Impact of Alcohol Consumption Frequency and Tobacco Use on Blood Pressure (DBP, SBP, HR): A Cross-Sectional Study

Authors

  • Jatheender kumar
  • Flora Ukoli
  • Emmanuel Adediran
  • Lisa Watson
  • Unjanae Johnson
  • Lisa Sherden
  • Chike Nzerue
  • Dontal Johnson
  • Adrian Samuels

Keywords:

Hypertension, Systolic Blood pressure, Diastolic blood pressure, heart rate, smoking, alcohol

Abstract

Alcohol consumption has been associated with higher blood pressure (BP) and an increased risk of developing chronic hypertension; however, the possible exposure thresholds and effect-modifiers are uncertain. A positive response relationship exists between smoking and hypertension, too, and both combined can result in detrimental health effects. This pilot project conducted BP screenings at community events, food drive events, and church community services around Davidson County in Nashville, Tennessee, from May 2025 to July 31, 2025. From the data, the study explored the correlation of smoking and alcohol consumption and its effect on Systolic Blood Pressure (SBP), Diastolic Blood Pressure (DBP), and Heart Rate (HR). One hundred sixty-seven participants completed BP screenings at four public housing communities of Metropolitan Development Housing Authority (MDHA), three religious settings, i.e., community church, and two health fairs. Then, the study utilized generalized linear models to assess the association between alcohol consumption and tobacco use on BP measures. There were no significant associations between combined patterns of alcohol consumption and smoking on SBP, DBP, or HR. However, tobacco use alone was associated with a ninefold increase in HR, compared to non-users. Future studies should consider smoking patterns (e.g., daily versus occasional smoking), types (e.g., vaping versus cigarette use), and a larger population cohort to validate these results.

Author Biographies

  • Jatheender kumar

    Postdoctoral fellow, Department of Surgery Meharry Medical College Nashville, TN, USA. 2025

  • Flora Ukoli

    Professor, Department of surgery and PI for Community Team Lifestyle Immersion Program for control of chronic disease prevention and control Meharry Medical College Nashville, TN USA. 2025

References

[1]. S. Tasnim, C. Tang, V. M. Musini, J. M. Wright. Effect of alcohol on blood

Pressure, “Cochrane Database Syst Rev,” 2020;7:CD012787. doi: 10.1002/14651858.CD012787

[2]. World Health Organization. Alcohol. 2023. Accessed Feb 2024. https://www.who.int/health-topics/alcohol#tab=tab_1

[3]. D. L. Lucas, R. A. Brown, M. Wassef M, Giles TD. Alcohol and the cardiovascular system: research challenges and opportunities, “J Am Coll Cardiol,” 2005; 45:1916–1924. doi: 10.1016/j.jacc.2005.02.075

[4]. F. D. Fuchs, S. C. Fuchs. The effect of alcohol on blood pressure and hypertension, “Curr Hypertens Rep. 2021; 23:42. doi: 10.1007/s11906-021-01160-7

[5]. M. Roerecke, S. W. Tobe, J. Kaczorowski , S. L. Bacon, A. Vafaei, O. S. M. Hasan, R. J. Krishnan, A. O. Raifu, J. Rehm. Sex-specific associations between alcohol consumption and incidence of hypertension: a systematic review and meta-analysis of cohort studies, “J Am Heart Assoc,” 2018;7: e008202. doi: 10.1161/JAHA.117.008202

[6]. M. G. Yoo, K. J. Park, H. J. Kim, H. B. Jang, H. J. Lee, S. I. Park. Association between alcohol intake and incident hypertension in the Korean population, “ Alcohol,” 2019; 77:19–25. doi: 10.1016/j.alcohol.2018.09.002

[7]. P. M. Miller, R. F. Anton, B. M. Egan, J. Basile, S. A. Nguyen. Excessive Alcohol Consumption and Hypertension: Clinical Implications of Current Research, “J. Clin. Hypertension,” 2005, 7, 346–351.

[8]. M. Roerecke, J. Kaczorowski, S. W. Tobe, G. Gmel, O. S. M. Hasan, J. Rehm. The effect of a reduction in alcohol consumption on blood pressure: A systematic review and meta-analysis,” Lancet Public Health,” 2017, 2, e108–e120.

