Stroke, Vol 20, 1611-1626, Copyright © 1989 by American Heart Association
CA Camargo Jr
An extensive search of the English-language literature identified 62
epidemiologic studies that examined the relation between moderate alcohol
consumption and risk of stroke. Moderate drinking (less than 60 g
ethanol/day) and ischemic stroke have a complex association that might be
explained by interaction with race; a J-shaped association has been found
in predominantly white populations, while little (if any) association has
been found among Japanese. By contrast, moderate drinking increases risk of
both intracerebral and subarachnoid hemorrhage in diverse populations.
There is insufficient epidemiologic evidence to conclude whether recent
alcohol use affects risk of either ischemic or hemorrhagic stroke. These
distinctive associations help explain contradictory reports on the relation
between moderate alcohol consumption and risk of "stroke." The high
prevalence of alcohol use throughout the world suggests opportunities for
primary prevention and the importance of continued research in this area.
ARTICLES
Moderate alcohol consumption and stroke. The epidemiologic evidence
School of Public Health, University of California, Berkeley 94720.
This article has been cited by other articles:
 |
|
 |
|
  D. R. Wong, W. C. Willett, and E. B. Rimm Smoking, Hypertension, Alcohol Consumption, and Risk of Abdominal Aortic Aneurysm in Men Am. J. Epidemiol., April 1, 2007; 165(7): 838 - 845. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. I. Paraskevas, S. S. Daskalopoulou, M. E. Daskalopoulos, and C. D. Liapis Secondary Prevention of Ischemic Cerebrovascular Disease. What Is the Evidence? Angiology, September 1, 2005; 56(5): 539 - 552. [Abstract] [PDF]
|
|
|
|
|
|
M. A. Espeland, L. Gu, K. H. Masaki, R. D. Langer, L. H. Coker, M. L. Stefanick, J. Ockene, S. R. Rapp, and for the Women's Health Initiative Memory Study Association between Reported Alcohol Intake and Cognition: Results from the Women's Health Initiative Memory Study Am. J. Epidemiol., February 1, 2005; 161(3): 228 - 238. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Zureik, J. Gariepy, D. Courbon, J.-F. Dartigues, K. Ritchie, C. Tzourio, A. Alperovitch, A. Simon, and P. Ducimetiere Alcohol Consumption and Carotid Artery Structure in Older French Adults: The Three-City Study Stroke, December 1, 2004; 35(12): 2770 - 2775. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Iso, S. Baba, T. Mannami, S. Sasaki, K. Okada, M. Konishi, S. Tsugane, and for the JPHC Study Group Alcohol Consumption and Risk of Stroke Among Middle-Aged Men: The JPHC Study Cohort I Stroke, May 1, 2004; 35(5): 1124 - 1129. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Fazio, M. Bardelli, B. Fabris, L. Macaluso, F. Fiammengo, F. Vran, M. Bossi, R. Candido, R. Gerloni, and R. Carretta Large-Artery Hemodynamics After Acute Alcohol Administration in Young, Healthy Volunteers Angiology, March 1, 2004; 55(2): 139 - 145. [Abstract] [PDF]
|
|
|
|
|
|
H. Rodgers, J. Greenaway, T. Davies, R. Wood, N. Steen, and R. Thomson Risk Factors for First-Ever Stroke in Older People in the North East of England: A Population-Based Study Stroke, January 1, 2004; 35(1): 7 - 11. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. A. Dulli Alcohol, Ischemic Stroke, and Lessons From a Negative Study Stroke, April 1, 2002; 33(4): 890 - 891. [Full Text] [PDF]
|
|
|
|
|
|
