Alcohol consumption, new onset of diabetes after transplantation, and all-cause mortality in renal transplant recipients

Dorien M. Zelle*, Pramod K. Agarwal, Jessica L. Pinto Ramirez, Jaap J. Homan van der Heide, Eva Corpeleijn, Reinold O. B. Gans, Gerjan Navis, Stephan J. L. Bakker

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

18 Citations (Scopus)

Abstract

Background. Renal transplant recipients (RTR) are often advised to refrain from alcohol because of possible interaction with their immunosuppressive medication. Although moderate alcohol consumption is associated with reduced risk of diabetes and mortality in the general population, this is unknown for RTR. Therefore, we investigated the association of alcohol consumption with new onset of diabetes after transplantation (NODAT), mortality, and graft failure in RTR.

Method. RTR were investigated between 2001 and 2003. Alcohol consumption was assessed by self-report. Mortality and graft failure was recorded until May 2009.

Results. Six hundred RTR were studied (age 51 +/- 12 years, 55% men). Of these RTR, 48% were abstainers, 38% had light alcohol intake, 13% had moderate intake, and 1% were heavy consumers. Moderate alcohol consumption was associated with a lower risk of developing NODAT over the follow-up period than was abstention (OR=0.36 [0.2-0.6], P=

Conclusions. Moderate alcohol consumption is associated with low prevalence of NODAT and reduced risk for mortality in RTR, in line with findings in the general population. These findings refute the common advice to refrain from alcohol in RTR.

Original languageEnglish
Pages (from-to)203-209
Number of pages7
JournalTransplantation
Volume92
Issue number2
DOIs
Publication statusPublished - 27-Jul-2011

Keywords

  • Renal transplantation
  • Alcohol consumption
  • Mortality
  • New onset of diabetes after transplantation
  • CORONARY-HEART-DISEASE
  • CHRONIC KIDNEY-DISEASE
  • MYOCARDIAL-INFARCTION
  • CARDIOVASCULAR-DISEASE
  • DENSITY-LIPOPROTEIN
  • INSULIN SENSITIVITY
  • DRINKING PATTERN
  • ISCHEMIC-STROKE
  • BLOOD-PRESSURE
  • LOWER RISK

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