Risky Alcohol Consumption in the Elderly: Screening and Brief Intervention from Primary Care. The ALANE Study, a Randomized Clinical Trial
Background: Risky alcohol consumption (RAC) can lead to alcohol-related liver disease (ALD). Liver cirrhosis caused by ALD continues to increase as alcohol consumption continues unabated. In turn, the elderly are more sensitive to alcohol. Population ageing calls for preventive activities to improve...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-12-01
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| Series: | Beverages |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2306-5710/9/4/100 |
| _version_ | 1797382038513254400 |
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| author | Pere Torán Susanna Montesinos Alba Pachón-Camacho Galadriel Diez-Fadrique Irene Ruiz-Rojano Ingrid Arteaga Guillem Pera Núria Montellà-Jordana Pilar Montero-Alía Carmina Rodríguez-Pérez Llorenç Caballeria Carla Chacón |
| author_facet | Pere Torán Susanna Montesinos Alba Pachón-Camacho Galadriel Diez-Fadrique Irene Ruiz-Rojano Ingrid Arteaga Guillem Pera Núria Montellà-Jordana Pilar Montero-Alía Carmina Rodríguez-Pérez Llorenç Caballeria Carla Chacón |
| author_sort | Pere Torán |
| collection | DOAJ |
| description | Background: Risky alcohol consumption (RAC) can lead to alcohol-related liver disease (ALD). Liver cirrhosis caused by ALD continues to increase as alcohol consumption continues unabated. In turn, the elderly are more sensitive to alcohol. Population ageing calls for preventive activities to improve their health. Brief interventions have proven to be cost-effective in addressing risk behaviours. Aim: We aimed to analyse the prevalence of RAC in people > 64 years and to assess the effect of a brief intervention in the subgroup of risky consumers. Methods: population-based study in two phases: (1) Phase I: Cross-sectional, descriptive multicentre study of prevalence of RAC in people > 64 years. (2) Phase II: Cluster randomized, controlled, single-blind, community-based clinical trial with two comparison groups of subjects with RAC, to assess the effectiveness of a brief intervention compared to standard practice in reducing alcohol consumption in primary care. Results: Out of the 932 subjects, 455 (49%) (268 men (64%) and 187 women (36%)) had an alcohol consumption that was considered to be risky. Overall, the brief intervention was effective in reducing alcohol consumption showing 1.8 OR (<i>p</i> = 0.030). That effect was caused by women whose group showed 3.3 OR (<i>p</i> = 0.009). There was no effect on men (<i>p</i> = 0.468). Conclusions: RAC in the elderly is very high, far more in men than in women. A brief intervention was successful in reducing alcohol consumption but not below risk levels. Further research is needed to determine which types of interventions are most effective in this population subgroup. |
| first_indexed | 2024-03-08T20:59:42Z |
| format | Article |
| id | doaj.art-6a74367aac594f80818bf0f3dd534c38 |
| institution | Directory Open Access Journal |
| issn | 2306-5710 |
| language | English |
| last_indexed | 2024-03-08T20:59:42Z |
| publishDate | 2023-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Beverages |
| spelling | doaj.art-6a74367aac594f80818bf0f3dd534c382023-12-22T13:53:54ZengMDPI AGBeverages2306-57102023-12-019410010.3390/beverages9040100Risky Alcohol Consumption in the Elderly: Screening and Brief Intervention from Primary Care. The ALANE Study, a Randomized Clinical TrialPere Torán0Susanna Montesinos1Alba Pachón-Camacho2Galadriel Diez-Fadrique3Irene Ruiz-Rojano4Ingrid Arteaga5Guillem Pera6Núria Montellà-Jordana7Pilar Montero-Alía8Carmina Rodríguez-Pérez9Llorenç Caballeria10Carla Chacón11Research Support Unit of the North Metropolitan Area (USR Metro-Nord), University Institute for Primary Care Research Jordi Gol i Gurina (IDIAP Jordi Gol), 08303 Barcelona, SpainResearch Support Unit of the North Metropolitan Area (USR Metro-Nord), University Institute for Primary Care Research Jordi Gol i Gurina (IDIAP Jordi Gol), 08303 Barcelona, SpainResearch Support Unit of the North Metropolitan Area (USR Metro-Nord), University Institute for Primary Care Research Jordi Gol i Gurina (IDIAP Jordi Gol), 08303 Barcelona, SpainResearch Support Unit of the North Metropolitan Area (USR Metro-Nord), University Institute for Primary Care Research Jordi Gol i Gurina (IDIAP Jordi Gol), 08303 Barcelona, SpainResearch Support Unit of the North Metropolitan Area (USR Metro-Nord), University Institute for Primary Care Research Jordi Gol i Gurina (IDIAP Jordi Gol), 08303 Barcelona, SpainResearch