Relationship between drinking behavior and dyslipidemia in adults in China

ObjectiveTo evaluate the relationship between different drinking behaviors and risk for dyslipidemia in adults in China.

MethodsData was from the China Chronic Disease and Risk Factors Surveillance in 2013. A binary Logistic regression model based on complex sampling design was used to investigate the relationship between drinking behavior and hypertriglyceridemia, hypercholesteremia, high LDL-C, low HDL-C.

ResultsCompared with non-drinkers, both light drinking (aOR=1.16, 95% CI: 1.06–1.28) and heavy drinking (aOR=1.64, 95% CI: 1.43–1.89) had higher risks for hypertriglyceridemia in men, while only heavy drinking had higher risk for hypertriglyceridemia in women (aOR=1.67, 95% CI: 1.07–2.63). Both light drinking (aOR=0.82, 95% CI: 0.74–0.91) and heavy drinking (aOR=0.60, 95% CI: 0.53–0.67) were associated with lower risk for low HDL-C in men, while heavy drinking had higher risk for hypercholesteremia in men (aOR=1.36, 95% CI: 1.19–1.56). Alcohol consumption at any frequency in men was associated with higher risk for hypertriglyceridemia and lower risk for low HDL-C. Men who drank 1–4 d/week (aOR=1.16, 95% CI: 1.01–1.33) and drank 5–7 d/week (aOR=1.34, 95% CI: 1.17–1.53) had higher risk for hypercholesteremia than those who never drank. Women who drank 5–7 d/week had lower risk for low HDL-C (aOR=0.70, 95% CI: 0.53–0.92). In men, liquor consumption was associated with higher risk for hypertriglyceridemia (only liquor: aOR=1.34, 95% CI: 1.20–1.48, not only liquor: aOR=1.33, 95%CI: 1.19–1.49), and only liquor consumption (aOR=1.27, 95% CI: 1.04–1.57) was associated with higher risk for hypercholesteremia. Only beer consumption was associated with lower risk for hypercholesteremia in both men (aOR=0.82, 95% CI: 0.68–0.98) and women (aOR=0.61, 95% CI: 0.47–0.78), and only beer consumption was also associated with lower risk for high LDL-C in women (aOR=0.77, 95% CI: 0.60–0.98).

ConclusionDifferent drinking behaviors have different influences on serum lipid profiles of people. Both light drinking and heavy drinking have higher risk for hypertriglyceridemia in men, while only heavy drinking have higher risk for hypertriglyceridemia in women. Both light drinking and heavy drinking are associated with lower risk for low HDL-C in men, no such association was observed in women.