da Rocha Thalita Fialho, Hasselmann Maria Helena, Chaves Curioni Cíntia, Bezerra Flávia Fioruci, Faerstein Eduardo
Graduate Program in Food, Nutrition and Health, Nutrition Institute, State University of Rio de Janeiro, Rua Alfredo José Gomes, 30. Quitandinha. Petrópolis, Rio de Janeiro, CEP 25650-030, Brazil.
Department of Epidemiology, Institute of Social Medicine, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
Eur J Nutr. 2017 Aug;56(5):1983-1991. doi: 10.1007/s00394-016-1240-y. Epub 2016 Jun 7.
Evaluate the association between alcohol consumption and body adiposity.
We analyzed cross-sectional data from a longitudinal investigation (Pró-Saúde Study), comprising a sample of 514 civil servants of both sexes (35-64 years). Daily alcohol consumption (wine, beer, and other alcoholic drinks) over the previous 6 months was assessed via food frequency questionnaire and categorized as no doses, up to 1 dose, and ≥1 dose. The total body mass, total fat mass (TFM), android fat mass (AFM), and gynoid fat mass (GFM) were measured via dual-energy X-ray absorptiometry. AFM (AFM%) and GFM (GFM%) were expressed as percentages relative to TFM. The ratio of AFM% and GFM% was calculated. Multiple linear regression analyses were performed after adjusting for age, calories not originating from alcohol, leisure-time physical activity and education.
Among nondrinkers, 59 % were women, and the age range between 45 and 54 years was predominant (44.3 %); 63.7 % of the nondrinkers were overweight/obese. Among drinkers of 1 dose or more/day, 67 % were males aged between 45 and 54 years (43.7 %); 69.1 % were overweight/obese. Among men, the daily consumption of ≥1 alcohol dose (13 g) was associated with an approximately 2 % (β = 2.2, IC = 0.077; 4.303) adjusted for age, calories not originated from alcohol, leisure-time physical activity and education, increase in TFM, compared to those who reported no alcohol consumption during the previous 6 months. This association was not observed among women. In both sexes, no associations were observed between alcohol consumption and the other evaluated parameters of adiposity.
Among men only, daily consumption of ≥1 alcohol dose was associated with increased adiposity, despite the relatively low average alcohol consumption in this study population.
评估饮酒与身体肥胖之间的关联。
我们分析了一项纵向调查（健康促进研究）的横断面数据，该调查样本包括514名35至64岁的男女公务员。通过食物频率问卷评估过去6个月的每日酒精摄入量（葡萄酒、啤酒和其他酒精饮料），并分为无饮酒量、至多1个饮酒量和≥1个饮酒量。通过双能X线吸收法测量总体重、总脂肪量（TFM）、腹部脂肪量（AFM）和臀部脂肪量（GFM）。AFM（AFM%）和GFM（GFM%）表示为相对于TFM的百分比。计算AFM%与GFM%的比值。在调整年龄、非酒精来源热量、休闲时间体育活动和教育程度后进行多元线性回归分析。
在不饮酒者中，59%为女性，45至54岁年龄组占主导（44.3%）；63.7%的不饮酒者超重/肥胖。在每天饮酒1个或更多饮酒量的人群中，67%为45至54岁的男性（43.7%）；69.1%超重/肥胖。在男性中，与过去6个月报告无酒精摄入的人相比，在调整年龄、非酒精来源热量、休闲时间体育活动和教育程度后，每日摄入≥1个酒精量（13克）与TFM增加约2%（β = 2.2，IC = 0.077；4.303）相关。在女性中未观察到这种关联。在男女两性中，未观察到饮酒与其他评估的肥胖参数之间的关联。
仅在男性中，尽管本研究人群的平均酒精摄入量相对较低，但每日摄入≥1个酒精量与肥胖增加相关。
