Du modtager denne e-mail, fordi du abonnerer på servicen Scias Update.
------------------------------
*Dagens forskningsoversigt fra Scias Update:*
Interventions to prevent and reduce excessive alcohol consumption in older
people: a systematic review and meta-analysis.
Age Ageing. 2018 Mar 01;47(2):175-184
Authors: Kelly S, Olanrewaju O, Cowan A, Brayne C, Lafortune L
Abstract
Background: harmful alcohol consumption is reported to be increasing in
older people. To intervene and reduce associated risks, evidence currently
available needs to be identified.
Methods: two systematic reviews in older populations (55+ years): (1)
Interventions to prevent or reduce excessive alcohol consumption; (2)
Interventions as (1) also reporting cognitive and dementia outcomes.
Comprehensive database searches from 2000 to November 2016 for studies in
English, from OECD countries. Alcohol dependence treatment excluded. Data
were synthesised narratively and using meta-analysis. Risk of bias was
assessed using NICE methodology. Reviews are reported according to PRISMA.
Results: thirteen studies were identified, but none with cognition or
dementia outcomes. Three related to primary prevention; 10 targeted harmful
or hazardous older drinkers. A complex range of interventions, intensity
and delivery was found. There was an overall intervention effect for 3- and
6-month outcomes combined (8 studies; 3,591 participants; pooled standard
mean difference (SMD) -0.18 (95% CI -0.28, -0.07) and 12 months (6 studies;
2,788 participants SMD -0.16 (95% CI -0.32, -0.01) but risk of bias for
most studies was unclear with significant heterogeneity. Limited evidence
(three studies) suggested more intensive interventions with personalised
feedback, physician advice, educational materials, follow-up could be most
effective. However, simple interventions including brief interventions,
leaflets, alcohol assessments with advice to reduce drinking could also
have a positive effect.
Conclusions: alcohol interventions in older people may be effective but
studies were at unclear or high risk of bias. Evidence gaps include primary
prevention, cost-effectiveness, impact on cognitive and dementia outcomes.
PMID: 28985250
------------------------------
Dette abstract er hentet via PubMed fra National Library of Medicine, USA
<https://www.ncbi.nlm.nih.gov/home/about/policies>.
------------------------------
Læs mere om folkesundhedsvidenskabelige forskningsoversigter, adgang til
artikler, kvalitetsvurdering og folkenene bag Scias Update på
scias.dk/update.
Du kan også finde ovenstående abstract på *Facebook*
<https://evidens.link/2nTl9kU> eller *PubMed* <https://fsv.link/2otOmTW>.
------------------------------
Hvis du ikke længere ønsker at modtage disse opdateringer om nye opslag fra
Scias Update, skal du gå ind på update.scias.dk/e-mail.
Samme sted kan du vælge at modtage en ugentlig e-mail, hvis du ikke ønsker
at modtage en ny oversigt på alle hverdage.
Mange hilsner
Scias Update (scias.dk/update)
