Nutr Res Pract.  2018 Apr;12(2):166-172. 10.4162/nrp.2018.12.2.166.

Relationship between heavy drinking, binge drinking, and metabolic syndrome in obese and non-obese Korean male adults

Affiliations
  • 1Department of Family Medicine, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, 31, Soonchunhyang 6-gil, Dongnam-gu, Cheonan 31151, Korea. jeoh2238@naver.com

Abstract

BACKGROUND/OBJECTIVES
Obesity and alcohol drinking are associated with metabolic syndrome. However, few studies show the relationship between alcohol drinking and metabolic syndrome according to varying degrees of obesity. This study aimed to determine the association between alcohol drinking and metabolic syndrome in obese and non-obese Korean male adults.
SUBJECTS/METHODS
This cross-sectional study included 5,867 males aged ≥ 20 years who were examined at the Soonchunhyang University health promotion center during June 2008-December 2010. The subjects were divided into non-obese (body mass index [BMI] < 25 kg/m²) and obese (BMI ≥ 25 kg/m²) groups and further divided according to weekly alcohol consumption into nondrinking (0 drinks/week), moderate drinking (≤ 14 drinks/week), and heavy drinking (> 14 drinks/week) groups. The subjects were also categorized into binge drinking and non-binge drinking groups. To obtain odds ratios (ORs) for metabolic syndrome, binary logistic regression analysis was performed.
RESULTS
The overall metabolic syndrome prevalence was 27.3% (12.8%, non-obese group; 50.4%, obese group). After adjusting for age, physical activity, and smoking, in the non-obese group, the OR for heavy drinking with binge drinking (reference: nondrinking) was 1.56 (95% confidence interval [CI] = 1.12-2.18), with a significant increase in metabolic syndrome prevalence. In the obese group, the OR for heavy drinking with binge drinking was 1.42 (95% CI = 1.07-1.88), showing a significant increase in metabolic syndrome prevalence (P < 0.05).
CONCLUSIONS
In both non-obese and obese Korean males, heavy drinking with binge drinking was associated with increased risk of metabolic syndrome. Thus, both non-obese and obese males should restrict their alcohol intake and not indulge in binge drinking.

Keyword

Body mass index; alcohol drinking; metabolic syndrome

MeSH Terms

Adult*
Alcohol Drinking
Binge Drinking*
Body Mass Index
Cross-Sectional Studies
Drinking*
Health Promotion
Humans
Logistic Models
Male*
Motor Activity
Obesity
Odds Ratio
Prevalence
Smoke
Smoking
Smoke

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