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Tea consumption and risk of fractures: an updated meta-analysis

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Abstract

Summary

This meta-analysis included 16 studies, involving seven cohort studies and nine case-control studies, and the results indicated that tea consumption may be associated with a reduced the risk of fractures.

Introduction

Regarding relationship of tea consumption with the risk of fractures remains controversial. We performed a meta-analysis to elucidate the association between tea consumption and the risk of fractures.

Methods

Relevant articles were identified up to March 2019 by searching PubMed, Web of Science, and Embase databases. The pooled relative risks (RRs) with 95% confidence intervals (CIs) were computed utilizing fixed or random effects model based on heterogeneity.

Results

Altogether 16 studies (seven cohort and nine case-control studies) were included in this meta-analysis, involving 772,707 participants with 37,166 fracture cases. The RRs (95% CIs) of fracture for the highest versus lowest category of tea consumption were 0.86 (0.78–0.94). Subgroup analysis indicated significant associations in cohort studies (0.90 (0.86–0.94)) and case-control studies (0.77 (0.69–0.85)).

Conclusions

The current meta-analysis indicates that tea consumption may be associated with a reduced the risk of fractures.

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References

  1. Center JR, Nguyen TV, Schneider D, Sambrook PN, Eisman JA (1999) Mortality after all major types of osteoporotic fracture in men and women: an observational study. Lancet 353:878–882. https://doi.org/10.1016/s0140-6736(98)09075-8

    Article  CAS  PubMed  Google Scholar 

  2. Veronese N, Maggi S (2018) Epidemiology and social costs of hip fracture. Injury 49:1458–1460. https://doi.org/10.1016/j.injury.2018.04.015

    Article  PubMed  Google Scholar 

  3. Court-Brown CM, McQueen MM (2016) Global forum: fractures in the elderly. J Bone Joint Surg Am 98:e36. https://doi.org/10.2106/jbjs.15.00793

    Article  PubMed  Google Scholar 

  4. Guan JZ, Wu M, Xiao YZ, Zhou JS, Wang ZD (2014) MTHFR C677T polymorphism and osteoporotic fracture in postmenopausal women: a meta-analysis. Genet Mol Res 13:7356–7364. https://doi.org/10.4238/2014.September.12.1

    Article  CAS  PubMed  Google Scholar 

  5. Sun Y, Liu C, Bo Y, You J, Zhu Y, Duan D, Cui H, Lu Q (2018) Dietary vitamin C intake and the risk of hip fracture: a dose-response meta-analysis. Osteoporos Int 29:79–87. https://doi.org/10.1007/s00198-017-4284-9

    Article  CAS  PubMed  Google Scholar 

  6. Zhang X, Yu Z, Yu M, Qu X (2015) Alcohol consumption and hip fracture risk. Osteoporos Int 26:531–542. https://doi.org/10.1007/s00198-014-2879-y

    Article  CAS  PubMed  Google Scholar 

  7. Shen GS, Li Y, Zhao G, Zhou HB, Xie ZG, Xu W, Chen HN, Dong QR, Xu YJ (2015) Cigarette smoking and risk of hip fracture in women: a meta-analysis of prospective cohort studies. Injury 46:1333–1340. https://doi.org/10.1016/j.injury.2015.04.008

    Article  PubMed  Google Scholar 

  8. Hartley L, Flowers N, Holmes J, Clarke A, Stranges S, Hooper L, Rees K (2013) Green and black tea for the primary prevention of cardiovascular disease. Cochrane Database Syst Rev Cd009934. https://doi.org/10.1002/14651858.CD009934.pub2

  9. Qi H, Li S (2014) Dose-response meta-analysis on coffee, tea and caffeine consumption with risk of Parkinson’s disease. Geriatr Gerontol Int 14:430–439. https://doi.org/10.1111/ggi.12123

    Article  PubMed  Google Scholar 

  10. Gianfredi V, Nucci D, Abalsamo A, Acito M, Villarini M, Moretti M, Realdon S (2018) Green tea consumption and risk of breast cancer and recurrence-a systematic review and meta-analysis of observational studies. Nutrients 10. https://doi.org/10.3390/nu10121886

    Article  Google Scholar 

  11. Hernandez-Avila M, Colditz GA, Stampfer MJ, Rosner B, Speizer FE, Willett WC (1991) Caffeine, moderate alcohol intake, and risk of fractures of the hip and forearm in middle-aged women. Am J Clin Nutr 54:157–163. https://doi.org/10.1093/ajcn/54.1.157

    Article  CAS  PubMed  Google Scholar 

  12. Hansen SA, Folsom AR, Kushi LH, Sellers TA (2000) Association of fractures with caffeine and alcohol in postmenopausal women: the Iowa Women’s Health Study. Public Health Nutr 3:253–261

