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咖啡新出现的健康益处,重点关注2型糖尿病和心血管疾病

The Emerging Health Benefits of Coffee with an Emphasis on Type 2 Diabetes and Cardiovascular Disease.

作者信息

Bidel Siamak, Tuomilehto Jaakko

机构信息

National institute for Health and Welfare and Hjelt institute, University of Helsinki, Finland.

Centre for Vascular Prevention, Danube-University Krems, Austria; Red RECAVA Grupo, Hospital Universitario La Paz, Madrid, Spain; King Abdulaziz University, Jeddah, Saudi Arabia; Department of Public Health, University of Helsinki, Finland.

出版信息

Eur Endocrinol. 2013 Aug;9(2):99-106. doi: 10.17925/EE.2013.09.02.99. Epub 2013 Aug 23.

Abstract

Debate persists whether coffee is beneficial or problematic for human health. Coffee consumption has been associated with a decrease in risk of developing type 2 diabetes, and numerous epidemiological studies have demonstrated that healthy, habitual coffee drinkers are more protected from the risk of contracting diabetes than individuals who do not drink coffee. Coffee consumption has been associated with a reduced incidence of impaired glucose tolerance, hyperglycaemia and insulin sensitivity. Data suggest that several coffee components, such as chlorogenic acids, are involved in the health benefits of coffee. Various mechanisms for this protective effect have been proposed, including effects on incretin release, liver glucose metabolism and insulin sensitivity. Epidemiological data support numerous other health benefits for coffee, including reduced cardiovascular disease (CVD), a protective effect against some neurodegenerative conditions, a favourable effect on liver function and a protective effect against certain cancers These associations are based mainly on observational studies and are currently insufficient to recommend coffee consumption as an interventional strategy for risk reduction in type 2 diabetes and other metabolic diseases While excessive consumption can have adverse effects on some conditions, particularly in terms of sleep quality, these effects vary among individuals and most people do not have any symptoms from coffee drinking. Moderate coffee consumption is associated with no or little risk of severe diseases and may offer substantial health benefits. Thus, coffee is a safe, low-energy beverage and suitable for most adult people.

摘要

咖啡对人类健康是有益还是有害,目前仍存在争议。饮用咖啡与降低患2型糖尿病的风险有关,大量流行病学研究表明,长期健康饮用咖啡的人比不喝咖啡的人更不容易患糖尿病。饮用咖啡与糖耐量受损、高血糖和胰岛素敏感性降低的发生率降低有关。数据表明,咖啡的几种成分,如绿原酸,对咖啡的健康益处有影响。人们提出了多种产生这种保护作用的机制,包括对肠促胰岛素释放、肝脏葡萄糖代谢和胰岛素敏感性的影响。流行病学数据支持咖啡对健康的许多其他益处,包括降低心血管疾病(CVD)风险、对某些神经退行性疾病的保护作用、对肝功能的有利影响以及对某些癌症的保护作用。这些关联主要基于观察性研究,目前还不足以推荐将饮用咖啡作为降低2型糖尿病和其他代谢性疾病风险的干预策略。虽然过量饮用咖啡可能会对某些情况产生不利影响,特别是在睡眠质量方面,但这些影响因人而异,大多数人喝咖啡没有任何症状。适量饮用咖啡与患严重疾病的风险无关或风险很小,并且可能带来 substantial health benefits。因此,咖啡是一种安全、低热量的饮料,适合大多数成年人。 (注:原文中“substantial health benefits”直译为“大量健康益处”,结合语境,这里可理解为“诸多健康益处”,但为了忠实原文,未做修改。)

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