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Alcohol consumption and metabolic syndrome: Results from NHANES III, 1988-1994

Gabriella Newes-Adeyi, MPH, PhD, Monique B. Williams, PhD, Hsiao-ye Yi, PhD, and Mary C. Dufour, MD, MPH. Alcohol Epidemiologic Data System, CSR, Incorporated, 2107 Wilson Boulevard, Suite 1000, Arlington, VA 22201, 703 741 7131, gnadeyi@csrincorporated.com

Metabolic syndrome (MS) increases the risk of coronary artery disease and heart attack mortality. Studies have examined the effect of alcohol intake on separate components of MS, but few have analyzed the alcohol effect on MS as a whole, and none on a national level. The purpose of this study was to examine the association between average daily alcohol consumption and MS among the adult population in the United States. Data were drawn from the National Health and Nutrition Examination Survey for 1988–1994. Following the methodology of Ford and colleagues (2002) in their national prevalence estimates of MS, measures of the following five MS components were constructed: abdominal obesity, hypertriglyceridemia, low high-density lipoprotein cholesterol, high blood pressure, and high fasting glucose. MS was defined as having 3+ of these components. Preliminary results from logistic models showed no clear pattern in the effect of drinking on MS. When age, race/ethnicity, education, smoking, and activity level were controlled for, drinking levels had no significant effect on MS for men. Light drinking reduced the risk for MS among women, however. Models of individual MS components revealed that drinking increased the risk for some components, but decreased the risk for others, and affected men and women differently. The contrasting effects may offset each other in their combined impact on MS. Separate analyses also showed that former drinkers had higher risks for MS and almost all of its components than current drinkers, suggesting that some former drinkers quit drinking because of their health conditions.

Learning Objectives: At the conclusion of the session, the participant in this session will be able to

Keywords: Alcohol Use, Chronic (CVD)

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Alcohol and Health: The Good and Bad News Poster Session

The 132nd Annual Meeting (November 6-10, 2004) of APHA