Department of Preventive Medicine, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima, Japan.
Eur J Clin Nutr. 2013 Oct;67(10):1109-14. doi: 10.1038/ejcn.2013.132. Epub 2013 Jul 17.
BACKGROUND/OBJECTIVES: Studies on the associations between coffee and green tea consumption and arterial stiffness are rare. This study evaluated the possible relationships between coffee and green tea consumption and brachial-ankle pulse wave velocity (ba-PWV) values in Japanese men.
SUBJECTS/METHODS: In total, 540 eligible men who enrolled in the baseline survey of a cohort study in Tokushima Prefecture, Japan, and who underwent ba-PWV measurement were analyzed. Information about lifestyle characteristics including coffee and green tea intake were obtained from a structural self-administered questionnaire. Multiple linear regression analyses were used to evaluate the associations between coffee and green tea consumption and ba-PWV.
Subjects with greater coffee consumption were younger and showed higher proportions of current smoking and alcohol consumption. Subjects with greater green tea consumption were older and showed lower proportions of current smoking and alcohol consumption. Greater coffee consumption was significantly inversely associated with ba-PWV after the adjustment for probable covariates, including serum low-density lipoprotein cholesterol and high-density lipoprotein cholesterol (P for trend =0.031). After additional adjustment for serum triglycerides, this inverse association persisted, but was somewhat attenuated (P for trend =0.050). In contrast, green tea consumption was not associated with ba-PWV.
Coffee consumption was inversely associated with arterial stiffness independent of known atherosclerotic risk factors, and this association was partly mediated by reduced circulating triglycerides. Further prospective or interventional studies are needed to confirm the causal association.
背景/目的:关于咖啡和绿茶消费与动脉僵硬之间关联的研究较少。本研究评估了日本男性中咖啡和绿茶消费与肱踝脉搏波速度(ba-PWV)值之间可能存在的关系。
研究对象/方法:共分析了日本德岛县队列研究基线调查中 540 名符合条件并接受 ba-PWV 测量的男性。通过结构自填问卷获得了包括咖啡和绿茶摄入量在内的生活方式特征信息。采用多元线性回归分析评估了咖啡和绿茶消费与 ba-PWV 之间的关联。
咖啡摄入量较大的受试者年龄较小,且当前吸烟和饮酒的比例较高。绿茶摄入量较大的受试者年龄较大,且当前吸烟和饮酒的比例较低。在调整了可能的混杂因素(包括血清低密度脂蛋白胆固醇和高密度脂蛋白胆固醇)后,咖啡摄入量与 ba-PWV 呈显著负相关(趋势 P=0.031)。在进一步调整了血清甘油三酯后,这种负相关仍然存在,但略有减弱(趋势 P=0.050)。相比之下,绿茶消费与 ba-PWV 无关。
咖啡消费与动脉僵硬呈负相关,与已知的动脉粥样硬化风险因素独立相关,这种关联部分是通过降低循环甘油三酯介导的。需要进一步的前瞻性或干预性研究来证实这种因果关系。