The relationship of average volume of alcohol consumption and patterns of drinking to burden of disease: an overview.
- Authors
- Rehm, JΓΌrgen; Room, Robin; Graham, Kathryn; Monteiro, Maristela; Gmel, Gerhard; Sempos, Christopher T
- Year
- 2003
- Journal
- Addiction (Abingdon, England)
- PMID
- 12930209
- DOI
- 10.1046/j.1360-0443.2003.00467.x
AIMS: As part of a larger study to estimate the global burden of disease attributable to alcohol: to quantify the relationships between average volume of alcohol consumption, patterns of drinking and disease and injury outcomes, and to combine exposure and risk estimates to determine regional and global alcohol-attributable fractions (AAFs) for major disease and injury categories. DESIGN, METHODS, SETTING: Systematic literature reviews were used to select diseases related to alcohol consumption. Meta-analyses of the relationship between alcohol consumption and disease and multi-level analyses of aggregate data to fill alcohol-disease relationships not currently covered by individual-level data were used to determine the risk relationships between alcohol and disease. AAFs were estimated as a function of prevalence of exposure and relative risk, or from combining the aggregate multi-level analyses with prevalence data. FINDINGS: Average volume of alcohol consumption was found to increase risk for the following major chronic diseases: mouth and oropharyngeal cancer; oesophageal cancer; liver cancer; breast cancer; unipolar major depression; epilepsy; alcohol use disorders; hypertensive disease; hemorrhagic stroke; and cirrhosis of the liver. Coronary heart disease (CHD), unintentional and intentional injuries were found to depend on patterns of drinking in addition to average volume of alcohol consumption. Most effects of alcohol on disease were detrimental, but for certain patterns of drinking, a beneficial influence on CHD, stroke and diabetes mellitus was observed. CONCLUSIONS: Alcohol is related to many major disease outcomes, mainly in a detrimental fashion. While average volume of consumption was related to all disease and injury categories under consideration, pattern of drinking was found to be an additional influencing factor for CHD and injury. The influence of patterns of drinking may be underestimated because pattern measures have not been included in many epidemiologic studies. Generalizability of the results is limited by methodological problems of the underlying studies used in the present analyses. Future studies need to address these methodological issues in order to obtain more accurate risk estimates.
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| Quantitation of ethyl glucuronide in serum & urine by gas chromatography - mass spectrometry. | Sharma P et al. | β | 2015 | β |
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| Time for a regional alcohol policy - A literature review of the burden of normative alcohol use in the Caribbean. | Reid SD | β | 2015 | β |
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| Fostering and framing international social research on alcohol and other drugs: a tribute to Robin Room. | Giesbrecht N et al. | β | 2014 | β |
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| Less drinking, yet more problems: understanding African American drinking and related problems. | Zapolski TC et al. | β | 2014 | β |
| Modifiable risk factors in periodontitis: at the intersection of aging and disease. | Reynolds MA | β | 2014 | β |
| Patients with Type 1 diabetes consuming alcoholic spirits have an increased risk of microvascular complications. | Harjutsalo V et al. | β | 2014 | β |
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| Problems with the identification of 'problematic' cannabis use: examining the issues of frequency, quantity, and drug use environment. | Asbridge M et al. | β | 2014 | β |
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| Alcohol and substance abuse in solid-organ transplant recipients. | Parker R et al. | β | 2013 | β |
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| Alcohol drinking patterns and health-related quality of life reported in the Spanish adult population. | Valencia-MartΓn JL et al. | β | 2013 | β |
