More than one drink a day may raise high blood pressure risk
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Drinking eight or more alcoholic beverages a week may increase the risk of high blood pressure among adults with Type 2 diabetes, according to new research published today in the Journal of the American Heart Association.

“This is the first large study to specifically investigate the association of alcohol intake and hypertension among adults with Type 2 diabetes,” said researchers. “Previous studies have suggested that heavy alcohol consumption was associated with high blood pressure, however, the association of moderate alcohol consumption with high blood pressure was unclear.”

Researchers examined the relationship between alcohol consumption and blood pressure in more than 10,000 adults with Type 2 diabetes. All were participants in the Action to Control Cardiovascular Risk in Diabetes (ACCORD) trial, one of the largest, long-term trials to compare different treatment approaches to reduce heart disease risk in adults with Type 2 diabetes.

All participants had Type 2 diabetes for an average of 10 years prior to enrolling in the study. In addition to 10 years with Type 2 diabetes, they were at increased risk for cardiovascular events because they had pre-existing cardiovascular disease; evidence of potential cardiovascular disease; or had at least two additional cardiovascular disease risk factors (such as high blood pressure, high cholesterol, smoking, or obesity).

In this study, alcohol consumption was categorized as none; light (1-7 drinks per week); moderate (8-14 drinks per week); and heavy (15 or more drinks per week). One alcoholic beverage was equivalent to a 12-ounce beer, 5-ounce glass of wine or 1.5 ounces of hard liquor. The number of drinks per week were self-reported by each participant via a questionnaire when they enrolled in the study.

Researchers found:

-- Light drinking was not associated with elevated blood pressure or either stage of high blood pressure;
-- Moderate drinking was associated with increased odds of elevated blood pressure by 79%; Stage 1 high blood pressure by 66%; and Stage 2 high blood pressure by 62%;
-- Heavy drinking was associated with increased odds of elevated blood pressure by 91%; Stage 1 high blood pressure by 149% (a 2.49-fold increase); and Stage 2 high blood pressure by 204% (a 3.04-fold increase); and
-- The more alcohol consumed, the higher the risk and severity of high blood pressure.

“Though light to moderate alcohol consumption may have positive effects on cardiovascular health in the general adult population, both moderate and heavy alcohol consumption appear to be independently associated with higher odds of high blood pressure among those with Type 2 diabetes,” researchers said. “Lifestyle modification, including tempering alcohol consumption, may be considered in patients with Type 2 diabetes, particularly if they are having trouble controlling their blood pressure.

Source: https://newsroom.heart.org/news/more-than-one-drink-a-day-may-raise-high-blood-pressure-risk-in-adults-with-type-2-diabetes
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