Alcohol intake reduction for controlling hypertension

Acin, Maria Teresa; Rueda, José‐Ramón; Saiz, Luis Carlos; Mathias, Virginie; Alzueta, Natalia; Solà, Iván; Garjón, Javier; Erviti, Juan

doi:10.1002/14651858.cd010022.pub2

Cited by 14 publications

(10 citation statements)

References 70 publications

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“…In this study, a meta-regression model indicated a decrease of 0.91 mm Hg in systolic and 0.75 mm Hg in diastolic blood pressure per one drink per day. A Cochrane review was set by Acin et al to examine the effects of interventions to reduce alcohol intake on blood pressure for at least 3 months [ 111 ]. Results of the analysis were primarily determined by the randomized controlled trial reported in reference [ 109 ].…”

Section: Effects Of Alcohol Withdrawal In Hypertensionmentioning

confidence: 99%

Alcohol Intake and Arterial Hypertension: Retelling of a Multifaceted Story

et al. 2023

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Alcoholic beverages are common components of diets worldwide and understanding their effects on humans’ health is crucial. Because hypertension is the leading risk factor for cardiovascular diseases and all-cause mortality, the relationship of alcohol consumption with blood pressure (BP) has been the subject of extensive investigation. For the purpose of this review, we searched the terms “alcohol”, “ethanol”, and “arterial hypertension” on Pubmed MeSH and selected the most relevant studies. Short-term studies showed a biphasic BP response after ingestion of high doses of alcohol, and sustained alcohol consumption above 30 g/day, significantly, and dose-dependently, increased the risk for hypertension. These untoward effects of alcoholic beverages on BP can be mediated by a multiplicity of neurohormonal mechanisms. In addition to the effects on BP, excess alcohol intake might contribute to cardiac and renal hypertensive organ damage, although some studies suggest possible benefits of moderate alcohol consumption on additional cardiovascular risk factors, such as diabetes and lipoprotein(a). Some intervention studies and cumulative analyses support the evidence of a benefit of the reduction/withdrawal of alcohol consumption on BP and cardiovascular outcomes. This is why guidelines of scientific societies recommend avoidance or limitation of alcohol intake below one unit/day for women and two units/day for men. This narrative article overviews all these topics, providing an update of the current knowledge on the relationship between alcohol and BP.

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Section: Effects Of Alcohol Withdrawal In Hypertensionmentioning

confidence: 99%

Alcohol Intake and Arterial Hypertension: Retelling of a Multifaceted Story

et al. 2023

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“…5 Intervention studies have generally been conducted as short-term randomized controlled trials that investigated the BP effects of reduced alcohol intake in adults with a high alcohol intake. 5,[7][8][9] The body of evidence detailing the effects of changes in alcohol intake on systolic blood pressure (SBP) and diastolic blood pressure (DBP) in persons who were initially consuming light to Hypertension. 2023;80:1961-1969.…”

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confidence: 99%

Alcohol Intake and Blood Pressure Levels: A Dose-Response Meta-Analysis of Nonexperimental Cohort Studies

et al. 2023

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BACKGROUND: Alcohol consumption may increase blood pressure but the details of the relationship are incomplete, particularly for the association at low levels of alcohol consumption, and no meta-analyses are available for nonexperimental cohort studies. METHODS: We performed a systematic search of longitudinal studies in healthy adults that reported on the association between alcohol intake and blood pressure. Our end points were the mean differences over time of systolic (SBP) and diastolic blood pressure (DBP), plotted according to baseline alcohol intake, by using a dose-response 1-stage meta-analytic methodology. RESULTS: Seven studies, with 19 548 participants and a median follow-up of 5.3 years (range, 4–12 years), were included in the analysis. We observed a substantially linear positive association between baseline alcohol intake and changes over time in SBP and DBP, with no suggestion of an exposure-effect threshold. Overall, average SBP was 1.25 and 4.90 mm Hg higher for 12 or 48 grams of daily alcohol consumption, compared with no consumption. The corresponding differences for DBP were 1.14 and 3.10 mm Hg. Subgroup analyses by sex showed an almost linear association between baseline alcohol intake and SBP changes in both men and women, and for DBP in men while in women we identified an inverted U -shaped association. Alcohol consumption was positively associated with blood pressure changes in both Asians and North Americans, apart from DBP in the latter group. CONCLUSIONS: Our results suggest the association between alcohol consumption and SBP is direct and linear with no evidence of a threshold for the association, while for DBP the association is modified by sex and geographic location.

