饮酒是否会影响血压?
回答 Francisco Lopez-Jimenez 博士
饮酒过量会使血压升高到不健康的水平。一次饮酒超过三杯,血压就会暂时升高。反复饮酒过量则会令血压长期升高。
至于多少饮酒量才算过量,我们有必要了解饮酒过量的定义。
- 饮酒过量定义为女性在两小时内喝四杯或更多酒,男性在两小时内喝五杯或更多酒。
- 少量饮酒是指女性每天最多喝一杯,男性每天最多喝两杯。
- 饮酒过量是指女性每天喝三杯以上,男性每天喝四杯以上。
酗酒者适度减少饮酒量,即可令收缩压(血压读数的顶部数字)降低 5.5 毫米汞柱(mm Hg),并令舒张压(血压读数的底部数字)降低 4 毫米汞柱(mm Hg)。
高血压患者应避免饮酒或适度饮酒。对于健康成人,女性每天最多喝一杯,男性每天最多喝两杯。
一杯酒是指 355 毫升(12 盎司)啤酒、148 毫升(5 盎司)葡萄酒或 44 毫升(1.5 盎司)80 度蒸馏酒。
请注意,酒精含有热量,会导致体重增长。体重增长是高血压的一个风险因素。酒精可能会与某些降压药发生相互作用,还可能会影响体内的药物水平或增加副作用。
With
Francisco Lopez-Jimenez 博士
显示参考文献
- Tangney CC, et al. Cardiovascular benefits and risks of moderate alcohol consumption. https://www.uptodate.com/contents/search. Accessed Dec. 29, 2020.
- Is drinking alcohol part of a healthy lifestyle? American Heart Association. https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/nutrition-basics/alcohol-and-heart-health. Accessed Aug. 1, 2022.
- Rethinking drinking: Alcohol and your health. National Institute on Alcohol Abuse and Alcoholism. https://www.rethinkingdrinking.niaaa.nih.gov/. Accessed Dec. 20, 2020.
- Whelton PK, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. 2018; doi:10.1161/HYP.0000000000000065.
- Piano MR, et al. Effects of repeated binge drinking on blood pressure levels and other cardiovascular health metrics in young adults: National Health and Nutrition Examination Survey, 2011-2014. Journal of the American Heart Association. 2018; doi:10.1161/JAHA.118.008733.
- 2020-2025 Dietary Guidelines for Americans. U.S. Department of Health and Human Services and U.S. Department of Agriculture. https://www.dietaryguidelines.gov/. Accessed Dec. 29, 2020.
- Roerecke M, et al. The effect of a reduction in alcohol consumption on blood pressure: A systematic review and meta-analysis. Lancet Public Health. 2017; doi:10.1016/S2468-2667(17)30003-8.
- Tasnim S, et al. Effect of alcohol on blood pressure. Cochrane Database Of Systematic Reviews. 2020; doi:10.1002/14651858.CD012787.pub2.
Oct. 20, 2022Original article: https://www.mayoclinic.org/zh-hans/diseases-conditions/high-blood-pressure/expert-answers/blood-pressure/faq-20058254