Department of Environmental and Preventive Medicine, Hyogo College of Medicine, Mukogawa-cho 1-1, Nishinomiya, Hyogo 663-8501, Japan.
Obes Res Clin Pract. 2011 Apr-Jun;5(2):e79-e156. doi: 10.1016/j.orcp.2010.12.008.
The aim of this study was to determine the relationship of alcohol intake with metabolic syndrome in obese people.
Japanese men (35-65 years, n = 7250) who showed high body mass index (25 kg/m(2) or over) were divided into four groups by alcohol intake [non-, light (<22 g ethanol/day), heavy (≥22 and <44 g ethanol/day) and very heavy (≥ 44 g ethanol/day) drinkers]. Odds ratios for metabolic syndrome were calculated after adjustment for age and history of smoking.
Prevalence of metabolic syndrome was significantly higher in very heavy drinkers than in nondrinkers and was significantly lower in light drinkers than in heavy and very heavy drinkers. The odds ratio vs. nondrinkers for metabolic syndrome was significantly low in light drinkers (odds ratio [OR] = 0.84, 95% confidence interval [CI]: 0.71-0.98, p < 0.05), was not significant in heavy drinkers (OR = 1.01, 95% CI: 0.90-1.13), and was significantly high in very heavy drinkers (OR = 1.23, 95% CI: 1.08-1.40, p < 0.01).
In Japanese men with overweight or obesity, there are significant inverse and positive associations of light and excessive alcohol consumption, respectively, with metabolic syndrome.
本研究旨在探讨饮酒与肥胖人群代谢综合征的关系。
将表现出高体重指数(≥25kg/m²)的日本男性(35-65 岁,n=7250)按饮酒量分为四组[非饮酒者、轻度饮酒者(<22g 乙醇/天)、重度饮酒者(≥22 且 <44g 乙醇/天)和极重度饮酒者(≥44g 乙醇/天)]。校正年龄和吸烟史后,计算代谢综合征的比值比。
极重度饮酒者的代谢综合征患病率明显高于非饮酒者,而轻度饮酒者明显低于重度和极重度饮酒者。与非饮酒者相比,轻度饮酒者的代谢综合征比值比显著降低(比值比[OR] = 0.84,95%置信区间[CI]:0.71-0.98,p<0.05),重度饮酒者的比值比不显著(OR=1.01,95%CI:0.90-1.13),极重度饮酒者的比值比显著升高(OR=1.23,95%CI:1.08-1.40,p<0.01)。
在超重或肥胖的日本男性中,轻度和过量饮酒分别与代谢综合征呈显著负相关和正相关。