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习惯性咖啡消费与晚年衰弱风险:阿姆斯特丹纵向衰老研究(LASA)

Habitual coffee consumption and risk of frailty in later life: the Longitudinal Aging Study Amsterdam (LASA).

作者信息

van der Linden Mette, Wijnhoven Hanneke A H, Schaap Laura A, Hoogendijk Emiel O, Olthof Margreet R

机构信息

Department of Health Sciences, Faculty of Science, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, 1081 HV, the Netherlands.

Amsterdam Movement Sciences, Amsterdam, the Netherlands.

出版信息

Eur J Nutr. 2025 Apr 24;64(4):164. doi: 10.1007/s00394-025-03683-0.

Abstract

This study examined associations of current habitual and midlife coffee consumption with risk of (pre-)frailty in 1161 community-dwelling older adults (≥ 55 years) participating in the Longitudinal Aging Study Amsterdam.Habitual and retrospectively assessed midlife (ages 40-65) coffee consumption was measured using questionnaires and divided into five categories (no coffee, > 0-2, > 2-4, > 4-6, > 6 cups/day). Frailty status was assessed using Fried's five-component frailty phenotype. Generalized estimating equations, Cox proportional hazards models, and logistic regression analyses were performed to assess the associations of coffee consumption with frailty and pre-frailty prevalence, and the 3- and 7-year incidence of (pre)frailty.Habitual coffee consumption of > 4-6 and > 6 cups/day was associated with lower odds of frailty compared with consumption of > 0-2 cups/day (ORs (95%CI) of 0.36 (0.16-0.82) and 0.37 (0.16-0.84), respectively). Similar but statistically non-significant associations were found for coffee consumption during midlife and between habitual coffee consumption and the 3- and 7-year incidence of frailty, except for a statistically significant lower hazard (HR: 0.41 [95%CI 0.23-0.71]) of frailty after 7 years for the consumption of > 2-4 cups/day compared to > 0-2 cups/day. No associations were found between coffee consumption and pre-frailty, with the exception of lower odds for those who consumed > 2-4 cups/day compared to > 0-2 cups/day (OR 0.73 [95%CI 0.54-0.99])The results of this study indicate that higher habitual coffee consumption is associated with lower odds of frailty. Further research is needed to confirm our findings and investigate possible underlying mechanisms by which coffee might influence frailty development.

摘要

本研究在1161名参与阿姆斯特丹纵向衰老研究的社区居住老年人(≥55岁)中,考察了当前习惯性咖啡摄入量及中年时期咖啡摄入量与(衰弱前)衰弱风险之间的关联。习惯性和回顾性评估的中年时期(40 - 65岁)咖啡摄入量通过问卷调查进行测量,并分为五类(不喝咖啡、每天>0 - 2杯、>2 - 4杯、>4 - 6杯、>6杯)。衰弱状态采用弗里德的五成分衰弱表型进行评估。进行广义估计方程、Cox比例风险模型和逻辑回归分析,以评估咖啡摄入量与衰弱及衰弱前期患病率,以及衰弱(前期)3年和7年发病率之间的关联。与每天>0 - 2杯的摄入量相比,每天习惯性饮用>4 - 6杯和>6杯咖啡与较低的衰弱几率相关(优势比(95%置信区间)分别为0.36(0.16 - 0.82)和0.37(0.16 - 0.84))。在中年时期的咖啡摄入量以及习惯性咖啡摄入量与衰弱的3年和7年发病率之间发现了类似但无统计学意义的关联,不过与每天>0 - 2杯相比,每天饮用>2 - 4杯咖啡7年后衰弱的风险有统计学意义的降低(风险比:0.41 [95%置信区间0.23 - 0.71])。除了与每天>0 - 2杯相比,每天饮用>2 - 4杯的人群衰弱前期几率较低(优势比0.73 [95%置信区间0.54 - 0.99])外,未发现咖啡摄入量与衰弱前期之间存在关联。本研究结果表明,较高的习惯性咖啡摄入量与较低的衰弱几率相关。需要进一步研究来证实我们的发现,并探究咖啡可能影响衰弱发展的潜在机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5645/12021940/1e7fa93dd5ab/394_2025_3683_Fig1_HTML.jpg

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