Search resultsAlcohol consumption and blood pressure change: 5-year follow-up study of the association in normotensive workers
Title
Alcohol consumption and blood pressure change: 5-year follow-up study of the association in normotensive workers
Publication type
Journal Article
Year of Publication
2001
Authors
Journal
Journal of Human Hypertension
Volume
15
Issue
6
Pagination
367 - 372
Date published
2001
ISBN
09509240 (ISSN)
Keywords
Adult, alcohol, alcohol consumption, Alcohol Drinking, alcohol intoxication, antihypertensive agent, article, blood pressure, blood pressure measurement, clinical observation, clinical trial, cohort analysis, Cohort Studies, Cohort study, controlled clinical trial, controlled study, diastolic blood pressure, disease association, drinking behavior, Drinking habit, follow up, Follow-Up Studies, gamma glutamyltransferase, glucose, glucose blood level, habit, human, Humans, hypertension, Interview, iron and steel industry, Japan, lifestyle, Linear association, linear system, major clinical study, male, Middle Aged, Non-linear association, occupational exposure, prevalence, questionnaire, self report, systolic blood pressure, Treatment Outcome, worker
Abstract
This study endeavours to clarify the effect of alcohol consumption on changes in the blood pressure of Japanese men. The subjects, who were followed from 1990 to 1995, were 2189 male normotensive steelworkers aged from 40 to 54 years in 1990. Drinking habits were represented by two variables: average daily baseline alcohol consumption, and change in alcohol consumption during the observation period, both derived from self-report questionnaires and interviews. Nine other items were analysed as covariates: systolic and diastolic blood pressure, age, body mass index (BMI), salt intake, physical activity, and levels of gamma glutamyl transpeptidase (GTP), uric acid and plasma glucose in 1990. The association between drinking habits and blood pressure was evaluated using ANCOVA. Subjects who had initiated antihypertensive therapy by 1995 were excluded from this dataset. The results of analysis disclosed that both daily alcohol consumption and its change were significantly associated with changes in systolic and diastolic blood pressure during the observation period. J-shaped associations of daily alcohol consumption with adjusted changes in systolic and diastolic blood pressure were found. Positive associations were observed between changes in alcohol consumption and adjusted changes in systolic and diastolic blood pressure. In conclusion, daily alcohol consumption was associated non-linearly with changes in blood pressure and with a threshold effect at 18 ml of ethanol per day in these middle-aged Japanese workers. In addition, increasing alcohol consumption was associated with blood pressure elevation, and decreasing consumption was associated with suppression of blood pressure elevation.