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EDITOR,--Morten Gronbaek and colleagues suggest that mortality is lower in association with a moderate intake of wine, unchanged in association with a moderate intake of beer, and increased in association with a moderate intake of spirits.1 In their study they used a different reference group of subjects for each beverage considered--a group comprising teetotallers and beer and wine drinkers for the spirits comparison and a group comprising teetotallers and spirits and beer drinkers for the wine comparison--which makes the findings difficult to interpret. More importantly, they consider that confounders are unlikely to explain their results. In a group of working men in Western Australia, however, we found that their preference of beverage was related to both volume of ethanol consumed and lifestyle factors linked with cardiovascular risk.
In 1986, 343 working men aged between 25 and 51 took
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