Álcool e Síndrome Metabólica: aplicação de um novo critério de definição para a população brasileira





Metabolic syndrome; Alcoholism; Collective health; Healthy habits.


The objective was to test the hypothesis of an association between light or moderate alcohol consumption, in comparison with no consumption or excessive consumption and the metabolic syndrome in men and women in Salvador-Bahia, Brazil. A cross-sectional study was carried out, with men and women, age ≥ 20 years. Alcohol consumption was classified into three categories: excessive use, including three or more doses per day or 21 or more doses per week (1 dose corresponding to 14g of ethanol), light / moderate use - consumption below that described and without consumption, where abstainers were those who did not consume in the last 12 months. The final sample resulted in 1,333 individuals. In logistic regression, the adjusted prevalence rate of extreme alcohol consumption and metabolic syndrome for women was 1.35 (95% CI 0.95-1.82). For men, the adjusted prevalence ratio was 1.17 (95% CI 0.77-1.71). Confusing factors, which were presented with a statistically significant association, were marital status for both sexes and physical inactivity for men. Among women, the tendency was to make the association between the most abstinent, useful consumers and MS. Our data raise the question of marital status as a probable cardiovascular risk factor; a variable that can be further investigated in future studies.

Author Biography

Pablo Luiz Santos Couto, Centro Universitário FG

Enfermeiro. Doutorando em Enfermagem e Saúde pela UESB. Mestre em Enfermagem pela UFBA.


Alberti, K. G. M. M., Eckel, R. H., Grundy, S. M., Zimmet, P. Z., Cleeman, J. I., Donato, K. A., et al. (2009). Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation, 120(16), 1640–5. Available from: http://dx.doi.org/10.1161/CIRCULATIONAHA.109.192644

Almeida J. C., &Juliana, A. D. (2017). Consumo de álcool por adultos brasileiros: uma revisão da literatura. Ciência ET Praxis, 6(12), 7–12. Available from:

Almeida, T. S. O., Fook, S. M. L., & Mariz, S. R. (2016). Associação entre etilismo e subsequente hipertensão arterial sistêmica: uma revisão sistematizada. Revista Saúde & Ciência Online, 5(1), 76–90. Available from: http://www.ufcg.edu.br/revistasaudeeciencia/index.php/RSC-UFCG/article/view/328

Aneja, J., Basu, D., Mattoo, S. K., & Kohli, K. K. (2013). Metabolic syndrome in alcohol-dependent men: a cross-sectional study. Indian Journal Psychological Medicine, 35(2), 190–6. Available from: http://dx.doi.org/10.4103/0253-7176.116253

Babor, T. F., Babor, T., Caetano, R., Casswell, S., Edwards, G., Giesbrecht, N., et al. (2010). Alcohol: No Ordinary Commodity: Research and Public Policy [Internet]. OUP Oxford; 2010. 360 p. Available from: https://play.google.com/store/books/details?id=PEgfRmJYKisC

Brien, S. E., Ronksley, P. E., Turner, B. J., Mukamal, K. J., & Ghali, W. A. (2011). Effect of alcohol consumption on biological markers associated with risk of coronary heart disease: systematic review and meta-analysis of interventional studies. Biomedical Research & Developments BMJ, 342, d636. Available from: http://dx.doi.org/10.1136/bmj.d636

Cederbaum, A. I. (2012). Alcohol metabolism. Clinical in Liver Disease, 16(4), 667–85. Available from: http://dx.doi.org/10.1016/j.cld.2012.08.002

Fan, A. Z., Russell, M., Dorn, J., Freudenheim, J. L., Nochajski, T., Hovey, K. (2006). Lifetime alcohol drinking pattern is related to the prevalence of metabolic syndrome. The Western New York Health Study (WNYHS). European Journal Epidemiological, 21(2), 129–38. Available from: http://dx.doi.org/10.1007/s10654-005-5457-y

Furukawa, K., Preston, D. L., Misumi, M., & Cullings, H. M. (2017). Handling incomplete smoking history data in survival analysis. Stat Methods Medicine Research, 26(2), 707–23. Available from: http://dx.doi.org/10.1177/0962280214556794

Grundy, S. M. (2016). Metabolic syndrome update. Trends Cardiovascular Medicine, 26(4), 364–73. Available from: http://dx.doi.org/10.1016/j.tcm.2015.10.004

Guimarães, M. S. F. (2016). Prevalência e fatores associados ao abuso e provável dependência de álcool entre idosos da zona urbana do município de Uberaba-MG. Available from: http://bdtd.uftm.edu.br/handle/tede/494

Guimarães, M. S. F., & Tavares, D. M. S. (2019). Prevalence and factors associated with abuse and likely dependence of alcohol among elderly. Texto contexto – enfermagem, 28, 254. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072019000100338&tlng=en