Support Unit of the North Metropolitan Area (USR Metro-Nord), University Institute for Primary Care Research Jordi Gol i Gurina (IDIAP Jordi Gol), 08303 Barcelona, SpainResearch Support Unit of the North Metropolitan Area (USR Metro-Nord), University Institute for Primary Care Research Jordi Gol i Gurina (IDIAP Jordi Gol), 08303 Barcelona, SpainResearch Support Unit of the North Metropolitan Area (USR Metro-Nord), University Institute for Primary Care Research Jordi Gol i Gurina (IDIAP Jordi Gol), 08303 Barcelona, SpainResearch Support Unit of the North Metropolitan Area (USR Metro-Nord), University Institute for Primary Care Research Jordi Gol i Gurina (IDIAP Jordi Gol), 08303 Barcelona, SpainResearch Support Unit of the North Metropolitan Area (USR Metro-Nord), University Institute for Primary Care Research Jordi Gol i Gurina (IDIAP Jordi Gol), 08303 Barcelona, SpainResearch Support Unit of the North Metropolitan Area (USR Metro-Nord), University Institute for Primary Care Research Jordi Gol i Gurina (IDIAP Jordi Gol), 08303 Barcelona, SpainResearch Support Unit of the North Metropolitan Area (USR Metro-Nord), University Institute for Primary Care Research Jordi Gol i Gurina (IDIAP Jordi Gol), 08303 Barcelona, SpainBackground: Risky alcohol consumption (RAC) can lead to alcohol-related liver disease (ALD). Liver cirrhosis caused by ALD continues to increase as alcohol consumption continues unabated. In turn, the elderly are more sensitive to alcohol. Population ageing calls for preventive activities to improve their health. Brief interventions have proven to be cost-effective in addressing risk behaviours. Aim: We aimed to analyse the prevalence of RAC in people > 64 years and to assess the effect of a brief intervention in the subgroup of risky consumers. Methods: population-based study in two phases: (1) Phase I: Cross-sectional, descriptive multicentre study of prevalence of RAC in people > 64 years. (2) Phase II: Cluster randomized, controlled, single-blind, community-based clinical trial with two comparison groups of subjects with RAC, to assess the effectiveness of a brief intervention compared to standard practice in reducing alcohol consumption in primary care. Results: Out of the 932 subjects, 455 (49%) (268 men (64%) and 187 women (36%)) had an alcohol consumption that was considered to be risky. Overall, the brief intervention was effective in reducing alcohol consumption showing 1.8 OR (<i>p</i> = 0.030). That effect was caused by women whose group showed 3.3 OR (<i>p</i> = 0.009). There was no effect on men (<i>p</i> = 0.468). Conclusions: RAC in the elderly is very high, far more in men than in women. A brief intervention was successful in reducing alcohol consumption but not below risk levels. Further research is needed to determine which types of interventions are most effective in this population subgroup.https://www.mdpi.com/2306-5710/9/4/100risky alcohol consumptionelderlybrief interventionalcohol-related liver diseaseprimary care |
| spellingShingle | Pere Torán Susanna Montesinos Alba Pachón-Camacho Galadriel Diez-Fadrique Irene Ruiz-Rojano Ingrid Arteaga Guillem Pera Núria Montellà-Jordana Pilar Montero-Alía Carmina Rodríguez-Pérez Llorenç Caballeria Carla Chacón Risky Alcohol Consumption in the Elderly: Screening and Brief Intervention from Primary Care. The ALANE Study, a Randomized Clinical Trial Beverages risky alcohol consumption elderly brief intervention alcohol-related liver disease primary care |
| title | Risky Alcohol Consumption in the Elderly: Screening and Brief Intervention from Primary Care. The ALANE Study, a Randomized Clinical Trial |
| title_full | Risky Alcohol Consumption in the Elderly: Screening and Brief Intervention from Primary Care. The ALANE Study, a Randomized Clinical Trial |
| title_fullStr | Risky Alcohol Consumption in the Elderly: Screening and Brief Intervention from Primary Care. The ALANE Study, a Randomized Clinical Trial |
| title_full_unstemmed | Risky Alcohol Consumption in the Elderly: Screening and Brief Intervention from Primary Care. The ALANE Study, a Randomized Clinical Trial |
| title_short | Risky Alcohol Consumption in the Elderly: Screening and Brief Intervention from Primary Care. The ALANE Study, a Randomized Clinical Trial |
| title_sort | risky alcohol consumption in the elderly screening and brief intervention from primary care the alane study a randomized clinical trial |
| topic | risky alcohol consumption elderly brief intervention alcohol-related liver disease primary care |
| url | https://www.mdpi.com/2306-5710/9/4/100 |
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