Consumption Of Alcoholic Beverages Research Articles

Dose-response relationship between alcohol drinking and gout risk: do subtypes of alcoholic beverages make a difference?

Although previous studies have explored the association of drinking with gout risk, the dose-response relationship was uncertain and the evidence between subtypes of alcoholic beverages and gout risk was limited. The weekly alcoholic beverage consumption in the United Kingdom Biobank (UKB) was collected and calculated. The Cox regression model was applied to assess the impact of alcohol drinking and its subtypes on gout risk by calculating the hazard ratio (HR) and 95% confidence interval (CI). Besides, the restricted cubic splines were used to estimate the dose-response relationship between alcoholic drinking and gout risk. To evaluate the robustness, we performed subgroup analysis across various demographic characteristics. During a mean follow-up period of 11.70 years, a total of 5,728 newly incident gout cases were diagnosed among 331,865 participants. We found that light alcohol drinking was linked to a slight decrease in gout incidence among females (HR, 0.78; 95% CI, 0.65 to 0.94, P=0.01), whereas it showed no significant association in males. Moreover, the dose-response relationship showed that light red wine and fortified wine could reduce the gout risk, while beer, champagne plus white wine and spirits promoted the gout risk at any dose. Our study suggested a J-shaped dose-response relationship of drinking with gout risk in females rather than males. For specific alcoholic beverages, light consumption of red wine and fortified wine was associated with reduced gout risk. These findings offer new insights into the roles of alcoholic beverages in gout, while further validation is warranted.

Development of an IoT-Based Alcohol Detector Using Blynk and NodeMCU

Although the consumption of alcoholic beverages has been a part of human society for a very long time, it is also a big contributor to accidents and health problems. Driving under the influence of alcohol is a leading contributor to death and injury on the roads across the globe. Individuals continue to operate motor vehicles while under the influence of alcohol, despite the existence of stringent regulations and awareness efforts, which poses a risk to both themselves and others who are on the road. With the intention of preventing drunk driving and promoting road safety, an Internet of Things (IoT)-based alcohol detector has been developed utilising Blynk and NodeMCU. This detector was developed to address this issue. The amount of alcohol that is present in a person's blood, urine, or breath can be determined with the help of a device known as an alcohol detector. Using a gas sensor, the device is able to determine the amount of alcohol that is present in the breath of the user. A connection has been made between the sensor and the NodeMCU, which is tied to the Blynk application. The NodeMCU receives the information that is gathered by the gas sensor that is incorporated within the device. This sensor monitors the amount of alcohol that is breathed by the user. Through the use of a smartphone application, Blynk is an Internet of Things platform that gives consumers the ability to control and monitor connected devices. This alcohol detector that is based on the Internet of Things is extremely portable, which is one of its most significant features. A cost-effective solution has been developed through the utilisation of open-source technologies such as Blynk and NodeMCU. This has enabled the device to maintain its accuracy and quality without compromising its functionality.

Consumption of Korean rice wine alters certain human gut microbial genera in different ways from consumption of other alcoholic beverages: A randomized, cross-over trial

This study investigated the impact of Korean rice wine (makgeolli) consumption on human gut microbiota and compared it with that of other alcoholic beverages, including soju (Korean spirit), beer, and red wine. A randomized, cross-over trial design was employed, and fecal samples were collected from 18 healthy adults before and after the consumption of rice wine or control liquor. Microbiota of each fecal sample was analyzed targeting V3–V4 region, utilizing MiSeq system and QIIME2 analysis. Significant alterations in the relative abundance of the Actinobacteria and certain genera were observed after rice wine intervention. Additionally, rice wine consumption induced distinct alterations in the gut microbiota compared with other liquor consumptions. The relative abundance of lactic acid bacteria in the gut microbiota varied among the participants, with an elevated detection frequency of Enterococcus and Lactobacillus genera observed following rice wine consumption. In summary, this study provides the first comprehensive insight into the unique effect of rice wine consumption on the human gut microbiota, distinguishing it from other liquors.

