SUMMARY Carboxyhemoglobin (COHb%) and gamma-glutamyl-transferase (GGT) are indicators of tobacco and alcohol consumption; similarly, body weight broadly reflects dietary habits. Relationships between COHb%, GGT, relative body weight, heart rate and blood pressure were studied in 242 48-year-old men attending a general health screening program in Malmo, Sweden. All were without treatment for high blood pressure. Positive correlations were found between blood pressure and body weight, GGT, and pulse, and a reciprocal correlation between blood pressure and COHb%. Use of objective markers for known or suspected risk factors, such as alcohol consumption, smoking, or overweight, were studied to elucidate their usefulness for further prospective studies. (Hypertension 5: 560-563, 1983) KEY WORDS • hypertension • multi-variate analysis • risk factors A RTERIAL hypertension constitutes one of the most important risk factors for cardiovascular morbidity and mortality.1 -2 One of the major aims in several population screening trials has therefore been measurement of blood pressure (BP), with subsequent treatment of individuals with consistently elevated levels. 34 Several factors have been shown to covary with BP, namely, heredity, 5 body weight, 6 -7 salt intake, 8 age, 5 -8 and alcohol consumption.79 " 13 However, smoking and potassium intake seem to be inversely related to BP.914 -' 5 Thus, many exogenous factors may be of pathogenetic and pathophysiologic, as well as methodological, importance to the BP levels recorded, reproducibility, predictive value, clinical interpretation, and resulting treatment.Although body weight at least partly reflects dietary habits in the population, it is usually more difficult to get a reliable history of alcohol consumption, at least in individuals with high consumption levels.' 6 Recent studies tend to indicate a linear relationship between BP and alcohol consumption 7 9~13 and BP and gammaglutamyl-transferase (GGT), 18 " 21 although a flattened relationship has been suggested" after a consumption level of 180 g/week.In a recent statistical evaluation of the relationship between alcohol intake and BP, 12 it was suggested that the individual's "immediate" (24-hour) intake was better correlated to the BP. However, others have found good correlation between BP level and amount of alcohol consumed over several weeks and up to 3 months."-' 3 In our ongoing preventive study 22 of men with persistent hypertension, we found that the higher the GGT level the higher the incidence of moderate-tosevere hypertension; this could also indicate a longer acting effect of high alcohol consumption. Carboxyhemoglobin (CoHB%) is today frequently used for the short-term and objective assessment of tobacco consumption.
23The aim of the present study was to evaluate univariate and multivariate correlations between BP, COHB%, relative bodyweight, GGT, and heart rate in a random subsample of untreated healthy middle-aged (48-year-old) men, and to assess how much of the variability in the blood pressure meas...