The longitudinal associations between trajectory of and quantity of alcohol consumption and subsequent changes in blood pressure levels among non-hypertensive adults

Given the dynamic characteristic of an individual’s drinking behaviours, comprehensive consideration of alcohol consumption variation using repeated measures may improve insight into the nature of its association with blood pressure (BP) change. We examined the association between longitudinal alcoh...

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Bibliographic Details
Published in:British journal of nutrition 2021-11, Vol.126 (9), p.1380-1388
Main Authors: Jung, Sukyoung, Kim, Mi Kyung, Shin, Jinho, Choi, Bo Youl, Lee, Young-Hoon, Shin, Dong Hoon, Shin, Min-Ho
Format: Article
Language:English
Subjects:
Adult
Alcohol
Alcohol Drinking
Alcohol use
Alcoholic beverages
Alcohols
Asians
Blood Pressure
Dietary Surveys and Nutritional Epidemiology
Drinking behavior
Dynamic characteristics
Education
Female
Humans
Hypertension
Hypertension - etiology
Longitudinal Studies
Male
Men
Questionnaires
Republic of Korea
Rural areas
Womens health
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Summary:Given the dynamic characteristic of an individual’s drinking behaviours, comprehensive consideration of alcohol consumption variation using repeated measures may improve insight into the nature of its association with blood pressure (BP) change. We examined the association between longitudinal alcohol consumption (trajectory and quantity) and changes in BP and pulse pressure (PP) among Korean aged ≥ 40 years living in rural areas. Totally, 1682 hypertension-free participants who completed all three health examinations (median, 5·3 years) were included. All three visits were used to determine the cumulative trajectory of and quantity of alcohol consumption and the latest two visits and the last visit were used for the recent trajectory and the most recent quantity of alcohol consumption, respectively. Changes in BP and PP from the baseline to the third visit were used as outcome. In men, ≥30 ml/d cumulative average alcohol consumption was associated with the greatest increase in systolic BP (SBP) in both baseline outcome-unadjusted (2·9 mmHg, P = 0·032) and -adjusted models (3·6 mmHg, P = 0·001), and the given association for the most recent alcohol consumption was observed in the baseline outcome-adjusted model (3·9 mmHg, P = 0·003). For PP, similar associations were observed only in the baseline outcome-adjusted model. No meaningful associations in diastolic BP in men and any BP or PP in women existed. The quantity of alcohol consumption rather than the trajectory may be significantly related to raised SBP, and a possible short-term influence of the most recent alcohol consumption may exist when baseline SBP is adjusted in men.
ISSN:0007-1145
1475-2662
DOI:10.1017/S0007114521000088