Binge drinking associated with mean temperature: a cross-sectional study among Mexican adults living in cities

BackgroundThe association between environmental temperature and alcohol consumption has not been widely explored despite the potential that increasing temperatures could promote the consumption of alcoholic beverages and the alcohol-related burden of disease. We aimed to explore the association between temperature and binge drinking in Mexican adults from urban cities, overall, and by alcoholic beverage type.MethodsData on 10,552 adults ≥ 18 years was obtained from the 2016 National Survey on Drug, Alcohol, and Tobacco Consumption. The mean annual temperature at the municipality was obtained from the Mexican National Weather Service using monthly temperatures from 2015 to 2016. We analyzed binge drinking for all alcoholic beverages in the last year and by type of alcohol as beer, liquor, wine, and coolers. Associations between mean temperature over the past year and binge drinking over the past year among current drinkers were estimated using multilevel Poisson models with robust standard errors adjusted for age, sex, education level, marital status, and household socioeconomic status, with a fixed effect by region.ResultsWe observed a non-significant increase in the prevalence of binge drinking for every difference of 1 °C between municipalities of the same region. By alcohol type, a 1 °C increase in mean annual temperature across municipalities of the same region increased the prevalence of beer binge drinking in the past year by 0.9% (PR = 1.009, 95%CI 1.005, 1.013) among beer consumers and the prevalence of coolers’ binge drinking by 3.0% (PR = 1.030, 95%CI 1.003, 1.057) in coolers consumers. We observed non-significant results for liquor binge drinking (PR = 1.047, 95%CI 0.994, 1.102) and wine binge drinking (PR = 1.047, 95% 0.944, 1.161).ConclusionPeople living in municipalities with higher temperatures reported a higher beer binge drinking in Mexican cities. This could account for 196,000 cases of beer binge drinking in 2016. The context of each country needs to be considered when generalizing these findings, and they need to be further explored with longitudinal data as there might be implications for climate change. If our findings are confirmed given the forecasted rising temperatures, we could expect an increase in binge drinking and therefore, in the alcohol burden of disease.

Exploring the alcohol consumption of students in a higher education institution during the COVID-19 Pandemic: A case study


 Several studies in foreign literatures indicated an increase in health-related problems induced by alcohol use as a result of the COVID-19 epidemic accompanying limitations on mobility. However, there were a handful of previous research on alcohol usage in the Philippines, particularly in Higher Education Institutions during the COVID-19 pandemic. With this current gap in mind, this study evaluated alcohol use among students at a Higher Education Institution in Metro Manila in order to offer evidence-based data for the formulation of alcohol-related health policy. Furthermore, this study is critical in developing an intervention program to assist students in diverting their focus away from alcohol intake. This study used an online survey form, with 564 students participated. The findings revealed that respondents have different preferences and patterns. Almost all of the respondents are aware of the dangers of excessive alcoholic beverage consumption; a large percentage determined that they do not have a drinking problem; a small percentage revealed that they have tried driving while under the influence of alcohol; and more than one-fourth of the respondents drank at least one glass of alcoholic beverages during enhanced community quarantine. The chi-squared test was also utilized to assess the difference between COVID-19 lockdowns and alcohol consumptions.

Abstract LB143: Environmental assessment of alcohol-related policies and practices at US cancer organizations

