Department of Community Medicine, UiT The Arctic University of Norway, N-9037 Tromsø, Norway.
International Research Competence Centre, Northern State Medical University, Troitsky Ave., 51, 163069 Arkhangelsk, Russia.
Int J Environ Res Public Health. 2023 Feb 7;20(4):2905. doi: 10.3390/ijerph20042905.
There is conflicting evidence about the association between alcohol consumption and body composition (BC). We aimed to investigate this association in Russian adults. The study population included 2357 residents of Arkhangelsk aged 35-69 years, and 272 in-patients treated for alcohol problems (narcological patients) who participated in the Know Your Heart (KYH) cross-sectional study in 2015-2017. The participants were divided into five subgroups based on their alcohol use characteristics: non-drinkers, non-problem drinkers, hazardous drinkers, harmful drinkers, and narcological patients. Considering men, hazardous drinkers had a larger waist circumference (WC), waist-to-hip ratio (WHR), and percentage of body fat mass (%FM) compared to non-problem drinkers. In harmful drinking men, these differences were the opposite: a lower body mass index (BMI), hip circumference (HC), and %FM. Men among narcological patients had the lowest mean BMI, WC, HC, WHR, and %FM compared to other subgroups of men. As for women, non-drinkers had a lower BMI, WC, HC, and %FM compared to non-problem drinkers. Women among narcological patients had the lowest mean BMI and HC but an increased WHR compared to other subgroups of women. In conclusion, alcohol consumption levels had an inverted J-shaped association with adiposity-related BC parameters: they were elevated in hazardous drinkers but were reduced in harmful drinkers, and were even lower in patients with alcohol-related diagnoses.
关于饮酒与身体成分（BC）之间的关联，存在相互矛盾的证据。我们旨在研究俄罗斯成年人中这种关联。研究人群包括 2015 年至 2017 年在阿尔汉格尔斯克的 35-69 岁的 2357 名居民和 272 名接受酒精问题治疗的住院患者（成瘾患者），他们参加了 Know Your Heart（KYH）横断面研究。参与者根据饮酒特征分为五个亚组：不饮酒者、非问题饮酒者、危险饮酒者、有害饮酒者和成瘾患者。考虑到男性，与非问题饮酒者相比，危险饮酒者的腰围（WC）、腰臀比（WHR）和体脂肪百分比（%FM）更大。在有害饮酒的男性中，这些差异则相反：体重指数（BMI）、臀围（HC）和%FM 较低。与其他男性亚组相比，成瘾患者中的男性平均 BMI、WC、HC、WHR 和 %FM 最低。至于女性，与非问题饮酒者相比，不饮酒者的 BMI、WC、HC 和 %FM 较低。与其他女性亚组相比，成瘾患者中的女性平均 BMI 和 HC 较低，但 WHR 增加。总之，饮酒水平与肥胖相关的 BC 参数呈倒 J 形关联：在危险饮酒者中升高，在有害饮酒者中降低，在与酒精相关的诊断患者中甚至更低。
