Change in Alcohol Intake in Relation to Weight Change in a Cohort of US Men with 24 Years of Follow-Up.

Change in Alcohol Intake in Relation to Weight Change in a Cohort of US Men with 24 Years of Follow-Up.
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DOI:
10.1002/oby.21979
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发表时间:
2017-11
期刊:
Obesity (Silver Spring, Md.)
影响因子:
--
通讯作者:
Stampfer MJ
Stampfer MJ
中科院分区:
其他
文献类型:
--
作者:
Downer MK;Bertoia ML;Mukamal KJ;Rimm EB;Stampfer MJ

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我们试图前瞻性地研究酒精对报告的长期体重变化的潜在影响。我们在卫生专业人员随访研究中检查了1986年至2010年四年期间美国男性酒精摄入量(总,葡萄酒,淡啤酒,普通啤酒,白酒)的变化以及报告体重的同时变化。我们调整了年龄、生活方式和饮食协变量的变化以及心血管危险因素。我们观察了14,971名男性的44,603个四年期。总酒精,总啤酒,普通啤酒和白酒,以每天增加饮酒量的体重增加为模型,在四年的时间里,每种都与适度的体重增加直接相关,以磅:总酒精:0.23(0.10-0.35);全啤酒:0.29(0.08-0.51);普通啤酒:0.61(0.22-1.00);白酒:0.28(0.09-0.48)。葡萄酒和淡啤酒的结果是葡萄酒:0.16(-0.04-0.36);淡啤酒:-0.38(-1.07-0.08)。55岁以下的男性效果最好。饮酒量增加与报告的轻微体重增加相关,其水平不太可能具有临床意义。饮料的具体差异不足以通过饮料类型来提出减肥或维持体重的饮食建议。体重增加的最大风险是在男性中,增加消费水平远远超过适度。
We sought to prospectively investigate potential effects of alcohol by subtype on reported long-term weight change. We examined change in alcohol intake (total, wine, light beer, regular beer, liquor) and simultaneous change in reported body weight within four-year periods from 1986 to 2010 from U.S. men in the Health Professionals Follow-Up Study. We adjusted for age, change in lifestyle and dietary covariates and cardiovascular risk factors. We observed 44,603 four-year periods from 14,971 men. Total alcohol, total beer, regular beer, and liquor, modeled as the increase in weight per increase in drink/day, were each directly associated with moderate weight gain over four-year periods, in pounds: total alcohol: 0.23 (0.10–0.35); total beer: 0.29 (0.08–0.51); regular beer: 0.61 (0.22–1.00); liquor: 0.28 (0.09–0.48). Results for wine and light beer were wine: 0.16 (−0.04–0.36); light beer: −0.38 (−1.07–0.08). Results were strongest for men <55 years old. Increased alcohol consumption was associated with minor reported weight gain at levels unlikely to be clinically meaningful. Beverage specific differences are not substantial enough to make dietary recommendations for weight loss or maintenance by beverage type. The greatest risk of weight gain was among men that increased consumption to levels well above moderation.
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发表时间: 2013-10
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