|Título||Association of blood pressure and hypertension with alcohol consumption in HIV-infected white and nonwhite patients
Ikeda, Maria Letícia Rodrigues
Barcellos, Nêmora Tregnago
Alencastro, Paulo Ricardo de
Wolff, Fernando Herz
Brandao, Ajacio Bandeira de Mello
Fuchs, Flávio Danni
Fuchs, Sandra Cristina Pereira Costa
|Abstract||Introduction. Although alcohol abuse is associated with hypertension in whites and nonwhites, it has been scarcely investigated in HIV-infected patients. Objective. To investigate whether the association of alcohol abuse with hypertension is influenced by skin color in HIV-infected individuals. Methods. Cross-sectional study in HIV-infected individuals aged 18 years or older. Demographic characteristics, lifestyle, and HIV infection were investigated. Alcohol abuse was defined as ≥15 (women) and ≥30 g/alcohol/day (men), and binge drinking by the intake of ≥5 drinks on a single occasion. Hypertension was defined by blood pressure ≥140/90mmHg or use of blood pressure-lowering agents. Results.We studied 1,240 individuals, with 39.1 ± 10 years, 51% males and 57% whites. Age and bodymass index were associated with blood pressure, and there was an independent association of alcohol abuse with hypertension in whites (RR = 1.9, 95% CI 1.1–3.3) and nonwhites (RR = 2.4, 95% CI 1.4 to 4.0). Among nonwhite individuals who were alcohol abusers, systolic (9.3±3.2; P = 0.001) and diastolic blood pressures (6.4±2.1; P = 0.008) were higher than in nonabusers. Conclusion. Alcohol abuse is a risk factor for hypertension in white and nonwhite HIV-infected individuals. The association of ethanol consumption with blood pressure is not explained by AIDS-related conditions.
|Contido em||The Scientific world journal. New York. Vol. 2013 (Oct. 21, 2013), article ID 169825,  p.
|Tipo||Artigo de periódico
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