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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.

Source

Alcohol intake, wine consumption and the development of depression: the PREDIMED study

Gea A, Beunza JJ, Estruch R, et al. · BMC medicine · 2013

doi.org/10.1186/1741-7015-11-192Read the full paper ↗93 citationscc by

What they did

Among 5,505 older Mediterranean adults, investigators related baseline alcohol/wine intake to 443 incident depression cases over follow-up using Cox models.

What they found

Low-to-moderate intake (>5–15 g/day) had HR 0.72 (95% CI 0.53–0.98); wine dominated alcohol intake (82% of variability); heavy drinkers appeared at higher risk.

The limits

What it doesn't show

Observational design cannot prove alcohol prevents depression; confounding and residual healthy-user effects remain.

Key terms

PREDIMED
Mediterranean diet trial cohort used for this depression analysis.
Incident depression
New depression cases during follow-up.
Low-to-moderate intake
About >5 to 15 g alcohol per day in this analysis.
Hazard ratio
Relative instantaneous risk versus the reference intake group.
Abstainers
Reference group reporting no alcohol intake.
Wine-predominant intake
Wine explained most alcohol variability in this sample.

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Design?

Common questions

Sample size?

5,505 participants.

Incident cases?

443 depression cases.

Key HR?

0.72 for >5–15 g/day vs abstainers.

Beverage pattern?

Wine accounted for 82% of alcohol intake variability.

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