This article aims at identifying a threshold number of drinks per day beyond which there is a high risk of developing alcoholic behavior that would enable physicians to more confidently support the use of alcohol for cardiovascular risk prevention. In a randomly selected, population-based sample of 2,042 adults 45 years or older, we graded alcohol drinking behavior using the Self-Administered Alcoholism Screening Test, quantified alcohol amount by questionnaire, and assessed the prevalence of cardiovascular disease (coronary, peripheral, or cerebrovascular disease) by medical record review. Although optimal alcohol use (≤2 drinks/day) was associated with reduced odds of cardiovascular disease, 43% of alcoholics and 82% of problem drinkers reported alcohol use in the optimal range as well. The association of alcohol use in the optimal range with alcohol-related behavioral problems supports the reluctance in physicians from recommending alcohol use for cardiovascular benefit, not withstanding the underreporting of alcohol use by alcoholics.

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Keywords Alcohol, Alcoholism, Coronary heart disease, Risk factor
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Journal Journal of Addictive Diseases
Ammar, K.A, Samee, S, Colligan, R, Morse, R, Faheem, O, Shapiro, M, … Rodeheffer, R.J. (2009). Is self-reported moderate drinking in the cardiovascular benefit range associated with alcoholic behavior? a population based study. Journal of Addictive Diseases, 28(3), 243–249. doi:10.1080/10550880903014205