Alcohol drinking patterns and diet quality: The 1999-2000 National Health and Nutrition Examination Survey
Alcohol drinking patterns and diet quality: The 1999-2000 National Health and Nutrition Examination Survey
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DOI：
10.1093/aje/kwj050
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发表时间：
2006-02-15
影响因子：
5
通讯作者：
Smothers, BA
中科院分区：
文献类型：
--
作者：
Breslow, RA;Guenther, PM;Smothers, BA
如果饮酒和饮食相关，饮酒和心血管疾病死亡率之间的关系可能会被饮食混淆。根据酒精测量，酒精-饮食关系可能会或可能不会被观察到。作者使用1999-2000年国家健康和营养检查调查的全国代表性横截面数据研究了酒精和饮食质量（健康饮食指数（HEI）评分）之间的关系。加权分析包括3，729名年龄>= 20岁的参与者。在对目前饮酒者的校正分析中，随着饮酒量从1杯/天增加到>= 3杯/天，平均HEI评分从65.3（95%置信区间（CI）：63.4，67.1）下降到61.9（95% CI：60.5，63.2）。随着频率从最低四分位数增加到最高四分位数，平均HEI评分从60. 9（95% CI：58. 7，63. 2）增加到64. 9（95% CI：63. 4，66. 4）。随着平均量（（数量x频率）/365.25）从< 1杯/天增加到>= 3杯/天，平均HEI评分从62.9（95% CI：61.2，64.5）增加到65.2（95% CI：62.7，67.8）。在分层分析中，最低的HEI评分为58.5（95%CI：55.5，61.5），发生在饮酒者中，他们以最低的频率消耗最高的数量。酒精的平均消费量是由其组成部分的贡献驱动的，并掩盖了其贡献。这些结果表明，在流行病学酒精饮食研究中测量饮酒模式（数量，频率和分层组合）的重要性。
Associations between alcohol drinking and cardiovascular disease mortality could be confounded by diet if alcohol drinking and diet are related. Depending on the alcohol measure, alcohol-diet relations may or may not be observed. The authors examined associations between alcohol and diet quality (Healthy Eating Index (HEI) scores) using cross-sectional, nationally representative data from the 1999-2000 National Health and Nutrition Examination Survey. Weighted analyses included 3,729 participants aged >= 20 years. In adjusted analyses among current alcohol drinkers, as quantity increased from 1 to >= 3 drinks/drinking day, the mean HEI score decreased from 65.3 (95% confidence interval (CI): 63.4, 67.1) to 61.9 (95% CI: 60.5, 63.2). As frequency increased from the lowest quartile to the highest, the mean HEI score increased from 60.9 (95% CI: 58.7, 63.2) to 64.9 (95% CI: 63.4, 66.4). As average volume ((quantity x frequency)/365.25) increased from < 1 drink/day to >= 3 drinks/day, the mean HEI score increased from 62.9 (95% CI: 61.2, 64.5) to 65.2 (95% CI: 62.7, 67.8). In stratified analyses, the lowest HEI score, 58.5 (95% CI: 55.5, 61.5), occurred among drinkers who consumed the highest quantity at the lowest frequency. Average volume of alcohol consumed is driven by and masks the contributions of its components. These results suggest the importance of measuring drinking patterns (quantity, frequency, and stratified combinations) in epidemiologic alcohol-diet studies.