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The Scientific World Journal
Volume 2013 (2013), Article ID 169825, 8 pages
http://dx.doi.org/10.1155/2013/169825
Research Article

Association of Blood Pressure and Hypertension with Alcohol Consumption in HIV-Infected White and Nonwhite Patients

1Postgraduate Program in Cardiology, School of Medicine, Universidade Federal do Rio Grande do Sul, R. Ramiro Barcelos 2600, 90035-003 Porto Alegre, RS, Brazil
2Hospital Sanatório Partenon, Health State Department of Rio Grande do Sul 3722, Avenida Bento Gonçalves, 90650-001 Porto Alegre, RS, Brazil
3Postgraduate Program in Epidemiology, School of Medicine, Universidade Federal do Rio Grande do Sul, R. Ramiro Barcelos 2600, 90035-003 Porto Alegre, RS, Brazil
4National Institute for Health Technology Assessment (IATS/CNPq), Clinical Research Center, Hospital de Clinicas de Porto Alegre, R. Ramiro Barcelos 2350, 90035-003 Porto Alegre, RS, Brazil

Received 11 July 2013; Accepted 20 August 2013

Academic Editors: H. A. Beydoun, G.-X. Jiang, and L. Kuller

Copyright © 2013 Maria Leticia R. Ikeda et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Although alcohol abuse is associated with hypertension in whites and nonwhites, it has been scarcely investigated in HIV-infected patients. Objective. To investigate whether the association of alcohol abuse with hypertension is influenced by skin color in HIV-infected individuals. Methods. Cross-sectional study in HIV-infected individuals aged 18 years or older. Demographic characteristics, lifestyle, and HIV infection were investigated. Alcohol abuse was defined as ≥15 (women) and ≥30 g/alcohol/day (men), and binge drinking by the intake of ≥5 drinks on a single occasion. Hypertension was defined by blood pressure ≥140/90 mmHg or use of blood pressure-lowering agents. Results. We studied 1,240 individuals, with years, 51% males and 57% whites. Age and body mass index were associated with blood pressure, and there was an independent association of alcohol abuse with hypertension in whites (RR = 1.9, 95% CI 1.1–3.3) and nonwhites (RR = 2.4, 95% CI 1.4 to 4.0). Among nonwhite individuals who were alcohol abusers, systolic ( ; ) and diastolic blood pressures ( ; ) were higher than in nonabusers. Conclusion. Alcohol abuse is a risk factor for hypertension in white and nonwhite HIV-infected individuals. The association of ethanol consumption with blood pressure is not explained by AIDS-related conditions.