Hypertension

Blood Pressure After Changes in Light-to-Moderate Alcohol Consumption in Women and Men: Longitudinal Japanese Annual Checkup Analysis

J Am Coll CardiolPublished Retrospective cohort study

Authors' conclusion

Even at low levels, drinking was associated with higher BP, and cessation was associated with lower BP in both sexes.

Study context

Population
Adults undergoing annual health checkups at a Japanese preventive medicine center, October 2012 to March 2024
Participants
58,943 adults359,717 visits
Exposure
Alcohol cessation or initiation vs unchanged consumption
  • Cessationn = 25,621
  • Initiationn = 31,532
Outcome
Change in systolic blood pressure (SBP) and diastolic blood pressure (DBP) between consecutive visits after alcohol cessation/initiation
Follow-up
Between consecutive visits
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

BP change after alcohol cessation, by sex and dose
Estimate (95% CI)
Women, cessation 0.5–1.0 drinks/day
SBP change −0.44 mm Hg(−0.93 to 0.06)
Women, cessation 0.5–1.0 drinks/day
DBP change −0.41 mm Hg(−0.77 to −0.05)
Women, cessation 1.0–2.0 drinks/day
SBP change −0.78 mm Hg(−1.53 to −0.04)
Women, cessation 1.0–2.0 drinks/day
DBP change −1.14 mm Hg(−1.68 to −0.61)
Men, cessation 0.5–1.0 drinks/day
SBP change −0.27 mm Hg(−0.81 to 0.27)
Men, cessation 0.5–1.0 drinks/day
DBP change −0.39 mm Hg(−0.77 to 0.01)
Men, cessation 1.0–2.0 drinks/day
SBP change −1.03 mm Hg(−1.70 to −0.35)
Men, cessation 1.0–2.0 drinks/day
DBP change −1.62 mm Hg(−2.11 to −1.12)

Observational data: associations, not effects.

Further findings

Blood pressure (BP) change after alcohol initiation

Dose-dependent increases in BP after initiation, direction consistent across sexes
  • Initiation cohort: 128,552 visits, median age 50.0 years, 70.4% women

BP change by beverage type

Similar BP effects regardless of alcohol type in both cohorts

Original publication

Blood Pressure After Changes in Light-to-Moderate Alcohol Consumption in Women and Men: Longitudinal Japanese Annual Checkup Analysis. J Am Coll Cardiol. Published 22 October 2025. doi:10.1016/j.jacc.2025.09.018

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