Hess, S., Tramontini, J., &Canuto, R. (2014). Factors associated with metabolic syndrome in adults attending a nutrition outpatient clinic. Scientia Medica, 24(1), 33-38. Available from: https://www.researchgate.net/publication/273807861_Factors_associated_with_metabolic_syndrome_in_adults_attending_a_nutrition_outpatient_clinic

Hodge, A. M., English, D. R., O’Dea, K., & Giles, G. G. (2006). Alcohol intake, consumption pattern and beverage type, and the risk of Type 2 diabetes. Diabetic Medicine, 23(6), 690–697. Available from: http://dx.doi.org/10.1111/j.1464-5491.2006.01864.x

Huang, J., Wang, X., & Zhang, Y. (2017). Specific types of alcoholic beverage consumption and risk of type 2 diabetes: A systematic review and meta-analysis. Journal of Diabetes Investigation, 8(1), 56–68. Available from: http://dx.doi.org/10.1111/jdi.12537

Kahl, K. G., Greggersen, W., Schweiger, U., Cordes, J., Correll, C. U., Ristow, J., et al. (2010). Prevalence of the metabolic syndrome in men and women with alcohol dependence: results from a cross-sectional study during behavioural treatment in a controlled environment. Addiction, 105(11), 1921–7. Available from: http://dx.doi.org/10.1111/j.1360-0443.2010.03059.x

Kirkwood, B. R., & Sterne, J. A. C. (2011). Essential Medical Statistics. 2nd edition. Blackwell publishing. Journal of Renal Nursing, p. 306. Available from: http://dx.doi.org/10.12968/jorn.2011.3.6.306

Kwak, S. K, & Kim, J. H. (2017). Statistical data preparation: management of missing values and outliers. Korean Journal Anesthesiological, 70(4), 407–11. Available from: http://dx.doi.org/10.4097/kjae.2017.70.4.407

Magalhães, L. B. N. C. (2007). Consumo de álcool, sedentarismo, transtornos mentais menores e síndrome metabólica: um estudo populacional em Salvador-Bahia. Available from: http://www.repositorio.ufba.br/ri/handle/ri/10379

Magis, D., Jandrain, B., & Scheen, A. (2003). Alcool, sensibilite a l’insuline et diabete sucre. Revue Médicale de Liège, 58, 7-8. Available from: http://hdl.handle.net/2268/10449

Mattoo, S. K., Nebhinani, N., Aggarwal, M., Basu, D, & Kulhara, P. (2013). Metabolic syndrome among substance dependent men: A study from north India. Indian Psychiatry Journal Medicine, 22(1), 60–4. Available from: http://dx.doi.org/10.4103/0972-6748.123631

Mohadjer, L. M., Waksberg, J., Bell, J., James, B., Flores-Cervantes, P., et al. (1996). National Health and Nutrition Examination Survey III: Weighting and estimation methodology: executive summary. Rockville, MD: Westat, Inc: prepared for National Center for Health Statistics.

Naud, L. M., Bensenor, I. J. M., & Lotufo, P. A. (2020). Perfil lipídico e consumo de bebida alcoólica. SMAD: Revista Eletrônica Saúde Mental Álcool Drogas, 16(1), 1–9. Available from: http://www.revistas.usp.br/smad/article/view/166993

Nguyen, M., T., Ancion, A., Tridetti, J., & Lancellotti, P. (2019). Effets cardiovasculaires indesirables de l’alcool. Revue Médicale de Liège, 74, 5-6. Available from: http://hdl.handle.net/2268/238968

O’Brien, E., Mee, F., Atkins, N., & Thomas, M. (1996). Evaluation of three devices for self-measurement of blood pressure according to the revised British Hypertension Society Protocol: the Omron HEM-705CP, Philips HP5332, and Nissei DS-175. Blood Pressure Monitoring, 1(1), 55–61. Available from: https://www.ncbi.nlm.nih.gov/pubmed/10226203

Oda, E. (2018). Historical perspectives of the metabolic syndrome. Clinical in Dermatology, 36(1), 3–8. Available from: http://dx.doi.org/10.1016/j.clindermatol.2017.09.002

Pajak, A., Szafraniec, K., Kubinova, R., Malyutina, S., Peasey, A., Pikhart, H., et al. (2013). Binge drinking and blood pressure: cross-sectional results of the HAPIEE study. PLoS One, 8(6), e65856. Available from: http://dx.doi.org/10.1371/journal.pone.0065856

Park, Y. W., Zhu, S., Palaniappan, L., Heshka, S., Carnethon, M. R., & Heymsfield, S. B. (2003). The metabolic syndrome: prevalence and associated risk factor findings in the US population from the Third National Health and Nutrition Examination Survey, 1988-1994. Archives International Medidice, 163(4), 427–36. Available from: http://dx.doi.org/10.1001/archinte.163.4.427

