Cochrane · systematic review · CD012787

Effect of alcohol on blood pressure

Tasnim, S, Tang, C, Musini, VM, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

HypertensionAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
21
current version
GRADE rated
21
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 9 · 42.9%Moderate 12 · 57.1%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Effect of high‐dose alcohol compared to placebo

Population: adult participants
9 questions
OutcomeEffectEvidenceStatus / GRADE
Systolic blood pressure ‐ ≤ 6 hours
Effect of high‐dose alcohol vs placebo
no estimate extracted16 studies · 418 participantsModerate
Downgraded: risk of bias, imprecision
Systolic blood pressure ‐ 7 to 12 hours
Effect of high‐dose alcohol vs placebo
no estimate extracted3 studies · 54 participantsModerate
Downgraded: risk of bias, imprecision
Systolic blood pressure ‐ ≥ 13 hours
Effect of high‐dose alcohol vs placebo
no estimate extracted4 studies · 154 participantsModerate
Downgraded: risk of bias, imprecision
Diastolic blood pressure ‐ ≤ 6 hours
Effect of high‐dose alcohol vs placebo
no estimate extracted14 studies · 350 participantsLow
Downgraded: risk of bias, imprecision
Diastolic blood pressure ‐ 7 to 12 hours
Effect of high‐dose alcohol vs placebo
no estimate extracted5 studies · 54 participantsLow
Downgraded: risk of bias, imprecision
Diastolic blood pressure ‐ ≥ 13 hours
Effect of high‐dose alcohol vs placebo
no estimate extracted4 studies · 154 participantsModerate
Downgraded: risk of bias, imprecision
Heart rate ‐ ≤ 6 hours
Effect of high‐dose alcohol vs placebo
no estimate extracted17 studies · 495 participantsModerate
Downgraded: risk of bias, imprecision
Heart rate ‐ 7 to 12 hours
Effect of high‐dose alcohol vs placebo
no estimate extracted7 studies · 144 participantsModerate
Downgraded: risk of bias, imprecision
Heart rate ‐ ≥ 13 hours
Effect of high‐dose alcohol vs placebo
no estimate extracted8 studies · 244 participantsModerate
Downgraded: risk of bias, imprecision

Effect of medium‐dose alcohol compared to placebo

Population: adult participants
9 questions
OutcomeEffectEvidenceStatus / GRADE
Systolic blood pressure ‐ ≤ 6 hours
Effect of medium‐dose alcohol vs placebo
no estimate extracted10 studies · 149 participantsModerate
Downgraded: risk of bias, imprecision
Systolic blood pressure ‐ 7 to 12 hours
Effect of medium‐dose alcohol vs placebo
no estimate extracted54 participantsLow
Downgraded: risk of bias, imprecision
Systolic blood pressure ‐ ≥ 13 hours
Effect of medium‐dose alcohol vs placebo
no estimate extracted5 studies · 66 participantsLow
Downgraded: risk of bias, imprecision
Diastolic blood pressure ‐ ≤ 6 hours
Effect of medium‐dose alcohol vs placebo
no estimate extracted10 studies · 149 participantsModerate
Downgraded: risk of bias, imprecision
Diastolic blood pressure ‐ 7 to 12 hours
Effect of medium‐dose alcohol vs placebo
no estimate extracted4 studies · 54 participantsLow
Downgraded: risk of bias, imprecision
Diastolic blood pressure ‐ ≥ 13 hours
Effect of medium‐dose alcohol vs placebo
no estimate extracted5 studies · 66 participantsModerate
Downgraded: risk of bias, imprecision
Heart rate ‐ ≤ 6 hours
Effect of medium‐dose alcohol vs placebo
no estimate extracted12 studies · 181 participantsModerate
Downgraded: risk of bias, imprecision
Heart rate ‐ 7 to 12 hours
Effect of medium‐dose alcohol vs placebo
no estimate extracted4 studies · 54 participantsLow
Downgraded: risk of bias, imprecision
Heart rate ‐ > 13 hours
Effect of medium‐dose alcohol vs placebo
no estimate extracted3 studies · 36 participantsLow
Downgraded: risk of bias, imprecision

Effect of low‐dose alcohol compared to placebo

Population: adult participants
3 questions
OutcomeEffectEvidenceStatus / GRADE
Systolic blood pressure ‐ ≤ 6 hours
Effect of low‐dose alcohol vs placebo
no estimate extracted2 studies · 28 participantsLow
Downgraded: risk of bias
Diastolic blood pressure ‐ ≤ 6 hours
Effect of low‐dose alcohol vs placebo
no estimate extracted28 participantsLow
Downgraded: risk of bias
Heart rate ‐ ≤ 6 hours
Effect of low‐dose alcohol vs placebo
no estimate extracted2 studies · 28 participantsModerate
Downgraded: risk of bias