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Alcohol and blood pressure: the INTERSALT study
M G Marmot1, P Elliott, M J Shipley
1Department of Epidemiology and Public Health, University College London Medical School.
Summary
Heavy alcohol consumption significantly increases blood pressure in men and women, independent of other risk factors. This highlights the need for public health strategies to reduce alcohol intake and its adverse cardiovascular effects.
Area of Science:
- Cardiovascular epidemiology
- Public health
Background:
- Alcohol consumption is a global health concern with known links to cardiovascular disease.
- Understanding the precise relationship between alcohol intake patterns and blood pressure is crucial for effective prevention strategies.
Purpose of the Study:
- To investigate the association between alcohol consumption and blood pressure in men and women across different age groups.
- To examine how the amount and pattern of alcohol intake, including acute effects, influence blood pressure, while controlling for confounders like BMI and sodium excretion.
Main Methods:
- A global study involving 4844 men and 4837 women aged 20-59 from 50 centers.
- Subjects reported daily alcohol consumption over seven days and recent intake (24 hours prior to measurement).
- Blood pressure was measured, and statistical analyses (weighted regression) were used to assess alcohol's effect, considering acute and patterned consumption.
Main Results:
- Heavy alcohol consumption (≥300 ml/week) was significantly associated with higher blood pressure in both men and women.
- Men consuming 300-499 ml/week had 2.7/1.6 mmHg higher systolic/diastolic pressure; those consuming ≥500 ml/week had 4.6/3.0 mmHg higher.
- Women consuming ≥300 ml/week had 3.9/3.1 mmHg higher blood pressure. Episodic heavy drinking in men showed a stronger association with elevated blood pressure than regular drinking.
Conclusions:
- Heavy alcohol intake is independently linked to elevated blood pressure in both sexes and across age groups.
- These findings underscore the importance of targeting high-risk individuals and the general population to mitigate alcohol's detrimental effects on blood pressure.
- Public health initiatives aimed at reducing alcohol consumption are vital for cardiovascular health.