Drinking patterns, dependency and lifetime drinking history in alcohol related liver disease
Drinking patterns, dependency and lifetime drinking history in alcohol related liver disease
AIMS: To examine the hypothesis that increases in UK liver deaths are a result of episodic or binge drinking as opposed to regular harmful drinking. DESIGN: A prospective survey of consecutive in-patients and out-patients. SETTING: The liver unit of a teaching hospital in the South of England. PARTICIPANTS: A total of 234 consecutive in-patients and out-patients between October 2007 and March 2008. MEASUREMENTS: Face-to-face interviews, Alcohol Use Disorders Identification Test, 7-day drinking diary, Severity of Alcohol Dependence Questionnaire, Lifetime Drinking History and liver assessment. FINDINGS: Of the 234 subjects, 106 had alcohol as a major contributing factor (alcoholic liver disease: ALD), 80 of whom had evidence of cirrhosis or progressive fibrosis. Of these subjects, 57 (71%) drank on a daily basis; only 10 subjects (13%) drank on fewer than 4 days of the week--of these, five had stopped drinking recently and four had cut down. In ALD patients two life-time drinking patterns accounted for 82% of subjects, increasing from youth (51%), and a variable drinking pattern (31%). ALD patients had significantly more drinking days and units/drinking day than non-ALD patients from the age of 20 years onwards. CONCLUSIONS: Increases in UK liver deaths are a result of daily or near-daily heavy drinking, not episodic or binge drinking, and this regular drinking pattern is often discernable at an early age.
587-592
Hatton, Jennifer
89116afb-0ab8-43e6-adea-77ff7234c438
Burton, Andrew
af718b29-3d32-417b-a0df-4f64aeb3febd
Nash, Harriet
17f5a92a-7f6b-4a6d-aafb-b046a85c5123
Munn, Emma
934fdc5c-c548-4268-9318-6fcd9d431044
Burgoyne, Lesley
6204134c-6867-41dd-9102-9f22ec9b60c8
Sheron, Nick
cbf852e3-cfaa-43b2-ab99-a954d96069f1
April 2009
Hatton, Jennifer
89116afb-0ab8-43e6-adea-77ff7234c438
Burton, Andrew
af718b29-3d32-417b-a0df-4f64aeb3febd
Nash, Harriet
17f5a92a-7f6b-4a6d-aafb-b046a85c5123
Munn, Emma
934fdc5c-c548-4268-9318-6fcd9d431044
Burgoyne, Lesley
6204134c-6867-41dd-9102-9f22ec9b60c8
Sheron, Nick
cbf852e3-cfaa-43b2-ab99-a954d96069f1
Hatton, Jennifer, Burton, Andrew, Nash, Harriet, Munn, Emma, Burgoyne, Lesley and Sheron, Nick
(2009)
Drinking patterns, dependency and lifetime drinking history in alcohol related liver disease.
Addiction, 104 (4), .
(doi:10.1111/j.1360-0443.2008.02493.x).
(PMID:19215600)
Abstract
AIMS: To examine the hypothesis that increases in UK liver deaths are a result of episodic or binge drinking as opposed to regular harmful drinking. DESIGN: A prospective survey of consecutive in-patients and out-patients. SETTING: The liver unit of a teaching hospital in the South of England. PARTICIPANTS: A total of 234 consecutive in-patients and out-patients between October 2007 and March 2008. MEASUREMENTS: Face-to-face interviews, Alcohol Use Disorders Identification Test, 7-day drinking diary, Severity of Alcohol Dependence Questionnaire, Lifetime Drinking History and liver assessment. FINDINGS: Of the 234 subjects, 106 had alcohol as a major contributing factor (alcoholic liver disease: ALD), 80 of whom had evidence of cirrhosis or progressive fibrosis. Of these subjects, 57 (71%) drank on a daily basis; only 10 subjects (13%) drank on fewer than 4 days of the week--of these, five had stopped drinking recently and four had cut down. In ALD patients two life-time drinking patterns accounted for 82% of subjects, increasing from youth (51%), and a variable drinking pattern (31%). ALD patients had significantly more drinking days and units/drinking day than non-ALD patients from the age of 20 years onwards. CONCLUSIONS: Increases in UK liver deaths are a result of daily or near-daily heavy drinking, not episodic or binge drinking, and this regular drinking pattern is often discernable at an early age.
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Published date: April 2009
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Local EPrints ID: 72580
URI: http://eprints.soton.ac.uk/id/eprint/72580
ISSN: 0965-2140
PURE UUID: 8f84648b-a094-41c4-8e2b-c978cc61e9b5
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Date deposited: 18 Feb 2010
Last modified: 13 Mar 2024 21:33
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Author:
Jennifer Hatton
Author:
Andrew Burton
Author:
Harriet Nash
Author:
Emma Munn
Author:
Lesley Burgoyne
Author:
Nick Sheron
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