Drinking Amount Associated with Abnormal Gamma-Glutamyl Transpeptidase Expression in Women
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Background: This study investigated whether there is any difference in drinking amount associated with abnormal expression of gamma-glutamyl transpeptidase (GGT), one of the biological markers of excessive drinking, between flushing and non-flushing women after drinking Methods: The subjects were 797 women aged 20–59 years old who visited health promotion center of Chungnam National University Hospital between January, 2013 and July, 2014. Facial flushing status after drinking, amount of alcohol consumed per drinking episode, and the number of drinking days per week were assessed using a questionnaire. Age, abnormal GGT expression, smoking status, menopauase status, and body mass index (BMI) were obtained from the health screening data. The weekly drinking amount were categorized into <4 drinks; ≥4, <8 drinks; and ≥8 drinks. The association of abnormal GGT expression with weekly drinking amount was analyzed using multivariate logistic regression after controlling for confounding variables including age, smoking status, menopauase status, and BMI. Results: Compared to nondrinkers, the abnormal GGT expression in the non-flushing group was significantly increased when the weekly drinking amount was ≥4 drinks (≥4, <8 drinks: adjusted odds ratio [aOR], 37.568; 95% confidence interval [CI], 9.793–144.116; ≥8 drinks: aOR, 20.350; 95% CI, 20.350–305.138). On the other hand, the abnormal GGT expression in the flushing group was significantly increased in every weekly drinking amount range (<4 drinks: aOR, 4.120; 95% CI, 1.603–10.585; ≥4, <8 drinks: aOR, 79.206; 95% CI, 24.034–261.031; ≥8 drinks: aOR, 111.342; 95% CI, 30.987–400.079). For each weekly drinking amount range, the flushing group showed significantly higher abnormal GGT expression than the non-flushing group (<4 drinks: aOR, 3.867; 95% CI, 1.786–8.374; ≥4, <8 drinks: aOR, 57.277; 95% CI, 24.430–134.285; ≥8 drinks: aOR, 104.871; 95% CI, 42.945–256.091). Conclusion: This study showed that abnormal GGT expression in the flushing female drinkers was induced by smaller amounts of alcohol than in the non-flushing female drinkers.
Abstract
Background: This study investigated whether there is any difference in drinking amount associated with abnormal expression of gamma-glutamyl transpeptidase (GGT), one of the biological markers of excessive drinking, between flushing and non-flushing women after drinking Methods: The subjects were 797 women aged 20–59 years old who visited health promotion center of Chungnam National University Hospital between January, 2013 and July, 2014. Facial flushing status after drinking, amount of alcohol consumed per drinking episode, and the number of drinking days per week were assessed using a questionnaire. Age, abnormal GGT expression, smoking status, menopauase status, and body mass index (BMI) were obtained from the health screening data. The weekly drinking amount were categorized into <4 drinks; ≥4, <8 drinks; and ≥8 drinks. The association of abnormal GGT expression with weekly drinking amount was analyzed using multivariate logistic regression after controlling for confounding variables including age, smoking status, menopauase status, and BMI. Results: Compared to nondrinkers, the abnormal GGT expression in the non-flushing group was significantly increased when the weekly drinking amount was ≥4 drinks (≥4, <8 drinks: adjusted odds ratio [aOR], 37.568; 95% confidence interval [CI], 9.793–144.116; ≥8 drinks: aOR, 20.350; 95% CI, 20.350–305.138). On the other hand, the abnormal GGT expression in the flushing group was significantly increased in every weekly drinking amount range (<4 drinks: aOR, 4.120; 95% CI, 1.603–10.585; ≥4, <8 drinks: aOR, 79.206; 95% CI, 24.034–261.031; ≥8 drinks: aOR, 111.342; 95% CI, 30.987–400.079). For each weekly drinking amount range, the flushing group showed significantly higher abnormal GGT expression than the non-flushing group (<4 drinks: aOR, 3.867; 95% CI, 1.786–8.374; ≥4, <8 drinks: aOR, 57.277; 95% CI, 24.430–134.285; ≥8 drinks: aOR, 104.871; 95% CI, 42.945–256.091). Conclusion: This study showed that abnormal GGT expression in the flushing female drinkers was induced by smaller amounts of alcohol than in the non-flushing female drinkers.
