Does alcohol increase blood pressure? Heart Research Institute
As described in our protocol, when we were unable to obtain the required SE/SD from study authors or by calculation from the reported P value or 95% CI, we imputed data according to the pre‐specified imputation hierarchy. We most often used the reported endpoint SE/SD value to impute the SE/SD of MD. This is known to provide a good approximation of the SD of change in BP so is unlikely to lead to bias. Also, only 10 out of 32 studies reported changes in MAP after alcohol consumption along with SE/SD (Buckman 2015; Dumont 2010; Foppa 2002; Karatzi 2005; Karatzi 2013; Kojima 1993; Maufrais 2017; Maule 1993; Narkiewicz 2000; Van De Borne 1997). So, we had to calculate missing MAP values from reported SBP and DBP values using the formula mentioned in the protocol and we imputed the SE/SD for those.
- We excluded articles if the citation seemed completely irrelevant or was identified as a review or observational study after the title and abstract were read.
- We included 32 randomised controlled trials involving 767 participants published up to March 2019.
- Alcohol can affect blood pressure through a variety of possible mechanisms.
- Results suggest that the decrease in BP with very high doses of alcohol is greater compared to lower high doses of alcohol.
Bau 2005 published data only
Assess your diet, weight and exercise habits,” says Maria Elena Fraga, RD, CDCES, director of the Diabetes Alliance at the Mount Sinai Health System in New York City. Similarly, in randomized trials, alcohol consumption lowers average blood sugar levels. In observational trials, it also appears to lower the risk of diabetes. Alcoholic drinks, such as beer, spirits and wine, contain the depressant drug ethyl alcohol (ethanol).
Cushman 1994 published data only
For high doses of alcohol, we found moderate‐certainty evidence showing a decrease in SBP and low‐certainty evidence suggesting a decrease in DBP within the first six hours and 7 to 12 hours after consumption. Moderate‐certainty evidence shows that SBP and DBP rise between 13 and 24 hours after alcohol ingestion. Both reviewers (ST and CT) rated the certainty of evidence independently https://ecosoberhouse.com/ by examining risk of bias, indirectness, inconsistency, imprecision, and publication bias. Both review authors (ST and CT) rated the certainty of evidence independently by examining risk of bias, indirectness, inconsistency, imprecision, and publication bias. It is recommended that there should be at least 10 studies reporting each of the subgroups in question (Deeks 2011).
- The type of alcoholic beverage also determines the impact on health, with red wine being considered healthy, for instance, due to the high polyphenol content.
- Drinking too much alcohol can raise blood pressure to unhealthy levels.
- If you are having trouble maintaining a healthy lifestyle or natural methods have not prevented ED, talk to a healthcare professional who has expert knowledge in the management of ED.
- At the time of drinking, alcohol is absorbed into the bloodstream and then carried throughout the body, with a temporary increase in heart rate and blood pressure.
- Both experimental approaches also prevented accumulation of ethanol-induced scarring (collagen and fibronectin); apoptotic cell death; and changes in the size, shape, and function of the heart after injury to heart muscle (ventricular remodeling).
- Excessive alcohol consumption can increase the risk of several metabolic conditions, including high blood pressure.
Why it is important to do this review
A dose of 14 grams of pure alcohol/ethanol or less was defined as a low dose of alcohol. All outcomes of interest in the review (BP and HR) produced continuous data. We calculated and reported mean difference (MD), with corresponding 95% confidence interval (95% does alcohol decrease blood pressure CI). We included adult (≥ 18) participants of both sexes without any restriction on their health condition. CUnclear risk of selection bias and attrition bias in more than one study. AUnclear risk of selection bias and attrition bias in more than one study.
References to studies excluded from this review