| Alcohol intake and triglycerides/high-density lipoprotein cholesterol ratio in men with hypertension. | Wakabayashi I | β | 2013 | β |
| Alcohol-related harm among university students in Hanoi, Vietnam. | Diep PB et al. | β | 2013 | β |
| Alcohol-selling outlets and mortality in Switzerland--the Swiss National Cohort. | Spoerri A et al. | β | 2013 | β |
| Alcohol tax, consumption and mortality in tsarist Russia: is a public health perspective applicable? | NorstrΓΆm T et al. | β | 2013 | β |
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| Alcohol Use, Risk Taking, Leisure Activities and Health Care Use Among Young People in Northern Vietnam. | Thoa LTK et al. | β | 2013 | β |
| A systematic review and meta-analysis of alcohol consumption and injury risk as a function of study design and recall period. | Zeisser C et al. | β | 2013 | β |
| Chronic diseases and conditions related to alcohol use. | Shield KD et al. | β | 2013 | β |
| Clinical practice. Alcohol use in adults. | Friedmann PD | β | 2013 | β |
| Community indicators: assessing the impact of alcohol use on communities. | Flynn A et al. | β | 2013 | β |
| Comparative performance of biomarkers of alcohol consumption in a population sample of working-aged men in Russia: the Izhevsk Family Study. | McDonald H et al. | β | 2013 | β |
| Concoction of harmful substances in homemade alcoholic beverages in rural areas of Mopani district in Limpopo province-RSA: implications for social work practice. | Makhubele JC | β | 2013 | β |
| Confounding and studies of 'moderate' alcohol consumption: the case of drinking frequency and implications for low-risk drinking guidelines. | Naimi TS et al. | β | 2013 | β |
| Cross-cultural patterns of the association between varying levels of alcohol consumption and the common mental disorders of depression and anxiety: secondary analysis of the WHO Collaborative Study on Psychological Problems in General Health Care. | Bellos S et al. | β | 2013 | β |
| Decreased injecting is associated with increased alcohol consumption among injecting drug users in northern Vietnam. | Go VF et al. | β | 2013 | β |
| Determining the threshold for alcohol-induced brain damage: new evidence with gliosis markers. | Hayes DM et al. | β | 2013 | β |
| Dietary adequacy and alcohol consumption of Inuvialuit women of child-bearing age in the Northwest Territories, Canada. | Kolahdooz F et al. | β | 2013 | β |
| Differences in innate immune signaling between alcoholic and non-alcoholic steatohepatitis. | Petrasek J et al. | β | 2013 | β |
| Drinking patterns among Korean adults: results of the 2009 Korean community health survey. | Ryu SY et al. | β | 2013 | β |
| Effects of acute ethanol gavage on intestinal integrity after hemorrhage/resuscitation. | Relja B et al. | β | 2013 | β |
| Ethnicity and gender comparisons of health consequences in adults with alcohol dependence. | Chartier KG et al. | β | 2013 | β |
| Evaluation of coagulation parameters and liver enzymes among alcohol drinkers in Port Harcourt, Nigeria. | Adias TC et al. | β | 2013 | β |
| Evaluation of drinking patterns and their impact on alcohol-related aggression: a national survey of adolescent behaviours. | Siciliano V et al. | β | 2013 | β |
| Health professionals' alcohol-related professional practices and the relationship between their personal alcohol attitudes and behavior and professional practices: a systematic review. | Bakhshi S et al. | β | 2013 | β |
| Intersecting epidemics among pregnant women: alcohol use, interpersonal violence, and HIV infection in South Africa. | Russell BS et al. | β | 2013 | β |
| Lifestyle management of unipolar depression. | Berk M et al. | β | 2013 | β |
| Parental alcohol misuse and hazardous drinking among offspring in a general teenage population: gender-specific findings from the Young-HUNT 3 study. | Haugland SH et al. | β | 2013 | β |
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| The effectiveness of pharmacological approaches in the treatment of alcohol withdrawal syndrome (AWS): a literature review. | Cooper E et al. | β | 2013 | β |
| The high harm score of alcohol. Time for drug policy to be revisited? | van Amsterdam J et al. | β | 2013 | β |
| The impact of alcohol on Alzheimer's disease: a systematic review. | Piazza-Gardner AK et al. | β | 2013 | β |
