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Alcohol consumption has a J-shaped association with bacterial infection and death due to infection, a population-based cohort study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Anaesthesiology and Intensive Care.ORCID iD: 0000-0003-1537-6740
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Anaesthesiology and Intensive Care.ORCID iD: 0000-0003-4013-1446
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Anaesthesiology and Intensive Care.ORCID iD: 0000-0003-2278-7951
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Anaesthesiology and Intensive Care.ORCID iD: 0009-0007-1322-5777
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2025 (English)In: Scientific Reports, E-ISSN 2045-2322, Vol. 15, article id 7333Article in journal (Refereed) Published
Abstract [en]

The aim of this study is to investigate the association between alcohol consumption and the risk of bacterial infection and its dose-response association. Participants in the Swedish Mammography Cohort and Cohort of Swedish Men answered lifestyle questionnaires in 1997 and have since been followed in national registers. The risks of acquiring infection, intensive care unit (ICU) admission and dying due to infection were assessed with Cox regression. Among 58,078 cohort participants followed for 23 years, 23,035 participants were diagnosed with an infection and 4,030 died from infection. Alcohol consumption exhibited a J-shaped association with the risk of acquiring infection and dying due to infection: compared to consuming 5-10 g of alcohol per day, consuming < 0.5 g/day and consuming > 30 g/day were both associated with higher risk of acquiring infection, ICU admission and dying due to infection, whereas alcohol consumption between 5 and 30 g/day was not associated with acquiring infection, ICU admission or death due to infection. In conclusion, moderate alcohol consumption was not associated with infection, but both very low and high levels of consumption were associated with acquiring infection, ICU admission and death. If replicated, this suggests that reduction of alcohol consumption might reduce mortality from bacterial infections.

Place, publisher, year, edition, pages
Springer Nature, 2025. Vol. 15, article id 7333
Keywords [en]
Alcohol, Sepsis, Bacterial infection, Mortality, Intensive care
National Category
Infectious Medicine
Identifiers
URN: urn:nbn:se:uu:diva-552353DOI: 10.1038/s41598-025-90197-8ISI: 001435490300049PubMedID: 40025055OAI: oai:DiVA.org:uu-552353DiVA, id: diva2:1944516
Funder
Swedish Heart Lung Foundation, 20230627Swedish Heart Lung Foundation, 20230732Available from: 2025-03-14 Created: 2025-03-14 Last updated: 2025-03-14Bibliographically approved

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Stattin, KarlEriksson, MikaelFrithiof, RobertKawati, RafaelHultström, MichaelLipcsey, Miklós
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