Association of blood pressure and hypertension with alcohol consumption in HIV-infected white and nonwhite patients

• Autor(a) principal: Ikeda, Maria Letícia Rodrigues
• Data de Publicação: 2013
• Outros Autores: Barcellos, Nêmora Tregnago, Alencastro, Paulo Ricardo de, Wolff, Fernando Herz, Brandao, Ajacio Bandeira de Mello, Fuchs, Flávio Danni, Fuchs, Sandra Cristina Pereira Costa
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFRGS
• Texto Completo: http://hdl.handle.net/10183/107000
• topic: Pressão sanguínea; Hipertensão; HIV; Alcoolismo

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.