Abstract

BackgroundIt is thought that small volumes of alcohol may have positive effects on health. However, excessive drinking results in serious health problems. An accurate method to determine individual alcohol use behaviors are needed to assess objectively the extent to which drinking affects health. This study investigated the association between risk of metabolic syndrome (MetS) and alcohol use behaviors in middle-aged South Korean men using the Alcohol Use Disorders Identification Test.MethodsThis study used data from the South Korea National Health and Nutrition Examination (KNHANES) IV (2008), which extracted the standard survey household by using the proportional systematic sampling method. Data of 714 participants from KNHANES IV, 2008 were analyzed using Surveyfreq and Surveylogistic regression to investigate the association between MetS and alcohol use behaviors in middle-aged South Korean men.ResultsAfter adjustment for education, smoking, and physical activity, alcohol use behaviors were significantly associated with an increased risk of hypertension [odds ratio (OR) = 2.54, 95% confidence interval (CI) = 1.5-4.06 in the hazardous group; OR = 2.99, 95% CI = 1.84-4.92 in the problem group]; impaired fasting glucose (OR = 2.15, 95% CI = 1.16-3.99 in the hazardous group; OR = 2.48, 95% CI = 1.42-4.33 in the problem group); dyslipidemia (OR = 2.19, 95% CI = 1.38-3.47 in the problem group); abdominal obesity (OR = 1.93, 95% CI = 1.17-3.19 in the hazardous group; OR = 1.85, 95% CI = 1.17-2.92 in the problem group); and MetS (OR = 2.16, 95% CI = 1.24-3.77 in the hazardous group; OR = 2.54, 95% CI = 1.41-4.58 in problem group).ConclusionsThis study found that excessive alcohol use behaviors increased the risk of hypertension, diabetes, dyslipidemia, abdominal obesity, and MetS. Considering the rising rate of alcohol consumption and heavy drinking at single sittings, a culture of less risky alcohol consumption must be established to promote health among middle-aged men.

Highlights

  • It is thought that small volumes of alcohol may have positive effects on health

  • Our study investigated the association between the risk of metabolic syndrome (MetS) and alcohol use behaviors in middle-aged South Korean men using the Alcohol Use Disorders Identification Test (AUDIT), developed by the World Health Organization (WHO)[26]

  • Our study found that alcohol use behaviors were associated with particular components of MetS, including blood pressure, fasting plasma glucose, triglyceride level, and waist circumference, after adjusting for education, Table 4 Adjusted odds ratio (OR)* and 95% confidence interval (CI) of components of metabolic syndrome and metabolic syndrome associated with alcohol use behavior against normal group

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Summary

Introduction

It is thought that small volumes of alcohol may have positive effects on health. excessive drinking results in serious health problems. As societal values have shifted to emphasize individual quality of life, South Korean men have come to recognize their roles within the family as well as in the workplace [2]. This shift may Previously known as X-syndrome or insulin resistance syndrome, metabolic syndrome (MetS) is a pathological condition characterized by diabetes, impaired glucose tolerance, dyslipidemia, hypertension, and obesity, and it contributes to the risk of death caused by cardiovascular disease and diabetes. The prevalence of MetS differs among studies, but is generally in the range 8-24% in men and 7-46% in women [7]; the prevalence in South Korea has been reported as 27.4% in men and 20.9% in women (24.1% in South Korean adults) [8]

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