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Published on: October 22, 2014
Alcohol consumption and ankle-to-brachial index: results from the Cardiovascular Risk Survey
Xiang Xie1, Yi-Tong Ma, Yi-Ning Yang
1Department of Cardiology, First Affiliated Hospital of Xinjiang Medical University, Urumqi, People's Republic of China.
Insights
In Chinese men, moderate alcohol intake (under 60g/d) inversely correlates with peripheral artery disease (PAD), while heavy drinking (>60g/d) increases PAD risk. This study clarifies alcohol
Area of Science:
- Cardiovascular Health
- Epidemiology
- Public Health
Background:
- Low ankle-brachial index (ABI) is a significant indicator of cardiovascular disease and mortality.
- The association between alcohol consumption and ABI requires further investigation.
- The Cardiovascular Risk Survey (CRS) provides data on cardiovascular health in diverse Chinese populations.
Purpose of the Study:
- To investigate the relationship between alcohol consumption and ABI.
- To determine if alcohol intake is associated with peripheral artery disease (PAD).
- To analyze these associations across different levels of alcohol consumption in Chinese adults.
Main Methods:
- Cross-sectional study of 14,618 Chinese adults aged 35+.
- Data collected from Oct. 2007 to March 2010.
- Analysis of covariance and multivariable regressions used to assess alcohol intake and ABI relationship.
Main Results:
- In men, alcohol consumption showed a significant association with ABI (P<0.001).
- Higher alcohol intake (>60 g/d) was linked to significantly increased odds of PAD in men.
- Moderate alcohol intake (20.1-60.0 g/d) was associated with significantly lower odds of PAD in men compared to non-drinkers.
- No significant association between alcohol consumption and ABI or PAD was found in women.
Conclusions:
- Alcohol consumption is associated with peripheral artery disease in Chinese men.
- Consumption below 60 g/d showed an inverse association with peripheral atherosclerosis.
- Consumption of 60 g/d or more showed a positive association with peripheral atherosclerosis in men.
Background And Methodology:
A low ankle-to-brachial index (ABI) is a strong correlate of cardiovascular disease and subsequent mortality. The relationship between ABI and alcohol consumption remains unclear. Data are from the Cardiovascular Risk Survey (CRS), a multiple-ethnic, community-based, cross-sectional study of 14,618 Chinese people (5757 Hans, 4767 Uygurs, and 4094 Kazakhs) aged 35 years and over at baseline from Oct. 2007 to March 2010. The relationship between alcohol intake and ABI was determined by use of analysis of covariance and multivariable regressions.
Principal Findings:
In men, alcohol consumption was significantly associated with ABI (P<0.001). After adjusted for the confounding factors, such as age, sex, ethnicity, body mass index, smoking, work stress, diabetes, and fasting blood glucose, the difference remained significant (P<0.001); either the unadjusted or multivariate-adjusted odds ratio (OR) for peripheral artery disease (PAD) was significantly higher in men who consumed >60.0 g/d [OR = 3.857, (95% CI: 2.555-5.824); OR = 2.797, (95% CI: 1.106-3.129); OR = 2.878, (95% CI: 1.215-4.018); respectively] and was significantly lower in men who consumed 20.1-40.0 g/d [OR= 0.330, (95% CI: 0.181-0.599); OR = 0.484, (95% CI: 0.065-0.894); OR = 0.478, (95% CI: 0.243-1.534); respectively] and 40.1-60.0 g/d [OR= 0.306, (95% CI: 0.096-0.969); OR = 0.267, (95% CI: 0.087-0.886); OR = 0.203, (95% CI: 0.113-0.754); respectively] compared with never drinking, respectively (all P<0.01). Neither in unadjusted nor in multivariate-adjusted model was the association between ABI and alcohol consumption significant (all P>0.05) in women. Similarly, PAD was not correlated with alcohol intake in women (all P>0.05).
Conclusions/Significance:
Our results indicated that in Chinese men, alcohol consumption was associated with peripheral artery disease, and consumption of less than 60 g/d had an inverse association with peripheral atherosclerosis whereas consumption of 60 g/d or more had a positive association.
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