Hygiena 2014, 59(4):167-178 | DOI: 10.21101/hygiena.a1288

Methodology for Measurement of Alcohol Consumption in Epidemiological Studies of Risk Factors of Non-Communicable Diseases and the Kardiovize 2030 Project

Jindřich Fiala1,2, Ondřej Sochor2
1 Masarykova univerzita, Lékařská fakulta, Ústav ochrany a podpory zdraví, Brno
2 Fakultní nemocnice u sv. Anny v Brně, Mezinárodní centrum klinického výzkumu, Brno

Alcohol is one of the most important determinants of health, while its consumption in the Czech Republic is one of the highest in the world. Measuring alcohol consumption in epidemiological studies of risk factors of non-communicable diseases is therefore highly desirable. In Brno, an extensive cardiovascular project, organized by the International Centre for Clinical Research (ICRC) in cooperation with Masaryk University, is currently in progress. It includes an assessment of alcohol consumption and its effects in relation to all significant cardiovascular clinical parameters, but also in relation to other lifestyle factors such as nutrition, physical activity and smoking. A new questionnaire tool was created for this purpose; the article describes the appropriate starting point in the form of an overview of existing approaches to measuring alcohol consumption and detailed breakdown of issues regarding the content of alcohol in different beverages and alcohol units, and the alcohol questionnaire as such. The questionnaire contains 7 items only and is very compact despite its coverage of a relatively long time-period, divided into sections covering the preceding year, month and weekly timespans. Weekly recall is beverage specific and even specific by weekdays; quantification of ingested volume is described by means of alcohol units. The section focusing on longer time-periods should identify irregular binge drinking, and determine the overall pattern of consumption. At the time of writing this article, a sample of over 1,000 randomly selected inhabitants of Brno was examined with this alcohol questionnaire and by a complex of lifestyle and clinical examinations, with the objective of involving a total of at least 2,000 subjects. Strengths and weaknesses of different approaches to the measurement of alcohol consumption are discussed. Our questionnaire fulfilled the intended purpose, and we can recommend it for use in other epidemiological studies.

Keywords: epidemiological study, cardiovascular diseases, alcohol consumption

Received: January 2014; Accepted: March 13, 2014; Published: December 1, 2014  Show citation

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Fiala J, Sochor O. Methodology for Measurement of Alcohol Consumption in Epidemiological Studies of Risk Factors of Non-Communicable Diseases and the Kardiovize 2030 Project. Hygiena. 2014;59(4):167-178. doi: 10.21101/hygiena.a1288.
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References

