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习惯性喝咖啡和茶与白内障风险:来自英国生物库的前瞻性队列研究。

Habitual coffee and tea consumption and risk of cataract: A prospective cohort study from the UK Biobank.

机构信息

Eye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai 200031, China; NHC Key Laboratory of Myopia and Related Eye Diseases, Shanghai 20031, China; Key Laboratory of Myopia and Related Eye Diseases, Chinese Academy of Medical Sciences, Shanghai 200031, China; Shanghai Key Laboratory of Visual Impairment and Restoration, Fudan University, Shanghai 200031, China.

Eye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai 200031, China; NHC Key Laboratory of Myopia and Related Eye Diseases, Shanghai 20031, China; Key Laboratory of Myopia and Related Eye Diseases, Chinese Academy of Medical Sciences, Shanghai 200031, China; Shanghai Key Laboratory of Visual Impairment and Restoration, Fudan University, Shanghai 200031, China; State Key Laboratory of Medical Neurobiology, Fudan University, Shanghai 200032, China.

出版信息

Clin Nutr ESPEN. 2024 Aug;62:81-87. doi: 10.1016/j.clnesp.2024.05.006. Epub 2024 May 18.

Abstract

BACKGROUND

To study the association of habitual coffee and tea consumption with the risk of cataract.

METHODS

This prospective cohort study enrolled UK Biobank participants between 2006 and 2010, and prospectively followed them up for cataract diagnosis. We examined the associations of self-reported intake of tea and coffee and the calculated combined caffeine intake, with the risk of incident cataract. Cox proportional hazards models were analyzed after adjusting for age, sex, race, diabetes, Townsend Index, income, education, smoking and alcohol status.

RESULTS

A total of 444,787 UK Biobank participants aged from 37 to 73 years old who had no cataract at baseline were included. Coffee intake of 2-3 cups/day (HR 0.973, 95% CI 0.949-0.998) or tea intake of 4-6 cups/day (HR 0.962, 95% CI 0.934-0.990) or combination caffeine intake of 160.0-235.0 mg/day (HR 0.950, 95% CI 0.925-0.976) were linked with the lowest risk of incident cataract. Cox models with restricted cubic splines showed J-shaped associations of coffee, tea, and combined caffeine intake with the risk of cataract (all p for nonlinear <0.001).

CONCLUSIONS

Moderate habitual consumption of coffee and tea is associated with a lower risk of cataract. To maximize the protective effect against cataract, it is advisable to control total caffeine intake from coffee and tea within a range of 160.0-235.0 mg/day.

摘要

背景

研究习惯性饮用咖啡和茶与白内障风险的关系。

方法

本前瞻性队列研究纳入了 2006 年至 2010 年间的英国生物库参与者,并对他们进行了前瞻性随访以诊断白内障。我们检查了自我报告的茶和咖啡摄入量以及计算得出的咖啡因总摄入量与白内障发病风险之间的关系。在调整年龄、性别、种族、糖尿病、汤森指数、收入、教育、吸烟和饮酒状况后,采用 Cox 比例风险模型进行分析。

结果

共纳入 444787 名年龄在 37 至 73 岁之间、基线时无白内障的英国生物库参与者。每天饮用 2-3 杯咖啡(HR 0.973,95%CI 0.949-0.998)或 4-6 杯茶(HR 0.962,95%CI 0.934-0.990)或摄入咖啡因 160.0-235.0mg/天(HR 0.950,95%CI 0.925-0.976)与白内障发病风险最低相关。采用受限立方样条 Cox 模型显示,咖啡、茶和咖啡因总摄入量与白内障风险呈 J 形关联(所有 p 非线性<0.001)。

结论

习惯性适度饮用咖啡和茶与白内障风险降低相关。为了最大限度地发挥对白内障的保护作用,建议将来自咖啡和茶的总咖啡因摄入量控制在 160.0-235.0mg/天的范围内。

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