Yang Yunjing, Zhang Nan, Huang Wei, Feng Rui, Feng Panpan, Gu Jun, Liu Gang, Lei Han
Department of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing Medical University, Chongqing, China.
Department of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing Medical University, Chongqing, China.
J Am Soc Hypertens. 2017 Apr;11(4):220-226. doi: 10.1016/j.jash.2017.02.002. Epub 2017 Feb 20.
The aim of this study was to investigate the association between alcohol intake and left ventricular mass (LVM) independent of the effects of blood pressure and other factors in rural areas of Western China. The present study included 1007 subjects (487 men and 520 women) aged ≥35 years from the Tongan district, Chongqing, China. The quantity and frequency of alcohol consumption were estimated from a validated questionnaire. Echocardiography was used to assess left ventricular dimensions. Drinkers was associated with higher LVM compared with nondrinkers (β = 6.9, 95% confidence interval: 1.3-12.5, P = .015). A dose-dependent higher LVM across increasing alcohol consumption was observed (P < .05). LVM was significantly correlated with regular drinking (β = 10.0, 95% confidence interval: 3.6-16.4). In subjects with hypertension, quantity of alcohol consumption (P for interaction = .013) and frequency of alcohol consumption (P for interaction = .025) were strongly associated with higher LVM when stratified by blood pressure. However, interactions linked to age, body mass index, and gender were found to be no significant difference. These results indicate that both quantity and frequency of alcohol consumption are independent predictors of LVM in rural areas of Western China. The effects of alcohol consumption on LVM are enhanced among subjects with hypertension.
本研究旨在探讨在中国西部农村地区,独立于血压及其他因素影响的情况下,酒精摄入量与左心室质量(LVM)之间的关联。本研究纳入了来自中国重庆潼南区的1007名年龄≥35岁的受试者(487名男性和520名女性)。通过一份经验证有效的问卷来评估酒精摄入量及饮酒频率。采用超声心动图评估左心室尺寸。与不饮酒者相比,饮酒者的左心室质量更高(β = 6.9,95%置信区间:1.3 - 12.5,P = 0.015)。观察到随着酒精摄入量增加,左心室质量呈剂量依赖性升高(P < 0.05)。左心室质量与规律饮酒显著相关(β = 10.0,95%置信区间:3.6 - 16.4)。在高血压患者中,按血压分层时,酒精摄入量(交互作用P = 0.013)和饮酒频率(交互作用P = 0.025)与更高的左心室质量密切相关。然而,发现与年龄、体重指数和性别相关的交互作用无显著差异。这些结果表明,在中国西部农村地区,酒精摄入量和饮酒频率均是左心室质量的独立预测因素。在高血压患者中,酒精摄入对左心室质量的影响增强。