Park, H. S., Oh, S. W., Cho, S. I., Choi, W. H., & Kim, Y. S. (2004). The metabolic syndrome and associated lifestyle factors among South Korean adults. Intenational Journal Epidemiological, 33(2), 328–36. Available from: http://dx.doi.org/10.1093/ije/dyh0324

Pedro-Botet, J., Ascaso, J. F., Barrios, V., De la Sierra, A., Escalada, J., Millán, J., et al. (2018). Cosmic project: consensus on the objectives of the metabolic syndrome in clinic. Diabetes Metabolic Syndrome and Obesity, 11, 683–97. Available from: http://dx.doi.org/10.2147/DMSO.S165740

Pereira, A. S., Shitsuka, D. M., Parreira F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica. 1. Edição. Santa Matia: UFSM, NTE.

Ramires, E. K. N. M., Menezes, R. C. E., Longo-Silva, G., Santos, T. G. D., Marinho, P. M., & Silveira, J. A. C. (2018). Prevalence and Factors Associated with Metabolic Syndrome among Brazilian Adult Population: National Health Survey - 2013. Arquivo Brasileiro de Cardiologia, 110(5), 455–66. Available from: http://dx.doi.org/10.5935/abc.20180072

Santana, N. M. T., Mill, J. G., Velasquez-Melendez, G., Moreira, A. D., Barreto, S. M., Viana, M. C., et al. (2018). Consumption of alcohol and blood pressure: Results of the ELSA-Brasil study. PLoS One, 13(1), e0190239. Available from: http://dx.doi.org/10.1371/journal.pone.0190239

Scheen, A. (2019). L’alcool, facteur protecteur ou facteur de risque pour les maladies cardiovasculaires? Revue Médicale de Liège, 74, 5-6. Available from: http://hdl.handle.net/2268/238092

Silva, E. F., Laste, G., Torres, R. L., Hidalgo, M. P. L., Stroher, R., & Torres, I. L. S. (2017). Consumo de álcool e tabaco: fator de risco para doença cardiovascular em população idosa do sul do Brasil. SDH, 5(1), 23. Available from: http://revistas.unilasalle.edu.br/index.php/saude_desenvolvimento/article/view/2339

Stephens, T., Craig, C. L., & Ferris, B. F. (1986). Adult physical activity in Canada: findings from the Canada fitness survey I and II Activite physique des adultes au Canada: resultats de l’enquete condition physique Canada I et II. Canadian Journal Public Health, 77(4), 285–95. Available from: http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=12107233

Teixeira, M. M. G., Barreto, M. L., Costa, M. C. N., Strina, A., Martins, D. J., &Prado, M. (2002). Sentinel areas: a monitoring strategy in public health. Cadernos de Saúde Publica, 18(5), 1189–95. Available from: http://dx.doi.org/10.1590/s0102-311x2002000500011

Troxel, W. M., Matthews, K. A., Gallo, L. C., & Kuller, L. H. (2005). Marital quality and occurrence of the metabolic syndrome in women. Archives International Medicine, 165(9), 1022–7. Available from: http://dx.doi.org/10.1001/archinte.165.9.1022

Vancampfort, D., Hallgren, M., Mugisha, J., De Hert, M., Probst, M., Monsieur, D., et al. (2016). The Prevalence of Metabolic Syndrome in Alcohol Use Disorders: A Systematic Review and Meta-analysis. Alcohol Alcohol, 51(5), 515–21. Available from: http://dx.doi.org/10.1093/alcalc/agw040

Vernay, M. (2004). Alcohol consumption and insulin resistance syndrome parameters: associations and evolutions in a longitudinal analysis of the French DESIR cohort. Annals of epidemiology, 14(3), 209–14. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1047279703001315

Zagonel, J. T., Ogliari, N. F, & Gemelli, A. A. (2018). Uma breve revisão sobre os benefícios e malefícios da ingestão de vinho. Evidência, 18(2), 117–30. Available from: https://portalperiodicos.unoesc.edu.br/evidencia/article/view/16982

Zimmet, P., Alberti, K. G. M. M., &Serrano, M. R. (2005). A New International Diabetes Federation (IDF) Worldwide Definition of the Metabolic Syndrome: the Rationale and the Results. Revista Española de Cardiología (English Edition), 58(12), 1371–5. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1885585706607421



How to Cite

Magalhães, L. B. N. C., Merces, M. C. das, Silva, A. dos R., Couto, P. L. S., Sarmento, I. C. ., Araújo, C. F. da S., Silva, D. O. da ., Gomes, A. M. T., Santana, A. I. C. ., Costa, A. L. B., Almeida Filho, N. M. de ., & Aquino, E. M. M. L. L. de. (2020). Álcool e Síndrome Metabólica: aplicação de um novo critério de definição para a população brasileira. Research, Society and Development, 9(9), e920997471. https://doi.org/10.33448/rsd-v9i9.7471



Health Sciences