Hong S W, Linton J A, Shim J Y, Lee H R, Kang H T
Health Promotion Center, Chung-Ang University Medical Center, Seoul, Republic of Korea; Department of Medicine, Graduate School, Yonsei University, Seoul, Republic of Korea.
International Health Care Center, Severance Hospital, College of Medicine, Yonsei University, Seoul, Republic of Korea.
Alcohol. 2016 Aug;54:17-22. doi: 10.1016/j.alcohol.2016.05.006. Epub 2016 Jun 14.
We examined the association between alcohol-drinking pattern and hypertension in Korean adults. This cross-sectional study included 15,052 participants (7054 men and 7998 women) who were included in the 2010-2012 Korean National Health and Nutrition Examination Survey (KNHANES). We categorized alcohol-drinking patterns into three groups based on the Alcohol Use Disorders Identification Test (AUDIT) score: low-risk (score: 0-7), intermediate-risk (score: 8-14), and high-risk (score: ≥15). Hypertension was defined as systolic blood pressure ≥140 mm Hg, diastolic blood pressure ≥90 mm Hg, or current use of anti-hypertensive medications. In the study population, 25.2% of men and 4.6% of women were high-risk drinkers. Hypertension prevalence was 30.8% in men and 20.6% in women. Of the total population, 13.8% of men and 13.6% of women were using anti-hypertensive drugs. Age-adjusted hypertension prevalence was 30.8, 40.9, and 45.3% in men, and 24.6, 27.0, and 32.3% in women in the low-, intermediate-, and high-risk drinking group, respectively. Compared to the low-risk drinking group, the prevalence ratio (95% confidence interval [CI]) for hypertension was 1.664 (1.4331.933) and 2.070 (1.772-2.418) for men and 1.012 (0.774-1.323) and 1.650 (1.080-2.522) for women in the intermediate- and high-risk drinking group, respectively, after adjusting for age and other confounding factors. In conclusion, our study suggests high-risk drinking appears to be associated with a higher risk of hypertension in men and women.
我们研究了韩国成年人饮酒模式与高血压之间的关联。这项横断面研究纳入了2010 - 2012年韩国国家健康与营养检查调查（KNHANES）中的15052名参与者（7054名男性和7998名女性）。我们根据酒精使用障碍识别测试（AUDIT）分数将饮酒模式分为三组：低风险（分数：0 - 7）、中度风险（分数：8 - 14）和高风险（分数：≥15）。高血压定义为收缩压≥140毫米汞柱、舒张压≥90毫米汞柱或当前正在使用抗高血压药物。在研究人群中，25.2%的男性和4.6%的女性为高风险饮酒者。男性高血压患病率为30.8%，女性为20.6%。在总人口中，13.8%的男性和13.6%的女性正在使用抗高血压药物。在低、中、高风险饮酒组中，年龄调整后的男性高血压患病率分别为30.8%、40.9%和45.3%，女性分别为24.6%、27.0%和32.3%。在调整年龄和其他混杂因素后，与低风险饮酒组相比，中度和高风险饮酒组男性高血压的患病率比值（95%置信区间[CI]）分别为1.664（1.433 - 1.933）和2.070（1.772 - 2.418），女性分别为1.012（0.774 - 1.323）和1.650（1.080 - 2.522）。总之，我们的研究表明，高风险饮酒似乎与男性和女性患高血压的较高风险相关。
