Yang Yanhua, Xiang Lili, He Jianhua
Department of Gastroenterology, The Central Hospital of Enshi Autonomous Prefecture, Enshi, China.
Medicine (Baltimore). 2019 May;98(21):e15795. doi: 10.1097/MD.0000000000015795.
Epidemiological studies were controversial in the association between beverage intake and risk of Crohn disease (CD). This study aimed to investigate the role of beverage intake in the development of CD. A systematic search was conducted in public databases to identify all relevant studies, and study-specific relative risks (RRs) and 95% confidence intervals (CIs) were pooled using a random-effects model. Sixteen studies were identified with a total of 130,431 participants and 1933 CD cases. No significant association was detected between alcohol intake and CD risk (RR for the highest vs the lowest consumption level: 0.85, 95% CI 0.68-1.08), and coffee intake and the risk (RR 0.82, 95% CI 0.46-1.46). High intake of soft drinks was associated with CD risk (RR 1.42, 95% CI 1.01-1.98), and tea intake was inversely associated with CD risk (RR 0.70, 95% CI 0.53-0.93). In conclusion, high intake of soft drinks might increase the risk of CD, whereas tea intake might decrease the risk.
关于饮料摄入与克罗恩病(CD)风险之间的关联,流行病学研究存在争议。本研究旨在探讨饮料摄入在CD发病过程中的作用。我们在公共数据库中进行了系统检索,以识别所有相关研究,并使用随机效应模型汇总各研究的特定相对风险(RR)和95%置信区间(CI)。共识别出16项研究,涉及130431名参与者和1933例CD病例。未发现酒精摄入与CD风险之间存在显著关联(最高摄入量与最低摄入量水平的RR:0.85,95%CI 0.68 - 1.08),也未发现咖啡摄入与风险之间存在显著关联(RR 0.82,95%CI 0.46 - 1.46)。高软饮料摄入量与CD风险相关(RR 1.42,95%CI 1.01 - 1.98),而茶摄入量与CD风险呈负相关(RR 0.70,95%CI 0.53 - 0.93)。总之,高软饮料摄入量可能会增加CD风险,而茶摄入量可能会降低风险。