Korean J Fam Med.  2018 Jul;39(4):233-238. 10.4082/kjfm.17.0024.

Association of High-Risk Drinking with Metabolic Syndrome and Its Components in Elderly Korean Men: The Korean National Health and Nutrition Examination Survey 2010–2012

Affiliations
  • 1Department of Family Medicine, Konkuk University Medical Center, Seoul, Korea.
  • 2Department of Family Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. milkcandy82@naver.com

Abstract

BACKGROUND
Previous studies have examined the association between alcohol consumption and metabolic syndrome (MetS) in adults, but studies in the elderly are lacking. We examined the relationship between high-risk alcohol consumption and MetS in elderly Korean men using the Alcohol Use Disorders Identification Test (AUDIT) questionnaire from the 2010-2012 Korean National Health and Nutrition Examination Survey.
METHODS
Among 25,534 subjects, 2,807 were men >60 years of age; after exclusions, we included 2,088 men in the final analysis. We categorized the study participants into three groups according to AUDIT score: low risk (0-7), intermediate risk (8-14), and high risk (≥15 points).
RESULTS
Among the study population, 17.0% of the men were high-risk drinkers, who had the highest mean waist circumference, systolic and diastolic blood pressure (BP), fasting plasma glucose (FPG), and triglyceride (TG) levels. The overall prevalence of MetS was 41.9% in the elderly men, and it was significantly higher in the group with high (48.3%) versus low (31.9%) AUDIT scores. The prevalence of MetS components (elevated BP, high FPG, high TG, and low high-density lipoprotein cholesterol) was associated with a high AUDIT score. The odds ratios (95% confidence interval) of the high-risk group for MetS, elevated BP, and high TG were 1.40 (1.03-1.89), 1.82 (1.28-2.60), and 1.77 (1.30-2.41) after adjustment for confounding variables.
CONCLUSION
AUDIT score was correlated with most MetS components in elderly Korean men.

Keyword

Aged; Alcohol Drinking; Alcohol Use Disorders Identification Test; Metabolic Syndrome; Cross-Sectional Studies

MeSH Terms

Adult
Aged*
Alcohol Drinking
Blood Glucose
Blood Pressure
Confounding Factors (Epidemiology)
Cross-Sectional Studies
Drinking*
Fasting
Humans
Lipoproteins
Male
Nutrition Surveys*
Odds Ratio
Prevalence
Triglycerides
Waist Circumference
Lipoproteins
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