METHODS AND TECHNIQUES
Comparative performance of biomarkers of alcohol consumption in a population sample of working-aged men in Russia: the Izhevsk Family Study
Version of Record online: 5 JUL 2013
©2013 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of the Society for the Study of Addiction.
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Volume 108, Issue 9, pages 1579–1589, September 2013
How to Cite
McDonald, H., Borinskya, S., Kiryanov, N., Gil, A., Helander, A. and Leon, D. A. (2013), Comparative performance of biomarkers of alcohol consumption in a population sample of working-aged men in Russia: the Izhevsk Family Study. Addiction, 108: 1579–1589. doi: 10.1111/add.12251
- Issue online: 16 AUG 2013
- Version of Record online: 5 JUL 2013
- Accepted manuscript online: 21 MAY 2013 06:20AM EST
- Manuscript Accepted: 13 MAY 2013
- Manuscript Revised: 4 MAR 2013
- Manuscript Received: 16 NOV 2012
- Wellcome Trust. Grant Number: 078557
- Alcohol drinking/blood;
- biological markers;
To assess the performance of a range of biomarkers of alcohol consumption in a heavy-drinking population of working-aged Russian men.
Cross-sectional study of men originally sampled at random from a population register.
Izhevsk, a Russian city with a population of 650 000 people.
A total of 1023 men aged 27–59 years living in Izhevsk who took part in a health check examination in 2008–2009.
Self-reported alcohol consumption, hazardous drinking behaviours, socio-economic position, anthropometric measurements plus blood levels of alcohol biomarkers [carbohydrate-deficient transferrin (CDT, gamma-glutamyl transferase (GGT), alanine aminotransferase (ALT), aspartate aminotransferase (AST) and mean cell volume of erythrocytes (MCV)] and hepatitis B and C status.
In the year before interview there was a high prevalence of high-risk alcohol consumption indicated by consumption of non-beverage alcohols (5%), problem drinking behaviours (4.4%) and alcohol consumption exceeding an average 40 g per day (12.6%). All biomarkers were associated strongly with total beverage alcohol consumption even after adjustment for confounders. CDT performed best as an alcohol biomarker, with a sensitivity of 67% and specificity of 71% for detecting an average consumption of more than 40 g per day versus less. For all biomarkers sensitivity was considerably lower than specificity. Hazardous drinking patterns per se were not well detected by any of the biomarkers, all with sensitivity below 60%.
In a Russian population with high levels of alcohol consumption, carbohydrate-deficient transferrin (CDT) might be the most sensitive and specific biomarker for detecting ethanol consumption above 40 g/day. A biomarker reflecting hazardous drinking patterns has yet to be established.