Association between excessive alcohol consumption and hypertension control in hypertensive patients

Author:

Hwang Sinwoo1,Choi Jae Woo2ORCID

Affiliation:

1. Korea Armed Forces Nursing Academy, Daejeon, Republic of Korea

2. Health Insurance Research Institute, National Health Insurance Service, Gangwon, Republic of Korea

Abstract

Objectives The purposes of this study were to investigate the association between excessive alcohol consumption and control of hypertension and the associations stratified by sex, age, and duration of hypertension among Korean adults who were diagnosed with hypertension under medication. Methods This study was cross-sectional design with a secondary data analysis using national data from the Korea National Health and Nutrition Evaluation Survey (KNHANES) collected from 2013 to 2018, including 4278 participants who were diagnosed with hypertension under medication. A multiple logistic regression analysis was conducted to evaluate the associations between excessive alcohol consumption and hypertension control while controlling for potential confounding variables. Results The hypertensive patients who consumed excessive alcohol were more associated with uncontrolled hypertension (OR, 1.31; 95% CI, 1.04–1.65) than those who do not consumed excessive alcohol. Specially, Excessive consumption of alcohol in men and young adults (<65 years) and short duration of hypertension (<5 years) were significantly more associated with uncontrolled hypertension compared to their counterparts. Discussion To improve blood pressure (BP) control in hypertensive patients, healthcare plan should be focused to modifiable risk factors and the intervention for unhealthy alcohol consumption should be part of comprehensive treatment for hypertension.

Publisher

SAGE Publications

Subject

Health Policy,General Medicine

Reference31 articles.

1. World Health Organization. Hypertension, https://www.who.int/news-room/fact-sheets/detail/hypertension (2019, accessed 4 February 2022).

2. Korean Society of Hypertension. Korea Hypertension Fact Sheet 2018, https://www.ncbi.nlm.nih.gov/pubmed/30288297 (2018, accessed 4 February 2022).

3. Incidence and Prognosis of Resistant Hypertension in Hypertensive Patients

4. World Health Organization. A Global Brief on Hypertension, https://apps.who.int/iris/bitstream/handle/10665/79059/WHO_DCO_WHD_2013.2_eng.pdf;jsessionid=4253E1054F5328B58A602F6610C4605C?sequence=1 (2013, accessed 22 February 2022).

5. Resistant Hypertension: Detection, Evaluation, and Management: A Scientific Statement From the American Heart Association

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