The relationship between binge drinking and metabolic syndrome components amongst young adults aged 21 to 31 years: Ellisras longitudinal study

Kotsedi Daniel Monyeki, Hlengani James Siweya, Han C.G. Kemper, Andre P. Kengne, Geofrey Musinguzi, Mbelegem Rosina Nkwana, Tebogo Mothiba, Tumiso Malatji, Shisana M.A. Baloyi, Rambelani Malema, Lloyd Leach, Moloko Matshipi, Ramakgahlela Betty Sebati, Mohlago Ablonia Seloka, Eliot Sibuyi, Suzan Mafoloa Monyeki

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Background: Evidence is lacking on the effects of binge alcohol consumption on metabolic syndrome in the rural South African population. The purpose of this study was to investigate the association between binge drinking and components of metabolic syndrome (MetS) amongst Ellisras rural young adults aged 21 to 31 years who are part of the Ellisras Longitudinal Study. Methods: Logistic regression analysis was applied to a total of 624 participants (306 males and 318 females) aged 21 to 31 years who took part in the Ellisras Longitudinal Study (ELS). The model was adjusted for covariates, including smoking, age, and gender. Binge alcohol consumption was assessed using a standardised questionnaire that was validated for the Ellisras rural community. A standardised method of determining the components MetS was used after fasting blood samples were collected from all the participants. Results: Binge drinking remained significantly associated with low levels of high-density lipoprotein cholesterol (HDL-C) (OR = 2.64, 95% CI = 1.23–5.65), after being adjusted for smoking, age, and gender. Other MetS components were not predicted. Instead, gender remained significantly associated with all MetS components, except triglycerides, at multivariate analysis. Age retained significance at multivariate analysis with waist girth (OR = 2.13, 95% CI = 1.37–3.34), triglycerides (OR = 2.30, 95% CI = 1.05–5.02), and the MetS composite (OR = 1.65, 95% CI = 1.12–2.41). Conclusion: Binge drinking was significantly associated with lower levels of HDL-C. Future studies should investigate the relationship between alcohol abuse and the components of incident MetS in this population.

Original languageEnglish
Article number7484
Pages (from-to)1-11
Number of pages11
JournalInternational journal of environmental research and public health
Issue number20
Publication statusPublished - 2 Oct 2020


  • Binge drinking
  • Diabetes
  • Hypertension
  • Metabolic syndrome
  • Overweight
  • Young adult

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