Relationship of alcohol intake with blood pressure in young adults.

The objective of this study was to examine the relationship of usual current alcohol intake with systolic and diastolic pressures among young adults. Participants were 316 men and women, aged 18 to 26 years, from East Boston, Mass. At each of three weekly visits we obtained three blood pressure measurements on each subject using a random-zero sphygmomanometer. Using an interviewer-administered questionnaire, we obtained information about quantity and frequency of alcohol intake during the previous month. The lowest systolic pressure levels were in subjects consuming 1 to < 2 drinks per day. Adjusted for age, sex, and body mass index, systolic pressure was higher by 4.0 mm Hg (95% confidence interval [CI], 0.5 to 7.6 mm Hg) in abstainers, 3.6 mm Hg (95% CI, 0.5 to 6.6 mm Hg) in those who drank < 1 drink per day, 0.4 mm Hg (95% CI, -4.7 to 5.5 mm Hg) in those who drank 2 to < 3 drinks per day, and 8.1 mm Hg (95% CI, 2.9 to 13.4 mm Hg) in those who drank > or = 3 drinks per day. Levels of diastolic pressure were lowest in those consuming 2 to < 3 drinks per day. Adjustment for pulse rate, smoking, medication use, and family history of hypertension did not alter the results. These results suggest a J-shaped association of alcohol intake with blood pressure level in young adults, with the lowest levels in consumers of 1 to 3 drinks per day.

[1]  F. Gyntelberg,et al.  RELATIONSHIP BETWEEN BLOOD PRESSURE AND PHYSICAL FITNESS, SMOKING AND ALCOHOL CONSUMPTION IN COPENHAGEN MALES AGED 40–59 , 2009 .

[2]  P. Ridker,et al.  Association of moderate alcohol consumption and plasma concentration of endogenous tissue-type plasminogen activator. , 1994, JAMA.

[3]  Y. Kawano,et al.  Biphasic effects of repeated alcohol intake on 24-hour blood pressure in hypertensive patients. , 1994, Circulation.

[4]  W. Willett,et al.  Moderate alcohol intake, increased levels of high-density lipoprotein and its subfractions, and decreased risk of myocardial infarction. , 1993, The New England journal of medicine.

[5]  K. Matthews,et al.  Psychological predictors of hypertension in the Framingham Study. Is there tension in hypertension? , 1993, JAMA.

[6]  N. Cook,et al.  News for the practitioner , 1993, European Journal of Pediatrics.

[7]  G. Friedman,et al.  Alcohol and Mortality , 1992, Annals of Internal Medicine.

[8]  B. Rosner,et al.  Use of multiple visits to increase blood pressure tracking correlations in childhood. , 1991, Pediatrics.

[9]  M. L. Cooper,et al.  Alcohol drinking patterns and blood pressure. , 1991, American journal of public health.

[10]  R. Vandongen,et al.  Two-way factorial study of alcohol and salt restriction in treated hypertensive men. , 1990, Hypertension.

[11]  L. Garfinkel,et al.  Alcohol Drinking and Mortality among Men Enrolled in an American Cancer Society Prospective Study , 1990, Epidemiology.

[12]  V. Adesso,et al.  The acute effects of alcohol on the blood pressure of young, normotensive men. , 1990, Journal of studies on alcohol.

[13]  J. Weissfeld,et al.  Sex and age interactions in the association between alcohol and blood pressure. , 1988, American journal of epidemiology.

[14]  A. G. Shaper,et al.  Alcohol and blood pressure in middle-aged British men. , 1988, Journal of human hypertension.

[15]  L. Beilin,et al.  AN APPRAISAL OF THE EFFECTS OF USUAL VS RECENT ALCOHOL INTAKE ON BLOOD PRESSURE , 1988, Clinical and experimental pharmacology & physiology.

[16]  S. MacMahon.  Alcohol consumption and hypertension. , 1987, Hypertension.

[17]  T. Gordon,et al.  Alcohol consumption and its relationship to smoking, weight, blood pressure, and blood lipids. The Albany Study. , 1986, Archives of internal medicine.

[18]  Lauren Howes.  PRESSOR EFFECT OF ALCOHOL , 1985, The Lancet.

[19]  L J Beilin,et al.  Evidence for a direct effect of alcohol consumption on blood pressure in normotensive men. A randomized controlled trial. , 1985, Hypertension.

[20]  D. Kromhout,et al.  Potassium, calcium, alcohol intake and blood pressure: the Zutphen Study. , 1985, The American journal of clinical nutrition.

[21]  J. Barboriak,et al.  Alcohol, nutrient intake, and hypertension in US adults. , 1985, JAMA.

[22]  S. MacMahon,et al.  Obesity, alcohol consumption and blood pressure in Australian men and women. The National Heart Foundation of Australia Risk Factor Prevalence Study. , 1984, Journal of hypertension.

[23]  J. Potter,et al.  PRESSOR EFFECT OF ALCOHOL IN HYPERTENSION , 1984, The Lancet.

[24]  K. Vranizan,et al.  The association of blood pressure and dietary alcohol: differences by age, sex, and estrogen use. , 1983, American journal of epidemiology.

[25]  S P Cooper,et al.  Training and certification of blood pressure observers. , 1983, Hypertension.

[26]  W. Kannel,et al.  Drinking and its relation to smoking, BP, blood lipids, and uric acid. The Framingham study. , 1983, Archives of internal medicine.

[27]  J. Salonen,et al.  Relation of blood pressure to reported intake of salt, saturated fats, and alcohol in healthy middle-aged population. , 1983, Journal of epidemiology and community health.

[28]  D. McGee,et al.  Biological and Social Correlates of Blood Pressure Among Japanese Men in Hawaii , 1982, Hypertension.

[29]  A. Dyer,et al.  Alcohol, Cardiovascular Risk Factors and Mortality: The Chicago Experience , 1981, Circulation.

[30]  R B Wallace,et al.  Alcohol consumption and blood pressure. The lipid research clinics prevalence study. , 1981, Hypertension.

[31]  G. Rose,et al.  Strategy of prevention: lessons from cardiovascular disease. , 1981, British medical journal.

[32]  T. Dawber,et al.  FREQUENCY OF ALCOHOL CONSUMPTION AND MORBIDITY AND MORTALITY: The Yugoslavia Cardiovascular Disease Study , 1980, The Lancet.

[33]  A. Dyer,et al.  Alcohol Consumption, Cardiovascular Risk Factors, and Mortality in Two Chicago Epidemiologic Studies , 1977, Circulation.

[34]  A. Siegelaub,et al.  Alcohol consumption and blood pressure. Kaiser-Permanente Multiphasic Health Examination data. , 1977, The New England journal of medicine.

[35]  J. Ockene,et al.  Prevention of coronary heart disease. , 1976, British medical journal.

[36]  R. Moore,et al.  Alcohol consumption and blood pressure in the 1982 Maryland Hypertension Survey. , 1990, American journal of hypertension.

[37]  A. Chockalingam,et al.  The Canadian consensus report on non-pharmacological approaches to the management of high blood pressure. , 1990, Clinical and experimental hypertension. Part A, Theory and practice.

[38]  A. Dyer,et al.  Alcohol intake and blood pressure in young adults: the CARDIA Study. , 1990, Journal of clinical epidemiology.

[39]  L. Chambless,et al.  Alcohol and blood pressure: results from the Luebeck Blood Pressure Study. , 1989, Preventive medicine.