Skip to main content
Erschienen in: European Journal of Applied Physiology 6/2007

01.12.2007 | Original Article

External mechanical compression reduces regional arterial stiffness

verfasst von: Kevin S. Heffernan, David G. Edwards, Lindy Rossow, Sae Young Jae, Bo Fernhall

Erschienen in: European Journal of Applied Physiology | Ausgabe 6/2007

Einloggen, um Zugang zu erhalten

Abstract

Acute aerobic and resistance exercise has been shown to reduce local muscular artery stiffness in the exercised limb while having no effect on the non-exercised limb. The stimulus for these modulations may be related to local muscular compression of underlying vasculature. The purpose of this study was to examine arterial stiffness before and after a series of locally applied external mechanical compressions designed to be similar to the resistance exercise concentric/eccentric duty cycle. One rapidly inflatable cuff was placed around the upper thigh and another around the calf of the left leg in 18 healthy, young (24 ± 1 years) participants (female n = 10). Cuffs were inflated to a supra-systolic pressure of 200 mmHg for 4 s followed by a 2-s rapid deflation period. One “set” consisted of 12 inflation/deflation cycles. Six sets of 12 compression cycles were performed. Pulse wave velocity (PWV) was used to measure central stiffness (carotid to femoral) and peripheral stiffness (femoral to dorsalis pedis of both legs) before and 10 min after mechanical compressions. No change was found in central PWV (6.2 ± 0.3 m/s to 6.3 ± 0.3 m/s, P > 0.05). Peripheral PWV in the non-compressed leg did not change (8.5 ± 0.4 m/s to 8.3 ± 0.4 m/s, P > 0.05) while peripheral PWV in the compressed leg significantly decreased from pre to 10 min post (8.6 ± 0.3 m/s to 7.6 ± 0.3 m/s, P < 0.05). External compression reduced local artery stiffness of the compressed limb while having no effect on arterial stiffness of the non-compressed limb or central artery stiffness.
Literatur
Zurück zum Zitat ACSM’s Guidelines for Exercise Testing and Prescription (2006) Lippincott Williams and Wilkins: Baltimore MD ACSM’s Guidelines for Exercise Testing and Prescription (2006) Lippincott Williams and Wilkins: Baltimore MD
Zurück zum Zitat Balon TW, Nadler JL (1994) Nitric oxide release is present from incubated skeletal muscle preparations. J Appl Physiol 77:2519–2521PubMed Balon TW, Nadler JL (1994) Nitric oxide release is present from incubated skeletal muscle preparations. J Appl Physiol 77:2519–2521PubMed
Zurück zum Zitat Bank AJ, Kaiser DR (1998) Smooth muscle relaxation: effects on arterial compliance, distensibility, elastic modulus, and pulse wave velocity. Hypertension 32(2):356–359PubMed Bank AJ, Kaiser DR (1998) Smooth muscle relaxation: effects on arterial compliance, distensibility, elastic modulus, and pulse wave velocity. Hypertension 32(2):356–359PubMed
Zurück zum Zitat Bank AJ, Wilson RF, Kubo SH, Holte JE, Dresing TJ, Wang H (1995) Direct effects of smooth muscle relaxation and contraction on in vivo human brachial artery elastic properties. Circ Res 77:1008–1016PubMed Bank AJ, Wilson RF, Kubo SH, Holte JE, Dresing TJ, Wang H (1995) Direct effects of smooth muscle relaxation and contraction on in vivo human brachial artery elastic properties. Circ Res 77:1008–1016PubMed
Zurück zum Zitat Barcroft H, Millen JLE (1939) The blood flow through muscle during sustained contraction. J Physiol (Lond) 97:17–31 Barcroft H, Millen JLE (1939) The blood flow through muscle during sustained contraction. J Physiol (Lond) 97:17–31
Zurück zum Zitat Bochmann RP, Seibel W, Haase E, Hietschold V, Rodel H, Deussen A (2005) External compression increases forearm perfusion. J Appl Physiol 99:2337–2344PubMedCrossRef Bochmann RP, Seibel W, Haase E, Hietschold V, Rodel H, Deussen A (2005) External compression increases forearm perfusion. J Appl Physiol 99:2337–2344PubMedCrossRef
