• Sophie Baumann, Ulla Toft, Mette Aadahl, Torben Jørgensen, and Charlotta Pisinger.
• University Medicine Greifswald, Institute of Social Medicine and Prevention, Greifswald, Germany.
• Addiction. 2015 Nov 1; 110 (11): 1853-60.

AimsTo examine whether improvements in smoking and alcohol consumption throughout the 5-year course of a population-based multi-factorial life-style intervention were sustained 5 years after its discontinuation.DesignPopulation-based randomized controlled trial.SettingSuburbs of Copenhagen, Denmark.ParticipantsA total of 9415 people aged 30-60 years were randomized to an intervention group (n = 6091) and an assessment-only control group (n = 3324).InterventionAll participants in the intervention group received screening, risk assessment and individual life-style counselling; participants at high risk of ischaemic heart disease-according to pre-specified criteria-were also offered group-based counselling.MeasurementsSelf-reported point abstinence from smoking as well as changes in the average alcohol consumption per week and binge drinking in the past week from baseline to 10-year follow-up were investigated using random-effects modelling.FindingsAt 10-year follow up, people in the intervention group reported a higher smoking abstinence rate [odds ratio (OR) = 1.84, 95% confidence interval (CI) = 1.02-3.33, P = 0.043] and a greater reduction in binge drinking (net change = -0.08 days with binge drinking in the last week, 95% CI = -0.16 to -0.01, P = 0.028) than in the control group. There were no detectable long-term intervention effects on the average alcohol consumption per week.ConclusionsA population-based multi-factorial life-style intervention of 5 years' duration in Denmark had sustained beneficial effects on smoking abstinence and binge drinking 5 years after its discontinuation.© 2015 Society for the Study of Addiction.

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