Abstract In 1998, the International Agency for Research on Cancer (IARC) declared that the consumption of alcoholic beverages was a class I carcinogen to humans; the designation was reaffirmed in 2007 and 2010. Despite this, approximately 4% of new cancer cases worldwide in 2020 were attributable to alcohol intake. Growing evidence indicates that alcohol use increases the risk of cancers of the upper aerodigestive tract (oral cavity, pharynx, esophagus, and larynx) and lower digestive tract (colon, rectum, and liver). Over half of the 6.3 million cases of these cancers are considered preventable, underscoring notable gaps regarding alcohol consumption and cancer prevention. Despite (1) the longstanding designation of alcohol as an established carcinogen, (2) an increasing and consistent body of data noting alcohol as a leading contributor to the global cancer burden, and (3) the publication of policy statements by authoritative sources, it is unclear whether cancer-focused institutions are aware of these facts or are acting on these data (i.e., implementing evidence-based policies and practices to limit alcohol-related cancer risks for their employees, guests, or the public). Driven by these data and shortfalls, we developed a 22-item survey to inquire about cancer organizations' interpretation of current literature, existing policies, decision-making processes, inclination to act, and perceived responsibility to lead in the realms of public education and policy implementation to mitigate alcohol-related cancer risks in the public’s interest. The survey will be sent to over 100 leading U.S. cancer organizations, including NCI-designated- and other major cancer centers, cancer-oriented professional organizations, and cancer-research organizations. It underwent rigorous testing for clarity, brevity, and expected response time, also drawing upon the expertise of five survey-science professionals. The study is under institutional review board (IRB) review, and we anticipate the survey’s distribution in the first quarter of the calendar year 2024. We expect to share the survey instrument and results during the meeting. Citation Format: Meghan Si, Stephanie Martch, Sanjay Shete, Ernest Hawk. Environmental assessment of alcohol-related policies and practices at US cancer organizations [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 2 (Late-Breaking, Clinical Trial, and Invited Abstracts); 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84(7_Suppl):Abstract nr LB143.

Prevalence of Alcohol Consumption in Mozambique: Analysis Based on Household Budget Survey (IOF 2022)

Worldwide the excessive consumption of alcohol in 2016 was considered as responsible for 5% of deaths and more than 200 illnesses and injuries. There are several studies conducted around the world to understand the prevalence of alcohol consumption. However, in Mozambique, there are few studies conducted to determine the prevalence of alcohol consumption, as well as, to characterize the consumers, using data from nationally representative surveys. The current study, identify the prevalence of alcohol consumption in Mozambique, according to socio-demographic characteristics of population using data from the Household Budget Survey (IOF 2022) carried out by the National Statistics Institute in 2022. The analysis of data was based in descriptive statistics. The study results revel that the prevalence of alcohol consumption in Mozambique is 24.6%, higher among men (27%), compared to woman (23%). The prevalence is high among people between 18 - 65 years old (26%) and people with higher education (34%). Around 17% of teenagers, between 15 and 17 years old, in both sexes, purchased and consumed alcoholic beverages, despite the prohibition of Mozambican legislation. The provinces of Tete (37.2%), Maputo (32.3%) and Zambézia (30.3%) have the highest prevalence of alcoholic beverages consumption and the province of Niassa (3.7%) has the lowest prevalence. Beer (46%) is the most consumed alcoholic beverage in Mozambique, followed by traditional alcoholic beverages (44%).

Determination of 10 mycotoxins in wine, baijiu, and huangjiu of the Chinese market by liquid chromatography tandem mass spectrometry and exposure estimation

In this study, liquid chromatography tandem mass spectrometry (LC–MS/MS) was employed to analyze the prevalence of 10 mycotoxins in 140 samples from the Chinese market, aiming to assess the exposure of Chinese individuals to these mycotoxins through the consumption of wine, baijiu, and huangjiu. Mycotoxins were detected in 98% of the samples, with fumonisins (FBs), deoxynivalenol (DON), and zearalenone (ZEN) exhibiting positive rates exceeding 50%. Regarding the exposure of the Chinese population to mycotoxins resulting from alcoholic beverage consumption, fruit wine intake made a relatively significant contribution to aflatoxin exposure, while baijiu showed a relatively significant contribution to ZEN exposure (1.84%). The analysis of the correlation between grape variety, wine region, and mycotoxin content demonstrated that FBs, ZEN, and DON were significantly influenced by grape variety and wine region. This research holds great significance in protecting human life and health, as well as in the production of safer alcoholic beverages.

