Timing and Type of Alcohol Consumption and the Metabolic Syndrome - ELSA-Brasil

Autor: Sandhi Maria Barreto, Bruce Bartholow Duncan, Vivian Cristine Luft, Lloyd Ellwood Chambless, Bruna Angelo Vieira, Maria Inês Schmidt, Dóra Chor
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Male
Gerontology
Longitudinal study
Endocrinology
Diabetes and Metabolism

Social Sciences
lcsh:Medicine
Wine
Blood Pressure
Alcohol
030204 cardiovascular system & hematology
Bioinformatics
Logistic regression
Vascular Medicine
chemistry.chemical_compound
0302 clinical medicine
Sociology
Medicine and Health Sciences
Ingestion
Public and Occupational Health
030212 general & internal medicine
Food science
lcsh:Science
Metabolic Syndrome
Alcohol Consumption
Multidisciplinary
Alcoholic Beverages
Beer
Middle Aged
Female
Alcohol consumption
Brazil
Research Article
Alcohol Drinking
Beverages
03 medical and health sciences
Text mining
Diabetes mellitus
Environmental health
Internal Medicine
medicine
Humans
Social Stratification
Socioeconomic status
Aged
Nutrition
Consumption (economics)
business.industry
lcsh:R
Biology and Life Sciences
Physical Activity
medicine.disease
Diet
chemistry
Metabolic Disorders
Meeting Abstract
Consumo de bebidas alcoolicas
Síndrome X metabólica
lcsh:Q
Metabolic syndrome
business
Body mass index
Zdroj: PLoS ONE, Vol 11, Iss 9, p e0163044 (2016)
Repositório Institucional da UFRGS
Universidade Federal do Rio Grande do Sul (UFRGS)
instacron:UFRGS
Diabetology & Metabolic Syndrome
PLoS ONE
ISSN: 1932-6203
Popis: The prevalence of the metabolic syndrome is rising worldwide. Its association with alcohol intake, a major lifestyle factor, is unclear, particularly with respect to the influence of drinking with as opposed to outside of meals. We investigated the associations of different aspects of alcohol consumption with the metabolic syndrome and its components. In cross-sectional analyses of 14,375 active or retired civil servants (aged 35–74 years) participating in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil), we fitted logistic regression models to investigate interactions between the quantity of alcohol, the timing of its consumption with respect to meals, and the predominant beverage type in the association of alcohol consumption with the metabolic syndrome. In analyses adjusted for age, sex, educational level, income, socioeconomic status, ethnicity, smoking, body mass index, and physical activity, light consumption of alcoholic beverages with meals was inversely associated with the metabolic syndrome (≤4 drinks/week: OR = 0.85, 95%CI 0.74–0.97; 4 to 7 drinks/week: OR = 0.75, 95%CI 0.61–0.92), compared to abstention/occasional drinking. On the other hand, greater consumption of alcohol consumed outside of meals was significantly associated with the metabolic syndrome (7 to 14 drinks/week: OR = 1.32, 95%CI 1.11–1.57; ≥14 drinks/week: OR = 1.60, 95%CI 1.29–1.98). Drinking predominantly wine, which occurred mostly with meals, was significantly related to a lower syndrome prevalence; drinking predominantly beer, most notably when outside of meals and in larger quantity, was frequently associated with a greater prevalence. In conclusion, the alcohol—metabolic syndrome association differs markedly depending on the relationship of intake to meals. Beverage preference—wine or beer—appears to underlie at least part of this difference. Notably, most alcohol was consumed in metabolically unfavorable type and timing. If further investigations extend these findings to clinically relevant endpoints, public policies should recommend that alcohol, when taken, should be preferably consumed with meals.
Databáze: OpenAIRE