| Who's at risk? Ethnic drinking cultures, foreign nativity, and problem drinking among Asian American young adults. | Cook WK et al. | β | 2013 | β |
| Why do older unhealthy drinkers decide to make changes or not in their alcohol consumption? Data from the Healthy Living as You Age study. | Borok J et al. | β | 2013 | β |
| Acute alcohol intoxication reduces mortality, inflammatory responses and hepatic injury after haemorrhage and resuscitation in vivo. | Relja B et al. | β | 2012 | β |
| Acute ethanol gavage attenuates hemorrhage/resuscitation-induced hepatic oxidative stress in rats. | Relja B et al. | β | 2012 | β |
| Alcohol and interpersonal violence may increase the severity of facial fracture. | O'Meara C et al. | β | 2012 | β |
| Alcohol-attributable burden of disease and injury in Canada, 2004. | Shield KD et al. | β | 2012 | β |
| Alcohol availability and neighborhood poverty and their relationship to binge drinking and related problems among drinkers in committed relationships. | McKinney CM et al. | β | 2012 | β |
| Alcohol consumption and binge drinking in young adult childhood cancer survivors. | Rebholz CE et al. | β | 2012 | β |
| Alcohol environment, gender and nonfatal injuries in young people. An ecological study of fourteen Swedish municipalities (2000-2005). | Dale RA et al. | β | 2012 | β |
| Alcohol misuse and violent behavior: findings from a 30-year longitudinal study. | Boden JM et al. | β | 2012 | β |
| Alcohol, mortality and cardiovascular events in a 35 year follow-up of a nationwide representative cohort of 50,000 Swedish conscripts up to age 55. | RomelsjΓΆ A et al. | β | 2012 | β |
| Animal models for medications development targeting alcohol abuse using selectively bred rat lines: neurobiological and pharmacological validity. | Bell RL et al. | β | 2012 | β |
| Assessment of exposure to alcohol vapor from alcohol-based hand rubs. | Bessonneau V et al. | β | 2012 | β |
| Association of alcohol, alcohol and tobacco with mortality: findings from a prospective cohort study in Mumbai (Bombay), India. | Pednekar MS et al. | β | 2012 | β |
| Associations between community attachments and adolescent substance use in nationally representative samples. | Wray-Lake L et al. | β | 2012 | β |
| A worksite vitality intervention to improve older workers' lifestyle and vitality-related outcomes: results of a randomised controlled trial. | Strijk JE et al. | β | 2012 | β |
| Cardiorespiratory fitness, alcohol, and mortality in men: the Cooper Center longitudinal study. | Shuval K et al. | β | 2012 | β |
| Changes in sobriety in the Swedish population over three decades: age, period or cohort effects? | Ahacic K et al. | β | 2012 | β |
| Chronic diseases and related risk factors among low-income mothers. | Bombard JM et al. | β | 2012 | β |
| Co-occurrence of obesity and patterns of alcohol use associated with elevated serum hepatic enzymes in US adults. | Tsai J et al. | β | 2012 | β |
| Determining the best population-level alcohol consumption model and its impact on estimates of alcohol-attributable harms. | Kehoe T et al. | β | 2012 | β |
| Dietary adequacy and dietary quality of Inuit in the Canadian Arctic who smoke and the potential implications for chronic disease. | Rittmueller SE et al. | β | 2012 | β |
| Dietary quality and adequacy among Aboriginal alcohol consumers in the Northwest Territories, Canada. | Rittmueller SE et al. | β | 2012 | β |
| Different guidelines for different countries? On the scientific basis of low-risk drinking guidelines and their implications. | Rehm J et al. | β | 2012 | β |
| Difficulties with telephone-based surveys on alcohol consumption in high-income countries: the Canadian example. | Shield KD et al. | β | 2012 | β |
| Drinking in context: the influence of gender and neighbourhood deprivation on alcohol consumption. | Matheson FI et al. | β | 2012 | β |
| Ethanol (EtOH)-induced TGF-Ξ²1 and reactive oxygen species production are necessary for EtOH-induced alveolar macrophage dysfunction and induction of alternative activation. | Brown SD et al. | β | 2012 | β |
| Examining physical activity levels and alcohol consumption: are people who drink more active? | Piazza-Gardner AK et al. | β | 2012 | β |
