Alcohol consumption and risk of coronary heart disease among men with type2 diabetes mellitus

Objectives The goal of this study was to examine the relationship between a lcohol intake and risk of coronary, heart disease (CHD) among men with type 2 diabetes. Background Type 2 diabetes is associated with an increased risk of CHD. Eme rging evidence suggests that moderate alcohol intake is associated with an important reduction in risk of CHD in individuals with type 2 diabetes. Methods We studied 2,414 men who reported a diagnosis of diabetes at age 30 or older in the Health Professionals' Follow-up study (HPFS). During 11,41 1 person-years of follow-up after diagnosis, we documented 156 new cases of CHD (81 nonfatal myocardial infarction [MI] and 69 fatal CHD). Relative ri sks (RR) were estimated from pooled logistic regression adjusting for poten tial confounders. Results Alcohol use was inversely associated with risk of CHD in men with t ype 2 diabetes. The age-adjusted RRs corresponding to intakes of less than or equal to 50.5 drinks/day, 0.5 to 2 drinks/day and >2 drinks/day were 0.7 6 (95% confidence interval: [CI]: 0.52 to 1.12), 0.64 (95% CI: 0.40 to 1.02 ) and 0.59 (95% CI: 0.32 to 1.09), respectively, as compared with nondrinke rs (p for trend = 0.06). When we controlled for body mash index, smoking, f amily history of MI, hypertension, hypercholesterolemia, duration of diabet es, physical activity level, vitamin E supplements and intake of trans fat, polyunsaturated fat, fiber and folate, RRs were 0.78 (95% CI: 0.52 to 1.15 ), 0.62 (95% CI: 0.40 to 1.00) and 0.48 (95% CI: 0.25 to 0.94) (p for trend 0.03). The benefits of moderate consumption did not statistically differ b y beverage type. Conclusions Moderate alcohol consumption is associated with lower risk of C HD in men with type 2 diabetes. (J Am Coll Cardiol 2001;38:1836-42) (C) 200 1 by the American College of Cardiology.