Effects of Alcohol Reduction Interventions on Blood Pressure

doi:10.1007/s11906-022-01171-y

Review

. 2022 Apr;24(4):75-85.

doi: 10.1007/s11906-022-01171-y. Epub 2022 Feb 2.

Effects of Alcohol Reduction Interventions on Blood Pressure

Dan V Blalock^{1

2}, Sophia A Berlin³, Jonathan R Young^{4

5

6}, Shannon M Blakey^{5

6}, Patrick S Calhoun^{7

4

5

6}, Eric A Dedert^{4

5

6}

Affiliations

¹ Durham Center of Innovation To Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, 411 West Chapel Hill St, Suite 600, Durham, NC, 27701, USA. daniel.blalock@duke.edu.
² Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA. daniel.blalock@duke.edu.
³ Institute for Medical Research, Durham, NC, USA.
⁴ Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.
⁵ VA Mid-Atlantic Region Mental Illness Research, Education and Clinical Center, Durham, NC, USA.
⁶ Durham Veterans Affairs Health Care System, Durham, NC, USA.
⁷ Durham Center of Innovation To Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, 411 West Chapel Hill St, Suite 600, Durham, NC, 27701, USA.

PMID: 35107788
PMCID: PMC9044471
DOI: 10.1007/s11906-022-01171-y

Review

Effects of Alcohol Reduction Interventions on Blood Pressure

Dan V Blalock et al. Curr Hypertens Rep. 2022 Apr.

. 2022 Apr;24(4):75-85.

doi: 10.1007/s11906-022-01171-y. Epub 2022 Feb 2.

Authors

Dan V Blalock^{1

2}, Sophia A Berlin³, Jonathan R Young^{4

5

6}, Shannon M Blakey^{5

6}, Patrick S Calhoun^{7

4

5

6}, Eric A Dedert^{4

5

6}

Affiliations

¹ Durham Center of Innovation To Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, 411 West Chapel Hill St, Suite 600, Durham, NC, 27701, USA. daniel.blalock@duke.edu.
² Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA. daniel.blalock@duke.edu.
³ Institute for Medical Research, Durham, NC, USA.
⁴ Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.
⁵ VA Mid-Atlantic Region Mental Illness Research, Education and Clinical Center, Durham, NC, USA.
⁶ Durham Veterans Affairs Health Care System, Durham, NC, USA.
⁷ Durham Center of Innovation To Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, 411 West Chapel Hill St, Suite 600, Durham, NC, 27701, USA.

PMID: 35107788
PMCID: PMC9044471
DOI: 10.1007/s11906-022-01171-y

Abstract

Purpose of review: Much of alcohol's purported negative impact on a population's health can be attributed to its association with increased blood pressure, rates of hypertension, and incidence of cardiovascular disease (CVD). Less attention, however, has been placed on the association of the positive impact of alcohol reduction interventions on physical health.

Recent findings: This review delineates the evidence of blood pressure reductions as a function of alcohol reduction interventions based on current care models. The findings of this review suggest two things: (1) sufficient evidence exists for a relationship between alcohol reductions and blood pressure generally, and (2) little evidence exists for the relationship between alcohol reductions and blood pressure for any one care model currently employed in the health system. The evidence base would benefit from more studies using established alcohol reduction interventions examining the impact of these interventions on blood pressure.

Keywords: Alcohol; Blood pressure; Cardiovascular disease; Integrated care; Screening and brief intervention.

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Conflict of interest statement

Conflict of Interest The authors declare that they have no conflict of interest.

Figures

**Fig. 1**
Established causal pathways from alcohol misuse to increased CVD risk

See this image and copyright information in PMC

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References

1. O’Keefe JH, Bhatti SK, Bajwa A, DiNicolantonio JJ, Lavie CJ. Alcohol and cardiovascular health: the dose makes the poison… or the remedy. In Mayo Clin Proc. 2014;89(3):382–393. Elsevier. - PubMed
1. Griswold MG, Fullman N, Hawley C, Arian N, Zimsen SR, Tymeson HD, Venkateswaran V, Tapp AD, Forouzanfar MH, Salama JS, Abate KH. Alcohol use and burden for 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet. 2018;392(10152):1015–35. - PMC - PubMed
1. Dedert EA, McDuffie JR, Stein R, McNiel JM, Kosinski AS, Freiermuth CE, Hemminger A, Williams JW Jr. Electronic interventions for alcohol misuse and alcohol use disorders: a systematic review. Ann Intern Med. 2015;163(3):205–14. - PMC - PubMed
1. Carey RM, Whelton PK. Prevention, detection, evaluation, and management of high blood pressure in adults: synopsis of the 2017 American College of Cardiology/American Heart Association Hypertension Guideline. Ann Intern Med. 2018;168(5):351–8.
  • This paper provides the most recent guidelines for hypertension treatment. Among other recommendations, there are strong recommendations for limiting alcohol intake to ≤ 1 drink/day for women and ≤ 2 drinks/day for men and considering abstinence from alcohol with any significant comorbidities.
1. Grant BF, Chou SP, Saha TD, Pickering RP, Kerridge BT, Ruan WJ, Huang B, Jung J, Zhang H, Fan A, Hasin DS. Prevalence of 12-month alcohol use, high-risk drinking, and DSM-IV alcohol use disorder in the United States, 2001–2002 to 2012–2013: results from the National Epidemiologic Survey on Alcohol and Related Conditions. JAMA Psychiat. 2017;74(9):911–23. - PMC - PubMed

