Document Detail

Alcohol intake and hypertension subtypes in Chinese men.
MedLine Citation:
PMID:  15775777     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To examine the associations between alcohol intake and isolated systolic hypertension (ISH), systolic-diastolic hypertension (SDH), and isolated diastolic hypertension (IDH). DESIGN: Cross-sectional study of Chinese adults. METHODS: We analyzed data from 5317 Chinese males who were not on antihypertensive medications from a nationally representative sample of Chinese adults aged 35-74 years. ISH was defined as a mean systolic blood pressure (SBP) >/=140 mmHg and a mean diastolic blood pressure (DBP) < 90 mmHg, SDH as a SBP >/= 140 mmHg and DBP >/= 90 mmHg, and IDH as SBP < 140 mmHg and DBP >/= 90 mmHg. Alcohol intake was determined using an interviewer-administered questionnaire and participants were categorized either as non-drinkers (<12 drinks in the prior year) or by tertile of alcohol intake. RESULTS: The odds ratios of all three hypertension subtypes were higher at higher levels of alcohol intake, with those in the highest alcohol intake category (>/=30 drinks/week) 2.0 (95% confidence interval: 1.3, 3.0), 2.2 (1.6, 3.1), and 2.1 (1.4, 3.1) times more likely to have ISH, SDH, or IDH, respectively, than non-drinkers. The population attributable risk percentage due to heavy drinking (>/=30 drinks/week) was 13.9% for ISH, 13.4% for SDH, and 12.0% for IDH. Liquor drinking, specifically, was associated with a higher odds ratio of ISH, while SDH and IDH associations did not differ by type of alcoholic beverage. CONCLUSIONS: In Chinese males, higher intake of alcohol is associated with higher risk of ISH, SDH, and IDH. Efforts to reduce hypertension in China should include a strong focus on decreasing heavy alcohol consumption.
Rachel P Wildman; Dongfeng Gu; Paul Muntner; Guangyong Huang; Jichun Chen; Xianfeng Duan; Jiang He
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of hypertension     Volume:  23     ISSN:  0263-6352     ISO Abbreviation:  J. Hypertens.     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-03-18     Completed Date:  2005-06-28     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8306882     Medline TA:  J Hypertens     Country:  England    
Other Details:
Languages:  eng     Pagination:  737-43     Citation Subset:  IM    
Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana, USA.
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MeSH Terms
Alcohol Drinking / adverse effects*,  ethnology*
Asian Continental Ancestry Group / statistics & numerical data*
Cross-Sectional Studies
Hypertension / classification,  ethnology*
Middle Aged
Risk Factors
Risk Reduction Behavior
Grant Support
Comment In:
J Hypertens. 2005 Apr;23(4):703-5   [PMID:  15775769 ]

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