Adherence to Epilepsy's Medical Recommendations.

The primary problem in the treatment of epilepsy is poor seizure control. Several studies have shown that non-adherence to doctors' recommendations regarding drug dosage, time of drug administration as well as lifestyle modifications are the most frequent causes of the persistence or reoccurrence of seizures, other than cases of misdiagnosis and poor drug selection. The aim of this study was to assess the prevalence of non-compliance with medical recommendations, both in relation to medicine dosage, regularity of administration and lifestyle, and also to determine the factors affecting patients with diagnosed epilepsy. This study was carried out on a total of 169 patients diagnosed with epilepsy who were under the care of an outpatient neurology clinic. The assessment of compliance was performed using the Patient Rating of Compliance Scale (PRCS), Clinician Rating Scale (CRS) and authors' scale. Depending on the scale used, varying degrees of non-compliance were noted. They were as follows-65.3% on the authors' scale, 10% on the PRCS and 9% on the CRS. The following factors influenced compliance with doctors' recommendations: type of epilepsy, consumption of alcoholic beverages, frequency of follow-up visits to the neurology clinic, type of pharmacotherapy and number of medicines taken.

Methyl alcohol intoxication in Izmir: A retrospective analysis

Objectives: This study aimed to investigate methyl alcohol poisoning cases in Izmir. Patients and methods: The retrospective study included 15 patients (14 males, 1 female; mean age: 56.1±9.3 years; range, 40 to 71 years) diagnosed with methyl alcohol poisoning due to counterfeit alcoholic beverage consumption between October 1, 2020, and October 30, 2020. Patients were grouped according to survival. The demographic and clinical data, including the Acute Physiology and Chronic Health Evaluation II scoring and Glasgow Coma Scale scores, were compared. Results: Of the patients, eight (53.3%) died, and seven survived. There was no significant difference between deceased and surviving patients regarding optical nerve involvement, mechanical ventilation need, and dyspnea (p=0.057, p=0.467, and p=0.467, respectively). On the other hand, a significant difference was observed between deceased and surviving patients regarding radiological imaging, visual impairment, gastrointestinal symptoms, and vasopressor agent need (p=0.044, p<0.001, p=0.011, and p=0.026, respectively). Mortality was significantly correlated with vasopressor agent needs, Acute Physiology and Chronic Health Evaluation II score, and Glasgow Coma Scale score (p=0.009; r=0.645, p=0.009; r=–0.652, p=0.008; and r=0.562, p=0.029; respectively). Conclusion: Methyl alcohol poisoning is a common and even accelerating problem in Türkiye and results in high mortality and morbidity. Clinical, social, and economic strategies should be developed by national authorities to combat the issue.

Gastric cancer in the northern region and its possible risk factors: a quantitative analysis of deaths from 2015 to 2019 in Brazil

Gastric cancer (GC) is gaining importance in Brazil due to the quantitative increase in the pathology in the population. The main risk factors evidenced by epidemiological studies are genetic and environmental factors, mainly the country’s characteristic diet, rich in foods high in sodium and starch. Additionally, the consumption of alcoholic beverages and smoking, as well as infection caused by the bacterium Helicobacter pylori, which is related to pathological processes of the stomach that can lead to the development of gastric GC, are highlighted. Thus, the present study concluded that the Northern region of Brazil is the most affected by this type of GC compared to other regions of the country, due to the predominance of risk factors in this locality and the high rates of stomach GC registered during the period analyzed by the present study.

Validation of an analytical technique for the dosage of ethanol in biological fluids

The widespread consumption of alcoholic beverages in modern society has impelled forensic toxicology laboratories to improve on the already high standards of the analytical techniques routinely employed by optimizing how judicially relevant samples are managed, given that it is essential to expedite the delivery time of results. According to the World Health Organization (WHO): “Total alcohol per capita consumption in the world’s population over 15 years of age rose from 5.5 litres of pure alcohol in 2005 to 6.4 litres in 2010 and was still at the level of 6.4 litres in 2016”. To that effect, the dosage of ethanol in biological fluids allows judges, through retrospective calculations, to assess the level of impairment of an individual at the time of the event, which is fundamental for its elucidation. This study proposes the validation of an analytical method that makes it possible to obtain reliable results with a brief analysis.

