The association of alcohol consumption and incident heart failure: the Cardiovascular Health Study

J Am Coll Cardiol. 2006 Jul 18;48(2):305-11. doi: 10.1016/j.jacc.2006.02.066. Epub 2006 Jun 22.


Objectives: We investigated the association between alcohol consumption and incident congestive heart failure (CHF) both overall and after adjusting for incident myocardial infarction (MI).

Background: Moderate alcohol consumption has been associated with lower risk of CHF and MI.

Methods: The Cardiovascular Health study, a prospective cohort study of cardiovascular disease risk factors and outcomes, followed 5,888 subjects > or =65 years old for 7 to 10 years. Cox models were used to estimate the adjusted risk of CHF by reported alcohol consumption.

Results: There were 5,595 subjects at baseline at risk for incident CHF with alcohol data and 1,056 events during follow-up. Compared with abstainers, the adjusted risk of CHF was lower among subjects who reported consuming 1 to 6 drinks per week (hazard ratio [HR] 0.82, 95% confidence interval [CI] 0.67 to 1.00, p = 0.05) and 7 to 13 drinks per week (HR 0.66, 95% CI 0.47 to 0.91, p = 0.01). Time-dependent adjustment for incident MI altered only slightly the association between moderate alcohol consumption and CHF (for 1 to 6 drinks per week, HR 0.84, 95% CI 0.65 to 1.04; for 7 to 13 drinks per week, HR 0.69, 95% CI 0.49 to 0.99). Baseline former drinkers had a higher risk of CHF than abstainers (HR 1.51, p < 0.01), but those who quit during the study did not have a higher risk (HR 0.83, 95% CI 0.66 to 1.03).

Conclusions: Moderate alcohol use is associated with a lower risk of incident CHF among older adults, even after accounting for incident MI and other factors.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Aged
  • Alcohol Drinking / blood
  • Alcohol Drinking / epidemiology*
  • Chi-Square Distribution
  • Comorbidity
  • Female
  • Heart Failure / blood
  • Heart Failure / epidemiology*
  • Humans
  • Life Style
  • Male
  • Multicenter Studies as Topic
  • Myocardial Infarction / epidemiology
  • Proportional Hazards Models
  • Risk Factors
  • Smoking / epidemiology