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Am J Clin Nutr. 2017 Apr;105(4):905-912. doi: 10.3945/ajcn.116.144832. Epub 2017 Mar 1.

Longitudinal study of alcohol consumption and HDL concentrations: a community-based study.

Author information

1
Department of Nutritional Sciences, The Pennsylvania State University, State College, PA.
2
Departments of Nephrology and.
3
Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA.
4
Cardiology, Kailuan General Hospital, Tangshan, People's Republic of China; and.
5
Cardiology, Kailuan General Hospital, Tangshan, People's Republic of China; and drwusl@163.com xxg14@psu.edu.
6
Department of Nutritional Sciences, The Pennsylvania State University, State College, PA; drwusl@163.com xxg14@psu.edu.

Abstract

Background: In cross-sectional studies and short-term clinical trials, it has been suggested that there is a positive dose-response relation between alcohol consumption and HDL concentrations. However, prospective data have been limited.Objective: We sought to determine the association between total alcohol intake, the type of alcohol-containing beverage, and the 6-y (2006-2012) longitudinal change in HDL-cholesterol concentrations in a community-based cohort.Design: A total of 71,379 Chinese adults (mean age: 50 y) who were free of cardiovascular diseases and cancer and did not use cholesterol-lowering agents during follow-up were included in the study. Alcohol intake was assessed via a questionnaire in 2006 (baseline), and participants were classified into the following categories of alcohol consumption: never, past, light (women: 0-0.4 servings/d; men: 0-0.9 servings/d), moderate (women: 0.5-1.0 servings/d; men: 1-2 servings/d), and heavy (women: >1.0 servings/d; men: >2 servings/d). HDL-cholesterol concentrations were measured in 2006, 2008, 2010, and 2012. We used generalized estimating equation models to examine the associations between baseline alcohol intake and the change in HDL-cholesterol concentrations with adjustment for age, sex, smoking, physical activity, obesity, hypertension, diabetes, liver function, and C-reactive protein concentrations.Results: An umbrella-shaped association was observed between total alcohol consumption and changes in HDL-cholesterol concentrations. Compared with never drinkers, past, light, moderate, and heavy drinkers experienced slower decreases in HDL cholesterol of 0.012 mmol · L-1 · y-1 (95% CI: 0.008, 0.016 mmol · L-1 · y-1), 0.013 mmol · L-1 · y-1 (95% CI: 0.010, 0.016 mmol · L-1 · y-1), 0.017 mmol · L-1 · y-1 (95% CI: 0.009, 0.025 mmol · L-1 · y-1), and 0.008 mmol · L-1 · y-1 (95% CI: 0.005, 0.011 mmol · L-1 · y-1), respectively (P < 0.0001 for all), after adjustment for potential confounders. Moderate alcohol consumption was associated with the slowest increase in total-cholesterol:HDL-cholesterol and triglyceride:HDL-cholesterol ratios. We observed a similar association between hard-liquor consumption and the HDL-cholesterol change. In contrast, greater beer consumption was associated with slower HDL-cholesterol decreases in a dose-response manner.Conclusion: Moderate alcohol consumption was associated with slower HDL-cholesterol decreases; however, the type of alcoholic beverage had differential effects on the change in the HDL-cholesterol concentration.

KEYWORDS:

HDL; alcohol; cardiovascular disease risk; epidemiology; lipids; prospective cohort; triglyceride

PMID:
28251934
PMCID:
PMC5366050
DOI:
10.3945/ajcn.116.144832
[Indexed for MEDLINE]
Free PMC Article

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