MARKET CONCENTRATION AND DEMAND FOR ALCOHOLIC BEVERAGES IN MAJOR MOTOR PARKS WITHIN IBADAN METROPOLIS, OYO STATE, NIGERIA

The value addition to alcoholic beverages through packaging in small nylon and increase in the introduction of new brands has led to its high demand and many Nigerians earning their means of livelihood through the sales. The study showed that the average consumption per day was 6.1 sachets per week. The study revealed that 28.6% of the consumers’ monthly income was spent on alcoholic beverages per month. Seaman brand had the highest market share (73.4%); this was followed by Chelsea (66.2%). The study affirmed that 62.9% of the consumers based their choice on high alcoholic content while 3.1% claimed the choice was based on the medicinal (cures pile) value. Also, Captain Jack had the highest market concentration (0.35). The age of respondents, marital status, household size, and the quantity consumed per week were the factors that influenced consumers’ monthly expenditure on alcoholic beverages. It is recommended that efforts should be made by the government to reduce the rate of consumption of alcoholic beverages at the motor parks by enforcing the existing (FRSC Act cap 141 Laws of the Federation of Nigeria) law banning/regulating the sales or increasing tax on the brands to make it out of reach for most consumers.

Gender differences in changes in alcohol consumption achieved by free provision of non-alcoholic beverages: a secondary analysis of a randomized controlled trial

BackgroundWe recently demonstrated that a 12-week intervention consisting of the provision of free non-alcoholic beverages reduced alcohol consumption in excessive drinkers for 8 weeks after the intervention. However, gender differences in this effect were not explored. Thus, this secondary analysis investigated gender differences in the influence of non-alcoholic beverage provision on alcohol consumption.MethodsIndividuals who frequently drank excessively (at least 40 g/day in men and 20 g/day in women) and who were not diagnosed with alcoholism were recruited. Participants were randomized into the intervention or control group by simple randomization using a random number table. In the intervention group, free non-alcoholic beverages were provided once every 4 weeks for 12 weeks (three times in total). The consumption of alcoholic and non-alcoholic beverages was calculated based on a drinking diary submitted with the previous 4 weeks’ of data. In this study, we compared the longitudinal changes in alcohol consumption between genders in both groups.ResultsThe provision of non-alcoholic beverages significantly reduced alcohol consumption in both genders; however, significant differences in alcohol consumption between the control and intervention groups were observed only in men. The average alcohol consumption during the intervention fell below the level associated with a high risk of non-communicable diseases in men (32.7 g/day), but not in women (24.8 g/day). Correlation coefficient analysis showed that replacing alcoholic beverages with the provided non-alcoholic beverages resulted in different drinking patterns according to gender. The percent changes in the consumption of alcoholic and non-alcoholic beverages relative to baseline levels did not differ between genders.ConclusionsOur results suggest that the provision of non-alcoholic beverages reduced alcohol consumption irrespective of gender. Of note, providing non-alcoholic beverages might be particularly useful for reducing high-risk alcohol consumption in male excessive drinkers.Trial registrationUMIN UMIN000047949. Registered 4 June 2022.