| Face-to-face versus computer-delivered alcohol interventions for college drinkers: a meta-analytic review, 1998 to 2010. | Carey KB et al. | β | 2012 | β |
| Global alcohol producers, science, and policy: the case of the International Center for Alcohol Policies. | Jernigan DH | β | 2012 | β |
| Introduction to the special issue "Pharmacotherapies for the treatment of alcohol abuse and dependence" and a summary of patents targeting other neurotransmitter systems. | Bell RL et al. | β | 2012 | β |
| Mortality and potential years of life lost attributable to alcohol consumption in Canada in 2005. | Shield KD et al. | β | 2012 | β |
| Oral infection, regular alcohol drinking pattern, and myocardial infarction. | HΓ₯heim LL et al. | β | 2012 | β |
| Organizational Barriers to Adopting an Alcohol Screening and Brief Intervention in Community-Based Mental Health Organizations. | Patterson DA et al. | β | 2012 | β |
| Regional brain structural dysmorphology in human immunodeficiency virus infection: effects of acquired immune deficiency syndrome, alcoholism, and age. | Pfefferbaum A et al. | β | 2012 | β |
| Salem VAMC-U.S. Army Fort Bragg Warrior Transition Clinic telepsychiatry collaboration: 12-month operation clinical perspective. | Detweiler MB et al. | β | 2012 | β |
| Text-message-based drinking assessments and brief interventions for young adults discharged from the emergency department. | Suffoletto B et al. | β | 2012 | β |
| The cardioprotective association of average alcohol consumption and ischaemic heart disease: a systematic review and meta-analysis. | Roerecke M et al. | β | 2012 | β |
| The genetic basis of alcoholism: multiple phenotypes, many genes, complex networks. | Morozova TV et al. | β | 2012 | β |
| The Hispanic Americans Baseline Alcohol Survey (HABLAS): the association between acculturation, birthplace and alcohol consumption across Hispanic national groups. | Vaeth PA et al. | β | 2012 | β |
| Adherence to the 2008 adult physical activity guidelines and mortality risk. | Schoenborn CA et al. | β | 2011 | β |
| Alcohol abstinence and drinking among African women: data from the World Health Surveys. | Martinez P et al. | β | 2011 | β |
| 'Alcohol, less is better' project: outcomes of an Italian community-based prevention programme on reducing per-capita alcohol consumption. | Bagnardi V et al. | β | 2011 | β |
| Alcohol screening scores and the risk of new-onset gastrointestinal illness or related hospitalization. | Lembke A et al. | β | 2011 | β |
| An evaluation of the impact of a large reduction in alcohol prices on alcohol-related and all-cause mortality: time series analysis of a population-based natural experiment. | Herttua K et al. | β | 2011 | β |
| A process evaluation of a worksite vitality intervention among ageing hospital workers. | Strijk JE et al. | β | 2011 | β |
| Avoidable mortality in Estonia: exploring the differences in life expectancy between Estonians and non-Estonians in 2005-2007. | Baburin A et al. | β | 2011 | β |
| Binge drinking, drinking frequency, and risk of ischaemic heart disease: a population-based cohort study. | Skov-Ettrup LS et al. | β | 2011 | β |
| Defining risk drinking. | Dawson DA | β | 2011 | β |
| Drinking behaviour among men and women in China: the 2007 China Chronic Disease and Risk Factor Surveillance. | Li Y et al. | β | 2011 | β |
| Epidemiology and alcohol policy in Europe. | Rehm J et al. | β | 2011 | β |
| Epidemiology of alcohol use in rural men in two provinces of China. | Zhou L et al. | β | 2011 | β |
| Epidemiology of hospitalization due to alcohol-related harm: evidence from a Scottish cohort study. | Lawder R et al. | β | 2011 | β |
| Indicators of alcohol consumption and attributable harm for monitoring and surveillance in European Union countries. | Rehm J et al. | β | 2011 | β |
| Ischemic heart disease mortality and morbidity rates in former drinkers: a meta-analysis. | Roerecke M et al. | β | 2011 | β |
| Job strain and the risk of depression: is reporting biased? | Kolstad HA et al. | β | 2011 | β |
| Long-term mortality of patients admitted to the hospital with alcohol withdrawal syndrome. | Campos J et al. | β | 2011 | β |
| Macrophage phagocytosis: effects of environmental pollutants, alcohol, cigarette smoke, and other external factors. | Karavitis J et al. | β | 2011 | β |
