Table 3.
Relative risks and 95% confidence intervals of becoming overweight and/or obese across alcohol intake
Incident Overweight or Obese (BMI ≥ 25 kg/m2) |
Incident Obese (BMI ≥ 30 kg/m2) |
||||||
---|---|---|---|---|---|---|---|
Total N | N | RR (95%CI) | N | RR (95%CI) | |||
Age adjusted | Multivariate† Adjusted | Age adjusted | Multivariate† Adjusted | ||||
All alcohol | |||||||
No Alcohol | 7346 | 3150 | 1.00 (reference) | 1.00 (reference) | 337 | 1.00 (reference) | 1.00 (reference) |
>0-<5 g/day | 6312 | 2721 | 0.96 (0.91 – 1.01) | 0.96 (0.91 – 1.01) | 250 | 0.79 (0.67 – 0.93) | 0.75 (0.63 – 0.89) |
5-<15 g/day | 3865 | 1500 | 0.84 (0.79 – 0.89) | 0.86 (0.80 – 0.92) | 104 | 0.55 (0.44 – 0.68) | 0.43 (0.34 – 0.56) |
15-<30 g/day | 1129 | 376 | 0.73 (0.65 – 0.81) | 0.70 (0.62 – 0.79) | 28 | 0.55 (0.38 – 0.81) | 0.39 (0.25 – 0.60) |
≥30 g/day | 568 | 195 | 0.78 (0.67 – 0.90) | 0.73 (0.62 – 0.85) | 13 | 0.55 (0.32 – 0.96) | 0.29 (0.15 – 0.54) |
P‡, linear | < 0.0001 | < 0.0001 | < 0.0001 | < 0.0001 | |||
P¶, curvilinear | < 0.0001 | < 0.0001 | < 0.0001 | < 0.0001 | |||
Beer | |||||||
Rarely/Never | 14638 | 6143 | 1.00 (reference) | 1.00 (reference) | 595 | 1.00 (reference) | 1.00 (reference) |
1–4 drink/m | 2969 | 1184 | 0.94 (0.87 – 1.00) | 0.93 (0.87 – 1.00) | 87 | 0.77 (0.60 – 0.97) | 0.74 (0.57 – 0.95) |
2–6 drink/wk | 941 | 362 | 0.89 (0.79 – 0.99) | 0.86 (0.76 – 0.97) | 28 | 0.79 (0.54 – 1.17) | 0.65 (0.42 – 0.99) |
≥1 drink/d | 298 | 118 | 0.92 (0.75 – 1.12) | 0.76 (0.62 – 0.94) | 13 | 1.11 (0.63 – 1.97) | 0.63 (0.34 – 1.18) |
P‡, linear | 0.04 | 0.0004 | 0.37 | 0.02 | |||
P¶, curvilinear | 0.02 | 0.04 | 0.03 | 0.007 | |||
Red Wine | |||||||
Rarely/Never | 14043 | 5980 | 1.00 (reference) | 1.00 (reference) | 598 | 1.00 (reference) | 1.00 (reference) |
1–4 drink/m | 3328 | 1304 | 0.90 (0.84 – 0.96) | 0.95 (0.89 – 1.02) | 92 | 0.70 (0.55 – 0.89) | 0.75 (0.59 – 0.97) |
2–6 drink/wk | 1026 | 369 | 0.83 (0.74 – 0.93) | 0.89 (0.79 – 1.00) | 25 | 0.66 (0.43 – 1.01) | 0.63 (0.40 – 0.98) |
≥1 drink/d | 292 | 88 | 0.65 (0.51 – 0.82) | 0.66 (0.52 – 0.84) | 5 | 0.52 (0.22 – 1.26) | 0.47 (0.19 – 1.14) |
P‡, linear | < 0.0001 | 0.0002 | 0.002 | 0.004 | |||
P¶, curvilinear | 0.04 | 0.07 | 0.14 | 0.25 | |||
White Wine | |||||||
Rarely/Never | 10117 | 4315 | 1.00 (reference) | 1.00 (reference) | 431 | 1.00 (reference) | 1.00 (reference) |
1–4 drink/m | 5678 | 2364 | 0.96 (0.91 – 1.01) | 1.00 (0.94 – 1.06) | 210 | 0.92 (0.77 – 1.11) | 0.93 (0.77 – 1.13) |
2–6 drink/wk | 2269 | 845 | 0.85 (0.78 – 0.92) | 0.91 (0.84 – 0.99) | 64 | 0.74 (0.56 – 0.99) | 0.71 (0.52 – 0.96) |
≥1 drink/d | 807 | 268 | 0.76 (0.67 – 0.87) | 0.88 (0.77 – 1.02) | 16 | 0.58 (0.35 – 0.95) | 0.41 (0.22 – 0.74) |
P‡, linear | < 0.0001 | 0.03 | 0.002 | 0.0003 | |||
P¶, curvilinear | < 0.0001 | 0.002 | 0.13 | 0.09 | |||
Liquor | |||||||
Rarely/Never | 13409 | 5559 | 1.00 (reference) | 1.00 (reference) | 533 | 1.00 (reference) | 1.00 (reference) |
1–4 drink/m | 3542 | 1545 | 1.12 (1.05 – 1.19) | 1.01 (0.95 – 1.07) | 142 | 1.17 (0.96 – 1.43) | 1.04 (0.84 – 1.28) |
2–6 drink/wk | 1330 | 518 | 1.03 (0.94 – 1.14) | 0.95 (0.86 – 1.06) | 37 | 0.90 (0.63 – 1.28) | 0.73 (0.50 – 1.06) |
≥1 drink/d | 620 | 198 | 0.88 (0.76 – 1.03) | 0.76 (0.65 – 0.90) | 10 | 0.66 (0.34 – 1.28) | 0.38 (0.17 – 0.81) |
P‡, linear | 0.87 | 0.008 | 0.26 | 0.005 | |||
P¶, curvilinear | 0.96 | 0.04 | 0.66 | 0.87 |
Multivariate model additionally adjusted for race (white, non-white), baseline BMI (continuous), randomized treatment (vitamin E, aspirin, β-carotene, or placebo), total non-alcohol energy intake (continuous), physical activity (<200, 200-<600, 600-<1500, ≥1500 kcal/wk), smoking (never, former, current), post-menopausal status (yes, no, uncertain), post-menopausal hormone use (never, former, current), multivitamin use (never, former, current), history of hypercholesterolemia (yes, no) and hypertension (yes, no), intake of fruit and vegetables, whole grains, refined grains, red meats and poultry, low-fat dairy products, high-fat dairy products, energy-adjusted total fat, carbohydrates, and fiber (all in quintiles).
Linear trends were tested using the median value of each alcohol intake category as an ordinal variable.
Curvilinear trends were tested by including the quadratic term of continuous alcohol intake in the model.