Alcohol policy in Russia in the last decade: A movement backwards

Since the mid-nineties of this century, Russia has intensified its state policy of combating excessive alcohol consumption. In particular, a minimum price threshold for vodka was introduced, excise taxes on alcohol in alcoholic beverages were substantially increased, and a mandatory ban on nighttime retail sales was introduced. A number of studies using Russian microdata have confirmed the effectiveness of these measures. From 2007 to 2017, the dynamics of alcohol consumption by the Russian population did show a consistent decline. Many researchers, both Russian and foreign, considered this trend as a success of government policy. Recently, however, official statistics have noted an annual increase in the consumption of alcoholic beverages: from 7.2 liters of pure alcohol per capita adult population in 2017 to 7.7 in 2021. Why has the alcohol policy, designed initially in line with international best practices, not reduced consumption in recent years? This article analyzes the practice of applying price and restrictive measures for the last 10 years on the basis of Rosstat data, federal and regional legislation. Excise duties and minimum vodka prices in real terms are calculated, as well as indices of the ratio of alcoholic beverage prices and average wages. The real excise taxes and prices for alcoholic beverages decreased after 2014, making them more affordable for consumers. After 2017, there is no increase in the number of Russian territories applying stricter temporary restrictions on alcohol trade compared to the norm of the federal law. Today, almost half of the country’s population lives in regions with the mildest possible time limits on alcohol sales that do not constrain its physical availability. We have to admit that the alcohol policy is inconsistent. The formal application of price and restrictive measures in the last decade has not prevented the growth of alcohol consumption.

Genetic association analysis of dietary intake and idiopathic pulmonary fibrosis: a two-sample mendelian randomization study

BackgroundIPF is a complex lung disease whose aetiology is not fully understood, but diet may have an impact on its development and progression. Therefore, we investigated the potential causal connection between dietary intake and IPF through TSMR to offer insights for early disease prevention recommendations.MethodsThe study incorporated 29 dietary exposure factors, oily fish intake, bacon intake, processed meat intake, poultry intake, beef intake, pork intake, lamb/mutton intake, non-oily fish intake, fresh fruit intake, cooked vegetable intake, baked bean intake, fresh tomato intake, tinned tomato intake, salad/raw vegetable intake, Fresh fruit intake, coffee intake, tea intake, water intake, red wine intake, average weekly beer plus cider intake, alcoholic drinks per week, cereal intake, bread intake, whole-wheat intake, whole-wheat cereal intake, cheese intake, yogurt intake, salt added to food and whole egg intake. The study explored the causal link between diet and IPF using TSMR analysis, predominantly the IVW method, and performed sensitivity analyses to validate the results.ResultThe study revealed that consuming oily fish, yogurt, and dried fruits had a protective effect against IPF, whereas the consumption of alcoholic beverages and beef was linked to an increased risk of IPF.ConclusionIn this MR study, it was discovered that the consumption of oily fish, yogurt, and dried fruits exhibited a protective effect against IPF, whereas the intake of alcoholic beverages and beef was associated with an elevated risk of IPF. These findings underscore the significance of making informed and timely dietary decisions in IPF prevention.

Beverage consumption and facial skin aging: Evidence from Mendelian randomization analysis.

Observational studies have linked coffee, alcohol, tea, and sugar-sweetened beverage (SSB) consumption to facial skin aging. However, confounding factors may influence these studies. The present two-sample Mendelian randomization (MR) investigated the potential causal association between beverage consumption and facial skin aging. The single-nucleotide polymorphisms (SNPs) associated with coffee, alcohol, and tea intake were derived from the IEU project. The SSB-associated SNPs were selected from a genome-wide association study (GWAS). Data on facial skin aging were derived from the largest GWAS involving 16 677 European individuals. The inverse variance-weighted (IVW) was the main MR analysis method, supplemented by other methods (MR-Egger, weighted median, simple mode, and weighted mode). The MR-Egger intercept analysis was used for sensitivity analysis. Moreover, we conducted a replication analysis using data from another GWAS dataset on coffee consumption to validate our findings. Four instrumental variables (IVs) sets were used to examine the causal association between beverage consumption (coffee, alcohol, tea, SSB) and facial skin aging. Our results revealed that genetically predicted higher coffee consumption reduced the risk of facial skin aging (OR: 0.852; 95% CI: 0.753-0.964; p = 0.011, IVW method). The sensitivity analysis confirmed the robustness of the findings, with no evidence of pleiotropy or heterogeneity. The results of replicated MR analysis on coffee consumption were consistent with the initial analysis (OR = 0.997; 95% CI = 0.996-0.999; p = 0.003, IVW method). This study manifests that higher coffee consumption is significantly associated with a reduced risk of facial skin aging. These findings can offer novel strategies for identifying the underlying etiology of facial skin aging.

