Effects of habitual alcohol intake on ambulatory blood pressure, heart rate, and its variability among japanese men

Tetsuya Ohira, Takeshi Tanigawa, Minako Tabata, Hironori Imano, Akihiko Kitamura, Masahiko Kiyama, Shinichi Sato, Tomonori Okamura, Renzhe Cui, Kazuko A. Koike, Takashi Shimamoto, Hiroyasu Iso

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We sought to examine effects of habitual alcohol intake on ambulatory blood pressure (BP), heart rate (HR), and HR variability among Japanese men. Subjects were 539 men aged 35 to 65 years from rural and urban communities. Ambulatory BP and HR were monitored with an automated, portable, noninvasive multibiomedical recorder. Power spectral analysis of the RR intervals on the ECG was performed every 5 minutes. Compared with nondrinkers, moderate drinkers (alcohol intake 23 to 45 g/d) and heavy drinkers (alcohol intake ≥46 g/d) showed higher age- and field-adjusted mean values of systolic and diastolic BPs during the morning and while awake, but there were no differences in BPs over 24-hour periods and while asleep among the alcohol intake categories. Alcohol intake was positively associated with mean values of sleep-morning differences and daytime variability in BPs, HRs while awake and asleep, and low frequency: high frequency ratio while asleep. The results were virtually unchanged after adjustment for body mass index, smoking, and diabetes mellitus. Compared with the nondrinkers, age- and field-adjusted odds ratios of the morning BP surge (excess elevation of BP in the morning: morning systolic BP minus sleep systolic BP ≥37 mm Hg) for light (alcohol intake 0 to 22 g/d), moderate, and heavy drinkers were 0.96 (95% CI: 0.34 to 2.78), 1.68 (95% CI: 0.64 to 4.38), and 2.73 (95% CI: 1.12 to 6.67), respectively. Habitual alcohol intake was associated with increased BP in the morning, HR while awake and asleep, and sympathetic activity while asleep, which may explain some of the mechanisms of the relationship between heavy alcohol intake and risk of cardiovascular diseases.

元の言語English
ページ(範囲)13-19
ページ数7
ジャーナルHypertension
53
発行部数1
DOI
出版物ステータスPublished - 2009 1
外部発表Yes

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ASJC Scopus subject areas

  • Internal Medicine

これを引用

Ohira, T., Tanigawa, T., Tabata, M., Imano, H., Kitamura, A., Kiyama, M., Sato, S., Okamura, T., Cui, R., Koike, K. A., Shimamoto, T., & Iso, H. (2009). Effects of habitual alcohol intake on ambulatory blood pressure, heart rate, and its variability among japanese men. Hypertension, 53(1), 13-19. https://doi.org/10.1161/HYPERTENSIONAHA.108.114835