Impact of Exceeding Low-Risk Alcohol Consumption Guidelines on Hypertension in Metropolitan France, 2014–2016

Introduction – Alcohol consumption is a major risk factor for hypertension. A group of experts has established low-risk guidelines, one component of which is to limit alcohol consumption to no more than 10 drinks per week to protect one’s health. The objective of this study was to estimate the number of cases of HTN attributable to alcohol consumption exceeding this component of the guidelines among the French mainland population aged 18 to 74 years, overall and by sex and age. Methods – A population-based approach using the fraction attributable to alcohol (FAA) was used. This was calculated using the relative risks of hypertension for different levels of alcohol consumption derived from the most recent meta-analysis and the prevalence of self-reported alcohol consumption levels, adjusted for underreporting, from the 2017 Santé publique France Health Barometer. The prevalence of hypertension estimated in 2015 in the Health, Environment, Biomonitoring, Physical Activity, and Nutrition (Esteban) was extrapolated to the entire metropolitan French population as recorded by the National Institute of Statistics and Economic Studies (INSEE) for the same year, in order to estimate the number of hypertension cases attributable to alcohol consumption in the population. Results – We estimate that 655,000 people aged 18 to 74 in France have hypertension due to alcohol consumption exceeding an average of 10 drinks per week, including 624,000 (95% confidence interval, 95% CI: [464,000–802,000]) men and 31,000 [–95,000; 151,000] women. The prevalence of alcohol-related hypertension was higher among men (8.9% [6.6–11.5]) than among women (0.6% [–2.0; 3.1]), though not statistically significant among the latter. It ranged from 6.3% [2.0–13.9] to 10.7% [6.6–15.1] among men aged 18–34 to 65–74, and remained around 0.6% among women in the same age groups. Conclusion – Alcohol-related hypertension is higher among men due to a much greater tendency to exceed 10 drinks per week compared to women. The number of cases associated with average consumption exceeding 10 drinks per week is substantial. These initial findings underscore the role of alcohol consumption in hypertension and the importance of implementing primary prevention measures as well as managing hypertension.

Author(s): Gabet Amélie, Bonaldi Christophe, Grave Clémence, Joly Pierre, Dufour Lucas, Andler Raphaël, Nguyen-Thanh Viêt, Quatremère Guillemette, Blacher Jacques, Olié Valérie

Publishing year: 2024

Pages: 178-185

Weekly Epidemiological Bulletin, 2024, n° 9, p. 178-185

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