АНАЛИЗ И СОВЕРШЕНСТВОВАНИЕ АКЦИЗНОЙ ПОЛИТИКИ РОССИЙСКОЙ ФЕДЕРАЦИИ В ОТНОШЕНИИ АЛКОГОЛЬНОЙ ПРОДУКЦИИ

The article analyses the measures of the state anti-alcohol policy of modern Russia in the field of taxation and assessment of their impact on the receipt of excise taxes in the budget of the Russian Federation and the level of consumption of alcoholic beverages by the adult population of the country. Particular attention is paid to the study of the excise policy of the Russian Federation in relation to alcoholic beverages. Excise taxation is one of the effective instruments of state regulation of the production and consumption of alcoholic beverages. The purpose of the study is, based on the analysis, to develop recommendations for changing excise tax rates on various types of alcoholic products to enhance the fiscal potential of excise taxes and regulate alcohol consumption by the country's population. The study was carried out using methods of systematic comparative analysis of domestic and foreign literature and statistical data, as well as generalization and synthesis. It highlights the structure and dynamics of excise tax revenues to the budget of the Russian Federation by type of alcoholic beverages. It also considers restrictive measures relating to the production, sale and consumption of alcoholic beverages in Russia, as well as options for tax support for domestic producers of low-alcohol drinks. A study of the dynamics of the volume and structure of consumption of alcoholic beverages by the population showed the high effectiveness of government regulatory measures, including excise taxation instruments. However, despite the identified reduction, the level of alcohol consumption by the population of the Russian Federation remains high, which raises the need to improve excise policy in the field of taxation of alcoholic products. The increase in excise tax rates on strong alcohol and a change in the method of levying excise tax on beer proposed by the authors will ensure annual additional excise tax revenues to the budget, will lead to a reduction in the consumption of alcoholic beverages and a shift in consumer preferences towards low-alcohol drinks that cause less harm to human health.

Consumption of in natura and ultra-processed foods in adults: an analysis of social, metabolic, and lifestyle determinants.

To assess the social, metabolic, and lifestyle determinants of consumption of fruits, vegetables, and greens (FVG) and ultra-processed food (ULT) in adults from Pernambuco. Cross-sectional and analytical study, conducted in 2015/2016. In addition to sociodemographic variables, the determinants of lifestyle were level of physical activity, alcohol consumption, tobacco use, and metabolic variables were self-reported hypertension, blood glucose, and Body Mass Index (BMI). Consumption was measured by the Food Frequency Questionnaire, then created the Frequency of Consumption Index (SFI) of the mean intake of ULT and FVG foods. The indices of FVG and ULT consumption were transformed into quartiles and these variables were included in the multinomial logistic regression, considering their determinants when p<0.05. The sample was representative of the state, with 1,067 people being interviewed, whose intake of ULT was higher than that of FVG in the lowest and highest quartile of the consumption index. Consumption of fruit and vegetables was higher in higher consumption of alcoholic beverages (p=0.031) and BMI>25 kg/m2 (p=0.047); and lower in the lowest income (p=0.001). ULT intake was higher in young adults (p=0.005), lower income (p=0.044), and controlled blood glucose (p=0.021). Rural areas were 52% less exposed to medium-high ULT consumption (p<0.006). Higher rate of ULT consumption in relation to fresh foods, with income as a common determinant, inversely associated with ULT intake and directly related to FVG, which demands structuring policies.

The IARC Perspective on Alcohol Reduction or Cessation and Cancer Risk

The IARC convened a group of scientists to review the evidence on reduction or cessation of alcohol beverage consumption in relation to alcohol-related cancer incidence or mortality.