Alcohol Drinking ; adverse effects ; Humans ; Liver Diseases, Alcoholic ; therapy

Alcohol Drinking ; adverse effects ; Ethanol ; adverse effects ; metabolism ; Humans ; Liver Diseases, Alcoholic ; immunology ; physiopathology

Alcohol Drinking ; adverse effects ; Cardiovascular Diseases ; etiology ; prevention & control ; Health Promotion ; Humans ; Risk Assessment

Alcohol Drinking ; adverse effects ; Fatty Liver ; metabolism ; physiopathology ; Fatty Liver, Alcoholic ; metabolism ; physiopathology ; Female ; Humans ; Male

Objective: To investigate the association between tea consumption and the risk of all-cause and cause-specific mortality among Chinese adults. Methods: This study was based on China Kadoorie Biobank (CKB). Tea consumption information was self-reported by participants at baseline. Death was mainly identified by linkage to the death registry system. Cox proportional hazard regression models estimated HR and 95%CI. Results: With a median follow-up of 11.1 years, there were 34 661 deaths in 438 443 participants. Compared with those who never drink tea, all-cause mortality HR(95%CI) were 0.89(0.86-0.91) and 0.92(0.88-0.95) for non-daily tea drinkers and daily tea drinkers, respectively. A statistically significant difference was found in the association of tea consumption and the risk of all-cause mortality between men and women(interaction P<0.05). The protective effect was mainly seen in men. Compared with those who never drink tea, daily tea drinkers had a reduced risk of death from ischemic heart disease, ischemic stroke, hemorrhagic stroke, cancer, respiration diseases and other causes of death, and the corresponding HR(95%CI) were 0.83(0.76-0.92), 0.82(0.69-0.97), 0.86(0.78-0.94), 1.03(0.97-1.09), 1.00(0.87-1.16), 0.84(0.78-0.90). Among never smokers and non-excessive drinkers, there was no statistically significant association between daily tea drinking and the risk of death from cancer. While smokers and excessive drinkers had an increased risk of death from cancer (interaction P<0.001). Conclusions: Tea consumers had reduced risks of all-cause mortality and partial cause-specific mortality, but not for the risk of death from cancer. On the contrary, daily tea drinkers with smoking habits and excessive alcohol drinking had an increased risk of death from cancer.
Adult ; Alcohol Drinking ; Asians ; China/epidemiology* ; Female ; Humans ; Male ; Prospective Studies ; Risk Factors ; Tea/adverse effects*

OBJECTIVETo analyze the changes of risk factors in cerebrovascular diseases in cohort-based population after intervention and evaluating the intervention effect.

METHODSIn 1987, an intervention cohort and a control cohort were selected randomly in urban areas of Changsha. Risk factors in cerebrovascular diseases were investigated in two cohort populations aged over 35 years as baseline indication. Then comprehensive prevention of cerebrovascular diseases was carried out in intervention cohort during 1987 - 2000. After intervention for 14 years, a reexamination was taken in the two groups noted above.

RESULTSAfter 14 years, the prevalence of diabetes mellitus, hypertension, mean systolic and diastolic pressure, weight increased from 33.8% to 35.7%, 30 to 129 per 10,000, 128.41 mm Hg to 134.49 mm Hg, 77.78 mm Hg to 78.54 mm Hg, 54.80 kg to 57.78 kg in the intervention group, respectively while the baseline indication increased from 35.9% to 56.8%, 30 to 228 per 10,000, 127.70 mm Hg to 141.80 mm Hg, 78.27 mm Hg to 82.89 mm Hg, 54.92 kg to 59.69 kg in the control one. The changes were of statistical significance in each group except diastolic pressure and the prevalence of hypertension in intervention group, but all the parameters increased significantly in the control group; rate of alcohol intake decreased significantly in two groups, but rate of cigarette smoking decreased with no significance. The changes between two groups were not significant either; the cumulative incidence of stroke was significantly lower in intervention cohort (3.4%) than in control cohort (4.7%).

CONCLUSIONThe risk factors for cerebrovascular diseases (such as hypertension, diabetes mellitus etc.) were increasing along with by aging. Intervention programs can delay the increase of risk factors and down-regulate the incidence of stroke.

Alcohol Drinking ; adverse effects ; Cerebrovascular Disorders ; etiology ; Cohort Studies ; Female ; Humans ; Hypertension ; complications ; Male ; Risk Factors ; Smoking ; adverse effects

OBJECTIVETo investigate effects of cigarette, alcohol consumption and sauna on sperm morphology.

METHODS602 cases of male infertility were selected from our case database, who were divided into three subgroups: smoking (243) , drinking(224), sauna(135) and those without any of the above habits were taken as the corresponding controls. The sperm morphology were analyzed by automated sperm morphology analyzer(ASMA). A questionnaire was voluntarily filled out by patients in order to investigate cigarette, alcohol consumption and sauna frequency.

