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Alcohol Consumption Patterns and Traditional Beverages Associated with Hypertension Subtypes
Fiorella E Zuzunaga-Montoya1, Jhosmer Ballena-Caicedo2, Oriana Rivera-Lozada3
1Escuela de Medicina Humana, Universidad Continental, Lima 00051, Peru.
Insights
Excessive alcohol intake increases hypertension risk in Peru, particularly traditional beverages like chicha and Masato. Wine, however, shows a protective effect against hypertension.
Area of Science:
- Cardiovascular Health
- Public Health Nutrition
- Epidemiology
Background:
- Alcohol consumption is a major hypertension risk factor globally.
- Limited research exists on alcohol's impact on hypertension in Peru, despite diverse traditional beverages.
- Understanding these associations is crucial for public health initiatives.
Purpose of the Study:
- To investigate the link between alcohol consumption patterns and types of beverages with hypertension in Peru.
- To analyze associations with general hypertension, isolated systolic hypertension (ISH), isolated diastolic hypertension (IDH), and systolic-diastolic hypertension (SDH).
Main Methods:
- Cross-sectional study using Peruvian Demographic and Family Health Survey (2018-2023) data.
- Included 236,243 adults, assessing hypertension types and alcohol consumption patterns (pattern, intensity, consistency, beverage type).
- Evaluated both commercial and traditional Peruvian alcoholic drinks.
Main Results:
- Excessive alcohol consumption significantly correlated with increased risks of general HTN, IDH, and SDH.
- Traditional Peruvian beverages (chicha, Masato) were linked to higher hypertension risks.
- Wine consumption showed a protective association against general HTN and IDH.
Conclusions:
- Alcohol consumption patterns and beverage types differentially impact hypertension risk in Peru.
- Findings highlight the need for culturally tailored prevention strategies for alcohol consumption.
- Public health recommendations on alcohol should consider beverage type and consumption patterns.
Abstract:
Introduction: Alcohol consumption is a significant risk factor for hypertension (HTN), a prevalent condition that substantially affects cardiovascular health. In Peru, where various traditional alcoholic beverages exist, the relationship between alcohol consumption and HTN has not been fully explored. Objective: To determine the association between different patterns of alcohol consumption, types of beverages, and various types of HTN. Methods: This cross-sectional analytical study utilized data from the Peruvian Demographic and Family Health Survey (2018-2023), including 236,243 adults (55.95% male; mean age: 41.06 years). General HTN, isolated systolic hypertension (ISH), isolated diastolic hypertension (IDH), and systolic-diastolic hypertension (SDH) were evaluated. Alcohol consumption was assessed through self-reported questionnaires evaluating consumption pattern (non-excessive vs. excessive), intensity (light, moderate, heavy), consistency (intermittent vs. consistent), and primary beverage type, including both commercial and traditional Peruvian drinks. Results: Excessive alcohol consumption was significantly associated with an increased risk of HTN (aPR: 1.19, 95% CI: 1.07-1.31), IDH (aPR: 1.61, 95% CI: 1.20-2.16), and SDH (aPR: 1.45, 95% CI: 1.18-1.78). Excessive alcohol consumption was significantly associated with an increased risk of HTN (aPR: 1.19, 95% CI: 1.07-1.31), IDH (aPR: 1.61, 95% CI: 1.20-2.16), and SDH (aPR: 1.45, 95% CI: 1.18-1.78). Consumption of traditional beverages such as chicha and Masato was associated with an elevated risk of various types of HTN. In contrast, wine consumption demonstrated a protective association against general HTN and IDH. Conclusions: Alcohol consumption patterns and beverage types have differential effects on HTN risk in the Peruvian population. These findings underscore the need for culturally adapted prevention strategies and more nuanced public health recommendations regarding alcohol consumption in Peru.
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