  1. Fillmore KM, Stockwell T, Chikritzhs T, Bostrom A, Kerr W. Moderate alcohol use and reduced mortality risk: systematic error in prospective studies and new hypotheses. Ann Epidemiol. 2007 May;17(5 Suppl):S16-23. Go to original source... Go to PubMed...
  2. Kardiovize Brno 2030 [Internet]. Brno: Fakultní nemocnice u sv. Anny v Brně; 2011 [cit. 15. září 2014]. Vývoj nových metod a intervencí sloužících ke snížení rizikových faktorů. Dostupné z: http://www.fnusa-icrc.org/cs/pilire/vyzkum/ cardio-6/.
  3. Brazdová Z, Fiala J. Dietary guidelines in the Czech Republic. Acta Facultatis Medicae Universitatis Masarykianae Brunensis, 115. Brno: Masarykova Universita Brno; 1998.
  4. Vyhláška Ministerstva zemědělství, kterou se provádí § 18 písm. a), d), h), i), j) a k) zákona č. 110/1997 Sb., o potravinách a tabákových výrobcích a o změně a doplnění některých souvisejících zákonů, pro nealkoholické nápoje a koncentráty k přípravě nealkoholických nápojů, ovocná vína, ostatní vína a medovinu, pivo, konzumní líh, lihoviny a ostatní alkoholické nápoje, kvasný ocet a droždí. Sbírka zákonů ČR. 1997;částka 111:6834-54.
  5. Zákon č. 321/2004 Sb., o vinohradnictví a vinařství a o změně některých souvisejících zákonů (zákon o vinohradnictví a vinařství). Sbírka zákonů ČR. 2004;částka 105: 6490-517.
  6. Wikipedia [Internet]. San Francisco: Wikimedia Foundation; 2014 [cited 2014 Sep 15]. Alcohol Proof. Available from: http://en.wikipedia.org/wiki/Alcohol_proof.
  7. Nařízení Evropského parlamentu a Rady (ES) č. 110/2008 ze dne 15. ledna 2008 o definici, popisu, obchodní úpravě, označování a ochraně zeměpisných označení lihovin a o zrušení nařízení Rady (EHS) č. 1576/89. Úřední věstník EU. 2008;51(L39):16-54.
  8. World Health Organization [Internet]. Geneva: WHO; 2014 [cited 2014 Sep 15]. Chronic diseases and health promotion: the STEPS instrument and support materials. Available from: http://www.who.int/chp/steps/instrument/en/index.html.
  9. Dawson DA. Methodological issues in measuring alcohol use. Alcohol Res Health. 2003;27(1):18-29. Go to PubMed...
  10. Midanik LT. Comparing usual quantity/frequency and graduated frequency scales to assess yearly alcohol consumption: results from the 1990 US National Alcohol Survey. Addiction. 1994 Apr;89(4):407-12. Go to original source... Go to PubMed...
  11. Gmel G, Graham K, Kuendig H, Kuntsche S. Measuring alcohol consumption - should the 'graduated frequency' approach become the norm in survey research? Addiction. 2006 Jan;101(1):16-30. Go to original source... Go to PubMed...
  12. Graham K, Demers A, Rehm J, Gmel G. Problems with the graduated frequency approach to measuring alcohol consumption: results from a pilot study in Toronto, Canada. Alcohol Alcohol. 2004 Sep-Oct;39(5):455-62. Go to original source... Go to PubMed...
  13. Poikolainen K, Podkletnova I, Alho H. Accuracy of quantity-frequency and graduated frequency questionnaires in measuring alcohol intake: comparison with daily diary and commonly used laboratory markers. Alcohol Alcohol. 2002 Nov-Dec;37(6):573-6. Go to original source... Go to PubMed...
  14. Redman S, Sanson-Fisher RW, Wilkinson C, Fahey PP, Gibberd RW. Agreement between two measures of alcohol consumption. J Stud Alcohol. 1987 Mar;48(2):104-8. Go to original source... Go to PubMed...
  15. Shakeschaft AP, Bowman JA, Sanson-Fisher RW. A comparison of two retrospective measures of weekly alcohol consuption: diary and quantity/frequency index. Alcohol Alcohol. 1999 Jul-Aug;34(4):636-45. Go to original source... Go to PubMed...
  16. Werch CE. Quantity-frequency and diary measures of alcohol consumption for elderly drinkers. Int J Addict. 1989 Sep;24(9):859-65. Go to original source... Go to PubMed...
  17. Webb GR, Redman S, Sanson-Fisher RW, Gibberd RW. Comparison of a quantity-frequency method and a diary method of measuring alcohol consumption. J Stud Alcohol. 1990 May;51(3):271-7. Go to original source... Go to PubMed...
  18. Saunders JB, Aasland OG, Babor TF, de la Fuente JR, Grant M. Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption -II. Addiction. 1993 Jun;88(6):791-804. Go to original source... Go to PubMed...
  19. Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA. The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. Arch Intern Med. 1998 Sep 14;158(16):1789-95. Go to original source...
  20. Greenfield TK, Kerr WC. Alcohol measurement methodology in epidemiology: recent advances and opportunities. Addiction. 2008 Jul;103(7):1082-99. Go to original source... Go to PubMed...
  21. Moskalewicz J, Sieroslawski J. Drinking population surveys Guidance document for standardized approach. Final report prepared for the project Standardizing Measurement of Alcohol-Related Troubles - SMART [Internet]. Warsaw: Institute of Psychiatry and Neurology; 2010 [cited 2014 Sep 15]. Available from: http://www.drugsandalcohol.ie/15682/1/EU_Comm_Drinking_population_surveys.pdf.
  22. Dawson DA, Li TK, Grant BF. A prospective study of risk drinking: at risk for what? Drug Alcohol Depend. 2008 May 1;95(1-2):62-72. Go to original source... Go to PubMed...
  23. Lange JE, Voas RB. Defining binge drinking quantities through resulting blood alcohol concentrations. Psychol Addict Behav. 2001 Dec;15(4):310-6. Go to original source...
  24. Bloomfield K, Hope A, Kraus L. Alcohol survey measures for Europe: a literature review. Drugs Educ Prev Policy. 2013;20(5):348-60. Go to original source...
  25. Rehm J, Baliunas D, Borges GL, Graham K, Irving H, Kehoe T, et al. The relation between different dimensions of alcohol consumption and burden of disease: an overview. Addiction. 2010 May;105(5):817-43. Go to original source... Go to PubMed...
  26. World Cancer Research Fund; American Institute for Cancer Research. Food, nutrition, physical activity, and the prevention of cancer: a global perspective. Washington, D.C.: AICR; 2007.