Alcohol Usage and Blood Pressure: A Review

This paper reviews research addressing the relationship between alcohol usage and blood pressure levels. In non-alcoholic samples, the heaviest drinkers have the highest mean blood pressure when compared to moderate or light drinkers. These results appear to be stronger for systolic than for diastol...

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Veröffentlicht in:Human biology 1986-02, Vol.58 (1), p.1-31
Hauptverfasser: GLEIBERMAN, LILLIAN, HARBURG, ERNEST
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description This paper reviews research addressing the relationship between alcohol usage and blood pressure levels. In non-alcoholic samples, the heaviest drinkers have the highest mean blood pressure when compared to moderate or light drinkers. These results appear to be stronger for systolic than for diastolic. Several studies show a less clear pattern, particularly when age is taken into account. At the low end of the drinking spectrum, the evidence is conflicting both between and within each sex: U-shaped, J-shaped, linear and threshold patterns have been reported. Studies which tested the relationship of alcohol to various physiologic correlates are reviewed; a number of hypotheses are discussed (e.g., direct pressor effect, withdrawal effect), and several are raised for future research. Despite the lack of clear evidence for an independent relationship, the clinical, epidemiological, and experimental research strongly suggests that heavy consumers of alcohol are at risk for the development of high blood pressure. The findings have implications for physicians with respect to the non-pharmacological treatment of hypertension, as well as for public health policy relevant to prevention.
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In non-alcoholic samples, the heaviest drinkers have the highest mean blood pressure when compared to moderate or light drinkers. These results appear to be stronger for systolic than for diastolic. Several studies show a less clear pattern, particularly when age is taken into account. At the low end of the drinking spectrum, the evidence is conflicting both between and within each sex: U-shaped, J-shaped, linear and threshold patterns have been reported. Studies which tested the relationship of alcohol to various physiologic correlates are reviewed; a number of hypotheses are discussed (e.g., direct pressor effect, withdrawal effect), and several are raised for future research. Despite the lack of clear evidence for an independent relationship, the clinical, epidemiological, and experimental research strongly suggests that heavy consumers of alcohol are at risk for the development of high blood pressure. 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In non-alcoholic samples, the heaviest drinkers have the highest mean blood pressure when compared to moderate or light drinkers. These results appear to be stronger for systolic than for diastolic. Several studies show a less clear pattern, particularly when age is taken into account. At the low end of the drinking spectrum, the evidence is conflicting both between and within each sex: U-shaped, J-shaped, linear and threshold patterns have been reported. Studies which tested the relationship of alcohol to various physiologic correlates are reviewed; a number of hypotheses are discussed (e.g., direct pressor effect, withdrawal effect), and several are raised for future research. Despite the lack of clear evidence for an independent relationship, the clinical, epidemiological, and experimental research strongly suggests that heavy consumers of alcohol are at risk for the development of high blood pressure. 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In non-alcoholic samples, the heaviest drinkers have the highest mean blood pressure when compared to moderate or light drinkers. These results appear to be stronger for systolic than for diastolic. Several studies show a less clear pattern, particularly when age is taken into account. At the low end of the drinking spectrum, the evidence is conflicting both between and within each sex: U-shaped, J-shaped, linear and threshold patterns have been reported. Studies which tested the relationship of alcohol to various physiologic correlates are reviewed; a number of hypotheses are discussed (e.g., direct pressor effect, withdrawal effect), and several are raised for future research. Despite the lack of clear evidence for an independent relationship, the clinical, epidemiological, and experimental research strongly suggests that heavy consumers of alcohol are at risk for the development of high blood pressure. The findings have implications for physicians with respect to the non-pharmacological treatment of hypertension, as well as for public health policy relevant to prevention.</abstract><cop>Detroit, MI</cop><pub>Wayne State University Press</pub><pmid>3514424</pmid><tpages>31</tpages></addata></record>
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subjects Alcohol Drinking
Alcohol related disorders
Alcoholic beverages
Alcoholism
Alcoholism - physiopathology
Alcoholism and acute alcohol poisoning
Alcohols
Biological and medical sciences
Blood pressure
Blood Pressure - drug effects
Catecholamines - metabolism
Diastolic blood pressure
Ethanol
Ethanol - analysis
Ethanol - pharmacology
Female
Humans
Hypertension
Hypertension - etiology
Male
Medical sciences
Sex Factors
Systolic blood pressure
Toxicology
title Alcohol Usage and Blood Pressure: A Review
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