Association of Alcohol Drinking Patterns with Metabolic Syndrome and Its Components in Korean Adults: The Korea National Health and Nutrition Examination Survey 2016-2018

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2021 Jul 2

PMID 34198573

Citations 6

Authors

Seung Won Lee

Sung-In Jang

Affiliations

Soon will be listed here.

Abstract

This study examined the association of alcohol drinking patterns with metabolic syndrome (MetS) and its components in a nationally representative sample of South Korean adults. The cross-sectional study included 12,830 current drinkers (6438 men and 6392 women) who were at least 20 years old. Measures of alcohol drinking patterns included average drinking frequency, usual quantity, and binge drinking frequency over the past year. Multivariate logistic regression was performed to estimate odds ratios and 95% confidence intervals for MetS and its components according to alcohol drinking patterns, and also to examine linear trends in these relationships. The prevalence of MetS was 1822 (26.2%) in men and 1313 (17.5%) in women. After adjusting for potential confounding factors, drinking quantity and binge drinking frequency were positively associated with MetS in both sexes. Regarding components of MetS, while the risk of low HDL cholesterol decreased as drinking frequency increased, other MetS components (abdominal obesity, high blood pressure, and impaired fasting glucose) worsened. Our results suggest that separate management of each component of MetS will be required to protect cardio-metabolic health, and a healthy drinking culture that refrains from binge drinking should be established in the context of public health.

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References

Freiberg M, Cabral H, Heeren T, Vasan R, Ellison R . Alcohol consumption and the prevalence of the Metabolic Syndrome in the US.: a cross-sectional analysis of data from the Third National Health and Nutrition Examination Survey. Diabetes Care. 2004; 27(12):2954-9. DOI: 10.2337/diacare.27.12.2954. View

Churilla J, Johnson T, Curls R, Richardson M, Boyer W, Devore S . Association between alcohol consumption patterns and metabolic syndrome. Diabetes Metab Syndr. 2014; 8(2):119-23. DOI: 10.1016/j.dsx.2014.04.001. View

Gillman M, Cook N, Evans D, Rosner B, Hennekens C . Relationship of alcohol intake with blood pressure in young adults. Hypertension. 1995; 25(5):1106-10. DOI: 10.1161/01.hyp.25.5.1106. View

Xin X, He J, Frontini M, Ogden L, Motsamai O, Whelton P . Effects of alcohol reduction on blood pressure: a meta-analysis of randomized controlled trials. Hypertension. 2001; 38(5):1112-7. DOI: 10.1161/hy1101.093424. View

Lee S, Han K, Kang Y, Kim S, Cho Y, Ko K . Trends in the prevalence of metabolic syndrome and its components in South Korea: Findings from the Korean National Health Insurance Service Database (2009-2013). PLoS One. 2018; 13(3):e0194490. PMC: 5864027. DOI: 10.1371/journal.pone.0194490. View

Dyer A, Stamler J, Paul O, BERKSON D, SHEKELLE R, LEPPER M . Alcohol, cardiovascular risk factors and mortality: the Chicago experience. Circulation. 1981; 64(3 Pt 2):III 20-7. View

Shin M, Kweon S, Choi J, Rhee J, Nam H, Jeong S . Average volume of alcohol consumed, drinking patterns, and metabolic syndrome in older Korean adults. J Epidemiol. 2013; 23(2):122-31. PMC: 3700241. DOI: 10.2188/jea.je20120065. View

Kim S, Hong S, Chung J, Cho K . Association Between Alcohol Consumption and Metabolic Syndrome in a Community-Based Cohort of Korean Adults. Med Sci Monit. 2017; 23:2104-2110. PMC: 5424649. DOI: 10.12659/msm.901309. View

Kweon S, Kim Y, Jang M, Kim Y, Kim K, Choi S . Data resource profile: the Korea National Health and Nutrition Examination Survey (KNHANES). Int J Epidemiol. 2014; 43(1):69-77. PMC: 3937975. DOI: 10.1093/ije/dyt228. View

10.

Oh S, Kim W, Han K, Park E, Jang S . Alcohol consumption frequency or alcohol intake per drinking session: Which has a larger impact on the metabolic syndrome and its components?. Alcohol. 2018; 71:15-23. DOI: 10.1016/j.alcohol.2018.01.005. View

11.

. Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation. 2002; 106(25):3143-421. View

12.

Serdula M, Koong S, Williamson D, Anda R, Madans J, Kleinman J . Alcohol intake and subsequent mortality: findings from the NHANES I Follow-up Study. J Stud Alcohol. 1995; 56(2):233-9. DOI: 10.15288/jsa.1995.56.233. View

13.

Macmahon S . Alcohol consumption and hypertension. Hypertension. 1987; 9(2):111-21. DOI: 10.1161/01.hyp.9.2.111. View

14.

Facchini F, Chen Y, Reaven G . Light-to-moderate alcohol intake is associated with enhanced insulin sensitivity. Diabetes Care. 1994; 17(2):115-9. DOI: 10.2337/diacare.17.2.115. View

15.

Nilssen O, Averina M, Brenn T, Brox J, Kalinin A, Archipovski V . Alcohol consumption and its relation to risk factors for cardiovascular disease in the north-west of Russia: the Arkhangelsk study. Int J Epidemiol. 2005; 34(4):781-8. DOI: 10.1093/ije/dyi078. View

16.

Alberti K, Zimmet P, Shaw J . The metabolic syndrome--a new worldwide definition. Lancet. 2005; 366(9491):1059-62. DOI: 10.1016/S0140-6736(05)67402-8. View

17.

Yoon Y, Oh S, Baik H, Park H, Kim W . Alcohol consumption and the metabolic syndrome in Korean adults: the 1998 Korean National Health and Nutrition Examination Survey. Am J Clin Nutr. 2004; 80(1):217-24. DOI: 10.1093/ajcn/80.1.217. View

18.

Vieira B, Luft V, Schmidt M, Chambless L, Chor D, Barreto S . Timing and Type of Alcohol Consumption and the Metabolic Syndrome - ELSA-Brasil. PLoS One. 2016; 11(9):e0163044. PMC: 5028065. DOI: 10.1371/journal.pone.0163044. View

19.

Djousse L, Arnett D, Eckfeldt J, Province M, Singer M, Ellison R . Alcohol consumption and metabolic syndrome: does the type of beverage matter?. Obes Res. 2004; 12(9):1375-85. DOI: 10.1038/oby.2004.174. View

20.

Yokoyama H, Hiroshi H, Ohgo H, Hibi T, Saito I . Effects of excessive ethanol consumption on the diagnosis of the metabolic syndrome using its clinical diagnostic criteria. Intern Med. 2007; 46(17):1345-52. DOI: 10.2169/internalmedicine.46.6196. View