Zurück zum Zitat Chen LE, Liu K, Qi WN, Joneschild E, Tan X, Seaber AV, Stamler JS, Urbaniak JR (2002) Role of nitric oxide in vasodilation in upstream muscle during intermittent pneumatic compression. J Appl Physiol 92:559–566PubMed Chen LE, Liu K, Qi WN, Joneschild E, Tan X, Seaber AV, Stamler JS, Urbaniak JR (2002) Role of nitric oxide in vasodilation in upstream muscle during intermittent pneumatic compression. J Appl Physiol 92:559–566PubMed
Zurück zum Zitat Clifford PS, Kluess HA, Hamann JJ, Buckwalter JB, Jasperse JL (2006) Mechanical compression elicits vasodilation in rat skeletal muscle feed arteries. J Physiol 572:561–567PubMedCrossRef Clifford PS, Kluess HA, Hamann JJ, Buckwalter JB, Jasperse JL (2006) Mechanical compression elicits vasodilation in rat skeletal muscle feed arteries. J Physiol 572:561–567PubMedCrossRef
Zurück zum Zitat Cortez-Cooper MY, DeVan AE, Anton MM, Farrar RP, Beckwith KA, Todd JS, Tanaka H (2005) Effects of high intensity resistance training on arterial stiffness and wave reflection in women. Am J Hypertens 18:930–934PubMedCrossRef Cortez-Cooper MY, DeVan AE, Anton MM, Farrar RP, Beckwith KA, Todd JS, Tanaka H (2005) Effects of high intensity resistance training on arterial stiffness and wave reflection in women. Am J Hypertens 18:930–934PubMedCrossRef
Zurück zum Zitat DeVan AE, Anton MM, Cook JN, Neidre DB, Cortez-Cooper MY, Tanaka H (2005) Acute effects of resistance exercise on arterial compliance. J Appl Physiol 98:2287–2291PubMedCrossRef DeVan AE, Anton MM, Cook JN, Neidre DB, Cortez-Cooper MY, Tanaka H (2005) Acute effects of resistance exercise on arterial compliance. J Appl Physiol 98:2287–2291PubMedCrossRef
Zurück zum Zitat Friden J, Sfakianos PN, Hargens AR (1986) Muscle soreness and intramuscular fluid pressure: comparison between eccentric and concentric load. J Appl Physiol 61:2175–2179PubMed Friden J, Sfakianos PN, Hargens AR (1986) Muscle soreness and intramuscular fluid pressure: comparison between eccentric and concentric load. J Appl Physiol 61:2175–2179PubMed
Zurück zum Zitat Gaffney FA, Sjøgaard G, Saltin B (1990) Cardiovascular and metabolic responses to static contraction in man. Acta Physiol Scand 138:249–258PubMedCrossRef Gaffney FA, Sjøgaard G, Saltin B (1990) Cardiovascular and metabolic responses to static contraction in man. Acta Physiol Scand 138:249–258PubMedCrossRef
Zurück zum Zitat Gray SD, Carlsson E, Staub NC (1967) Site of increased vascular resistance during isometric muscle contraction. Am J Physiol 213:683–689PubMed Gray SD, Carlsson E, Staub NC (1967) Site of increased vascular resistance during isometric muscle contraction. Am J Physiol 213:683–689PubMed
Zurück zum Zitat Green DJ, Maiorana A, O’Driscoll G, Taylor R (2004) Effect of exercise training on endothelium-derived nitric oxide function in humans. J Physiol 561:1–25PubMedCrossRef Green DJ, Maiorana A, O’Driscoll G, Taylor R (2004) Effect of exercise training on endothelium-derived nitric oxide function in humans. J Physiol 561:1–25PubMedCrossRef
Zurück zum Zitat Hayashi K, Miyachi M, Seno N, Takahashi K, Yamazaki K, Sugawara J, Yokoi T, Onodera S, Mesaki N (2006) Variations in carotid arterial compliance during the menstrual cycle in young women. Exp Physiol 91:465–472PubMedCrossRef Hayashi K, Miyachi M, Seno N, Takahashi K, Yamazaki K, Sugawara J, Yokoi T, Onodera S, Mesaki N (2006) Variations in carotid arterial compliance during the menstrual cycle in young women. Exp Physiol 91:465–472PubMedCrossRef
Zurück zum Zitat Heffernan KS, Rossow L, Jae SY, Shokunbi H, Gibson B, Fernhall B (2006) Effect of single leg resistance exercise on regional arterial stiffness. Eur J Appl Physiol 98:185–190PubMedCrossRef Heffernan KS, Rossow L, Jae SY, Shokunbi H, Gibson B, Fernhall B (2006) Effect of single leg resistance exercise on regional arterial stiffness. Eur J Appl Physiol 98:185–190PubMedCrossRef
Zurück zum Zitat Heffernan KS, Collier SR, Kelly EE, Jae SY, Fernhall B (2007a) Arterial stiffness and baroreflex sensitivity following bouts of aerobic and resistance exercise. Int J Sports Med 28:197–203PubMedCrossRef Heffernan KS, Collier SR, Kelly EE, Jae SY, Fernhall B (2007a) Arterial stiffness and baroreflex sensitivity following bouts of aerobic and resistance exercise. Int J Sports Med 28:197–203PubMedCrossRef
