Alcohol intake in relation to body mass index and waist-to-hip ratio: the importance of type of alcoholic beverage

Alcohol intake in relation to body mass index and waist-to-hip ratio: the importance of type of alcoholic beverage
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DOI:
10.1079/phn2004680
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发表时间:
2005-05-01
影响因子:
3.2
通讯作者:
Hercberg, S
Hercberg, S
中科院分区:
医学3区
文献类型:
--
作者:
Lukasiewicz, E;Mennen, LI;Hercberg, S

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目的:饮酒可能在肥胖的发展中起作用,但酒精与体重之间的关系尚不清楚。我们研究的目的是评估来自法国各地的大量成年人样本中总酒精摄入量和特定酒精饮料(葡萄酒、啤酒和烈酒)与腰臀比(WHR)和体重指数(BMI)的横断面关联。设计:横断面。环境:参与者是SU.VI.MAX研究(一项关于抗氧化剂补充对慢性疾病影响的干预研究)的自由生活健康志愿者。受试者:1481名年龄在35-60岁之间的女性和1210名年龄在45-60岁之间的男性,通过6个24小时的饮食记录来评估总酒精摄入量和特定酒精饮料的摄入量。在一年后的临床检查中测量BMI和WHR。结果:两性总饮酒量与WHR呈j型关系,仅男性总饮酒量与BMI呈j型关系(P < 0.05)。与葡萄酒的关系相同(P, 0.05);与不饮酒者或饮酒者相比,每天饮酒量少于100克的男性和女性的身体质量指数(仅限男性)和体重比都要低。酒精消费量与男女的BMI(线性回归系数β = 0.21, 95%可信区间(CI): 0.09-0.34和β = 0.22, 95% CI: 0.06-0.39)和WHR (β = 0.003, 95% CI: 0.001-0.005和β = 0.003, 95% CI: 0.0002-0.006)呈线性关系。没有发现啤酒消费量与体重指数或腰臀比之间的关系。结论:如果在纵向研究中得到证实,我们的结果表明酒精饮料的消费可能是肥胖的一个危险因素。
Objective: Alcohol consumption may play a role in the development of obesity but the relationship between alcohol and weight is still unclear. The aim of our study was to assess the cross-sectional association of intakes of total alcohol and of specific alcoholic beverages ( wine, beer and spirits) with waist-to-hip ratio (WHR) and body mass index (BMI) in a large sample of adults from all over France.Design: Cross-sectional.Setting: Participants were free-living healthy volunteers of the SU.VI.MAX study ( an intervention study on the effects of antioxidant supplementation on chronic diseases). Subjects: For 1481 women aged 35-60 years and 1210 men aged 45-60 years, intakes of total alcohol and specific alcoholic beverages were assessed by six 24- hour dietary records. BMI and WHR were measured during a clinical examination the year after.Results: A J-shaped relationship was found between total alcohol consumption and WHR in both sexes and between total alcohol consumption and BMI in men only (P < 0.05). The same relationships were observed with wine ( P, 0.05); men and women consuming less than 100 g day 21 had a lower BMI ( men only) and WHR than non-drinkers or those consuming more. Spirits consumption was positively associated with BMI ( linear regression coefficient beta = 0.21, 95% confidence interval (CI): 0.09-0.34 and beta = 0.22, 95% CI: 0.06-0.39 for men and women, respectively) and WHR (beta = 0.003, 95% CI: 0.001-0.005 and beta = 0.003, 95% CI: 0.0002-0.006) in both sexes in a linear fashion. No relationship between beer consumption and BMI or WHR was found.Conclusion: If confirmed in longitudinal studies, our results indicate that consumption of alcoholic beverages may be a risk factor for obesity.