L. Djousse, R. C. Ellison, A. Beiser, A. Scaramucci, R. B. D'Agostino, and P. A. Wolf Alcohol Consumption and Risk of Ischemic Stroke: The Framingham Study Stroke, April 1, 2002; 33(4): 907 - 912. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M L Bots, J T Salonen, P C Elwood, Y Nikitin, A Freire de Concalves, D Inzitari, J Sivenius, A Trichopoulou, J Tuomilehto, P J Koudstaal, et al. {gamma}-Glutamyltransferase and risk of stroke: the EUROSTROKE project J. Epidemiol. Community Health, February 1, 2002; 56(90001): i25 - 29. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. J. Mukamal, W. T. Longstreth Jr, M. A. Mittleman, R. M. Crum, D. S. Siscovick, and D. Bereczki Alcohol Consumption and Subclinical Findings on Magnetic Resonance Imaging of the Brain in Older Adults: The Cardiovascular Health Study Editorial Comment: The Cardiovascular Health Study Stroke, September 1, 2001; 32(9): 1939 - 1946. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Nakanishi, H. Yoshida, H. Kawashimo, K. Suzuki, K. Nakamura, and K. Tatara Alcohol Consumption and Risk for Increased Aortic Pulse Wave Velocity in Middle-Aged Japanese Men Angiology, August 1, 2001; 52(8): 533 - 542. [Abstract] [PDF]
|
|
|
|
|
|
A Britton and K McPherson Mortality in England and Wales attributable to current alcohol consumption J. Epidemiol. Community Health, June 1, 2001; 55(6): 383 - 388. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. M. Malarcher, W. H. Giles, J. B. Croft, M. A. Wozniak, R. J. Wityk, P. D. Stolley, B. J. Stern, M. A. Sloan, R. Sherwin, T. R. Price, et al. Alcohol Intake, Type of Beverage, and the Risk of Cerebral Infarction in Young Women Stroke, January 1, 2001; 32(1): 77 - 83. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Jousilahti, D. Rastenyte, and J. Tuomilehto Serum Gamma-Glutamyl Transferase, Self-Reported Alcohol Drinking, and the Risk of Stroke Stroke, August 1, 2000; 31(8): 1851 - 1855. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J.A. Papadakis, E.S. Ganotakis, and D.P. Mikhailidis Beneficial effect of moderate alcohol consumption on vascular disease: myth or reality? The Journal of the Royal Society for the Promotion of Health, March 1, 2000; 120(1): 11 - 15. [Abstract] [PDF]
|
|
|
|
 |
|
 J. M. Gaziano, T. A. Gaziano, R. J. Glynn, H. D. Sesso, U. A. Ajani, M. J. Stampfer, J. E. Manson, C. H. Hennekens, and J. E. Buring Light-to-moderate alcohol consumption and mortality in the physicians' health study enrollment cohort J. Am. Coll. Cardiol., January 1, 2000; 35(1): 96 - 105. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Berger, U. A. Ajani, C. S. Kase, J. M. Gaziano, J. E. Buring, R. J. Glynn, and C. H. Hennekens Light-to-Moderate Alcohol Consumption and the Risk of Stroke among U.S. Male Physicians N. Engl. J. Med., November 18, 1999; 341(21): 1557 - 1564. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Hommel and A. Jaillard Alcohol for Stroke Prevention? N. Engl. J. Med., November 18, 1999; 341(21): 1605 - 1606. [Full Text]
|
|
|
|
 |
|
