Associations of Alcoholic Beverage Consumption with Dietary Intake, Waist Circumference, and Body Mass Index in US Adults: National Health and Nutrition Examination Survey 2003-2012
Associations of Alcoholic Beverage Consumption with Dietary Intake, Waist Circumference, and Body Mass Index in US Adults: National Health and Nutrition Examination Survey 2003-2012
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DOI：
10.1016/j.jand.2017.09.030
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发表时间：
2018-03-01
影响因子：
4.8
通讯作者：
Poti, Jennifer M.
中科院分区：
文献类型：
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作者：
Butler, Lauren;Popkin, Barry M.;Poti, Jennifer M.
研究背景酒精和肥胖指标(如腰围[WC]和身体质量指数[BMI；计算为kg/m(2)])的研究结果相互矛盾。这项研究考察了酒精饮料消费与饮食摄入量、腰围和体重指数的关系。设计横断面数据来自2003-2012年国家健康和营养检查调查。参与者/背景：20-79岁的成年人(n=7,436；对6939名女性进行了研究。主要结果指标酒精饮料摄入量与能量(千卡)、大量营养素和糖的摄入量(%千卡)、腰围和体重指数(BMI)的关系被确定。统计分析使用多变量线性回归模型来确定平均每日饮酒量和饮酒量(即，每天饮酒量)与饮食摄入量和肥胖指标的关系。结果与适量饮酒者(男性1至2杯/天，女性1杯/天)相比，重度饮酒者(男性1至2杯/天，95%CI-346至-159千卡/天和Beta-159千卡/天，95%CI-245至-73千卡/天)摄入的非酒精能量较少。按每日平均饮酒量计算，有饮酒史和中度饮酒者的WC和BMI男性分别为+1.78 cm(95%CI 0.51~3.05 cm)和+0.65(95%CI 0.12~1.18)，女性分别为+4.67 cm(95%CI 2.95~6.39 cm)和+2.49(95%CI 1.64~3.34)。与适量饮酒相比，在男性和女性中，较多饮酒量与WC或BMI无关。在男性中，与每天饮酒1到2杯的男性相比，每天饮酒5杯与更高的WC(Beta 3.48 cm，95%CI 1.97至5.00 cm)和BMI(Beta 1.39，95%CI 0.79至2.00)相关。在女性中，每天饮酒4次的女性与饮酒1天的女性相比，WC和BMI没有显著差异。结论饮酒亚组间膳食摄入量的差异以及饮酒者与非饮酒者的区别应被考虑到饮酒量与WC和BMI之间的关系。
Background Findings from studies of alcohol and obesity measures (eg, waist circumference [WC] and body mass index [BMI; calculated as kg/m(2)]) are conflicting. Residual confounding by dietary intake, inconsistent definitions of alcohol consumption across studies, and the inclusion of former drinkers in the nondrinking comparison group can contribute to the mixed literature.Objective This study examines associations of alcoholic beverage consumption with dietary intake, WC, and BMI.Design Cross-sectional data from the 2003-2012 National Health and Nutrition Examination Survey were analyzed.Participants/setting Adults 20 to 79 years of age (n = 7,436 men; n = 6,939 women) were studied.Main outcome measures Associations of alcoholic beverage consumption with energy (kcal), macronutrient and sugar intakes (% kcal), WC, and BMI were determined.Statistical analyses performed Multivariable linear regression models were used to determine associations of average daily volume and drinking quantity (ie, drinks per drinking day) with dietary intake and obesity measures. Former and never drinkers were analyzed as distinct categories; associations of drinking with WC and BMI were examined with and without adjustment for dietary intake variables.Results Heavier-drinking men (>= 3 drinks/day) and women (>= 2 drinks/day) consumed less nonalcoholic energy (beta - 252 kcal/day, 95% CI -346 to -159 kcal/day and beta - 159 kcal/day, 95% CI -245 to -73 kcal/day, respectively) than moderate drinkers (1 to 2 drinks/day in men and 1 drink/day in women). By average daily drinking volume, differences in WC and BMI between former and moderate drinkers were +1.78 cm (95% CI 0.51 to 3.05 cm) and +0.65 (95% CI 0.12 to 1.18) in men and +4.67 cm (95% CI 2.95 to 6.39 cm) and +2.49 (95% CI 1.64 to 3.34) in women. Compared with moderate drinking, heavier drinking volume was not associated with WC or BMI among men or women. In men, drinking >= 5 drinks/drinking day was associated with higher WC (beta 3.48 cm, 95% CI 1.97 to 5.00 cm) and BMI (beta 1.39, 95% CI 0.79 to 2.00) compared with men who consumed 1 to 2 drinks/drinking day. In women, WC and BMI were not significantly different for women drinking >= 4 drinks/drinking day compared with 1 drink/drinking day.Conclusions Differences in dietary intake across drinking subgroups and separation of former drinkers from nondrinkers should be considered in studies of alcohol intake in relation to WC and BMI.