Zurück zum Zitat Heffernan KS, Jae SY, Echols G, Lepine N, Fernhall B (2007b) Arterial stiffness and wave reflection following exercise in resistance trained men. Med Sci Sports Exerc 39:842–848PubMedCrossRef Heffernan KS, Jae SY, Echols G, Lepine N, Fernhall B (2007b) Arterial stiffness and wave reflection following exercise in resistance trained men. Med Sci Sports Exerc 39:842–848PubMedCrossRef
Zurück zum Zitat Jasperse JL, Laughlin MH (2006) Endothelial function and exercise training: evidence from studies using animal models. Med Sci Sports Exerc 38:445–454PubMedCrossRef Jasperse JL, Laughlin MH (2006) Endothelial function and exercise training: evidence from studies using animal models. Med Sci Sports Exerc 38:445–454PubMedCrossRef
Zurück zum Zitat Joyner MJ (2000) Effect of exercise on arterial compliance. Circulation 102:1214–1215PubMed Joyner MJ (2000) Effect of exercise on arterial compliance. Circulation 102:1214–1215PubMed
Zurück zum Zitat Kinlay S, Creager MA, Fukumoto M, Hikita H, Fang JC, Selwyn AP, Ganz P (2001) Endothelium-derived nitric oxide regulates arterial elasticity in human arteries in vivo. Hypertension 38:1049–1053PubMedCrossRef Kinlay S, Creager MA, Fukumoto M, Hikita H, Fang JC, Selwyn AP, Ganz P (2001) Endothelium-derived nitric oxide regulates arterial elasticity in human arteries in vivo. Hypertension 38:1049–1053PubMedCrossRef
Zurück zum Zitat Kirby BS, Markwald RR, Smith EG, Dinenno FA (2005) Mechanical effects of muscle contraction do not blunt sympathetic vasoconstriction in humans. Am J Physiol Heart Circ Physiol 289:H1610–H1617PubMedCrossRef Kirby BS, Markwald RR, Smith EG, Dinenno FA (2005) Mechanical effects of muscle contraction do not blunt sympathetic vasoconstriction in humans. Am J Physiol Heart Circ Physiol 289:H1610–H1617PubMedCrossRef
Zurück zum Zitat Kobzik L, Stringer B, Balligand JL, Reid MB, Stamler JS (1995) Endothelial type nitric oxide synthase in skeletal muscle fibers: mitochondrial relationships. Biochem Biophys Res Commun 211:375–381PubMedCrossRef Kobzik L, Stringer B, Balligand JL, Reid MB, Stamler JS (1995) Endothelial type nitric oxide synthase in skeletal muscle fibers: mitochondrial relationships. Biochem Biophys Res Commun 211:375–381PubMedCrossRef
Zurück zum Zitat Lemogoum D, Flores G, Van den Abeele W, Ciarka A, Leeman M, Degaute JP, van de Borne P, Van Bortel L (2004) Validity of pulse pressure and augmentation index as surrogate measures of arterial stiffness during beta-adrenergic stimulation. J Hypertens 22:511–517PubMedCrossRef Lemogoum D, Flores G, Van den Abeele W, Ciarka A, Leeman M, Degaute JP, van de Borne P, Van Bortel L (2004) Validity of pulse pressure and augmentation index as surrogate measures of arterial stiffness during beta-adrenergic stimulation. J Hypertens 22:511–517PubMedCrossRef
Zurück zum Zitat Liu K, Chen LE, Seaber AV, Urbaniak JR (1999a) Influences of inflation rate and duration on vasodilatory effect by intermittent pneumatic compression in distant skeletal muscle. J Orthop Res 17:415–420PubMedCrossRef Liu K, Chen LE, Seaber AV, Urbaniak JR (1999a) Influences of inflation rate and duration on vasodilatory effect by intermittent pneumatic compression in distant skeletal muscle. J Orthop Res 17:415–420PubMedCrossRef
Zurück zum Zitat Liu K, Chen LE, Seaber AV, Johnson GW, Urbaniak JR (1999b) Intermittent pneumatic compression of legs increases microcirculation in distant skeletal muscle. J Orthop Res 17:88–95PubMedCrossRef Liu K, Chen LE, Seaber AV, Johnson GW, Urbaniak JR (1999b) Intermittent pneumatic compression of legs increases microcirculation in distant skeletal muscle. J Orthop Res 17:88–95PubMedCrossRef
Zurück zum Zitat Morris RJ, Woodcock JP (2002) Effects of supine intermittent compression on arterial inflow to the lower limb. Arch Surg 137:1269–1273PubMedCrossRef Morris RJ, Woodcock JP (2002) Effects of supine intermittent compression on arterial inflow to the lower limb. Arch Surg 137:1269–1273PubMedCrossRef