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[1] O’Keefe JH, Bhatti SK, Bajwa A, DiNicolantonio JJ, Lavie CJ. Alcohol and cardiovascular health: the dose makes the poison… or the remedy. In Mayo Clin Proc. 2014;89(3):382–393. Elsevier. - PubMed

[2] O’Keefe JH, Bhatti SK, Bajwa A, DiNicolantonio JJ, Lavie CJ. Alcohol and cardiovascular health: the dose makes the poison… or the remedy. In Mayo Clin Proc. 2014;89(3):382–393. Elsevier. - PubMed

[3] Griswold MG, Fullman N, Hawley C, Arian N, Zimsen SR, Tymeson HD, Venkateswaran V, Tapp AD, Forouzanfar MH, Salama JS, Abate KH. Alcohol use and burden for 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet. 2018;392(10152):1015–35. - PMC - PubMed

[4] Griswold MG, Fullman N, Hawley C, Arian N, Zimsen SR, Tymeson HD, Venkateswaran V, Tapp AD, Forouzanfar MH, Salama JS, Abate KH. Alcohol use and burden for 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet. 2018;392(10152):1015–35. - PMC - PubMed

[5] Dedert EA, McDuffie JR, Stein R, McNiel JM, Kosinski AS, Freiermuth CE, Hemminger A, Williams JW Jr. Electronic interventions for alcohol misuse and alcohol use disorders: a systematic review. Ann Intern Med. 2015;163(3):205–14. - PMC - PubMed

[6] Dedert EA, McDuffie JR, Stein R, McNiel JM, Kosinski AS, Freiermuth CE, Hemminger A, Williams JW Jr. Electronic interventions for alcohol misuse and alcohol use disorders: a systematic review. Ann Intern Med. 2015;163(3):205–14. - PMC - PubMed

[7] Carey RM, Whelton PK. Prevention, detection, evaluation, and management of high blood pressure in adults: synopsis of the 2017 American College of Cardiology/American Heart Association Hypertension Guideline. Ann Intern Med. 2018;168(5):351–8.
• This paper provides the most recent guidelines for hypertension treatment. Among other recommendations, there are strong recommendations for limiting alcohol intake to ≤ 1 drink/day for women and ≤ 2 drinks/day for men and considering abstinence from alcohol with any significant comorbidities.

[8] Carey RM, Whelton PK. Prevention, detection, evaluation, and management of high blood pressure in adults: synopsis of the 2017 American College of Cardiology/American Heart Association Hypertension Guideline. Ann Intern Med. 2018;168(5):351–8.
• This paper provides the most recent guidelines for hypertension treatment. Among other recommendations, there are strong recommendations for limiting alcohol intake to ≤ 1 drink/day for women and ≤ 2 drinks/day for men and considering abstinence from alcohol with any significant comorbidities.

[9] Grant BF, Chou SP, Saha TD, Pickering RP, Kerridge BT, Ruan WJ, Huang B, Jung J, Zhang H, Fan A, Hasin DS. Prevalence of 12-month alcohol use, high-risk drinking, and DSM-IV alcohol use disorder in the United States, 2001–2002 to 2012–2013: results from the National Epidemiologic Survey on Alcohol and Related Conditions. JAMA Psychiat. 2017;74(9):911–23. - PMC - PubMed

[10] Grant BF, Chou SP, Saha TD, Pickering RP, Kerridge BT, Ruan WJ, Huang B, Jung J, Zhang H, Fan A, Hasin DS. Prevalence of 12-month alcohol use, high-risk drinking, and DSM-IV alcohol use disorder in the United States, 2001–2002 to 2012–2013: results from the National Epidemiologic Survey on Alcohol and Related Conditions. JAMA Psychiat. 2017;74(9):911–23. - PMC - PubMed

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Effects of Alcohol Reduction Interventions on Blood Pressure

Affiliations

Effects of Alcohol Reduction Interventions on Blood Pressure

Authors

Affiliations

Abstract

Conflict of interest statement

Figures

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Cited by

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Medical

Research Materials