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Wine, alcohol, and depression

In PREDIMED adults, low-to-moderate alcohol—especially wine—associated with lower incident depression risk versus abstaining, while heavy drinking looked riskier.

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Sample?

5,505 older Mediterranean adults (2,683 men, 2,822 women).

Source: Alcohol intake, wine consumption and the development of depression: the PREDIMED study · DOI · quote verified

Outcome events?

443 incident depression cases over 23,655 person-years.

Source: Alcohol intake, wine consumption and the development of depression: the PREDIMED study · DOI · quote verified

Significant intake category?

Low-to-moderate >5–15 g/day remained significant (HR 0.72).

Source: Alcohol intake, wine consumption and the development of depression: the PREDIMED study · DOI · quote verified

Authors’ conclusion?

Low-to-moderate alcohol and wine may reduce incident depression; heavy drinkers seem higher risk.

Source: Alcohol intake, wine consumption and the development of depression: the PREDIMED study · DOI · quote verified

Wine’s share of intake?

Wine explained 82% of alcohol intake variability.

Source: Alcohol intake, wine consumption and the development of depression: the PREDIMED study · DOI · quote verified

Parent study aim?

PREDIMED assessed Mediterranean diet for primary CVD prevention.

Source: Alcohol intake, wine consumption and the development of depression: the PREDIMED study · DOI · quote verified

Sex interaction?

No effect modification of alcohol intake by sex (P = 0.45).

Source: Alcohol intake, wine consumption and the development of depression: the PREDIMED study · DOI · quote verified

Reference group?

Abstainers used as reference for hazard ratios.

Source: Alcohol intake, wine consumption and the development of depression: the PREDIMED study · DOI · quote verified

Only-beer drinkers rare?

Only 308 only-beer and 61 only-spirits drinkers.

Source: Alcohol intake, wine consumption and the development of depression: the PREDIMED study · DOI · quote verified

Why caution clinically?

Further cohorts needed; association ≠ prescription to drink for mental health.

Source: Alcohol intake, wine consumption and the development of depression: the PREDIMED study · DOI · quote verified