To evaluate the importance of alcohol and other environmental factors
in essential hypertensives, we conducted a cross-sectional study on 62
7 patients (322 women, 305 men) subdivided in four subgroups according
to sex and presence or absence of drug therapy, to evaluate differenc
es due to drugs and changes in life style. Multiple regression analyse
s were run where systolic and diastolic blood pressures were considere
d as separate dependent variables with the following independent varia
bles: age, body mass index, physical activity, alcohol and coffee cons
umption, smoking, educational Level; considered as continuous or categ
orical variables. Eighty-eight per cent of all patients showed a moder
ate-low alcohol intake (1-50 g/day); wine was the preferred beverage.
We found a negative independent relationship between mild/moderate alc
ohol consumption levels and systolic blood pressure in untreated men a
nd untreated women, and no relationship between alcohol and diastolic
blood pressure in all subgroups considered. Body mass index and age we
re positively associated with both systolic and diastolic blood pressu
re. Our data suggest that mild to moderate alcohol consumption does no
t affect blood pressure control in either treated or untreated hyperte
nsive patients.