RESULTSThe normal morphologic sperm rates in cigarette, alcohol consumption and sauna groups were lower than those in the corresponding control groups, respectively(P <0.05, P <0.001). Percentages of irregularity head sperm were higher than those in normal controls, respectively(P <0.05).

CONCLUSIONCigarette, alcohol consumption and sauna could affect sperm morphology, especially caused increasing of irregularity head sperm.

Adult ; Alcohol Drinking ; adverse effects ; Humans ; Infertility, Male ; pathology ; physiopathology ; Male ; Smoking ; adverse effects ; Sperm Count ; Sperm Motility ; Spermatozoa ; cytology ; Steam Bath ; adverse effects ; Surveys and Questionnaires

There is a close relationship between sexual activity and meals or alcohol consumption. It is of great clinical significance for clinicians to understand the effects of food and alcohol on the pharmacokinetics of phosphodiesterase-5 inhibitor vardenafil so as to give correct instructions to patients. Although a high-fat ( > 55% fat calories) meal modestly reduces C(max) by 18% and prolongs t(max) of vardenafil by approximately 1 hour, no significant effects of a typical moderate-fat meal (30% fat calories) on vardenafil pharmacokinetics were observed in a study carried out in 25 healthy adult males. So the adjustment of vardenafil dosage is not warranted based on a wide therapeutic index and the efficacy observed with vardenafil in Phase III studies, which need not be restricted with respect to food. In another study, the pharmacokinetics and safety profile of vardenafil were not affected if it was taken together with 0.5 g/kg ethanol. The above characteristics of vardenafil make the administration more convenient for patients.
Adult ; Alcohol Drinking ; Erectile Dysfunction ; drug therapy ; Food-Drug Interactions ; Humans ; Imidazoles ; adverse effects ; pharmacokinetics ; Male ; Phosphodiesterase Inhibitors ; adverse effects ; pharmacokinetics ; Piperazines ; adverse effects ; pharmacokinetics ; Sulfones ; adverse effects ; pharmacokinetics ; Triazines ; adverse effects ; pharmacokinetics ; Vardenafil Dihydrochloride

OBJECTIVETo assess the relationship between incidence of ischemic stroke and alcohol consumption.

METHODSThe information on alcohol consumption and other cardiovascular risk factors such as SBP, DBP, TC was collected among 10 populations in northern and southern parts of China according to the international standardized methods. A total number of 30 560 men and women aged 35 - 59 were enrolled and followed up for an average of 15.2 years. Complete data on 12,352 men was analyzed.

RESULTSThe risk on ischemic stroke incidence showed a graded association. Compared with nondrinkers, the relative risks of incidence of ischemic stroke for those who drank alcohol less then 15 gram per day, 15-30 gram per day, 30-60 gram per day, above 60 gram per day were 0.86 (95% confidence interval 0.57-1.27), 1.20 (0.87-1.65), 1.26 (0.86-1.84) and 1.96 (1.30-2.93), respectively.

CONCLUSIONOur study revealed that in male Chinese, heavy alcohol intake significantly increased the risk while mild alcohol drinking did not increase the risk of ischemic stroke.

Adult ; Alcohol Drinking ; adverse effects ; Cerebral Infarction ; epidemiology ; etiology ; China ; epidemiology ; Female ; Humans ; Incidence ; Male ; Risk Factors ; Stroke ; epidemiology ; etiology

OBJECTIVE: To investigate the association between alcohol drinking and all-cause death in patients with ischemic stroke. METHODS: Between January, 2010 and July, 2018, consecutive patients with first-episode ischemic stroke admitted in the West China Hospital, Sichuan University were enrolled, and all the patients were followed up every 3 months.Chi-square test was used to compare the differences in the baseline characteristics between the pre-stroke drinkers and the nondrinkers.The Cox regression model was used to analyze the effects of drinking status, drinking years, drinking frequency, average single alcohol intake before stroke and drinking status during the follow-up period on the mortality of patients after discharge. RESULTS: A total of 855 patients with ischemic stroke were enrolled, and deaths occurred in 140 of these patients.Chi-square test showed significant differences in gender ( < 0.001), weekly physical exercise time (=0.035), smoking ( < 0.001), and heart disease ( < 0.001) between the pre-stroke drinkers and nondrinkers.Multivariate Cox regression analysis showed that drinking during the follow-up period (=0.001), drinking for less than 28 years before stroke (=0.035) and a moderate drinking frequency (5 to 20 times per month for males and 4 to 9 times per month for females; =0.030) were associated with a lowered risk of death after discharge.No significant effects of pre-stroke drinking status or average single alcohol intake were found on death after ischemic stroke. CONCLUSIONS The drinking years and drinking frequency before stroke and drinking status during the follow-up period are related to the all-cause mortality in patients with ischemic stroke.Investigations of the more specific variables of drinking behaviors during the follow-up period are needed to further clarify the association between drinking and death after ischemic stroke.
Alcohol Drinking ; adverse effects ; Brain Ischemia ; etiology ; China ; Female ; Follow-Up Studies ; Humans ; Male ; Risk Factors ; Stroke ; etiology