Drinking patterns and body mass index in never smokers - National Health Interview Survey, 1997-2001

Drinking patterns and body mass index in never smokers - National Health Interview Survey, 1997-2001
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DOI:
10.1093/aje/kwi061
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发表时间:
2005-02-15
影响因子:
5
通讯作者:
Smothers, BA
Smothers, BA
中科院分区:
医学2区
文献类型:
--
作者:
Breslow, RA;Smothers, BA

文献摘要

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酒精可能会导致肥胖。作者通过汇集1997-2001年全国健康访谈调查的横断面数据,检验了饮酒方式与身体质量指数(BMI)(体重(Kg)/身高(M)(2))的关系。加权分析包括45,896名从不吸烟的成年人,他们目前饮酒。身高和体重都是自己报告的。在调整后的分析中,饮酒量和饮酒频率与BMI呈相反的关系。随着饮酒量的增加,体重指数显著增加,男性从26.5(95%CI:26.3,26.6)增加到27.5(95%CI:27.4,27.7),女性从25.1(95%CI:25.0,25.2)增加到25.9(95%CI:25.5,26.3)。随着饮酒天数/年频率从低五分位数增加到高五分位数,体重指数显著下降,男性从27.4(95%CI:27.2,27.6)下降到26.3(95%CI:26.2,26.5),女性从26.2(95%CI:26.0,26.5)下降到24.3(95%CI:24.2,24.5)。在对数量类别内的频率趋势的分层分析中,女性的体重指数下降比男性更明显,但所有的线性趋势都是相反的和显著的(p趋势和lt;0.001)。在所有受访者的总和中,消耗最少数量最频繁的人最瘦,而消耗最多数量最少的人最重。酒精可能会导致某些饮酒者的体重超标。
Alcohol could contribute to obesity. The authors examined the relation between drinking patterns and body mass index (BMI) (weight (kg)/height (m)(2)) by pooling cross-sectional data from the 1997-2001 National Health Interview Surveys. Weighted analyses included 45,896 adult never smokers who were current alcohol drinkers. Height and weight were self-reported. In adjusted analyses, alcohol quantity and frequency had opposite associations with BMI. As quantity increased from 1 drink/drinking day to greater than or equal to 4 drinks/drinking day, BMI significantly increased; in men, it increased from 26.5 (95% confidence interval (Cl): 26.3, 26.6) to 27.5 (95% Cl: 27.4, 27.7), and in women, it increased from 25.1 (95% Cl: 25.0, 25.2) to 25.9 (95% Cl: 25.5, 26.3). As frequency increased from low quintiles of drinking days/year to high quintiles, BMI significantly decreased; in men, it decreased from 27.4 (95% Cl: 27.2, 27.6) to 26.3 (95% Cl: 26.2, 26.5), and in women, it decreased from 26.2 (95% Cl: 26.0, 26.5) to 24.3 (95% Cl: 24.2, 24.5). In stratified analyses of frequency trends within quantity categories, BMI declines were more pronounced in women than in men, but all linear trends were inverse and significant (p trend < 0.001). In all respondents combined, persons who consumed the smallest quantity the most frequently were leanest, and those who consumed the greatest quantity the least frequently were heaviest. Alcohol may contribute to excess body weight among certain drinkers.