Effect of alcohol consumption on kidney function: population-based cohort study

Sci Rep. 2021 Jan 27;11(1):2381. doi: 10.1038/s41598-021-81777-5.

Abstract

The association between alcohol consumption and kidney function is intriguing, but study results are mixed and controversial. We examined the association of alcohol consumption with the overall change in kidney function over 12 years. We analyzed data from a population-based cohort that was part of the Korean Genome and Epidemiology Study. Primary exposure was total alcohol intake (non-drinkers, 0 to < 10 g/day, 10 to < 30 g/day, and ≥ 30 g/day). Main outcome was decline in kidney function over 12 years. Our study included 5729 participants (mean [SD] age, 51 [8] years; 46% males). Compared to non-drinkers, higher alcohol intake groups had lesser reduction in estimated glomerular filtration rate (eGFR) over 12 years; fully adjusted beta coefficients and 95% confidence intervals were 0.45 (- 0.27, 1.18), 1.87 (0.88, 2.87), and 3.08 (1.93, 4.24) for participants with alcohol intake of < 10, 10 to < 30, and ≥ 30 g/day, respectively. However, this association was attenuated among women, smoker, and age ≥ 60 year. Compared with not drinking, more frequent alcohol consumption and binge drinking were associated with lesser reduction in eGFR. Our findings suggest that alcohol consumption may have a favorable effect on kidney function among the general population.

MeSH terms

  • Aged
  • Alcohol Drinking / adverse effects
  • Alcohol Drinking / epidemiology*
  • Comorbidity
  • Disease Susceptibility
  • Female
  • Glomerular Filtration Rate
  • Humans
  • Kidney Diseases / epidemiology*
  • Kidney Diseases / etiology
  • Kidney Diseases / physiopathology
  • Kidney Function Tests
  • Male
  • Middle Aged
  • Public Health Surveillance
  • Risk Assessment
  • Risk Factors