Alcohol consumption and blood pressure: an extended study of self-defence officials in Japan

Int J Epidemiol. 1994 Apr;23(2):307-11. doi: 10.1093/ije/23.2.307.

Abstract

Background: It remains controversial whether the relation between alcohol intake and blood pressure is linear or non-linear.

Methods: The relation between alcohol intake and blood pressure was investigated in 2341 male self-defence officials who received a preretirement health examination at the Self-Defense Forces Fukuoka Hospital between October 1986 and December 1990. Average alcohol intake in the past year was ascertained by a self-administered questionnaire. The study excluded past drinkers, and allowed for smoking, body mass index and glucose tolerance.

Results: Blood pressure was higher at higher levels of alcohol intake across the range from 0 to 40-59 ml of alcohol per day, but was not progressively higher in men consuming > or = 60 ml per day. Blood pressure was significantly higher even among light drinkers (< 20 ml per day) compared to non-drinkers; adjusted mean differences were 3.1 mmHg (95% confidence interval (CI): 1.1-5.2) in systolic pressure and 2.1 mmHg (95% CI: 0.7-3.5) in diastolic pressure.

Conclusions: Our findings do not support the existence of a threshold in the relation between alcohol and blood pressure.

MeSH terms

  • Alcohol Drinking / adverse effects*
  • Alcohol Drinking / epidemiology
  • Blood Pressure / drug effects*
  • Causality
  • Cholesterol, HDL / blood
  • Glucose Tolerance Test
  • Humans
  • Hypertension / epidemiology
  • Hypertension / etiology*
  • Japan / epidemiology
  • Male
  • Martial Arts*
  • Mass Screening
  • Middle Aged
  • Retirement
  • Smoking / adverse effects
  • Smoking / epidemiology
  • gamma-Glutamyltransferase / blood

Substances

  • Cholesterol, HDL
  • gamma-Glutamyltransferase