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咖啡与代谢表型:日本多机构合作队列(J-MICC)研究的横断面分析。

Coffee and metabolic phenotypes: A cross-sectional analysis of the Japan multi-institutional collaborative cohort (J-MICC) study.

机构信息

Department of Preventive Medicine, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.

Department of Preventive Medicine, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.

出版信息

Nutr Metab Cardiovasc Dis. 2023 Mar;33(3):620-630. doi: 10.1016/j.numecd.2022.12.019. Epub 2022 Dec 29.

Abstract

BACKGROUND AND AIMS

To date, the relationship between coffee consumption and metabolic phenotypes has hardly been investigated and remains controversial. Therefore, the aim of this cross-sectional study is to examine the associations between coffee consumption and metabolic phenotypes in a Japanese population.

METHODS AND RESULTS

We analyzed the data of 26,363 subjects (aged 35-69 years) in the baseline survey of the Japan Multi-Institutional Collaborative Cohort Study. Coffee consumption was assessed using a questionnaire. Metabolic Syndrome (MetS) was defined according to the Joint Interim Statement Criteria of 2009, using body mass index (BMI) instead of waist circumference. Subjects stratified by the presence or absence of obesity (normal weight: BMI <25 kg/m; obesity: BMI ≥25 kg/m) were classified by the number of MetS components (metabolically healthy: no components; metabolically unhealthy: one or more components) other than BMI. In multiple logistic regression analyses adjusted for sex, age, and other potential confounders, high coffee consumption (≥3 cups/day) was associated with a lower prevalence of MetS and metabolically unhealthy phenotypes both in normal weight (OR 0.83, 95% CI 0.76-0.90) and obese subjects (OR 0.83, 95% CI 0.69-0.99). Filtered/instant coffee consumption was inversely associated with the prevalence of MetS and metabolically unhealthy phenotypes, whereas canned/bottled/packed coffee consumption was not.

CONCLUSION

The present results suggest that high coffee consumption, particularly filtered/instant coffee, is inversely associated with the prevalence of metabolically unhealthy phenotypes in both normal weight and obese Japanese adults.

摘要

背景与目的

迄今为止,咖啡消费与代谢表型之间的关系几乎没有得到研究,并且仍然存在争议。因此,本横断面研究的目的是在日本人群中检查咖啡消费与代谢表型之间的关联。

方法和结果

我们分析了日本多机构合作队列研究基线调查中 26363 名受试者(年龄 35-69 岁)的数据。使用问卷评估咖啡消费。代谢综合征(MetS)根据 2009 年联合临时声明标准定义,使用体重指数(BMI)代替腰围。根据是否存在肥胖(正常体重:BMI<25kg/m;肥胖:BMI≥25kg/m)对受试者进行分层,并根据除 BMI 以外的 MetS 成分数量(代谢健康:无成分;代谢不健康:一个或多个成分)进行分类。在调整性别、年龄和其他潜在混杂因素的多因素逻辑回归分析中,高咖啡消费(≥3 杯/天)与正常体重(OR 0.83,95%CI 0.76-0.90)和肥胖受试者(OR 0.83,95%CI 0.69-0.99)中 MetS 和代谢不健康表型的患病率较低相关。过滤/速溶咖啡的消费与 MetS 和代谢不健康表型的患病率呈负相关,而罐装/瓶装/包装咖啡的消费则不然。

结论

本研究结果表明,高咖啡消费,特别是过滤/速溶咖啡,与日本正常体重和肥胖成年人中代谢不健康表型的患病率呈负相关。

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