Alcohol Consumption and Metabolic Syndrome: Does the Type of Beverage Matter?

Boston University School of Medicine, Room B-612, 715 Albany Street, Boston, Massachusetts 02118, USA. .
Obesity research (Impact Factor: 4.95). 10/2004; 12(9):1375-85. DOI: 10.1038/oby.2004.174
Source: PubMed

ABSTRACT To examine the association between total and beverage-specific alcohol consumption and the prevalence odds of metabolic syndrome (MS).
Using a cross-sectional design, we studied 4510 white participants of the National Heart, Lung, and Blood Institute Family Heart Study. We used generalized estimating equations adjusting for age, education, risk group, smoking, physical activity, diabetes mellitus, coronary heart disease, energy intake, energy from fat, fruits, and vegetables, dietary cholesterol, dietary fiber, and use of multivitamins to estimate the prevalence odds of MS by alcohol intake.
Compared with never-drinkers, multivariate odds ratios (95% confidence interval) for MS were 1.12 (0.85 to 1.49), 0.68 (0.36 to 1.28), 0.72 (0.50 to 1.03), 0.66 (0.44 to 0.99), and 0.80 (0.55 to 1.16) among men who were former drinkers and who were current drinkers of 0.1 to 2.5, 2.6 to 12.0, 12.1 to 24.0, and >24.0 g/d of alcohol, respectively (p for linear trend 0.018). Corresponding values for women were 0.86 (0.69 to 1.09), 0.80 (0.43 to 1.34), 0.47 (0.33 to 0.66), 0.47 (0.30 to 0.74), and 0.39 (0.21 to 0.74), respectively (p for trend < 0.0001). The reduced prevalence odds of MS was observed across all beverage types: compared with never-drinkers, multivariate adjusted odds ratios (95% confidence interval) of MS were 0.32 (0.14 to 0.73), 0.42 (0.23 to 0.77), 0.57 (0.30 to 1.09), and 0.56 (0.36 to 0.88) for subjects who consumed >7 drinks/wk of wine only, beer only, spirits only, and more than one type of beverage, respectively.
Our data indicate that alcohol consumption is associated with a lower prevalence of MS irrespective of the type of beverage consumed. Prospective studies are needed to confirm these findings and to assess the influence of drinking patterns on the alcohol-MS association.

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Available from: Luc Djoussé, Apr 06, 2015
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    • "The prevalence rate of MS in entire study sample was 9.4% by IDF criteria and 10.9% by modified NCEP ATP-III. 12.1% (IDF) and 14% (modified NCEP ATP-III) MS in the patients with alcohol dependence was within the range of 5- 31% reported for subjects taking alcohol by the Western studies (Djousse et al., 2004; Gigleux et al., 2006; Rosell et al., 2003; Santos, 2007; Teixeira & Rocha, 2007; Urashima et al., 2005; Villegas et al., 2004; Yoon et al., 2004; Zhu et al., 2004). The prevalence of MS in the patients with opioid dependence in our study was 5% (IDF) and 6% (modified NCEP ATP-III) was lower than earlier study (Mattoo et al., 2011). "
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