| Making sense of alcohol experiences: young adolescents' accounts of alcohol-related critical incidents. | Van Hoof JJ et al. | β | 2011 | β |
| Mandible fracture severity may be increased by alcohol and interpersonal violence. | O'Meara C et al. | β | 2011 | β |
| Moderate alcohol intake, though not regular heavy drinking, is protective for acute coronary syndrome: a population-based, case-control study in Southeast Europe. | Burazeri G et al. | β | 2011 | β |
| Prevalence and Correlates of Drinking Behaviors of Previously Deployed Military Personnel and Matched Civilian Population. | Ramchand R et al. | β | 2011 | β |
| Risky single-occasion drinking: bingeing is not bingeing. | Gmel G et al. | β | 2011 | β |
| Six rapid assessments of alcohol and other substance use in populations displaced by conflict. | Ezard N et al. | β | 2011 | β |
| The association between alcohol consumption patterns and adherence to food consumption guidelines. | Valencia-MartΓn JL et al. | β | 2011 | β |
| The association between time perspective and alcohol consumption in university students: cross-sectional study. | Beenstock J et al. | β | 2011 | β |
| The epidemiology of DSM-IV alcohol use disorders amongst young adults in the Australian population. | Mewton L et al. | β | 2011 | β |
| The impacts of others' drinking on mental health. | Ferris JA et al. | β | 2011 | β |
| The number of persons with alcohol problems in the Danish population. | Hansen AB et al. | β | 2011 | β |
| The risks associated with alcohol use and alcoholism. | Rehm J | β | 2011 | β |
| Alcohol as a risk factor for liver cirrhosis: a systematic review and meta-analysis. | Rehm J et al. | β | 2010 | β |
| Alcohol-attributable mortality in Ireland. | Martin J et al. | β | 2010 | β |
| Alcohol consumption and cardiovascular mortality among U.S. adults, 1987 to 2002. | Mukamal KJ et al. | β | 2010 | β |
| Alcohol consumption and the long-term incidence of cataract and cataract surgery: the Blue Mountains Eye Study. | Kanthan GL et al. | β | 2010 | β |
| Alcohol consumption as a risk factor for atrial fibrillation: a systematic review and meta-analysis. | Samokhvalov AV et al. | β | 2010 | β |
| Alcohol consumption in sport: The influence of sporting idols, friends and normative drinking practices. | O'Brien KS et al. | β | 2010 | β |
| Alcohol drinking, the metabolic syndrome and diabetes in a population with high mean alcohol consumption. | Clerc O et al. | β | 2010 | β |
| Alcohol intake and its correlates in a transitional predominantly Muslim population in southeastern Europe. | Burazeri G et al. | β | 2010 | β |
| Alcohol intake and risk of colorectal cancer: results from the UK Dietary Cohort Consortium. | Park JY et al. | β | 2010 | β |
| An assessment of the demographic and clinical correlates of the dimensions of alcohol use behaviour. | Smith GW et al. | β | 2010 | β |
| Are alcohol-related acute surgical admission rates falling? | Fitzmaurice GJ et al. | β | 2010 | β |
| Associations between ADH gene variants and alcohol phenotypes in Dutch adults. | van Beek JH et al. | β | 2010 | β |
| Associations between duration of illicit drug use and health conditions: results from the 2005-2007 national surveys on drug use and health. | Han B et al. | β | 2010 | β |
| Binge drinking and suboptimal self-rated health among adult drinkers. | Tsai J et al. | β | 2010 | β |
| Can intensive use of alcohol-based hand rubs lead to passive alcoholization? | Bessonneau V et al. | β | 2010 | β |
| Causal considerations on alcohol and HIV/AIDS--a systematic review. | Shuper PA et al. | β | 2010 | β |
| Causal links between binge drinking patterns, unsafe sex and HIV in South Africa: its time to intervene. | Chersich MF et al. | β | 2010 | β |
| Changes in alcohol consumption and drinking patterns during 11 years of follow-up among ageing men: the FinDrink study. | IlomΓ€ki J et al. | β | 2010 | β |
| Changes in alcohol-related problems after alcohol policy changes in Denmark, Finland, and Sweden. | Bloomfield K et al. | β | 2010 | β |
| Comparison of alcohol-dependent patients at a gastroenterological and a psychiatric ward according to the Lesch alcoholism typology: implications for treatment. | Vyssoki B et al. | β | 2010 | β |
