Takechi Ryusuke, Alfonso Helman, Harrison Amy, Hiramatsu Naoko, Ishisaka Akari, Tanaka Akira, Tan La'Belle, Lee Andy H
Curtin Health Innovation Research Institute, Curtin University, Western Australia, Australia. Email:
School of Public Health, Faculty of Health Sciences, Curtin University, Western Australia, Australia.
Asia Pac J Clin Nutr. 2018;27(2):460-465. doi: 10.6133/apjcn.052017.06.
Despite the demonstrated protective effects of green tea and coffee intake against several chronic diseases, finding between studies have not been consistent. One potential reason of this discrepancy is the imprecision in the measurement of tea or coffee consumption using food frequency questionnaire (FFQ) and food record (FR) in epidemiological studies.
In a sample of 57 healthy Japanese women, intake of green tea and coffee was estimated by a validated FFQ and a 3-day FR, while their plasma and urine concentrations of polyphenol biomarkers were measured by HPLC. The polyphenols assessed included (-)-epigallocatechin gallate (EGCG), (-)-epicatechin gallate (ECG), (-)-epigallocatechin (EGC) and (-)- epicatechin (EC), caffeic acid (CA) and chlorogenic acid (CGA).
Green tea consumption estimated by FFQ and FR showed moderate association, while strong association was detected for coffee consumption. Urinary green tea polyphenol concentrations were moderately-strongly associated with FR-estimated intake, while the associations were weak with FFQ. Similarly, coffee polyphenols in urine were moderately associated with FR-estimated coffee intake, whereas FFQ showed poor correlation. The associations between urinary and plasma polyphenols ranged from moderate to high.
The results indicated that firstly, the FFQ tends to overestimate green tea intake. Secondly, the urinary polyphenols are preferred over plasma polyphenols as a potential surrogate marker of the short-term green tea and coffee intake, while their use as an indicator of long-term consumption is not reliable.
尽管已证实摄入绿茶和咖啡对多种慢性疾病具有保护作用,但不同研究的结果并不一致。造成这种差异的一个潜在原因是,在流行病学研究中,使用食物频率问卷(FFQ)和食物记录(FR)来衡量茶或咖啡的摄入量不够精确。
在57名健康日本女性样本中,通过经过验证的FFQ和3天的FR来估计绿茶和咖啡的摄入量,同时采用高效液相色谱法测量她们血浆和尿液中多酚生物标志物的浓度。评估的多酚包括(-)-表没食子儿茶素没食子酸酯(EGCG)、(-)-表儿茶素没食子酸酯(ECG)、(-)-表没食子儿茶素(EGC)和(-)-表儿茶素(EC)、咖啡酸(CA)和绿原酸(CGA)。
通过FFQ和FR估计的绿茶摄入量显示出中度相关性,而咖啡摄入量则显示出强相关性。尿液中绿茶多酚浓度与FR估计摄入量呈中度至高度相关,而与FFQ的相关性较弱。同样,尿液中的咖啡多酚与FR估计的咖啡摄入量呈中度相关,而FFQ显示出较差的相关性。尿液和血浆多酚之间的相关性从中度到高度不等。
结果表明,首先,FFQ往往高估绿茶摄入量。其次,作为短期绿茶和咖啡摄入量的潜在替代标志物,尿液多酚比血浆多酚更可取,而将其用作长期摄入量的指标并不可靠。