Managing CMR

Managing Cardiometabolic Risk in abdominally obese patients

Nutrition

Moderate Alcohol Consumption

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Moderate alcohol consumption has been shown to reduce cardiovascular events in population studies (29). However, alcohol consumption cannot be recommended to reduce CVD risk because of the risk of addiction and its serious health consequences. If alcohol is consumed, intake should be limited to no more than 2 drinks per day for most men and no more than one drink per day for women and lightweight individuals (1 drink is equivalent to a 341 ml beer, 150 ml glass of wine, and 45 ml of spirits) (27, 30). Failure to heed intake guidelines can increase the risk of hypertriglyceridemia, hypertension, liver damage, and breast cancer (29). Moderate alcohol consumption is an integral part of many official guidelines, such as AHA recommendations, the DASH diet, and the NCEP-ATP III.


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27. Chobanian AV, Bakris GL, Black HR, et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA 2003; 289: 2560-72.
29. Flesch M, Rosenkranz S, Erdmann E, et al. Alcohol and the risk of myocardial infarction. Basic Res Cardiol 2001; 96: 128-35.
30. Goldberg IJ, Mosca L, Piano MR, et al. AHA Science Advisory: Wine and your heart: a science advisory for healthcare professionals from the Nutrition Committee, Council on Epidemiology and Prevention, and Council on Cardiovascular Nursing of the American Heart Association. Circulation 2001; 103: 472-5.