Lukasiewicz Esther, Mennen Louise I, Bertrais Sandrine, Arnault Nathalie, Preziosi Paul, Galan Pilar, Hercberg Serge
UMR INSERM Unit 557/INRA Unit 1125, Institut Scientifique et Technique de la Nutrition et de l'Alimentation, ISTNA/CNAM, 5 rue du Vertbois, F-75003 Paris, France.
Public Health Nutr. 2005 May;8(3):315-20. doi: 10.1079/phn2004680.
Alcohol consumption may play a role in the development of obesity but the relationship between alcohol and weight is still unclear. The aim of our study was to assess the cross-sectional association of intakes of total alcohol and of specific alcoholic beverages (wine, beer and spirits) with waist-to-hip ratio (WHR) and body mass index (BMI) in a large sample of adults from all over France.
Cross-sectional.
Participants were free-living healthy volunteers of the SU.VI.MAX study (an intervention study on the effects of antioxidant supplementation on chronic diseases).
For 1481 women aged 35-60 years and 1210 men aged 45-60 years, intakes of total alcohol and specific alcoholic beverages were assessed by six 24-hour dietary records. BMI and WHR were measured during a clinical examination the year after.
A J-shaped relationship was found between total alcohol consumption and WHR in both sexes and between total alcohol consumption and BMI in men only (P<0.05). The same relationships were observed with wine (P<0.05); men and women consuming less than 100 g day(-1) had a lower BMI (men only) and WHR than non-drinkers or those consuming more. Spirits consumption was positively associated with BMI (linear regression coefficient beta=0.21, 95% confidence interval (CI): 0.09-0.34 and beta=0.22, 95% CI: 0.06-0.39 for men and women, respectively) and WHR (beta=0.003, 95% CI: 0.001-0.005 and beta=0.003, 95%CI: 0.0002-0.006) in both sexes in a linear fashion. No relationship between beer consumption and BMI or WHR was found.
If confirmed in longitudinal studies, our results indicate that consumption of alcoholic beverages may be a risk factor for obesity.
酒精摄入可能在肥胖的发生发展中起作用，但酒精与体重之间的关系仍不明确。我们研究的目的是在来自法国各地的大量成年人样本中，评估总酒精摄入量以及特定酒精饮料（葡萄酒、啤酒和烈酒）的摄入量与腰臀比（WHR）和体重指数（BMI）之间的横断面关联。
横断面研究。
参与者为SU.VI.MAX研究中自由生活的健康志愿者（一项关于抗氧化剂补充对慢性病影响的干预研究）。
对于1481名35 - 60岁的女性和1210名45 - 60岁的男性，通过六次24小时饮食记录评估总酒精摄入量以及特定酒精饮料的摄入量。在次年的临床检查中测量BMI和WHR。
在男性和女性中，总酒精摄入量与WHR之间以及仅在男性中总酒精摄入量与BMI之间均发现呈J形关系（P<0.05）。葡萄酒的情况也观察到相同的关系（P<0.05）；每天饮酒量少于100克的男性和女性（仅男性）的BMI和WHR低于不饮酒者或饮酒量更多者。烈酒消费与BMI呈正相关（线性回归系数β=0.21，95%置信区间（CI）：0.09 - 0.34，男性和女性分别为β=0.22，95%CI：0.06 - 0.39），并且在两性中与WHR呈线性正相关（β=0.003，95%CI：0.001 - 0.005，β=0.003，95%CI：0.0002 - 0.006）。未发现啤酒消费与BMI或WHR之间存在关联。
如果在纵向研究中得到证实，我们的结果表明酒精饮料消费可能是肥胖的一个风险因素。
