A PROSPECTIVE-STUDY OF ALCOHOL INTAKE AND CHANGE IN BODY-WEIGHT AMONG US ADULTS
A PROSPECTIVE-STUDY OF ALCOHOL INTAKE AND CHANGE IN BODY-WEIGHT AMONG US ADULTS
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DOI：
10.1093/oxfordjournals.aje.a117179
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发表时间：
1994-11-15
影响因子：
5
通讯作者：
BYERS, T
中科院分区：
文献类型：
--
作者：
LIU, SM;SERDULA, MK;BYERS, T
人们对酒精在决定体重变化方面的作用知之甚少。在本文中，作者研究了7,230名年龄在25-74岁的美国成年人的酒精摄入量和体重之间的关系，这些成年人参加了第一次全国健康和营养调查（1971-1975），并在10年后（1982-1984）重新称重。横断面分析和前瞻性分析均调整了年龄、种族、身高、教育、健康状况、吸烟状况、饮食状况、体力活动和总非酒精性热量摄入。在基线时，每天至少饮酒一次的女性比不饮酒的女性体重轻2.3 kg（95%置信区间（CI）为-0.4至-4.2）。在男性中，观察到体重和酒精摄入量之间的关系很小。事实上，男性和女性饮酒者比不饮酒者体重增加更少（女性趋势p = 0.006，男性趋势p = 0.11）。在10年的随访期间，饮酒者的体重也更稳定。与不饮酒者相比，饮酒者不太可能有重大的体重增加或减少（增加或减少大于或等于10公斤）。与不饮酒者相比，每周饮酒1-6.9杯的女性的优势比（OR）= 0.7（95% CI 0.5 - 0.9），OR = 0.7（95% Ci 0.5至1.1），主要体重减轻，而男性的主要体重增加的OR = 1.0（95% CI 0.6至1.6），主要体重减轻的OR = 0.7（95% CI 0.5至1.2）。对于那些每天饮酒超过或等于2杯的人，女性的OR = 0.5（95% CI 0.3 - 1.0），OR = 0.8（95% CI 0.4 - 1.6）严重体重减轻，而男性的主要体重增加的OR = 0.9（95% CI 0.5至1.6），主要体重减轻的OR = 1.0（95% CI 0.6至1.7）。这些数据表明，饮酒不会增加肥胖的风险。
Little is known about the role of alcohol in determining change in body weight. In this paper, the authors examine the relation between alcohol intake and body weight in 7,230 US adults aged 25-74 years who participated in the First National Health and Nutrition Examination Survey (1971-1975) and who were reweighed 10 years later (1982-1984). Both cross-sectional and prospective analyses were adjusted for age, race, height, education, health status, smoking status, diet status, physical activity, and total nonalcoholic caloric intake. At baseline, women who reported at least one drink per day weighed 2.3 kg less than nondrinkers (95% confidence interval (CI) -0.4 to -4.2). Little relation was observed between body weight and alcohol intake cross-sectionally among men. Prospectively, both men and women drinkers tended to gain less weight than did nondrinkers (p = 0.006 for trend in women, p = 0.11 for trend in men). Drinkers also had more stable weight over the 10-year follow-up period. Drinkers were less likely to have major weight gain or loss (gaining or losing greater than or equal to 10 kg) than were nondrinkers. Compared with nondrinkers, for those who consumed 1-6.9 drinks per week, women had an odds ratio (OR) = 0.7 (95% CI 0.5 to 0.9) for major weight gain and an OR = 0.7 (95% Ci 0.5 to 1.1) for major weight loss, while men had an OR = 1.0 (95% Ci 0.6 to 1.6) for major weight gain and an OR = 0.7 (95% CI 0.5 to 1.2) for major weight loss. For those who consumed greater than or equal to 2 drinks per day, women had an OR = 0.5 (95% CI 0.3 to 1.0) for major weight gain and an OR = 0.8 (95% CI 0.4 to 1.6) for major weight loss, while men had an OR = 0.9 (95% Cl 0.5 to 1.6) for major weight gain and an OR = 1.0 (95% Cl 0.6 to 1.7) for major weight loss. These data suggest that alcohol intake does not increase the risk of obesity.