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Liver holidays? A meta‐analysis of drinking the same amount of alcohol daily or non‐daily and the risk for cirrhosis

机译:肝脏假期?每天或非每天饮酒等量饮酒与肝硬化风险的荟萃分析

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Abstract Introduction Several alcohol drinking guidelines indicate that daily alcohol consumption should be avoided because of its negative impact on the liver and to avoid the development of alcohol use disorders. Evidence that supports this recommendation is scarce. Our aim was to compare daily versus non‐daily drinking and its association with liver cirrhosis. Methods We conducted a review using PubMed/Medline and Embase as databases, selecting longitudinal or case control studies. A random effects meta‐analysis was conducted. Results Five mainly large‐scale studies were retrieved. Daily drinking was associated with a significant increase in risk of liver cirrhosis compared to non‐daily drinking, with a pooled relative risks of 1.71 (95 confidence interval 1.23–2.23) for men and 1.56 (95 confidence interval 1.39–1.74) for women. Discussion and Conclusions The consistent exposure to acetaldehyde and other toxins for daily drinkers may explain our findings. There should be days of abstinence to allow the liver to recover, especially for heavier drinkers.
机译:摘要 引言 一些饮酒指南指出,应避免每天饮酒,因为它对肝脏有负面影响,并避免酒精使用障碍的发展。支持这一建议的证据很少。我们的目的是比较每日与非每日饮酒及其与肝硬化的关联。方法 采用PubMed/Medline和Embase为数据库,筛选纵向或病例对照研究。进行随机效应meta分析。结果 共检索到5项主要大规模研究。与非每日饮酒相比,每日饮酒与肝硬化风险显著增加相关,男性的合并相对风险为1.71(95%置信区间1.23-2.23),女性为1.56(95%置信区间1.39-1.74)。讨论和结论 日常饮酒者持续暴露于乙醛和其他毒素可以解释我们的发现。应该有几天的禁欲,让肝脏恢复,特别是对于酗酒者。

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