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过量饮酒与高血压患者血压控制的关系。

Association between excessive alcohol consumption and hypertension control in hypertensive patients.

机构信息

Korea Armed Forces Nursing Academy, Daejeon, Republic of Korea.

Health Insurance Research Institute, National Health Insurance Service, Gangwon, Republic of Korea.

出版信息

Chronic Illn. 2023 Sep;19(3):625-634. doi: 10.1177/17423953221102626. Epub 2022 May 20.

Abstract

OBJECTIVES

The purposes of this study were to investigate the association between excessive alcohol consumption and control of hypertension and the associations stratified by sex, age, and duration of hypertension among Korean adults who were diagnosed with hypertension under medication.

METHODS

This study was cross-sectional design with a secondary data analysis using national data from the Korea National Health and Nutrition Evaluation Survey (KNHANES) collected from 2013 to 2018, including 4278 participants who were diagnosed with hypertension under medication. A multiple logistic regression analysis was conducted to evaluate the associations between excessive alcohol consumption and hypertension control while controlling for potential confounding variables.

RESULTS

The hypertensive patients who consumed excessive alcohol were more associated with uncontrolled hypertension (OR, 1.31; 95% CI, 1.04-1.65) than those who do not consumed excessive alcohol. Specially, Excessive consumption of alcohol in men and young adults (<65 years) and short duration of hypertension (<5 years) were significantly more associated with uncontrolled hypertension compared to their counterparts.

DISCUSSION

To improve blood pressure (BP) control in hypertensive patients, healthcare plan should be focused to modifiable risk factors and the intervention for unhealthy alcohol consumption should be part of comprehensive treatment for hypertension.

摘要

目的

本研究旨在探讨在接受药物治疗的高血压韩国成年人中,过量饮酒与高血压控制的关系,并按性别、年龄和高血压持续时间进行分层分析。

方法

本研究采用横断面设计,利用韩国国家健康与营养调查(KNHANES)2013 年至 2018 年期间的全国数据进行二次数据分析,共纳入 4278 名接受药物治疗的高血压患者。采用多因素 logistic 回归分析,在控制潜在混杂因素的情况下,评估过量饮酒与高血压控制之间的关系。

结果

与不饮酒者相比,过量饮酒的高血压患者更易出现未控制的高血压(OR,1.31;95%CI,1.04-1.65)。特别是,男性和青年(<65 岁)过量饮酒以及高血压持续时间较短(<5 年)与未控制的高血压显著相关。

讨论

为改善高血压患者的血压控制,医疗保健计划应重点关注可改变的危险因素,并且不健康饮酒的干预措施应成为高血压综合治疗的一部分。

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