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Coffee consumption and risk of stroke: a meta-analysis of cohort studies

  • Research Article
  • Published:
Central European Journal of Medicine

Abstract

Aims

Several studies have been done to investigate the correlation between coffee consumption and risk of stroke. The results are inconsistent. This meta-analysis is to evaluate the pooled effect of coffee consumption on risk of stroke.

Methods

We searched PubMed and Embase for all cohort studies on stroke and coffee consumption in humans with original data. Data from 13 studies involving 12414 stroke cases among 492760 individuals were pooled. The outcome considered was the occurrence of any type of stroke. Fixed effect model was used for the analysis of pooled relative risk. Heterogeneity was tested. If any existed, randomized effect model was used.

Results

Comparing with non coffee drinking, all coffee consumption could reduce total stroke by 11% (95%CI: 0.81, 0.97). In women, coffee consumption could reduce stroke risk by 17% (95%CI: 0.79, 0.87). Although there is no statistical difference in men, coffee consumption showed the tendency of decreasing stroke risk. Light, moderate and heavy coffee consumption could reduce the all type stroke risk by 10% (95%CI: 0.85, 0.96), 14% (95%CI: 0.76, 0.97), and 17% (95%CI: 0.78, 0.89) respectively.

Conclusions

This meta-analysis is strongly supportive of the hypothesis that coffee consumption at different level, reduces the risk of stroke.

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References

  1. Muntner P., Garrett E., Klag MJ., Coresh J., Trends in stroke prevalence between 1973 and 1991 in the US population 25 to 74 years of age, Stroke., 2002, 33, 1209–1213

    Article  PubMed  Google Scholar 

  2. Mandel HG., Update on caffeine consumption, disposition and action, Food Chem Toxicol., 2002, 40, 1231–1234

    Article  PubMed  CAS  Google Scholar 

  3. Yukawa GS., Mune M., Otani H., Tone Y., Liang XM., Iwahashi H., et al., Effects of coffee consumption on oxidative susceptibility of low-density lipoproteins and serum lipid levels in humans, Biochemistry (Mosc)., 2004, 69, 70–74

    Article  CAS  Google Scholar 

  4. Lopez-Garcia E., van Dam RM., Qi L., Hu FB., Coffee consumption and markers of inflammation and endothelial dysfunction in healthy and diabetic women, Am J Clin Nutr., 2006, 84, 888–893

    PubMed  CAS  Google Scholar 

  5. van Dam RM., Hu FB., Coffee consumption and risk of type 2 diabetes: a systematic review, JAMA., 2005, 294, 97–104

    Article  PubMed  Google Scholar 

  6. Sofi F., Conti AA., Gori AM., Eliana Luisi ML., Casini A., Abbate R., et al., Coffee consumption and risk of coronary heart disease: a meta-analysis, Nutr Metab Cardiovasc Dis., 2007, 17, 209–223

    Article  PubMed  CAS  Google Scholar 

  7. Wu JN., Ho SC., Zhou C., Ling WH., Chen WQ., Wang CL., et al., Coffee consumption and risk of coronary heart diseases: a meta-analysis of 21 prospective cohort studies, Int J Cardiol., 2009, 137, 216–225

    Article  PubMed  Google Scholar 

  8. Stang A., Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses, Eur J Epidemiol., 2010, 25, 603–605

    Article  PubMed  Google Scholar 

  9. Hakim AA., Ross GW., Curb JD., Rodriguez BL., Burchfiel CM., Sharp DS., et al., Coffee consumption in hypertensive men in older middle-age and the risk of stroke: the Honolulu Heart Program, J Clin Epidemiol., 1998, 51, 487–494

    Article  PubMed  CAS  Google Scholar 

  10. Lopez-Garcia E., Rodriguez-Artalejo F., Rexrode KM., Logroscino G., Hu FB., van Dam RM., Coffee consumption and risk of stroke in women, Circulation., 2009, 119, 1116–1123

    Article  PubMed  CAS  Google Scholar 

  11. Zhang WL., Lopez-Garcia E., Li TY., Hu FB., van Dam RM., Coffee consumption and risk of cardiovascular events and all-cause mortality among women with type 2 diabetes, Diabetologia., 2009, 52, 810–817

