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咖啡消费与 ELSA-Brasil 研究中血脂谱的关系:代谢组学方法。

Association between coffee consumption with serum lipid profile in ELSA-Brasil study: a metabolomic approach.

机构信息

Department of Nutrition, School of Public Health, University of São Paulo, Sao Paulo, SP, Brazil.

Departamento de Nutrição, Faculdade de Saúde Pública, University of São Paulo, Av. Dr. Arnaldo, 715, Cerqueira César, São Paulo, SP, 01246-904, Brasil.

出版信息

Eur J Nutr. 2022 Dec;61(8):4205-4214. doi: 10.1007/s00394-022-02946-4. Epub 2022 Jul 27.

Abstract

PURPOSE

This study evaluated the association between coffee consumption and serum lipid profile in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).

METHODS

This is a cross-sectional study on baseline data from participants of the cohort ELSA-Brasil. Only participants of São Paulo Research Center who underwent a nuclear magnetic resonance (NMR) spectroscopy examination of lipid profile were included (N = 4736). Coffee intake was categorized into four categories (cups/day, in reference cup size of 50 mL, which is the household measure adopted in Brazil): never/almost never, ≤ 1, 1-3, and > 3. Serum lipid profile [i.e., Total Cholesterol (TC), Total Triglycerides (TG), Very Low-Density Lipoprotein-cholesterol (VLDL-c), Low-Density Lipoprotein-cholesterol (LDL-c), High-Density Lipoprotein-cholesterol (HDL-c), Triglyceride-rich Lipoprotein Particles (TRLP) and subfractions particles] was analyzed. To estimate the effect of coffee consumption on serum lipid profile, multivariate Generalized Linear Models were performed.

RESULTS

Compared to participants who never or almost never drink coffee, individuals who consumed more than 3 cups/day showed an increase in concentrations of TC (β: 4.13; 95% CI 0.81, 7.45), TG (β: 9.53; 95% CI 1.65, 17.42), VLDL-c (β: 1.90; 95% CI 0.38, 3.42), TRLP (β: 8.42; 95% CI 1.24, 15.60), and Very Small-TRLP and Medium-TRLP subfractions (β: 7.36; 95% CI 0.21, 14.51; β: 2.53; 95% CI 0.89, 4.16, respectively), but not with HDL-c and LDL-c. Among individuals with low (≤ 1 cup/day) and moderate (1-3 cups/day) coffee consumption, no significant associations with lipids was observed.

CONCLUSION

High coffee consumption (more than 3 cups per day) was associated with an increase in serum lipids, namely TC, TG, VLDL-c, and TRL particles, highlighting the importance of a moderate consumption of this beverage.

摘要

目的

本研究评估了咖啡消费与巴西成年人健康纵向研究(ELSA-Brasil)中血清脂质谱之间的关联。

方法

这是一项基于 ELSA-Brasil 队列基线数据的横断面研究。仅纳入了圣保罗研究中心接受脂质谱核磁共振(NMR)光谱检查的参与者(N=4736)。咖啡摄入量分为四个类别(杯/天,参考杯大小为 50 毫升,这是巴西采用的家庭测量单位):从不/几乎不喝,≤1,1-3 和>3。分析了血清脂质谱[即总胆固醇(TC)、总甘油三酯(TG)、极低密度脂蛋白胆固醇(VLDL-c)、低密度脂蛋白胆固醇(LDL-c)、高密度脂蛋白胆固醇(HDL-c)、甘油三酯丰富的脂蛋白颗粒(TRLP)和亚组分颗粒]。为了估计咖啡消费对血清脂质谱的影响,进行了多变量广义线性模型分析。

结果

与从不或几乎不喝咖啡的参与者相比,每天饮用超过 3 杯咖啡的个体 TC(β:4.13;95%CI 0.81,7.45)、TG(β:9.53;95%CI 1.65,17.42)、VLDL-c(β:1.90;95%CI 0.38,3.42)、TRLP(β:8.42;95%CI 1.24,15.60)和非常小 TRLP 和中 TRLP 亚组分(β:7.36;95%CI 0.21,14.51;β:2.53;95%CI 0.89,4.16)的浓度增加,但与 HDL-c 和 LDL-c 无关。在低(≤1 杯/天)和中(1-3 杯/天)咖啡摄入量的个体中,与脂质无显著关联。

结论

高咖啡消耗(每天超过 3 杯)与血清脂质增加有关,即 TC、TG、VLDL-c 和 TRL 颗粒,这突出了适度饮用这种饮料的重要性。

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