咖啡饮用与美国中老年人骨质疏松和骨量减少的几率:NHANES 2005-2014 的横断面研究。
Coffee Drinking and the Odds of Osteopenia and Osteoporosis in Middle-Aged and Older Americans: A Cross-Sectional Study in NHANES 2005-2014.
机构信息
Department of Endocrinology and Metabolism, Zhongshan Hospital, and Fudan Institute for Metabolic Diseases, Fudan University, Shanghai, 200032, China.
Institute of Metabolism and Integrative Biology, Fudan University, Shanghai, 200438, China.
出版信息
Calcif Tissue Int. 2024 Apr;114(4):348-359. doi: 10.1007/s00223-024-01184-6. Epub 2024 Feb 17.
The study investigates the association of coffee consumption and odds of osteoporosis/osteopenia among individuals older than 50 years in the United States. In NHANES 2005-2014, drinking ≤ 2 cups(16 oz) of coffee per day can reduce the risk of osteoporosis/osteopenia at the femoral neck and lumbar spine in US adults. Previous epidemiological studies revealed that daily coffee intake reduced the incidence of a cluster of metabolic diseases, however, the link between coffee consumption and prevalence of osteoporosis/osteopenia still remain inconclusive and awaits further confirmation. Based on data collection from 2005 to 2014 survey cycles, National Health and Nutrition Examination Survey (NHANES), a sample size of 8789 participants aged 50 and above completing two nonconsecutive 24-h dietary recalls were eventually enrolled for analysis. Associations between coffee intake and BMD were assessed. A lower odds of having femoral neck osteopenia/osteoporosis (FOO) was observed in participants with moderate intake of coffee (≤ 2 cups per day), rather than other beverages (OR 0.83; 95% CI, 0.72-0.95; p = 0.01). Moreover, significant associations existed between daily caffeine intake and both FOO and lumbar-spine osteopenia/osteoporosis (LOO). Even after adjusting for decaffeinated coffee, tea, sugar-sweetened beverages (SSBs), and coffee consumption, osteopenia and osteoporosis the odds remained lower at both femoral and neck levels. Our data suggest moderate habitual coffee intake (≤ 2 cups coffee/day) would have protective effects against osteoporosis/osteopenia of femoral neck and spine, among US adults over the age of 50.
该研究调查了美国 50 岁以上人群中咖啡消费与骨质疏松/骨量减少风险的关系。在 NHANES 2005-2014 研究中,每天饮用≤2 杯(16 盎司)咖啡可以降低美国成年人股骨颈和腰椎骨质疏松/骨量减少的风险。先前的流行病学研究表明,每天喝咖啡可以降低一系列代谢疾病的发病率,但咖啡摄入与骨质疏松/骨量减少患病率之间的联系仍不确定,需要进一步证实。基于 2005 年至 2014 年调查周期的数据分析,美国国家健康与营养调查(NHANES)共纳入 8789 名年龄在 50 岁及以上的参与者,他们完成了两次非连续的 24 小时膳食回忆,最终纳入分析。评估了咖啡摄入量与 BMD 之间的关系。与其他饮料相比,适量饮用咖啡(≤每天 2 杯)的参与者发生股骨颈骨质疏松/骨量减少(FOO)的几率较低(OR 0.83;95%CI,0.72-0.95;p=0.01)。此外,每日咖啡因摄入量与股骨颈和腰椎骨质疏松/骨量减少(LOO)之间存在显著关联。即使在调整了脱咖啡因咖啡、茶、含糖饮料(SSBs)和咖啡摄入量后,股骨颈和腰椎的骨质疏松和骨量减少的几率仍然较低。我们的数据表明,习惯性适量饮用咖啡(≤每天 2 杯咖啡)可能对美国 50 岁以上成年人的股骨颈和脊柱骨质疏松/骨量减少具有保护作用。