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“…(2) The diagnostic criteria for dyslipidemia involved a physician's diagnosis of dyslipidemia, use of lipid-lowering medications, total cholesterol (TC) levels ≥ 6.22 mmol/L, triglycerides (TG) levels ≥ 2.26 mmol/L, high-density lipoprotein cholesterol (HDL-C) levels < 1.04 mmol/L, or low-density lipoprotein cholesterol (LDL-C) levels ≥ 4.14 mmol/L [ 29 , 30 ]. (3) Alcohol consumption is defined as consuming alcohol within the past month and consuming alcohol at least once per week [ 31 , 32 ]. (4) Insufficient sleep is characterized by a duration of less than 7 h per day [ 33 , 34 ].…”

Section: Methodsmentioning

confidence: 99%

Relationship between socioeconomic status and hypertension incidence among adults in southwest China: a population-based cohort study

Luo,

Lin,

Zhang

et al. 2024

BMC Public Health

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Purpose To investigate the correlation between socioeconomic status (SES) and the incidence of hypertension among adults aged 18 or above in southwest China. Methods A multistage proportional stratified cluster sampling method was employed to recruited 9280 adult residents from 12 counties in southwest China, with all participants in the cohort tracked from 2016 to 2020. The questionnaire survey gathered information on demographics, lifestyle habits, and household income. The physical exam recorded height, weight, and blood pressure. Biochemical tests measured cholesterol levels. The chi-square test was employed to assess the statistical differences among categorical variables, while the Cox proportional hazards regression model was applied to evaluate the association between socioeconomic status (SES) and the incidence of hypertension. Results The finally effective sample size for the cohort study was 3546 participants, after excluding 5734 people who met the exclusion criteria. Adults in the highest household income group had a significantly lower risk of hypertension compared to those in the lowest income group (HR = 0.636, 95% CI: 0.478–0.845). Besides, when compared to individuals in the illiterate population, the risk of hypertension among adults with elementary school, junior high school, senior high school and associate degree educational level decreased respectively by 34.4% (HR = 0.656, 95%CI: 0.533–0.807), 44.9% (HR = 0.551, 95%CI: 0.436–0.697), 44.9% (HR = 0.551, 95%CI: 0.405–0.750), 46.1% (HR = 0.539, 95%CI: 0. 340–0.854). After conducting a thorough analysis of socioeconomic status, compared with individuals with a score of 6 or less, the risk of hypertension in participants with scores of 8, 10, 11, 12, and greater than 12 decreased respectively by 23.9% (HR = 0.761, 95%CI: 0.598–0.969), 29.7% (HR = 0.703, 95%CI: 0.538–0.919), 34.0% (HR = 0.660, 95%CI: 0.492–0.885), 34.3% (HR = 0.657, 95%CI: 0.447–0.967), 43.9% (HR = 0.561, 95%CI: 0.409–0.769). Conclusion The findings indicate a negative correlation between socioeconomic status and hypertension incidence among adults in southwest China, suggesting that individuals with higher socioeconomic status are less likely to develop hypertension.

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Alcohol intake reduction for controlling hypertension

Abstract: Data collection and analysisTwo review authors independently assessed search results and extracted data using standard methodological procedures adopted by Cochrane.

Cited by 14 publications

References 70 publications

Alcohol Intake and Arterial Hypertension: Retelling of a Multifaceted Story

Alcohol Intake and Arterial Hypertension: Retelling of a Multifaceted Story

Alcohol Intake and Blood Pressure Levels: A Dose-Response Meta-Analysis of Nonexperimental Cohort Studies

Relationship between socioeconomic status and hypertension incidence among adults in southwest China: a population-based cohort study

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