Saremi, Aramesh; Hanson, Robert L.; Tulloch-Reid, Marshall K.; Williams, Desmond E. ; Knowler, William C.
Author Affiliation, Ana.
Advanced Training and Research in Fertility Management
Alcohol consumption predicts hypertension but not diabetes
Journal of Studies on Alcohol
Date of Publication
Also available as an electronic-book published by Alcohol Research Documentation, Inc.; ISBN: B000829K5Q; March 1, 2004, 18 pages.
Objective: This study examines the associations between alcohol consumption, Type 2 diabetes and hypertension in a Native American population. Methods: Data were collected in a population-based cross-sectional and prospective study conducted on 3,789 individuals aged > or = 20 years. Reported alcohol consumption was classified as never, occasional or < 1 a day, 1-2 drinks a day, > or = 3 drinks a day, and occasional heavy drinking. The prevalence and incidence of diabetes and hypertension by categories of alcohol intake were determined. Results: About 68% of men and 39% of women reported some degree of alcohol consumption. There was no association between alcohol consumption and prevalence or incidence of diabetes, but a positive, statistically significant association between blood pressure and alcohol consumption was found in both genders. After adjustment for age, body mass index (BMI) and diabetes in a proportional hazards model in men, moderate drinkers (occasional or < 1 drink a day and 1-2 drinks a day combined) had 1.24 (95% confidence interval: 0.98-1.57) and occasional heavy drinkers had 1.49 (1.02-2.17) times the incidence of hypertension as nondrinkers. The corresponding estimates of hypertension incidence for women were 1.53 (1.29-1.83) for moderate drinking and 1.38 (0.81-2.36) for occasional heavy drinking. As only 1% of participants reported > or = 3 drinks a day, this group was excluded from these analyses. Conclusions: Alcohol consumption did not affect the development of Type 2 diabetes, but it was associated with increased risk of hypertension, and this effect was independent of diabetes or BMI in both genders.....