Ciccarone Center for the Prevention of Cardiovascular Disease, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, United States.
Drug Alcohol Depend. 2021 Jan 1;218:108358. doi: 10.1016/j.drugalcdep.2020.108358. Epub 2020 Oct 18.
Light to moderate alcohol consumption is associated with favorable cardiovascular health (CVH). However, the association between alcohol type and ideal CVH has not been well-established. We examined the relationship between alcohol type and ideal CVH as measured by the American Heart Association's seven CVH metrics.
We analyzed data from 6,389 men and women aged 45-84 years from a multi-ethnic cohort free of cardiovascular disease. Alcohol type (wine, beer and liquor) was categorized as never, former, 0 but drink other alcohol types, >0 but <1 drink/day, 1-2 drinks/day and >2 drinks/day. A CVH score ranging from 0 to 14 points was created from the seven CVH metrics (Inadequate score, 0-8; average, 9-10; optimal, 11-14). We used multinomial logistic regression to examine the association between alcohol type and CVH, adjusting for age, sex, race/ethnicity, education, income, health insurance, field site and total calorie intake.
The mean (SD) age of participants was 62 (10) years and 53 % were women. Participants who consumed 1-2 drinks/day of wine had higher odds of optimal CVH scores compared to those who never drank wine [adjusted prevalence odds ratio (POR) 1.64 (1.12-2.40)]. In comparison to participants who never drank beer, those who consumed >2 drinks/day of beer had lower odds of optimal CVH scores [0.31 (0.14-0.69)]. Additionally, those who consumed >2 drinks/day of liquor had lower odds of optimal scores compared to those who never drank liquor [0.32 (0.16-0.65)].
Moderate consumption of wine was associated with favorable CVH. However, heavy consumption of beer or liquor was associated with poorer CVH.
轻度至中度饮酒与心血管健康（CVH）呈正相关。然而，酒精类型与理想 CVH 之间的关系尚未得到充分证实。我们通过美国心脏协会的七个 CVH 指标来检查酒精类型与理想 CVH 之间的关系。
我们分析了一个无心血管疾病的多民族队列中 6389 名 45-84 岁男性和女性的数据。酒精类型（葡萄酒、啤酒和白酒）分为从不饮酒、曾经饮酒、目前不饮酒但饮用其他类型的酒精、每周饮酒次数 0-1 次、每周饮酒 1-2 次和每周饮酒 2 次以上。从七个 CVH 指标中创建一个 CVH 评分，范围从 0 到 14 分（评分不足，0-8 分；平均分，9-10 分；最佳，11-14 分）。我们使用多项逻辑回归来检查酒精类型与 CVH 之间的关系，调整了年龄、性别、种族/民族、教育程度、收入、医疗保险、现场地点和总热量摄入。
参与者的平均（SD）年龄为 62（10）岁，53%为女性。与从不饮酒的葡萄酒相比，每天饮用 1-2 杯葡萄酒的人更有可能获得最佳 CVH 评分[调整后的优势比（POR）为 1.64（1.12-2.40）]。与从不喝啤酒的人相比，每天饮用超过 2 杯啤酒的人获得最佳 CVH 评分的几率较低[0.31（0.14-0.69）]。此外，与从不饮酒的人相比，每天饮用超过 2 杯白酒的人获得最佳评分的几率较低[0.32（0.16-0.65）]。
适量饮酒与 CVH 呈正相关。然而，大量饮用啤酒或白酒与较差的 CVH 相关。