Zurück zum Zitat Morris RJ, Woodcock JP (2004) Intermittent venous compression, and the duration of hyperaemia in the common femoral artery. Clin Physiol Funct Imaging 24:237–242PubMedCrossRef Morris RJ, Woodcock JP (2004) Intermittent venous compression, and the duration of hyperaemia in the common femoral artery. Clin Physiol Funct Imaging 24:237–242PubMedCrossRef
Zurück zum Zitat Nichols WW, Edwards DG (2001) Arterial elastance and wave reflection augmentation of systolic blood pressure: deleterious effects and implications for therapy. J Cardiovasc Pharmacol Ther 6:5–21PubMedCrossRef Nichols WW, Edwards DG (2001) Arterial elastance and wave reflection augmentation of systolic blood pressure: deleterious effects and implications for therapy. J Cardiovasc Pharmacol Ther 6:5–21PubMedCrossRef
Zurück zum Zitat Nichols WW, O’Rourke MF (2005) McDonald’s blood flow in arteries: theoretical, experimental, and clinical principles. London, UK: Arnold; pp 92, 377 Nichols WW, O’Rourke MF (2005) McDonald’s blood flow in arteries: theoretical, experimental, and clinical principles. London, UK: Arnold; pp 92, 377
Zurück zum Zitat Pickering TG, Hall JE, Appel LJ, Falkner BE, Graves J, Hill MN, Jones DW, Kurtz T, Sheps SG, Roccella EJ, Subcommittee of Professional, Public Education of the American Heart Association Council on High Blood Pressure Research (2005) Recommendations for blood pressure measurement in humans and experimental animals: Part 1: blood pressure measurement in humans: a statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Hypertension 45:142–161PubMed Pickering TG, Hall JE, Appel LJ, Falkner BE, Graves J, Hill MN, Jones DW, Kurtz T, Sheps SG, Roccella EJ, Subcommittee of Professional, Public Education of the American Heart Association Council on High Blood Pressure Research (2005) Recommendations for blood pressure measurement in humans and experimental animals: Part 1: blood pressure measurement in humans: a statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Hypertension 45:142–161PubMed
Zurück zum Zitat Rowell LB (1993) Human cardiovascular control. Oxford University Press: New York Rowell LB (1993) Human cardiovascular control. Oxford University Press: New York
Zurück zum Zitat Sadamoto T, Bonde-Petersen F, Suzuki Y (1983) Skeletal muscle tension, flow, pressure, and EMG during sustained isometric contractions in humans. Eur J Appl Physiol Occup Physiol 51:395–408PubMedCrossRef Sadamoto T, Bonde-Petersen F, Suzuki Y (1983) Skeletal muscle tension, flow, pressure, and EMG during sustained isometric contractions in humans. Eur J Appl Physiol Occup Physiol 51:395–408PubMedCrossRef
Zurück zum Zitat Schmitt M, Avolio A, Qasem A, McEniery CM, Butlin M, Wilkinson IB, Cockcroft JR (2005) Basal NO locally modulates human iliac artery function in vivo. Hypertension 46:227–231PubMedCrossRef Schmitt M, Avolio A, Qasem A, McEniery CM, Butlin M, Wilkinson IB, Cockcroft JR (2005) Basal NO locally modulates human iliac artery function in vivo. Hypertension 46:227–231PubMedCrossRef
Zurück zum Zitat Sejersted OM, Hargens AR, Kardel KR, Blom P, Jensen O, Hermansen L (1984) Intramuscular fluid pressure during isometric contraction of human skeletal muscle. J Appl Physiol 56:287–295PubMed Sejersted OM, Hargens AR, Kardel KR, Blom P, Jensen O, Hermansen L (1984) Intramuscular fluid pressure during isometric contraction of human skeletal muscle. J Appl Physiol 56:287–295PubMed
Zurück zum Zitat Sugawara J, Otsuki T, Tanabe T, Maeda S, Kuno S, Ajisaka R, Matsuda M (2003) The effects of low-intensity single-leg exercise on regional arterial stiffness. Jpn J Physiol 53:239–241PubMedCrossRef Sugawara J, Otsuki T, Tanabe T, Maeda S, Kuno S, Ajisaka R, Matsuda M (2003) The effects of low-intensity single-leg exercise on regional arterial stiffness. Jpn J Physiol 53:239–241PubMedCrossRef
