Cardiovascular Epidemiology Research Unit, Beth Israel Deaconess Medical Center, Boston, MA, USA Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Department of Cardiology, Aalborg University Hospital, Denmark Unit of Clinical Biostatistics, Aalborg University Hospital, Denmark.
Eur J Prev Cardiol. 2016 Jun;23(9):922-30. doi: 10.1177/2047487315624524. Epub 2015 Dec 23.
There have been discrepant findings on whether coffee consumption is associated with the rate of developing atrial fibrillation (AF).
We used data on 57,053 participants (27,178 men and 29,875 women) aged 50-64 years in the Danish Diet, Cancer and Health study. All participants provided information on coffee intake via food-frequency questionnaires at baseline. Incident AF was identified using nationwide registries. During a median follow-up of 13.5 years, 3415 AF events occurred. Compared with no intake, coffee consumption was inversely associated with AF incidence, with multivariable-adjusted hazard ratios of 0.93 (95% confidence interval [CI] 0.74-1.15) for more than none to <1 cup/day, 0.88 (95% CI 0.71-1.10) for 1 cup/day, 0.86 (95% CI 0.71-1.04) for 2-3 cups/day, 0.84 (95% CI 0.69-1.02) for 4-5 cups/day, 0.79 (95% CI 0.64-0.98) for 6-7 cups/day and 0.79 (95% CI 0.63-1.00) for >7 cups/day (p-linear trend = 0.02).
In this large population-based cohort study, higher levels of coffee consumption were associated with a lower rate of incident AF.
关于咖啡摄入是否与心房颤动(AF)的发生速度有关,存在不一致的发现。
我们使用了丹麦饮食、癌症和健康研究中 57053 名参与者(27178 名男性和 29875 名女性)的数据,年龄在 50-64 岁之间。所有参与者在基线时通过食物频率问卷提供了关于咖啡摄入量的信息。通过全国性登记册确定了房颤的发生情况。在中位数为 13.5 年的随访期间,发生了 3415 例房颤事件。与不摄入相比,咖啡摄入与房颤发生率呈负相关,多变量调整后的危险比分别为 0.93(95%置信区间 0.74-1.15),超过无摄入至<1 杯/天,0.88(95%置信区间 0.71-1.10),1 杯/天,0.86(95%置信区间 0.71-1.04),2-3 杯/天,0.84(95%置信区间 0.69-1.02),4-5 杯/天,0.79(95%置信区间 0.64-0.98),6-7 杯/天,0.79(95%置信区间 0.63-1.00),>7 杯/天(p 线性趋势=0.02)。
在这项大型基于人群的队列研究中,较高的咖啡摄入量与较低的房颤发生率相关。