The influence of alcohol consumption on the health of Russian older people in the Russian Far East
https://doi.org/10.34215/1609-1175-2021-2-84-88
Abstract
Objective: Analysis of the factors associated with alcohol consumption. Physical and social effects of its use among older people living in the Far East of Russia.
Methods: A questionnaire survey was conducted among 348 Russian residents over 60 years old in Vladivostok and Primorsky Region. Descriptive statistics were used to present the collected data. The odds ratio (OR) and 95 % confidence interval (CI) were calculated. Logistic regression analysis was performed.
Results: Among 348 participants, 131 were classified as drinkers. Based on the median of daily pure alcohol (PA) consumption, the drinking participants were divided into groups of low (<21 g/day) and heavy drinkers (≥21 g/day): 67 and 64 people, respectively. It was found, that excessive alcohol consumption was associated with age (OR=0.896; 95 % CI: 0.827–0.972), gender (OR=0.198; 95 % CI: 0.069–0.571), atherosclerosis (OR=8.311; 95 % CI: 2.506–27.570), urological diseases (OR=0.046; 95 % CI: 0.009–0.241), alcohol consumption single-handedly (OR=4.323; 95 % CI: 1.021–18.306). The main reason for alcohol consumption was to relieve stress (OR=29.114; 95 % CI: 1.289–657.657) and the effect of alcohol intake – nocturnal awakenings (OR=9.434; 95 % CI: 1.962–45.367).
Conclusions: Older people of the Russian Far East who consume over 21 grams of PA a day often use alcohol to reduce stress. Excessive alcohol use is especially common among older people who drink single-handedly, indicating a higher risk of alcohol dependence and stimulates atherosclerosis development. Moderate alcohol consumption among Russian older people is considered to be an amount of less than 21 g/day.
About the Authors
G. von Fingerhut
University of Tsukuba
Japan
Japan
Graduate School of Comprehensive Human Sciences, Faculty of Human Care Science, Department of Gerontological Nursing and Caring
305-8577, Japan, pref. Ibaraki, Tsukuba, Tennodai 1-1-1
S. V. Lebedev
Pacific State Medical University
Russian Federation
Russian Federation
MD, PhD, head of the Department of Clinical Neurology and Rehabilitation Medicine
2 Ostryakova Ave., Vladivostok, 690002, Russian Federation
V. V. Kuznetsov
Pacific State Medical University
Russian Federation
Russian Federation
MD, PhD, associate professor, head of the Department of Public Health; minister of Health of the Sakhalin Region
2 Ostryakova Ave., Vladivostok, 690002, Russian Federation
24 Karl Marx St., Yuzhno-Sakhalinsk, 693000, Russian Federation
V. B. Shumatov
Pacific State Medical University
Russian Federation
Russian Federation
MD, PhD, professor, president
2 Ostryakova Ave., Vladivostok. 690002, Russian Federation
References
1. Decree of the President of the Russian Federation of 07.05.2018 No. 204 (as amended on 21.07.2020) “On the national goals and strategic objectives of the development of the Russian Federation for the period up to 2024” (In Russ). URL: www.consultant.ru (Accessed 24 August 2020).
2. World Health Organization. Global Health Observatory. 2016. URL: https://www.who.int/gho/countries/rus/en (Accessed 8 July 2019).
3. Matsuda H, Mizukami K, Yanagi H, Okamoto N. Best Caring for long-term care prevention. For the elderly to live well. 1st ed. Japan, TYO: Medical View Publishers, 2016 (In Jap).
4. Order of the Ministry of Health of the Russian Federation of July 30, 2019 No. 575 “On approval of the methodology for assessing the average per capita consumption of alcohol in the Russian Federation” (In Russ). URL: http://docs.cntd.ru/document/560925948 (Accessed 24 August 2020).
5. International Alliance for Responsible Drinking. Drinking guidelines: General population. URL:https://iard.org/science-resources/detail/Drinking-Guidelines-General-Population (Accessed April 12, 2021).
6. von Fingerhut G, Matsuda H, Okamoto N, Takao T, Maki N, Wang X, et al. Physical and social effects of a daily alcohol intake of 20 g amongst the Japanese Community Dwelling Elderly. Journal of Gerontological Nursing and Caring Research. 2019;10(1):1–10.
7. Shprakh VV, Kapustenskaya ZhI. Sochetannyy ateroskleroz tserebral'nykh, koronarnykh i perifericheskikh arteriy u muzhchin pozhilogo i starcheskogo vozrasta. Klinicheskaya gerontologiya. 2007;13(6):17–21 (In Russ).
8. Heikkila K, Fransson E, Nyberg S, Zins M, Westerlund H, Westerholm P, et al. Job strain and health-related lifestyle: Findings from an individual-participant meta-analysis of 118000 working adults. Am J Public Health. 2013;103(11):2090–7.
9. Blaine SK, Milivojevic V, Fox H, Sinha R. Alcohol effects on stress pathways: Impact on craving and relapse risk. Can J Psychiatry. 2016;61(3):145–53.
10. Di Chiara G. Alcohol and dopamine. Alcohol Health and Research World. 1997;21(2):108–14.
11. Grassi GM, Somers VK, Renk WS, Abboud FM, Mark AL. Effects of alcohol intake on blood pressure and sympathetic nerve activity in normotensive humans: A preliminary report. J Hypertens. 1989;7(Suppl):S20–1.
12. Takahashi N, Imai S, Saito F, Suzuki K, Tanaka H, Kushiro T, et al. Alcohol produces imbalance of adrenal and neuronal sympathetic activity in patients with alcohol-induced neurocardiogenic syncope. Circ J. 2008;72(6):979–85.
13. Parashar R. Age related changes in autonomic functions. J Clin Diagnostic Res. 2016;10(3):11–15.
14. Da Luz P, Coimbra S. Alcohol and atherosclerosis. Anais da Academia Brasileira de Ciencias. 2001;73(1):51–5.
15. Chyou P, Nomura A, Stemmermann G, Hankin J. A prospective study of alcohol, diet, and other lifestyle factors in relation to obstructive uropathy. The Prostate. 1993;22(3):253–64.
Review
For citations:
von Fingerhut G., Lebedev S.V., Kuznetsov V.V., Shumatov V.B. The influence of alcohol consumption on the health of Russian older people in the Russian Far East. Pacific Medical Journal. 2021;(2):84-88. (In Russ.) https://doi.org/10.34215/1609-1175-2021-2-84-88
Views:
210
Email this article 