The impact of a population-based multi-factorial lifestyle intervention on alcohol intake: the Inter99 study

Ulla Marie Nørgaard Toft, Charlotta Pisinger, Mette Aadahl, Cathrine Lau, Allan Linneberg, Steen Ladelund, Lis Kristoffersen, Torben Jørgensen, Ulla Toft, Charlotta Pisinger, Mette Aadahl, Cathrine Lau, Allan Linneberg, Steen Ladelund, Lis Kristoffersen, Torben Jørgensen

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Abstract

PURPOSE: To investigate the effect of screening and five years of multi-factorial lifestyle intervention on changes in alcohol intake in a general population. METHODS: The study was a pre-randomized intervention study on lifestyle, Inter99 (1999-2006), Copenhagen, Denmark. Participants in the intervention group (n=6 091) had at baseline a medical health examination and a face-to-face lifestyle counselling. Individuals at high risk of ischemic heart disease were repeatedly offered both individual and group-based counselling. The control group (n=3 324) was followed by questionnaires. Alcohol intake was measured by questionnaires. Changes were analysed by multilevel analyses. RESULTS: Binge drinking decreased both in men and women at three and five-year follow-ups (men: five-year: net-change:-0.13; p=0.03; women: five-year: net-change:-0.08; p=0.04). Furthermore, in women the ratio between wine and total alcohol was increased compared with the control group at five-year follow-up (net-change: 0.04; p<0.01). In men with a high intake of alcohol (>21 drinks per week) the effect on total alcohol intake was maintained at five-year follow-up (net-change: -3.7; p=0.01). No significant effects were found in women on total alcohol intake. CONCLUSION: Multi-factorial lifestyle intervention, including low intensity alcohol intervention, improved long-term alcohol habits in a general population.
Original languageEnglish
JournalPreventive Medicine
Volume49
Issue number2-3
Pages (from-to)115-21
Number of pages7
ISSN0091-7435
DOIs
Publication statusPublished - 2009

Bibliographical note

Keywords: Adult; Alcohol Drinking; Alcohol-Related Disorders; Cohort Studies; Denmark; Directive Counseling; Female; Humans; Life Style; Male; Middle Aged; Myocardial Ischemia; Questionnaires; Sex Factors; Socioeconomic Factors

DA - 20090928IS - 1096-0260 (Electronic)IS - 1096-0260 (Linking)LA - engPT - Journal ArticleSB - IM

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