참고문헌 (21)
- Crabb DW, "Ethanol oxidizing enzymes: roles in alcohol metabolism and alcoholic liver disease", Prog Liver Dis, 13, pp.151~172 (1995)
- Crabb DW, "Overview of the role of alcohol dehydrogenase and aldehyde dehydrogenase and their variants in the genesis of alcohol-related pathology", Proc Nutr Soc, 63, pp.49~63 (2004)
- Ehrig T, "Alcohol and aldehyde dehydrogenase", Alcohol Alcohol, 25, pp.105~116 (1990)
- Yin SJ, "Genetic polymorphism and activities of human lung alcohol and aldehyde dehydrogenases: implications for ethanol metabolism and cytotoxicity", Biochem Genet, 30, pp.203~215 (1992)
- Harada S, "Liver alcohol dehydrogenase and aldehyde dehydrogenase in the Japanese: isozyme variation and its possible role in alcohol intoxication", Am J Hum Genet, 32, pp.8~15 (1980)
- Ewing JA, "Alcohol sensitivity and ethnic background", Am J Psychiatry, 131, pp.206~210 (1974)
- Wilson JR, "Ethnic variation in use and effects of alcohol", Drug Alcohol Depend, 3, pp.147~151 (1978)
- Wolff PH, "Ethnic differences in alcohol sensitivity", Science, 175, pp.449~450 (1972)
- Shibuya A, "Genotype of alcohol dehydrogenase and aldehyde dehydrogenase loci in Japanese alcohol flushers and nonflushers", Hum Genet, 82, pp.14~16 (1989)
- Heo EJ, "Drinking state and problem in women of some area", J Korea Community Health Nurs Acad Soc, 15, pp.202~215 (2001)
- Jang SO, "Sex differences in drinking behavior and sex role expectations", J Soc Sci, 12, pp.89~106 (2008)
- Lee MK, "Psychosocial factor associated drinking", J Korean Psychol, 12, pp.165~179 (1993)
- "Assessment of alcohol problems: an overview" (2004)[URL]
- Kyle UG, "Body composition interpretation:contributions of the fat-free mass index and the body fat mass index", Nutrition, 19, pp.597~604 (2003)
- "A poket guide for alcohol screening and brief intervention" (2005)[URL]
- American Psychiatry Association, "Diagnostic and statistical manual of mental disorder" (2014), American Psychiatry Association
- Yokoyama A, "Reliability of a flushing questionnaire and the ethanol patch test in screening for inactive aldehyde dehydrogenase-2 and alcohol-related cancer risk", Cancer Epidemiol Biomarkers Prev, 6, pp.1105~1107 (1997)
- 김성구, "Relationships between the Level of Alcohol Consumption and Abnormality in Biomarkers According to Facial Flushing in Korean Male Drinkers", Korean Journal of Family Medicine, 34(2), pp.123~130 (2013), 대한가정의학회
- Frezza M, "High blood alcohol levels in women: the role of decreased gastric alcohol dehydrogenase activity and first-pass metabolism", N Engl J Med, 322, pp.95~99 (1990)
- 김어진, "Effect of Alcohol Consumption on Risk of Hyperhomocysteinemia Based on Alcohol-Related Facial Flushing Response", Korean Journal of Family Medicine, 34(4), pp.250~257 (2013), 대한가정의학회
- Jung JG, "Hypertension associated with alcohol consumption based on the facial flushing reaction to drinking", Alcohol Clin Exp Res, 37, pp.1020~1025 (2014)