Zurück zum Zitat Sugawara J, Maeda S, Otsuki T, Tanabe T, Ajisaka R, Matsuda M (2004) Effects of nitric oxide synthase inhibitor on decrease in peripheral arterial stiffness with acute low-intensity aerobic exercise. Am J Physiol Heart Circ Physiol 287:H2666–H2669PubMedCrossRef Sugawara J, Maeda S, Otsuki T, Tanabe T, Ajisaka R, Matsuda M (2004) Effects of nitric oxide synthase inhibitor on decrease in peripheral arterial stiffness with acute low-intensity aerobic exercise. Am J Physiol Heart Circ Physiol 287:H2666–H2669PubMedCrossRef
Zurück zum Zitat Tan X, Qi WN, Gu X, Urbaniak JR, Chen LE (2006) Intermittent pneumatic compression regulates expression of nitric oxide synthases in skeletal muscles. J Biomech 39:2430–2437PubMedCrossRef Tan X, Qi WN, Gu X, Urbaniak JR, Chen LE (2006) Intermittent pneumatic compression regulates expression of nitric oxide synthases in skeletal muscles. J Biomech 39:2430–2437PubMedCrossRef
Zurück zum Zitat Tschakovsky ME, Shoemaker JK, Hughson RL (1996) Vasodilation and muscle pump contribution to immediate exercise hyperemia. Am J Physiol 271:H1697–H1701PubMed Tschakovsky ME, Shoemaker JK, Hughson RL (1996) Vasodilation and muscle pump contribution to immediate exercise hyperemia. Am J Physiol 271:H1697–H1701PubMed
Zurück zum Zitat Van Bortel LM, Duprez D, Starmans-Kool MJ (2002) Clinical applications of arterial stiffness, task force III: recommendations for user procedures. Am J Hypertension 15:445–452CrossRef Van Bortel LM, Duprez D, Starmans-Kool MJ (2002) Clinical applications of arterial stiffness, task force III: recommendations for user procedures. Am J Hypertension 15:445–452CrossRef
Zurück zum Zitat Wilkinson IB, Fuchs SA, Jansen IM, Spratt JC, Murray GD, Cockcroft JR, Webb DJ (1998) Reproducibility of pulse wave velocity and augmentation index measured by pulse wave analysis. J Hypertens 16:2079–2084PubMedCrossRef Wilkinson IB, Fuchs SA, Jansen IM, Spratt JC, Murray GD, Cockcroft JR, Webb DJ (1998) Reproducibility of pulse wave velocity and augmentation index measured by pulse wave analysis. J Hypertens 16:2079–2084PubMedCrossRef
Zurück zum Zitat Wilkinson IB, Qasem A, McEniery CM, Webb DJ, Avolio AP, Cockcroft JR (2002) Nitric oxide regulates local arterial distensibility in vivo. Circulation 105:213–217PubMedCrossRef Wilkinson IB, Qasem A, McEniery CM, Webb DJ, Avolio AP, Cockcroft JR (2002) Nitric oxide regulates local arterial distensibility in vivo. Circulation 105:213–217PubMedCrossRef
Zurück zum Zitat Willekes C, Hoogland HJ, Keizer HA, Hoeks AP, Reneman RS (1997) Female sex hormones do not influence arterial wall properties during the normal menstrual cycle. Clin Sci (Lond) 92:487–491 Willekes C, Hoogland HJ, Keizer HA, Hoeks AP, Reneman RS (1997) Female sex hormones do not influence arterial wall properties during the normal menstrual cycle. Clin Sci (Lond) 92:487–491
Zurück zum Zitat Willekes C, Hoogland HJ, Keizer HA, Hoeks AP, Reneman RS (1999) Three months use of third-generation oral contraceptives does not affect artery wall properties. Ultrasound Med Biol 25:723–728PubMedCrossRef Willekes C, Hoogland HJ, Keizer HA, Hoeks AP, Reneman RS (1999) Three months use of third-generation oral contraceptives does not affect artery wall properties. Ultrasound Med Biol 25:723–728PubMedCrossRef
Zurück zum Zitat Williams MR, Westerman RA, Kingwell BA, Paige J, Blombery PA, Sudhir K, Komesaroff PA (2001) Variations in endothelial function and arterial compliance during the menstrual cycle. J Clin Endocrinol Metab 86:5389–5395PubMedCrossRef Williams MR, Westerman RA, Kingwell BA, Paige J, Blombery PA, Sudhir K, Komesaroff PA (2001) Variations in endothelial function and arterial compliance during the menstrual cycle. J Clin Endocrinol Metab 86:5389–5395PubMedCrossRef
Metadaten
Titel
External mechanical compression reduces regional arterial stiffness
verfasst von
Kevin S. Heffernan
David G. Edwards
Lindy Rossow
Sae Young Jae
Bo Fernhall
Publikationsdatum
01.12.2007
Verlag
Springer-Verlag
Erschienen in
European Journal of Applied Physiology / Ausgabe 6/2007
Print ISSN: 1439-6319
Elektronische ISSN: 1439-6327
DOI
https://doi.org/10.1007/s00421-007-0550-4