 J. M. Leppala, M. Paunio, J. Virtamo, R. Fogelholm, D. Albanes, P. R. Taylor, and O. P. Heinonen Alcohol Consumption and Stroke Incidence in Male Smokers Circulation, September 14, 1999; 100(11): 1209 - 1214. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Margaglione, G. D'Andrea, N. Giuliani, V. Brancaccio, D. De Lucia, E. Grandone, V. De Stefano, P. A. Tonali, and G. Di Minno Inherited Prothrombotic Conditions and Premature Ischemic Stroke : Sex Difference in the Association With Factor V Leiden Arterioscler. Thromb. Vasc. Biol., July 1, 1999; 19(7): 1751 - 1756. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. L. Sacco, M. Elkind, B. Boden-Albala, I-F. Lin, D. E. Kargman, W. A. Hauser, S. Shea, and M. C. Paik The Protective Effect of Moderate Alcohol Consumption on Ischemic Stroke JAMA, January 6, 1999; 281(1): 53 - 60. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Truelsen, M. Gronbæk, F. R. Artalejo, F. R. Artalejo, P. Guallar-Castillon, J. R. B. Banegas, B. d. A. Manzano, J. d. R. Calero, P. Guallar-Castillon, and B. d. A. Manzano Wine Consumption and Cerebrovascular Disease Mortality in Spain • Response Stroke, January 1, 1999; 30(1): 186 - 188. [Full Text] [PDF]
|
|
|
|
 |
|
 S. G. Wannamethee, A. G. Shaper, M. Walker, and S. Ebrahim Lifestyle and 15-Year Survival Free of Heart Attack, Stroke, and Diabetes in Middle-aged British Men Arch Intern Med, December 1, 1998; 158(22): 2433 - 2440. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. R. Artalejo, P. Guallar-Castillon, J. R. B. Banegas, B. d. A. Manzano, and J. d. R. Calero Consumption of Fruit and Wine and the Decline in Cerebrovascular Disease Mortality in Spain (1975–1993) Stroke, August 1, 1998; 29(8): 1556 - 1561. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. R. Davis, T. Vogt, P. H. Frost, A. Burlando, J. Cohen, A. Wilson, L. M. Brass, W. Frishman, T. Price, and J. Stamler Risk Factors for Stroke and Type of Stroke in Persons With Isolated Systolic Hypertension Stroke, July 1, 1998; 29(7): 1333 - 1340. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Kiechl, J. Willeit, G. Rungger, G. Egger, F. Oberhollenzer, and E. Bonora Alcohol Consumption and Atherosclerosis: What Is the Relation? : Prospective Results From the Bruneck Study Stroke, May 1, 1998; 29(5): 900 - 907. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Biller, W. M. Feinberg, J. E. Castaldo, A. D. Whittemore, R. E. Harbaugh, R. J. Dempsey, L. R. Caplan, T. F. Kresowik, D. B. Matchar, J. F. Toole, et al. Guidelines for Carotid Endarterectomy : A Statement for Healthcare Professionals From a Special Writing Group of the Stroke Council, American Heart Association Circulation, February 10, 1998; 97(5): 501 - 509. [Full Text] [PDF]
|
|
|
|
|
|
J. Biller, W. M. Feinberg, J. E. Castaldo, A. D. Whittemore, R. E. Harbaugh, R. J. Dempsey, L. R. Caplan, T. F. Kresowik, D. B. Matchar, J. F. Toole, et al. Guidelines for Carotid Endarterectomy : A Statement for Healthcare Professionals From a Special Writing Group of the Stroke Council, American Heart Association Stroke, February 1, 1998; 29(2): 554 - 562. [Full Text] [PDF]
|
|
|
|
|
|
R. X. You, J. J. McNeil, H. M. O'Malley, S. M. Davis, A. G. Thrift, and G. A. Donnan Risk Factors for Stroke Due to Cerebral Infarction in Young Adults Stroke, October 1, 1997; 28(10): 1913 - 1918. [Abstract] [Full Text]
|
|
|
|
|
|
R. L. Sacco, E. J. Benjamin, J. P. Broderick, M. Dyken, J. D. Easton, W. M. Feinberg, L. B. Goldstein, P. B. Gorelick, G. Howard, S. J. Kittner, et al. Risk Factors Stroke, July 1, 1997; 28(7): 1507 - 1517. [Full Text]
|
|
|
|
|
|
F. R. Artalejo, P. Guallar-Castillon, J. L. Gutierrez-Fisac, J. R. Banegas, and J. d. R. Calero Socioeconomic Level, Sedentary Lifestyle, and Wine Consumption as Possible Explanations for Geographic Distribution of Cerebrovascular Disease Mortality in Spain Stroke, May 1, 1997; 28(5): 922 - 928. [Abstract] [Full Text]
|
|
|
|
|
|