| Concurrent alcohol use or heavier use of alcohol and cigarette smoking among women of childbearing age with accessible health care. | Tsai J et al. | β | 2010 | β |
| Deterioration of intelligence in methamphetamine-induced psychosis: comparison with alcohol dependence on WAIS-III. | Lin SK et al. | β | 2010 | β |
| Drinking pattern and socio-cultural aspects on immune response: an overview. | Romeo J et al. | β | 2010 | β |
| Economic efficiency of alcohol policy. | Doran CM et al. | β | 2010 | β |
| Estimating alcohol-related premature mortality in San Francisco: use of population-attributable fractions from the global burden of disease study. | Katcher BS et al. | β | 2010 | β |
| Ethnic differences in drinking outcomes following a brief alcohol intervention in the trauma care setting. | Field CA et al. | β | 2010 | β |
| Ethnicity and health disparities in alcohol research. | Chartier K et al. | β | 2010 | β |
| Irregular heavy drinking occasions and risk of ischemic heart disease: a systematic review and meta-analysis. | Roerecke M et al. | β | 2010 | β |
| Late-life alcohol consumption and 20-year mortality. | Holahan CJ et al. | β | 2010 | β |
| Modelling lifetime QALYs and health care costs from different drinking patterns over time: a Markov model. | Barbosa C et al. | β | 2010 | β |
| Motivation to change risky drinking and motivation to seek help for alcohol risk drinking among general hospital inpatients with problem drinking and alcohol-related diseases. | Lau K et al. | β | 2010 | β |
| Nonmedical use of prescription stimulants and depressed mood among college students: frequency and routes of administration. | Teter CJ et al. | β | 2010 | β |
| Physical health and drinking among medical inpatients with unhealthy alcohol use: a prospective study. | Williams EC et al. | β | 2010 | β |
| Prevalence and determinants of binge drinking in middle age in a transitional post-communist country: a population-based study in Tirana, Albania. | Burazeri G et al. | β | 2010 | β |
| Psychosis alters association between IQ and future risk of attempted suicide: cohort study of 1,109,475 Swedish men. | Batty GD et al. | β | 2010 | β |
| Social cost of heavy drinking and alcohol dependence in high-income countries. | Mohapatra S et al. | β | 2010 | β |
| Statistical modeling of volume of alcohol exposure for epidemiological studies of population health: the US example. | Rehm J et al. | β | 2010 | β |
| Substitution and complementarity in the face of alcohol-specific policy interventions. | Moore SC | β | 2010 | β |
| The association between alcohol screening scores and health status in male veterans. | Williams EC et al. | β | 2010 | β |
| The economic costs of alcohol consumption in Thailand, 2006. | Thavorncharoensap M et al. | β | 2010 | β |
| The effectiveness of brief intervention among injured patients with alcohol dependence: who benefits from brief interventions? | Field CA et al. | β | 2010 | β |
| The impact of drinking pattern on alcohol-related violence among adolescents: An international comparative analysis. | Bye EK et al. | β | 2010 | β |
| The relation between different dimensions of alcohol consumption and burden of disease: an overview. | Rehm J et al. | β | 2010 | β |
| The role of ethnic matching between patient and provider on the effectiveness of brief alcohol interventions with Hispanics. | Field C et al. | β | 2010 | β |
| Unrecorded consumption, quality of alcohol and health consequences. | Rehm J et al. | β | 2010 | β |
| Use of alcohol and drugs by Norwegian employees: a pilot study using questionnaires and analysis of oral fluid. | Gjerde H et al. | β | 2010 | β |
| Whose opinion matters? The relationship between injunctive norms and alcohol consequences in college students. | LaBrie JW et al. | β | 2010 | β |
| A dialogical exploration of the grey zone of health and illness: medical science, anthropology, and Plato on alcohol consumption. | Bonner K | β | 2009 | β |
| Age-period-cohort modelling of alcohol volume and heavy drinking days in the US National Alcohol Surveys: divergence in younger and older adult trends. | Kerr WC et al. | β | 2009 | β |
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