Shirlow M J, Berry G, Stokes G
Epidemiology and Biostatistics Section, School of Public Health and Tropical Medicine, Faculty of Medicine, University of Sydney, NSW, Australia.
Int J Epidemiol. 1988 Mar;17(1):90-7. doi: 10.1093/ije/17.1.90.
A cross-sectional survey of 5147 Australians attending a health screening clinic was conducted to determine if there was an association between habitual consumption of caffeine, or particular caffeine-containing beverages, and blood pressure. The average caffeine consumption of the study population was 240 mg/day. Caffeine consumption within the last three hours was found to be associated with significantly higher mean systolic and diastolic blood pressure in both sexes after controlling for age, adiposity, first degree relatives with hypertension, serum cholesterol level, alcohol consumption and tobacco smoking. Mean systolic and diastolic blood pressures differed significantly by 4 mmHg and 2 mmHg respectively for both males and females between those who had consumed caffeine within the last three hours and those who had not consumed it within the last nine hours (p less than 0.01). Average caffeine consumption per day was not associated with blood pressure in either sex after controlling for time since caffeine consumption. Logistic regression analysis was used to estimate the relative risk of high blood pressure (treated and untreated) for the groups consuming and not consuming caffeine in the last three hours. This relative risk was significantly greater than unity in females only (p less than 0.05). After controlling for time since caffeine consumption, caffeine consumption per day was not associated with significantly increased risk of high blood pressure.
对5147名前往健康筛查诊所的澳大利亚人进行了一项横断面调查,以确定习惯性摄入咖啡因或特定含咖啡因饮料与血压之间是否存在关联。研究人群的平均咖啡因摄入量为每天240毫克。在控制了年龄、肥胖、有高血压的一级亲属、血清胆固醇水平、饮酒和吸烟等因素后,发现过去三小时内摄入咖啡因与男女两性的平均收缩压和舒张压显著升高有关。在过去三小时内摄入咖啡因的人和过去九小时内未摄入咖啡因的人之间,男性和女性的平均收缩压和舒张压分别相差4毫米汞柱和2毫米汞柱,差异有统计学意义(p<0.01)。在控制了自摄入咖啡因后的时间因素后,无论男女,每天的平均咖啡因摄入量与血压均无关联。采用逻辑回归分析来估计过去三小时内摄入和未摄入咖啡因的人群患高血压(已治疗和未治疗)的相对风险。仅在女性中,这种相对风险显著大于1(p<0.05)。在控制了自摄入咖啡因后的时间因素后,每天的咖啡因摄入量与高血压风险显著增加无关。