Skip to main content
Log in

Old people, alcohol use and mortality. A ten-year prospective study

  • Section on Longitudinal Studies
  • Published:
Aging Clinical and Experimental Research Aims and scope Submit manuscript

Abstract

Background and aims: Several studies suggest an association between lower mortality and moderate drinking, particularly wine-drinking, compared with abstainers, in middle-aged populations. The aim of this study was to examine the association of drinking frequencies and beverage types with all-cause mortality among old people. Methods: A prospective population study with a 10-year follow-up of mortality was carried out in the city of Tampere, Finland, population approximately 180,000. The sample consisted of 365 men and 402 women aged 60–99 years. All-cause mortality was used as the main outcome measure. Results: Death occurred in 182 men and 158 women. Mortality was lowest among frequent and occasional drinkers, second lowest among abstainers, and highest among ex-drinkers. In a Cox proportional hazard model, drinking showed an independent protective effect on mortality. After adjustment for age, sex, educational level, marital status, chronic diseases, functional ability and smoking, the relative risk (RR) of mortality for frequent drinkers was 0.6 (95% CI 0.4–0.8), for occasional drinkers 0.7 (95% CI 0.5–1.0) and for ex-drinkers 1.1 (95% CI 0.8–1.7), compared with abstainers. Adjusted for other mortality risk factors, the mortality of those who drank wine was lower than that of abstainers. Conclusions: Findings suggest that drinking, and perhaps wine-drinking in particular, is associated with lower mortality even in old age. Future studies are needed to identify the possible role of background characteristics of different drinking pattern groups.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Duffy JD. Alcohol consumption and all-cause mortality. Int J Epidemiol 1995; 24: 100–5

    Article  PubMed  CAS  Google Scholar 

  2. Fuchs CS, Stampfer MJ, Golditz GA, et al. Alcohol consumption and mortality among women. N Engl J Med 1995; 332: 1245–50.

    Article  PubMed  CAS  Google Scholar 

  3. Yuan JM, Ross RK, Henderson BE, Yu MC. Follow up study of moderate alcohol intake and mortality among middle aged men in Shanghai, China. BMJ 1997; 314: 18–23.

    Article  PubMed  CAS  Google Scholar 

  4. Hoffmeister H, Schelp FP, Mensink GBM, et al. The relationship between alcohol consumption, health indicators and mortality in the German population. Int J Epidemiol 1999; 28: 1066–72.

    Article  PubMed  CAS  Google Scholar 

  5. Farchi G, Fidanza F, Giampaoli S, et al. Alcohol and survival in the Italian rural cohorts of the Seven Countries Study. Int J Epidemiol 2000; 29: 667–71.

    Article  PubMed  CAS  Google Scholar 

  6. Leino EV, Romelsjo A, Shoemaker C, et al. Alcohol consumption and mortality. II. Studies of male populations. Addiction 1998; 93: 205–18.

    CAS  Google Scholar 

  7. Hart CL, Davey Smith G, Hole DJ, Hawthorne VM. Alcohol consumption and mortality from all causes, coronary heart disease, and stroke: results from a prospective cohort study of Scottish men with 21 years of follow-up. BMJ 1999; 318: 1725–9.

    Article  PubMed  CAS  Google Scholar 

  8. Simons LA, McCallum J, Friedlander Y, et al. Moderate alcohol intake is associated with survival in the elderly: the Dubbo study. Med J Aust 2000; 173: 121–4.

    PubMed  CAS  Google Scholar 

  9. Scherr PA, LaCroix AZ, Wallace RB, et al. Light to moderate alcohol consumption and mortality in the elderly. J Am Geriatr Soc 1992; 40: 651–7.

    PubMed  CAS  Google Scholar 

  10. Groenbaek M, Deis A, Becker U, et al. Alcohol and mortality: is there a U-shaped relation in elderly people? Age Ageing 1998; 27: 739–44.

    Article  Google Scholar 

  11. Thun M, Peto R, Lopez AD, et al. Alcohol consumption and mortality among middle-aged and elderly U.S. adults. N Engl J Med 1997; 24: 1705–14.