    Article  PubMed  CAS  Google Scholar 

  12. Grobbee DE., Rimm EB., Giovannucci E., Colditz G., Stampfer M., Willett W., Coffee, caffeine, and cardiovascular disease in men, N Engl J Med., 1990, 323, 1026–1032

    Article  PubMed  CAS  Google Scholar 

  13. Larsson SC., Mannisto S., Virtanen MJ., Kontto J., Albanes D., Virtamo J., Coffee and tea consumption and risk of stroke subtypes in male smokers., Stroke., 2008, 39, 1681–1687

    Article  PubMed  CAS  Google Scholar 

  14. Bidel S., Hu G., Qiao Q., Jousilahti P., Antikainen R., Tuomilehto J., Coffee consumption and risk of total and cardiovascular mortality among patients with type 2 diabetes, Diabetologia., 2006, 49, 2618–2626

    Article  PubMed  CAS  Google Scholar 

  15. Larsson SC., Virtamo J., Wolk A., Coffee consumption and risk of stroke in women, Stroke., 2011, 42, 908–912

    Article  PubMed  CAS  Google Scholar 

  16. Mukamal KJ., Hallqvist J., Hammar N., Ljung R., Gemes K., Ahlbom A., et al., Coffee consumption and mortality after acute myocardial infarction: the Stockholm Heart Epidemiology Program, Am Heart J., 2009, 157, 495–501

    Article  PubMed  Google Scholar 

  17. de Koning Gans JM., Uiterwaal CS., van der Schouw YT., Boer JM., Grobbee DE., Verschuren WM., et al., Tea and coffee consumption and cardiovascular morbidity and mortality, Arterioscler Thromb Vasc Biol., 2010, 30, 1665–1671

    Article  PubMed  Google Scholar 

  18. Leurs LJ., Schouten LJ., Goldbohm RA., van den Brandt PA., Total fluid and specific beverage intake and mortality due to IHD and stroke in the Netherlands Cohort Study, Br J Nutr., 2010, 104, 1212–1221

    Article  PubMed  CAS  Google Scholar 

  19. Silletta MG., Marfisi R., Levantesi G., Boccanelli A., Chieffo C., Franzosi M., et al., Coffee consumption and risk of cardiovascular events after acute myocardial infarction: results from the GISSI (Gruppo Italiano per lo Studio della Sopravvivenza nell’Infarto miocardico) — Prevenzione trial, Circulation., 2007, 116, 2944–2951

    Article  PubMed  CAS  Google Scholar 

  20. Sugiyama K., Kuriyama S., Akhter M., Kakizaki M., Nakaya N., Ohmori-Matsuda K., et al., Coffee consumption and mortality due to all causes, cardiovascular disease, and cancer in Japanese women, J Nutr., 2010, 140, 1007–1013

    Article  PubMed  CAS  Google Scholar 

  21. Mineharu Y., Koizumi A., Wada Y., Iso H., Watanabe Y., Date C., et al., Coffee, green tea, black tea and oolong tea consumption and risk of mortality from cardiovascular disease in Japanese men and women, J Epidemiol Community Health., 2011, 65, 230–240

    Article  PubMed  Google Scholar 

  22. Greenberg JA., Dunbar CC., Schnoll R., Kokolis R., Kokolis S., Kassotis J., Caffeinated beverage intake and the risk of heart disease mortality in the elderly: a prospective analysis, Am J Clin Nutr., 2007, 85, 392–398

    PubMed  CAS  Google Scholar 

  23. Gomez-Ruiz JA., Leake DS., Ames JM., In vitro antioxidant activity of coffee compounds and their metabolites, J Agric Food Chem., 2007, 55, 6962–6969

    Article  PubMed  CAS  Google Scholar 

  24. Arnlov J., Vessby B., Riserus U., Coffee consumption and insulin sensitivity, JAMA., 2004, 291, 1199–1201

    Article  PubMed  Google Scholar 

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Correspondence to Yuming Xu.

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Zhang, R., Wang, Y., Song, B. et al. Coffee consumption and risk of stroke: a meta-analysis of cohort studies. cent.eur.j.med 7, 310–316 (2012). https://doi.org/10.2478/s11536-011-0154-6

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  • DOI: https://doi.org/10.2478/s11536-011-0154-6

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