Division of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, Sendai 980-8575, Japan.
J Nutr. 2010 May;140(5):1007-13. doi: 10.3945/jn.109.109314. Epub 2010 Mar 24.
Coffee contains various compounds that have recently been reported to exert beneficial health effects. However, the conclusion of its relation with mortality has not yet been reached. In this study, we aimed to investigate the associations between coffee consumption and all-cause and cause-specific mortality in Japan. We included 37,742 participants (18,287 men and 19,455 women) aged 40-64 y without a history of cancer, myocardial infarction, or stroke at baseline in our analysis, based on the Miyagi Cohort Study initiated in 1990. The outcomes were mortality due to all causes, cardiovascular disease (CVD), and cancer. During the 10.3 y of follow-up, 2454 participants died, including 426 due to CVD and 724 due to cancer. In women, the multivariate hazard ratios (HR) (95% CI) for all-cause mortality in participants who drank coffee never, occasionally, 1-2 cups (150-300 mL)/d, and > or =3 cups/d were 1.00, 0.88 (0.73-1.06), 0.82 (0.66-1.02), and 0.75 (0.53-1.05), respectively (P-trend = 0.04). For CVD mortality in women, the multivariate HR (95% CI) were 1.00, 0.56 (0.36-0.86), 0.48 (0.29-0.80), and 0.45 (0.20-1.03), respectively (P-trend = 0.006). Of the specific CVD diseases, there was a strong inverse association between coffee consumption and mortality due to coronary heart disease (CHD) in women (P-trend = 0.02) but not in men. Death due to cancer was not associated with coffee consumption in either men or women, except for colorectal cancer in women. Our results suggest that coffee may have favorable effects on morality due to all causes and to CVD, especially CHD, in women.
咖啡含有各种化合物,最近有报道称这些化合物对健康有益。然而,关于咖啡与死亡率之间的关系尚未得出结论。在这项研究中,我们旨在调查日本人群中咖啡摄入与全因和特定原因死亡率之间的关系。我们根据 1990 年启动的宫城县队列研究,在分析中纳入了 37742 名参与者(男性 18287 名,女性 19455 名),这些参与者在基线时没有癌症、心肌梗死或中风病史。结局是全因死亡率、心血管疾病(CVD)死亡率和癌症死亡率。在 10.3 年的随访期间,有 2454 名参与者死亡,其中 426 名死于 CVD,724 名死于癌症。在女性中,从不喝咖啡、偶尔喝咖啡(150-300 毫升/天)、喝 1-2 杯咖啡/天和喝≥3 杯咖啡/天的参与者全因死亡率的多变量风险比(HR)(95%CI)分别为 1.00、0.88(0.73-1.06)、0.82(0.66-1.02)和 0.75(0.53-1.05)(P 趋势=0.04)。对于女性的 CVD 死亡率,多变量 HR(95%CI)分别为 1.00、0.56(0.36-0.86)、0.48(0.29-0.80)和 0.45(0.20-1.03)(P 趋势=0.006)。在特定的 CVD 疾病中,女性中咖啡摄入与冠心病(CHD)死亡率之间呈负相关(P 趋势=0.02),但在男性中无相关性。男性和女性的咖啡摄入量与癌症死亡率均无相关性,但女性的结直肠癌除外。我们的结果表明,咖啡可能对女性的全因死亡率和 CVD 死亡率,尤其是 CHD 死亡率有有利影响。