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酒精类型、咖啡和茶的摄入与死亡率的关联:英国生物库参与者的前瞻性队列研究。

Association of alcohol types, coffee and tea intake with mortality: prospective cohort study of UK Biobank participants.

机构信息

Institute of Nutritional Science, Justus-Liebig University of Giessen, Giessen35390, Germany.

Mathematical Institute, Justus-Liebig University of Giessen, Giessen35392, Germany.

出版信息

Br J Nutr. 2023 Jan 14;129(1):115-125. doi: 10.1017/S000711452200040X. Epub 2022 Feb 3.

Abstract

The present study examines how alcohol intake from wine and non-wine alcoholic beverages (non-wine) in g/d, as well as cups of coffee and tea included as continuous covariates and mutually adjusted are associated with all-cause, cancer, non-cancer and CVD mortality. Consumption was assessed in 354 386 participants of the UK Biobank cohort who drank alcohol at least occasionally and survived at least 2 years after baseline with 20 201 deaths occurring over 4·2 million person-years. Hazard ratios (HR) for mortality were assessed with Cox proportional hazard regression models and beverage intake fitted as penalised cubic splines. A significant U-shaped association was detected between wine consumption and all-cause, non-cancer and CVD mortality. Wine consumption with lowest risk of death (nadir) ranged from 19 to 23 g alcohol/d in all participants and both sexes separately. In contrast, non-wine intake was significantly and positively associated in a dose-dependent manner with all mortality types studied except for CVD in females and with the nadir between 0 and 12 g alcohol/d. In all participants, the nadir for all-cause mortality was 2 cups coffee/d with non-coffee drinkers showing a slightly increased risk of death. Tea consumption was significantly and negatively associated with all mortality types in both sexes. Taken together, light to moderate consumption of wine but not non-wine is associated with decreased all-cause and non-cancer mortality. A minor negative association of coffee consumption with mortality cannot be excluded whereas tea intake is associated with a consistently decreased risk of all mortality types studied.

摘要

本研究探讨了每天摄入葡萄酒和非葡萄酒(非酒)酒精饮料(g/d)以及咖啡和茶摄入量(作为连续协变量和相互调整)与全因、癌症、非癌症和心血管疾病死亡率的关系。该研究评估了英国生物库队列中至少偶尔饮酒且在基线后至少存活 2 年的 354386 名参与者的饮酒情况,在 420 万个人年中发生了 20201 例死亡。使用 Cox 比例风险回归模型评估死亡率的风险比 (HR),并使用惩罚三次样条拟合饮料摄入量。在全因、非癌症和心血管疾病死亡率方面,检测到葡萄酒摄入量与死亡率之间呈显著的 U 型关联。在所有参与者和男女组中,葡萄酒摄入量最低(风险最低)与死亡风险相关的范围为 19-23 g/d。相比之下,非酒摄入量与所有研究的死亡率类型呈显著的剂量依赖性正相关,除了女性的心血管疾病和男性和女性的风险最低值在 0-12 g/d 之间。在所有参与者中,全因死亡率的风险最低值为每天 2 杯咖啡,不喝咖啡的人死亡风险略有增加。在两性中,茶的摄入量与所有死亡率类型均呈显著负相关。总的来说,适量饮用葡萄酒但不饮用非葡萄酒与全因和非癌症死亡率降低有关。不能排除咖啡摄入与死亡率的轻微负相关,而饮茶与所有研究的死亡率类型呈一致的降低风险相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93e1/9816653/1577dc699dbe/S000711452200040X_fig1.jpg

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