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J‐curve association between alcohol intake and varicose veins in Japan: The Shimane CoHRE Study
Author(s) -
Kohno Kunie,
Niihara Hiroyuki,
Hamano Tsuyoshi,
Takeda Miwako,
Nakagawa Yusei,
Shiwaku Kuninori,
Nabika Toru,
Zöller Bengt,
Li Xinjun,
Sundquist Kristina,
Sundquist Jan,
Morita Eishin
Publication year - 2019
Publication title -
the journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.9
H-Index - 65
eISSN - 1346-8138
pISSN - 0385-2407
DOI - 10.1111/1346-8138.15022
Subject(s) - varicose veins , alcohol intake , medicine , alcohol , surgery , biology , biochemistry
The effect of alcohol intake on varicose veins (VV) has not been determined by its consumption level. The aim of this study was to investigate the association between alcohol intake and VV in an elderly general population. Using a cross‐sectional approach, the Shimane CoHRE Study data, comprising a total of 1060 participants, were analyzed. By multivariate regression analysis adjusted with basic characteristics, past work history, lifestyle‐related factors and medical history, compared with non‐drinkers, mild drinkers (<20.0 g/day) showed a significantly lower adjusted odds ratio (aOR) of VV (aOR = 0.64, P = 0.036). In a similar way, regular drinkers (1–5 days/week) showed a significantly lower aOR of VV when compared with occasional drinkers (aOR = 0.57, P = 0.032). VV and alcohol intake showed J‐curve relationships. In a stratified analysis by alcohol consumption levels, the association of smoking and VV were also observed in moderate to heavy drinkers and habitual drinkers. These findings can provide better understanding of pathophysiological mechanism and be used for evidence‐based patient education.