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Alcohol and cardiovascular health: the razor-sharp double-edged sword
O'Keefe JH, Bybee KA, Lavie CJ.. Journal of the American College of Cardiology, 2007-09-01
Topic: Risk, prevention and care in population studies
An extensive body of data shows concordant J-shaped associations between alcohol intake and a variety of adverse health outcomes, including coronary heart disease, diabetes, hypertension, congestive heart failure, stroke, dementia, Raynaud's phenomenon, and all-cause mortality. Light to moderate alcohol consumption (up to 1 drink daily for women and 1 or 2 drinks daily for men) is associated with cardioprotective benefits, whereas increasingly excessive consumption results in proportional worsening of outcomes. Alcohol consumption confers cardiovascular protection predominately through improvements in insulin sensitivity and high-density lipoprotein cholesterol. The ethanol itself, rather than specific components of various alcoholic beverages, appears to be the major factor in conferring health benefits. Low-dose daily alcohol is associated with better health than less frequent consumption. Binge drinking, even among otherwise light drinkers, increases cardiovascular events and mortality. Alcohol should not be universally prescribed for health enhancement to nondrinking individuals owing to the lack of randomized outcome data and the potential for problem drinking.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
O'Keefe, J. H., Bybee, K. A., & Lavie, C. J. (2007). Alcohol and cardiovascular health: the razor-sharp double-edged sword. Journal of the American College of Cardiology. https://doi.org/10.1016/j.jacc.2007.04.089
Vancouver
O'Keefe JH, Bybee KA, Lavie CJ. Alcohol and cardiovascular health: the razor-sharp double-edged sword. Journal of the American College of Cardiology. 2007. doi:10.1016/j.jacc.2007.04.089. PMID: 17825708.
BibTeX
@article{okeefe2007-17825708,
author = {O'Keefe, J. H. and Bybee, K. A. and Lavie, C. J.},
title = {{Alcohol and cardiovascular health: the razor-sharp double-edged sword}},
journal = {Journal of the American College of Cardiology},
year = {2007},
doi = {10.1016/j.jacc.2007.04.089},
pmid = {17825708},
url = {https://doi.org/10.1016/j.jacc.2007.04.089}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
Key findings
- Light to moderate alcohol consumption (up to 1 drink daily for women and 1 or 2 drinks daily for men) is associated with cardioprotective benefits, whereas increasingly excessive consumption results in proportional worsening of outcomes.
- Low-dose daily alcohol is associated with better health than less frequent consumption.
Why it matters
This review describes J-shaped links between alcohol intake and various health outcomes including dementia, with light to moderate drinking linked to protective effects and heavier drinking to worse outcomes. It advises against prescribing alcohol for health, citing lack of randomized data and risk of problem drinking, and reports no treatment or cure for Alzheimer's disease.
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Study details
- Evidence strengthHigh
How this study scored 51/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of the American College of Cardiology) |
| Journal's citation record | 4 / 4 | Journal of the American College of Cardiology: journal h-index 618 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 5 / 5 | Rated “high” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 1 / 5 | 2007 — within 20 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 6 / 7 | Cited 468 times (OpenAlex, 2026-10-10) |
| Citations per year | 4 / 5 | 22.3 citations a year over 21 year(s) since 2007 |
| Impact for its field and year | 5 / 6 | Cited 23.3× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 2 / 4 | Cited 40 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 4 / 4 | Last-listed author Carl J. Lavie: h-index 136 (OpenAlex, whole career) |
| Institution's track record | 0 / 3 | University of Missouri–Kansas City: institution h-index 490 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 17825708) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 51 / 100 | — |
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Read the original
- DOI: 10.1016/j.jacc.2007.04.089
- PubMed: 17825708
- Original source →
- Free full text: Journal of the American College of Cardiology →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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