[9]. A. Linneberg, R. K. Jacobsen, T. Skaaby, A. E. Taylor, M. E. Fluharty, J. L. Jeppesen, J. H. Bjorngaard, B. O. Åsvold,, M. E. Gabrielsen, A. Campbell et al. Effect of Smoking on Blood Pressure and Resting Heart Rate: A Mendelian Randomization Meta-Analysis in the CARTA Consortium,” Circ. Cardiovasc. Genet,” 2015, 8, 832–841.

[10]. A. Leone. Smoking and hypertension: Independent or additive effects to determining vascular damage? “Curr. Vascular. Pharmacology,” 2011, 9, 585–593.

[11]. L. Landini, A. Leone. Smoking and hypertension: Effects on clinical, biochemical and pathological variables due to isolated or combined action on cardiovascular system, “Curr. Pharm,” Dec 2011, 17, 2987–3001.

[12]. P. Sleight. Smoking and hypertension. “Clin. Exp. Hypertension,” 1993, 15, 1181–1192.

[13]. A. Jacobs, M. Pieters, A. E. Schutte. The association of PAI-1 with 24 h blood pressure in young healthy adults is influenced by smoking and alcohol use: The African-PREDICT study. “Nutrition. Metabolic. Cardiovasc. Disease,” 2020, 30, 2063–2071.

[14]. A. Groppelli, D. M. A. Giorgi, S. Omboni, G. Parati, G. Mancia. Persistent blood pressure increases, induced by heavy smoking,”Journal of Hypertension,” 1992, 10, 495–499.

[15]. K. A. Perkins, L. H. Epstein, J. R. Jennings, R. Stiller. The cardiovascular effects of nicotine during stress, “Psychopharmacology,” 1986, 90, 373–378.

[16]. E. Kékes, A. Paksy, V. Baracsi-Botos, V. B. Sz˝oke, Z. Járai. The combined effect of regular alcohol consumption and smoking on blood pressure and on the achievement of blood pressure target values in treated hypertensive patients. “Orv. Hetil,” 2020, 161, 1252–1259.

[17]. T. Nagao, K. Nogawa, K. Sakata, H. Morimoto, K. Morita, Y. Watanabe, Y. Suwazono. Effects of Alcohol Consumption and Smoking on the Onset of Hypertension in a Long-Term Longitudinal Study in a Male Workers' Cohort, “Int J Environ Res Public Health,”. 2021 Nov 10;18(22):11781. doi: 10.3390/ijerph182211781. PMID: 34831535; PMCID: PMC8619602.

[18]. F. Ukoli, J. Kumar, C. Nzerue C, et al. Research Design and Methods in Community Team Lifestyle Immersion Program for Chronic Disease Prevention and Control. “Int J Sci Basic Appl Res IJSBAR,” 2025;77(1):213-225.

[19] A. Linneberg, R. K. Jacobsen, T. Skaaby et al. Effect of Smoking on Blood Pressure and Resting Heart Rate: A Mendelian Randomization Meta-Analysis in the CARTA Consortium, ”Circ Cardiovasc Genet,” 2015;8(6):832-841. doi:10.1161/CIRCGENETICS.115.001225

[20]. M. T. Cooney, E. Vartiainen, T. Laatikainen, A. Joulevi, A. Dudina, I. Graham. Simplifying cardiovascular risk estimation using resting heart rate. Eur Heart J. 2010;31:2141–2147. doi: 10ehq164.

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Published

2025-09-16

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How to Cite

Jatheender kumar, Flora Ukoli, Emmanuel Adediran, Lisa Watson, Unjanae Johnson, Lisa Sherden, Chike Nzerue, Dontal Johnson, & Adrian Samuels. (2025). Impact of Alcohol Consumption Frequency and Tobacco Use on Blood Pressure (DBP, SBP, HR): A Cross-Sectional Study. International Journal of Sciences: Basic and Applied Research (IJSBAR), 78(1), 69-77. https://www.gssrr.org/JournalOfBasicAndApplied/article/view/17575