Binge drinking in men is tied to BP, other CVD risks

  • Piano MR & al.
  • J Am Heart Assoc
  • 27 Jun 2018

  • curated by Emily Willingham, PhD
  • Clinical Essentials
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Takeaway

  • Men aged 18-45 years who binge drink have an increased risk for higher BP, poor lipid profile compared with women.
  • Women who binge drink have higher high-density lipoprotein cholesterol and glucose.

Why this matters

  • Young adults have the highest rates of binge drinking.
  • Study authors suggest that especially in patients with already elevated BP, a discussion about regular binge drinking might be warranted, including potential related cardiovascular disease (CVD) risk.

Key results

  • Analyses controlled for diet and physical activity.
  • Compared with men who were not binge drinkers, those who were low- and high-frequency binge drinkers had:
    • Higher systolic BP: 121.8 and 119.0 mmHg vs 117.5 mmHg (P=.04 and .01, respectively).
    • Higher total cholesterol: 215.5 and 217.9 mg/dL vs 207.8 mg/dL (P<.01 and p=".01," respectively>
  • Women who binge drank did not have these elevations.
  • Women who binge drank 1-12 times annually had higher glucose levels vs women who did not binge drink (102.2 vs 97.1 mg/dL; P=.01).

Study design

  • US National Health and Nutrition Examination Survey data on 4710 men and women aged 18-45 years.
  • 3 groups: nonbinge drinkers; those who binge drank 1-12 times/year; those who did so >12 times/year.
  • Funding: NIH.

Limitations

  • Limitations of cross-sectional study design.
  • US-only population.

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