employ a longitudinal cohort design to evaluate the
association between long-term alcohol consumption trajectories and time-to-event for CHD.
Data will be drawn from six cohorts (five British, one French). The combined participant pool
comprises 64,926 individuals (58% male, individual cohort sizes ranging from 1,444 to 25,636
participants); those with a baseline history of CHD will be excluded. Repeat alcohol intake
measurements across a 10-year interval will be the exposure, with participants' intake
trajectory defined according to their alcohol consumption volume and its consistency over
time. To account for heterogeneity across cohorts, individual participant data meta-analysis
methods will be employed in determining CHD diagnosis rates and hazard ratios for the
different intake trajectories, with adjustment for relevant demographic and clinical
characteristics. Results from the modelling work illustrating the form and magnitude of the
association between the alcohol intake categories and CHD will be presented.
This work will help further understanding of the role that alcohol intake and its stability
over time play in subsequent CHD risk, and will have implications for our understanding of
alcohol's relationship to cardiovascular health in the general population.
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