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JAHA:酒精摄入与高血压发病率之间的相关性也存在性别差异

2018-06-27 xing.T MedSci原创

由此可见,男性任何饮酒量与高血压风险增加有关。在女性中,每天饮用1到2杯并没有增加高血压风险,超过每天2杯的水平高血压风险会增加。与早期的meta分析相反,该分析并没有发现女性饮酒具有保护性作用的证据。

虽然大量饮酒增加了高血压风险,但男性和女性较低酒精摄入量对高血压的风险尚不清楚。

近日,心血管疾病领域权威杂志JAHA上发表了一篇研究文章,研究人员检索了Medline和Embase数据库中在无高血压人群中报道了平均饮酒量与高血压发病率之间关系的原始队列研究。研究人员进行了随机效应荟萃分析和meta回归。

该分析的数据来自20篇文献,其中包含361254名参与者(125907名男性和235347名女性)和90160名高血压病例(32426名男性和57734名女性)。在每天饮酒1-2次(每次饮12g乙醇)的人群中,男性和女性之间高血压的发生率不同(女性 vs. 男性相对风险=0.79; 95%可信区间为0.67-0.93)。在男性中,与不饮酒者相比,每天饮酒1-2、3-4和5杯以上的参与者高血压风险相对危险度分别为1.19(1.07-1.31; I2=59%)、1.51(1.30-1.76)和1.74(1.35-2.24)。在女性中,每天饮酒1至2杯,高血压的风险没有增加(相对危险度=0.94; 0.88-1.01; I2=73%),但超过此水平风险会增加(相对风险=1.42; 1.22-1.66) 。

由此可见,男性任何饮酒量与高血压风险增加有关。在女性中,每天饮用1到2杯并没有增加高血压风险,超过每天2杯的水平高血压风险会增加。与早期的meta分析相反,该分析并没有发现女性饮酒具有保护性作用的证据。

原始出处:

Michael Roerecke.et al.Sex‐Specific Associations Between Alcohol Consumption and Incidence of Hypertension: A Systematic Review and Meta‐Analysis of Cohort Studies.JAHA.2018. https://doi.org/10.1161/JAHA.117.008202

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    2018-06-29 zhaohui6731
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    2018-06-29 1209e435m98(暂无昵称)

    学习了.谢谢分享

    0

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    2018-06-27 smartxiuxiu

    0

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JAHA:长期酒精摄入与动脉硬化之间有关吗?

这项研究表明持续的大量饮酒与较高的心血管疾病的风险有关,尤其是男性,该研究也为酒精摄入量改变随着时间推移的潜在影响提供了新的见解。当捕获酒精纵向摄入模式时并没单独依赖于最近的摄入量,其讨论了额外的可能观点。

Neurology:酒精摄入与老年脑出血风险

由此可见,在55岁以上的白人中,较高的酒精摄入可能对ICH具有因果关系,在深部ICH的血管病变中起重要作用。

Obstet Gynecol:计划性妊娠与孕妇酒精摄入之间有啥关系?

大多数妇女,无论有无计划性,在意识到妊娠后会停止或减少饮酒。这表明早点知道妊娠的意识可能比在所有妊娠的女性中提倡戒酒要更有效。

Int J Cance:纤维摄入能调节乳腺癌与酒精摄入的关系

酒精摄入会增加乳腺癌(BC)的发病风险,而饮食中纤维摄入会降低BC发病风险。是否纤维能通过其对雌激素的作用而降低酒精的致癌作用仍然具有争议。该研究利用欧洲一项关于"癌症与营养(EPIC)"的前瞻性研究的研究数据,探讨纤维作为一个调节因素在酒精摄入与BC发生关系中发挥的作用。

Br J Dermatol:酒精摄入量与非黑素瘤皮肤癌的风险相关(Meta分析)

皮肤癌主要包括鳞状细胞癌、基底细胞癌、Bowen病、Paget病、恶性黑色素瘤五大类,以前两者为最多见。在美国,皮肤癌是最常见的癌症,而在我国,皮肤癌发病率较低,对治疗方法的探讨及认识相应较西方发达国家落后。近年来,随着皮肤癌发病率的上升,对该类疾病早期诊断和及时采取有效的的措施进行治疗越来越受到学术界的重视。非黑素瘤性皮肤癌(Nonmelanoma skin cancer,NMSC)主要包括基底

BMJ:酒精摄入与非致死性和致死性冠心病和卒中的关系

由此可见,酒精摄入与非致命性CHD风险呈负相关,但与不同卒中类型的风险呈正相关。这突出了酒精摄入量与不同CVD类型之间的对立关系,并增加了减少饮酒政策的证据。

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