Department of Family Medicine, Division of General Internal Medicine, Department of Medicine, Peking Union Medical College Hospital, State Key Laboratory of Complex Severe and Rare Diseases, Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, Beijing, 100730, China.
Eur J Nutr. 2024 Aug;63(5):1705-1718. doi: 10.1007/s00394-024-03367-1. Epub 2024 May 4.
Metabolic syndrome (MetS) is a clinical syndrome characterized by multiple metabolic disorders and is a serious global health problem. The coffee effect, acting as one of the most prevalent beverages on metabolic syndrome, is debatable.
We included patients from the National Health and Nutrition Examination Survey 2003-2018 and used a comprehensive evaluation called the MetS z-score to assess the severity of metabolic syndrome. The relationship between coffee, decaffeinated coffee, tea, and MetS z-scores was explored using a weighted linear regression. We also divided the participants into metabolic and non-metabolic syndrome groups according to the NCEP/ATP III criteria for the subgroup analysis.
A total of 14,504 participants were included in this study. The results demonstrated that drinking more than three cups of coffee daily was significantly linked to lower MetS z-scores (p < 0.001). Daily coffee consumption was also associated with lower BMI (p = 0.02), systolic blood pressure (p < 0.001), Homeostatic Model Assessment for Insulin Resistance (p < 0.001), and triglycerides (p < 0.001), while it was positively correlated with HDL-C (p = 0.001). Participants who consumed more than three cups of coffee daily had a lower MetS z-score in the MetS (p < 0.001) and non-MetS (p = 0.04) groups.
This research indicates that coffee consumption is linked to MetS severity. However, decaffeinated coffee and tea intake were unrelated to MetS severity.
代谢综合征(MetS)是一种以多种代谢紊乱为特征的临床综合征,是一个严重的全球健康问题。咖啡的作用作为代谢综合征最常见的饮料之一,其效果存在争议。
我们纳入了 2003-2018 年全国健康与营养调查的患者,并使用综合评估方法即代谢综合征 z 评分来评估代谢综合征的严重程度。使用加权线性回归来探讨咖啡、脱咖啡因咖啡、茶与代谢综合征 z 评分之间的关系。我们还根据 NCEP/ATP III 标准将参与者分为代谢综合征组和非代谢综合征组进行亚组分析。
共有 14504 名参与者纳入本研究。结果表明,每天饮用三杯以上咖啡与较低的代谢综合征 z 评分显著相关(p<0.001)。每天喝咖啡也与较低的 BMI(p=0.02)、收缩压(p<0.001)、稳态模型评估的胰岛素抵抗(p<0.001)和甘油三酯(p<0.001)相关,同时与 HDL-C 呈正相关(p=0.001)。每天饮用三杯以上咖啡的参与者在代谢综合征(p<0.001)和非代谢综合征(p=0.04)组中代谢综合征 z 评分较低。
本研究表明,咖啡的摄入与代谢综合征的严重程度有关。然而,脱咖啡因咖啡和茶的摄入与代谢综合征的严重程度无关。