C. A. Camargo, M. J. Stampfer, R. J. Glynn, J. M. Gaziano, J. E. Manson, S. Z. Goldhaber, and C. H. Hennekens Prospective Study of Moderate Alcohol Consumption and Risk of Peripheral Arterial Disease in US Male Physicians Circulation, February 4, 1997; 95(3): 577 - 580. [Abstract] [Full Text]
|
|
|
|
|
|
H. Haapaniemi, M. Hillbom, and S. Juvela Lifestyle-Associated Risk Factors for Acute Brain Infarction Among Persons of Working Age Stroke, January 1, 1997; 28(1): 26 - 30. [Abstract] [Full Text]
|
|
|
|
|
|
S. G. Wannamethee and A. G. Shaper Patterns of Alcohol Intake and Risk of Stroke in Middle-aged British Men Stroke, June 1, 1996; 27(6): 1033 - 1039. [Abstract] [Full Text]
|
|
|
|
|
|
L. L. Bronner, D. S. Kanter, and J. E. Manson Primary Prevention of Stroke N. Engl. J. Med., November 23, 1995; 333(21): 1392 - 1400. [Full Text] [PDF]
|
|
|
|
|
|
H. Hansagi, A. Romelsjo, M. G. de Verdier, S. Andreasson, and A. Leifman Alcohol Consumption and Stroke Mortality : 20-Year Follow-up of 15 077 Men and Women Stroke, October 1, 1995; 26(10): 1768 - 1773. [Abstract] [Full Text]
|
|
|
|
|
|
X. H. Zhang, S. Sasaki, and H. Kesteloot Changes in the Sex Ratio of Stroke Mortality in the Period of 1955 Through 1990 Stroke, October 1, 1995; 26(10): 1774 - 1780. [Abstract] [Full Text]
|
|
|
|
|
|
S. Juvela, M. Hillbom, and H. Palomaki Risk Factors for Spontaneous Intracerebral Hemorrhage Stroke, September 1, 1995; 26(9): 1558 - 1564. [Abstract] [Full Text]
|
|
|
|
|
|
E. Beghi, G. Bogliun, P. Cosso, G. Fiorelli, C. Lorini, M. Mandelli, and A. Bellini Stroke and Alcohol Intake in a Hospital Population : A Case-Control Study Stroke, September 1, 1995; 26(9): 1691 - 1696. [Abstract] [Full Text]
|
|
|
|
|
|
D. Eisenblatter, L. Heinemann, and E. Claßen Community-Based Stroke Incidence Trends From the 1970s Through the 1980s in East Germany Stroke, June 1, 1995; 26(6): 919 - 923. [Abstract] [Full Text]
|
|
|
|
|
|
H. Iso, A. Kitamura, T. Shimamoto, T. Sankai, Y. Naito, S. Sato, M. Kiyama, M. Iida, and Y. Komachi Alcohol Intake and the Risk of Cardiovascular Disease in Middle-Aged Japanese Men Stroke, May 1, 1995; 26(5): 767 - 773. [Abstract] [Full Text]
|
|
|
|
|
|
S. Sasaki, X.-H. Zhang, and H. Kesteloot Dietary Sodium, Potassium, Saturated Fat, Alcohol, and Stroke Mortality Stroke, May 1, 1995; 26(5): 783 - 789. [Abstract] [Full Text]
|
|
|
|
|
|
T.-K. Lee, Z.-S. Huang, S.-K. Ng, K.-W. A. Chan, Y.-S. Wang, H.-W. Liu, and J.-J. Lee Impact of Alcohol Consumption and Cigarette Smoking on Stroke Among the Elderly in Taiwan Stroke, May 1, 1995; 26(5): 790 - 794. [Abstract] [Full Text]
|
|
|
|
|
|
A. S. Jaillard, M. Hommel, and P. Mazetti Prevalence of Stroke at High Altitude (3380 m) in Cuzco, a Town of Peru : A Population-Based Study Stroke, April 1, 1995; 26(4): 562 - 568. [Abstract] [Full Text]
|
|
|
|
|
|
H. S. Jorgensen, H. Nakayama, H. O. Raaschou, and T. S. Olsen Leukoaraiosis in Stroke Patients : The Copenhagen Stroke Study Stroke, April 1, 1995; 26(4): 588 - 592. [Abstract] [Full Text]
|
|
|
|
|
|
Y. Kiyohara, I. Kato, H. Iwamoto, K. Nakayama, and M. Fujishima The Impact of Alcohol and Hypertension on Stroke Incidence in a General Japanese Population : The Hisayama Study Stroke, March 1, 1995; 26(3): 368 - 372. [Abstract] [Full Text]
|
|
|
|
|
|
J. F. Tapia and J. M. Schumacher Case 27-1993- A 32-Year-Old Man with the Sudden Onset of a Right-Sided Headache and Left Hemiplagia and Hemianesthesia N. Engl. J. Med., July 8, 1993; 329(2): 117 - 124. [Full Text]
|
|