    Article  Google Scholar 

  12. Rehm J, Sempos CT. Alcohol consumption and all-cause mortality. Addiction 1995; 90: 471–80.

    Article  PubMed  CAS  Google Scholar 

  13. Klatsky AL, Armstrong MA, Friedman GD. Alcohol and mortality. Ann Intern Med 1992; 117: 646–54.

    Article  PubMed  CAS  Google Scholar 

  14. Serdula MK, Koong S-L, Williamson DF, et al. Alcohol intake and subsequent mortality: findings from the NHANES I follow-up study. J Stud Alcohol 1995; 56: 233–9.

    Google Scholar 

  15. Klatsky AL, Armstrong MA, Friedman GD. Red wine, white wine, liquor, beer, and risk for coronary artery disease hospitalization. Am J Cardiol 1997; 80: 416–20.

    Article  PubMed  CAS  Google Scholar 

  16. Renaud SC, Guéguen R, Siest G, Salamon R. Wine, beer, and mortality in middle-aged men from Eastern France. Arch Intern Med 1999; 159: 1865–70.

    Article  PubMed  CAS  Google Scholar 

  17. Miyazaki M, Une H. Japanese alcoholic beverages and all cause mortality in Japanese adult men. J Epidemiol 2001; 11: 219–23.

    Article  PubMed  CAS  Google Scholar 

  18. Groenbaek M, Becker U, Johansen D, et al. Type of alcohol consumed and mortality from all causes, coronary heart disease, and cancer. Ann Intern Med 2000; 133: 411–9.

    Article  Google Scholar 

  19. Wannamethee SG, Shaper AG. Type of alcoholic drink and risk of major coronary heart disease events and all-cause mortality. Am J Public Health 1999; 5: 685–90.

    Article  Google Scholar 

  20. Theobald H, Bygren LO, Carstensen J, Engfeldt P. A moderate intake of wine is associated with reduced total mortality and reduced mortality from cardiovascular disease. J Stud Alcohol 2000; 61: 652–6.

    PubMed  CAS  Google Scholar 

  21. Shaper AG, Wannamethee SG. The J-shaped curve and changes in drinking habits. In: Alcohol and Cardiovascular Disease, no. 216, Novartis Foundation Symposium. New York, John Wiley & Sons, 1998: 173–88.

    Google Scholar 

  22. Fillmore KM, Golding JM, Graves KL, et al. Alcohol consumption and mortality. III. Studies of female populations. Addiction 1998; 93: 219–29.

    CAS  Google Scholar 

  23. Jylhä M, Jokela J, Tolvanen E, et al. The Tampere Longitudinal Study on Ageing. Description of the study. Basic results on health and functional ability. Scand J Soc Med 1992; Suppl 47.

  24. Waters WE, Heikkinen E, Dontas AS (eds). Health, lifestyles and services for the elderly. WHO Regional Office for Europe (Public Health in Europe 29). Copenhagen 1989.

  25. International Classification of Diseases. 1975 Revision (ICD-9).

  26. Tolvanen E, Jylhä M, Hervonen A. Alcohol use and health in biographical interviews with people aged 90 or over. Quality in Later Life: Rights, Rhetoric and Reality. Proceedings of the British Society of Gerontology 30th Annual Conference, Stirling, 31 August–2 September 2001, 92.

  27. Tolvanen E. I and others: Alcohol use among older people as a social and cultural phenomenon. Ageing Soc 1998; 18: 563–83.

    Article  Google Scholar 

  28. Rimm EB, Klatsky A, Grobbee D, Stampfer MJ. Review of moderate alcohol consumption and reduced risk of coronary heart disease: is the effect due to beer, wine, or spirits? BMJ 1996; 312: 731–6.

    Article  PubMed  CAS  Google Scholar 

  29. Das DK, Sato M, Ray PS, et al. Cardioprotection of red wine: role of polyphenolic antioxidants. Drugs Exp Clin Res 1999; 25: 115–20.

    PubMed  CAS  Google Scholar 

  30. Barefoot JC, Groenbaek M, Feaganes JR, et al. Alcoholic beverage preference, diet, and health habits in the UNC Alumni Heart Study. Am J Clin Nutr 2002; 76: 466–72.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Eija Tolvanen.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tolvanen, E., Seppä, K., Lintonen, T. et al. Old people, alcohol use and mortality. A ten-year prospective study. Aging Clin Exp Res 17, 426–433 (2005). https://doi.org/10.1007/BF03324633

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03324633

Keywords

Navigation