Johnson-Kozlow Marilyn, Kritz-Silverstein Donna, Barrett-Connor Elizabeth, Morton Deborah
Department of Family and Preventive Medicine, University of California, San Diego, La Jolla 92093, USA.
Am J Epidemiol. 2002 Nov 1;156(9):842-50. doi: 10.1093/aje/kwf119.
This study examined the association of caffeinated and decaffeinated coffee intake with cognitive function in a community-based sample of older adults in 1988-1992. Participants were 890 women with a mean age of 72.6 years and 638 men with a mean age of 73.3 years from the Rancho Bernardo Study. Cognitive function was assessed by 12 standardized tests, and lifetime consumption and current coffee consumption were obtained by questionnaire. After adjustment for confounders, higher lifetime coffee consumption in women was associated with better (p < or = 0.05) performance on six of 12 tests, with a trend (p < or = 0.10) on two other cognitive function tests; current caffeinated coffee intake was associated with better performance on two tests (p < 0.05), with a trend (p < 0.10) on one other test. Among women aged 80 or more years, lifetime coffee intake was nonsignificantly associated with better performance on 11 of the 12 tests. No relation was found between coffee intake and cognitive function among men or between decaffeinated coffee intake and cognitive function in either sex. Lifetime and current exposure to caffeine may be associated with better cognitive performance among women, especially among those aged 80 or more years.
本研究在1988 - 1992年对一个以社区为基础的老年人样本进行了调查,以探究含咖啡因咖啡和脱咖啡因咖啡的摄入量与认知功能之间的关联。参与者来自兰乔贝纳多研究,其中有890名平均年龄为72.6岁的女性和638名平均年龄为73.3岁的男性。通过12项标准化测试评估认知功能,并通过问卷调查获取终生咖啡摄入量和当前咖啡摄入量。在对混杂因素进行调整后,女性较高的终生咖啡摄入量与12项测试中的6项表现较好(p≤0.05)相关,在另外两项认知功能测试中有一定趋势(p≤0.10);当前含咖啡因咖啡摄入量与两项测试中的较好表现相关(p < 0.05),在另一项测试中有一定趋势(p < 0.10)。在80岁及以上的女性中,终生咖啡摄入量与12项测试中的11项表现较好无显著关联。在男性中未发现咖啡摄入量与认知功能之间的关系,在任何性别中也未发现脱咖啡因咖啡摄入量与认知功能之间的关系。终生和当前接触咖啡因可能与女性更好的认知表现相关,尤其是在80岁及以上的女性中。