Alcohol-Associated Hypertension When One Drinks Makes a Difference

Hypertension (Impact Factor: 6.48). 01/2005; 44(6):805-6. DOI: 10.1161/01.HYP.0000146538.26193.60
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Available from: Arthur Klatsky, Apr 11, 2014
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    • "Metabolic syndrome is defined as the occurrence of 3 of any of the 5 following factors: obesity, elevated triglyceride (TG), low HDL-C, elevated blood pressure (BP), and elevated fasting glucose (FG) [3]. Lifestyle factors such as alcohol consumption, cigarette smoking, and physical activity have been reported to affect an individual's metabolic profile [4, 5]. A large population based study in the United States reported that mild to moderate alcohol consumption of alcohol was associated with a favorable influence on lipids, waist circumference, and fasting insulin in comparison to nondrinkers [4]. "
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    ABSTRACT: Background. Although there is a reported association between lifestyle factors and metabolic syndrome, very few studies have used national level data restricted to the African Americans (AAs) in the United States (US). Methods. A cross-sectional evaluation was conducted using the National Health and Nutrition Examination Survey from 1999 to 2006 including men and nonpregnant women of 20 years or older. Multiple logistic regression models were constructed to evaluate the association between lifestyle factors and metabolic syndrome. Results. AA women had a higher prevalence of metabolic syndrome (39.43%) than AA men (26.77%). After adjusting for sociodemographic factors, no significant association was found between metabolic syndrome and lifestyle factors including alcohol drinking, cigarette smoking, and physical activity. Age and marital status were significant predictors for metabolic syndrome. With increase in age, both AA men and AA women were more likely to have metabolic syndrome (AA men: OR(adj) = 1.05, 95% CI 1.04-1.06, AA women: OR(adj) = 1.06, 95% CI 1.04-1.07). Single AA women were less likely to have metabolic syndrome than married women (OR(adj) = 0.66, 95% CI 0.43-0.99). Conclusion. Lifestyle factors had no significant association with metabolic syndrome but age and marital status were strong predictors for metabolic syndrome in AAs in the US.
    Journal of nutrition and metabolism 01/2013; 2013:516475. DOI:10.1155/2013/516475
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    • "However, among the heavy drinkers, smokers tended to have even higher blood pressure than nonsmokers. Interestingly, though research has shown that light alcohol consumption has cardiovascular benefits despite the associated increases in blood pressure (Burger et al., 2004; Gordon & Doyle, 1986; Keil et al., 1993; Klatsky, 2004; Moreira et al., 1998) light-drinking smokers were found to have significantly higher blood pressure in comparison to light-drinking nonsmokers (Wakabayashi, 2008). Thus, there appears to be an additive increase in blood pressure from moderate alcohol consumption and smoking. "
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    ABSTRACT: The current study explored the relation between blood pressure and the Alcohol Use Disorders Identification Test (AUDIT) scores among cigarette smokers and their nonsmoking peers. When par-ticipants were assessed collectively, only a modest positive cor-relation between blood pressure and AUDIT score was observed. When assessed by smoking status, however, smokers demonstrated a significant relation between higher blood pressure and increased AUDIT scores. Findings from this study suggest that there is an additive increase in blood pressure when increasing levels of alco-hol use and related problems is combined with cigarette smoking. Screening and treatment implications are also discussed.
    Alcoholism Treatment Quarterly 04/2011; 29:123-131. DOI:10.1080/07347324.2011.557984
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    ABSTRACT: Substantial evidence demonstrates that: 1) heavy alcohol consumption (three or more standard drinks per day) is associated with and predictive of hypertension; 2) reduction in alcohol consumption is associated with a significant dose-dependent lowering of mean systolic and diastolic blood pressure; and 3) physician advice can reduce heavy drinking in hypertensive patients. These findings suggest that the routine evaluation of alcohol consumption in hypertensive patients is warranted. The Alcohol Use Disorders Identification Test-C (AUDIT-C), a brief, three-question screening test, is useful in this regard. Alcohol biomarkers can also play a role in detecting and monitoring heavy drinking in hypertensive patients whose self-reports on the AUDIT-C are suspect. Carbohydrate-deficient transferrin, a new alcohol biomarker with high specificity, can provide objective data for feedback and counseling. A routine search for excessive use of alcohol, along with brief interventions and monitoring, can have a major impact on reducing the prevalence of hypertension in the general population.
    Journal of Clinical Hypertension 07/2005; 7(6):346-51. DOI:10.1111/j.1524-6175.2004.04463.x · 2.85 Impact Factor
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