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Alcohol intake and triglycerides/high-density lipoprotein cholesterol ratio in men with hypertension
1Department of Environmental and Preventive Medicine, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan. wakabaya@hyo-med.ac.jp
Insights
Alcohol consumption is linked to a lower triglycerides/high-density lipoprotein cholesterol (TG/HDL-C) ratio in hypertensive men, suggesting an inverted J-shaped relationship. Moderate to heavy drinking may weaken the association between high TG/HDL-C ratio and hypertension.
Area of Science:
- Cardiology
- Metabolic Health
- Public Health
Background:
- The triglycerides/high-density lipoprotein cholesterol (TG/HDL-C) ratio is a recognized cardiovascular disease risk marker.
- The impact of alcohol consumption on the TG/HDL-C ratio in hypertensive individuals remains unclear.
Purpose of the Study:
- To investigate the relationship between alcohol intake and the TG/HDL-C ratio in hypertensive and normotensive men.
- To determine if alcohol consumption modifies the association between the TG/HDL-C ratio and hypertension.
Main Methods:
- A study involving normotensive and hypertensive men aged 35-60 years.
- Participants were categorized by daily ethanol intake: non-, light (<22g/day), heavy (≥22 to <44g/day), and very heavy (≥44g/day) drinkers.
- Triglycerides/high-density lipoprotein cholesterol (TG/HDL-C) ratio and odds ratios (ORs) for high TG/HDL-C ratio and hypertension were analyzed.
Main Results:
- Hypertensive men exhibited a higher TG/HDL-C ratio compared to normotensive men.
- All alcohol consumption levels were associated with a lower TG/HDL-C ratio in both groups, with the lowest ratio observed in light drinkers.
- Alcohol consumption significantly reduced the odds of a high TG/HDL-C ratio and hypertension in hypertensive individuals.
Conclusions:
- An inverted J-shaped relationship exists between alcohol consumption and the TG/HDL-C ratio in hypertensive individuals.
- Alcohol intake appears to attenuate the positive association between the TG/HDL-C ratio and hypertension.
- Findings suggest a complex interplay between alcohol, lipid profiles, and hypertension risk.
Background:
The triglycerides/high-density lipoprotein cholesterol (TG/HDL-C) ratio has been proposed to be a good predictor of cardiovascular disease. The relationship between alcohol consumption and TG/HDL-C ratio in patients with hypertension is unknown.
Methods:
Subjects were normotensive and hypertensive men aged 35-60 years who were divided by daily ethanol intake into non-, light (<22g/day), heavy (≥22 but <44g/day), and very heavy (≥44g/day) drinkers.
Results:
The TG/HDL-C ratio was significantly higher in the hypertensive group than in the normotensive group. Both in the normotensive and hypertensive groups, TG/HDL-C ratio was significantly lower in light, heavy, and very heavy drinkers than in nondrinkers and was lowest in light drinkers. In the hypertensive group, odds ratios (ORs) for high TG/HDL-C ratio (≥3.75) in light, heavy, and very heavy drinkers vs. nondrinkers were significantly lower (P < 0.01) than a reference level of 1.00 (light drinkers: OR = 0.49, 95% confidence interval (CI) = 0.40-0.59; heavy drinkers: OR = 0.59, 95% CI = 0.52-0.67; very heavy drinkers: OR = 0.70, 95% CI = 0.61-0.80) and were significantly lower than the corresponding ORs in the normotensive group. The ORs for hypertension in subjects with vs. subjects without high TG/HDL-C ratio were significantly higher than the reference level in all the alcohol groups and were significantly lower in light, heavy, and very heavy drinkers than in nondrinkers.
Conclusions:
The results suggest that there is an inverted J-shaped relationship between alcohol and TG/HDL-C ratio in individuals with hypertension and that alcohol weakens the positive association between TG/HDL-C ratio and hypertension.
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