Weitere Artikel der Ausgabe 6/2007

European Journal of Applied Physiology 6/2007 Zur Ausgabe

Neu im Fachgebiet Arbeitsmedizin

Elterliches Belastungserleben, Unaufmerksamkeits‑/Hyperaktivitätssymptome und elternberichtete ADHS bei Kindern und Jugendlichen: Ergebnisse aus der KiGGS-Studie

Open Access ADHS Leitthema

Die Aufmerksamkeitsdefizit‑/Hyperaktivitätsstörung (ADHS) ist eine der häufigsten psychischen Störungen im Kindes- und Jugendalter [ 1 ]. In Deutschland beträgt die Prävalenz einer elternberichteten ADHS-Diagnose bei Kindern und Jugendlichen 4,4 % …

Substanzkonsum und Nutzung von sozialen Medien, Computerspielen und Glücksspielen unter Auszubildenden an beruflichen Schulen

Open Access Leitthema

Die Begrenzung von Schäden durch Substanzkonsum und andere abhängige Verhaltensweisen von Jugendlichen und jungen Erwachsenen ist ein wichtiges Anliegen der öffentlichen Gesundheit. Der Übergang von der Adoleszenz zum jungen Erwachsenenalter ist …

Berufsbelastung und Stressbewältigung von weiblichen und männlichen Auszubildenden

Leitthema

In der Öffentlichkeit wird die berufliche Ausbildung oftmals unter ökonomischen Gesichtspunkten diskutiert: Mit den geburtenstarken Jahrgängen gehen erfahrene Fachkräfte in Rente und von nachfolgenden Generationen rücken zu wenige Arbeitskräfte …

Rauschtrinken in der frühen Adoleszenz

COVID-19 Leitthema

Alkohol ist in Deutschland die mit Abstand am häufigsten konsumierte psychoaktive Substanz. Mehr als 2 Drittel aller Erwachsenen im Alter von 18 bis 64 Jahren (70,5 %) hat 2021 in den letzten 30 Tagen Alkohol konsumiert [ 1 ]. Von diesen …