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基于2010 - 2012年韩国国家健康与营养检查调查(KNHANES)的韩国成年人饮酒模式与高血压风险的关联

Association of alcohol consumption pattern with risk of hypertension in Korean adults based on the 2010-2012 KNHANES.

作者信息

Hong S W, Linton J A, Shim J Y, Lee H R, Kang H T

机构信息

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.

出版信息

Alcohol. 2016 Aug;54:17-22. doi: 10.1016/j.alcohol.2016.05.006. Epub 2016 Jun 14.

Abstract

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.

摘要

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。

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