Alcohol Intake and Arterial Hypertension: Retelling of a Multifaceted Story.

alcohol withdrawal blood pressure cardiovascular risk factors diastolic dysfunction endothelial dysfunction left ventricular hypertrophy

Journal

Nutrients
ISSN: 2072-6643
Titre abrégé: Nutrients
Pays: Switzerland
ID NLM: 101521595

Informations de publication

Date de publication:
15 Feb 2023
Historique:
received: 28 12 2022
revised: 10 02 2023
accepted: 12 02 2023
entrez: 25 2 2023
pubmed: 26 2 2023
medline: 3 3 2023
Statut: epublish

Résumé

Alcoholic beverages are common components of diets worldwide and understanding their effects on humans' health is crucial. Because hypertension is the leading risk factor for cardiovascular diseases and all-cause mortality, the relationship of alcohol consumption with blood pressure (BP) has been the subject of extensive investigation. For the purpose of this review, we searched the terms "alcohol", "ethanol", and "arterial hypertension" on Pubmed MeSH and selected the most relevant studies. Short-term studies showed a biphasic BP response after ingestion of high doses of alcohol, and sustained alcohol consumption above 30 g/day, significantly, and dose-dependently, increased the risk for hypertension. These untoward effects of alcoholic beverages on BP can be mediated by a multiplicity of neurohormonal mechanisms. In addition to the effects on BP, excess alcohol intake might contribute to cardiac and renal hypertensive organ damage, although some studies suggest possible benefits of moderate alcohol consumption on additional cardiovascular risk factors, such as diabetes and lipoprotein(a). Some intervention studies and cumulative analyses support the evidence of a benefit of the reduction/withdrawal of alcohol consumption on BP and cardiovascular outcomes. This is why guidelines of scientific societies recommend avoidance or limitation of alcohol intake below one unit/day for women and two units/day for men. This narrative article overviews all these topics, providing an update of the current knowledge on the relationship between alcohol and BP.

Identifiants

pubmed: 36839317
pii: nu15040958
doi: 10.3390/nu15040958
pmc: PMC9963590
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

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Auteurs

Antonio Vacca (A)

Clinica Medica, Department of Medicine, European Excellence Center for Arterial Hypertension, University of Udine, 33100 Udine, Italy.

Luca Bulfone (L)

Clinica Medica, Department of Medicine, European Excellence Center for Arterial Hypertension, University of Udine, 33100 Udine, Italy.

Sebastiano Cicco (S)

Internal Medicine, Department of Precision and Regenerative Medicine, University of Bari, 70124 Bari, Italy.

Gabriele Brosolo (G)

Clinica Medica, Department of Medicine, European Excellence Center for Arterial Hypertension, University of Udine, 33100 Udine, Italy.

Andrea Da Porto (A)

Clinica Medica, Department of Medicine, European Excellence Center for Arterial Hypertension, University of Udine, 33100 Udine, Italy.

Giorgio Soardo (G)

Clinica Medica, Department of Medicine, European Excellence Center for Arterial Hypertension, University of Udine, 33100 Udine, Italy.

Cristiana Catena (C)

Clinica Medica, Department of Medicine, European Excellence Center for Arterial Hypertension, University of Udine, 33100 Udine, Italy.

Leonardo A Sechi (LA)

Clinica Medica, Department of Medicine, European Excellence Center for Arterial Hypertension, University of Udine, 33100 Udine, Italy.

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Classifications MeSH