    Article  CAS  Google Scholar 

  13. Chen Z, Pettinger MB, Ritenbaugh C, LaCroix AZ, Robbins J, Caan BJ, Barad DH, Hakim IA (2003) Habitual tea consumption and risk of osteoporosis: a prospective study in the women’s health initiative observational cohort. Am J Epidemiol 158:772–781

    Article  CAS  Google Scholar 

  14. Hallstrom H, Wolk A, Glynn A, Michaelsson K (2006) Coffee, tea and caffeine consumption in relation to osteoporotic fracture risk in a cohort of Swedish women. Osteoporos Int 17:1055–1064. https://doi.org/10.1007/s00198-006-0109-y

    Article  CAS  PubMed  Google Scholar 

  15. Myers G, Prince RL, Kerr DA, Devine A, Woodman RJ, Lewis JR, Hodgson JM (2015) Tea and flavonoid intake predict osteoporotic fracture risk in elderly Australian women: a prospective study. Am J Clin Nutr 102:958–965. https://doi.org/10.3945/ajcn.115.109892

    Article  CAS  PubMed  Google Scholar 

  16. Dai Z, Jin A, Soh AZ, Ang LW, Yuan JM, Koh WP (2018) Coffee and tea drinking in relation to risk of hip fracture in the Singapore Chinese health study. Bone 112:51–57. https://doi.org/10.1016/j.bone.2018.04.010

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Shen Q, Yu C, Guo Y, Bian Z, Zhu N, Yang L, Chen Y, Luo G, Li J, Qin Y, Chen J, Chen Z, Lv J, Li L (2018) Habitual tea consumption and risk of fracture in 0.5 million Chinese adults: a prospective cohort study. Nutrients 10. https://doi.org/10.3390/nu10111633

    Article  Google Scholar 

  18. Kreiger N, Gross A, Hunter G (1992) Dietary factors and fracture in postmenopausal women: a case-control study. Int J Epidemiol 21:953–958

    Article  CAS  Google Scholar 

  19. Nieves JW, Grisso JA, Kelsey JL (1992) A case-control study of hip fracture: evaluation of selected dietary variables and teenage physical activity. Osteoporos Int 2:122–127

    Article  CAS  Google Scholar 

  20. Tavani A, Negri E, La Vecchia C (1995) Coffee intake and risk of hip fracture in women in northern Italy. Prev Med 24:396–400

    Article  CAS  Google Scholar 

  21. Johnell O, Gullberg B, Kanis JA, Allander E, Elffors L, Dequeker J, Dilsen G, Gennari C, Lopes Vaz A, Lyritis G et al (1995) Risk factors for hip fracture in European women: the MEDOS Study. Mediterranean Osteoporosis Study. J Bone Miner Res 10:1802–1815. https://doi.org/10.1002/jbmr.5650101125

    Article  CAS  PubMed  Google Scholar 

  22. Suzuki T, Yoshida H, Hashimoto T, Yoshimura N, Fujiwara S, Fukunaga M, Nakamura T, Yoh K, Inoue T, Hosoi T, Orimo H (1997) Case-control study of risk factors for hip fractures in the Japanese elderly by a Mediterranean Osteoporosis Study (MEDOS) questionnaire. Bone 21:461–467

    Article  CAS  Google Scholar 

  23. Kanis J, Johnell O, Gullberg B, Allander E, Elffors L, Ranstam J, Dequeker J, Dilsen G, Gennari C, Vaz AL, Lyritis G, Mazzuoli G, Miravet L, Passeri M, Perez Cano R, Rapado A, Ribot C (1999) Risk factors for hip fracture in men from southern Europe: the MEDOS study. Mediterranean Osteoporosis Study. Osteoporos Int 9:45–54

    Article  CAS  Google Scholar 

  24. Jha RM, Mithal A, Malhotra N, Brown EM (2010) Pilot case-control investigation of risk factors for hip fractures in the urban Indian population. BMC Musculoskelet Disord 11:49. https://doi.org/10.1186/1471-2474-11-49

    Article  PubMed  PubMed Central  Google Scholar 

  25. Xie HL, Ouyang WF, Wu BH, Tu SL, Xue WQ, Fan F, Chen YM (2013) A case-control study regarding tea consumption and risk of hip fractures in middle-aged and elderly Chinese. Chin J Epidemiol 34:385–388

    Google Scholar 

  26. Huang C, Tang R (2016) Tea drinking habits and osteoporotic hip/femur fractures: a case-control study. Pak J Med Sci 32:408–412. https://doi.org/10.12669/pjms.322.9092

    Article  PubMed  PubMed Central  Google Scholar 

  27. Sheng J, Qu X, Zhang X, Zhai Z, Li H, Liu X, Li H, Liu G, Zhu Z, Hao Y, Qin A, Dai K (2014) Coffee, tea, and the risk of hip fracture: a meta-analysis. Osteoporos Int 25:141–150. https://doi.org/10.1007/s00198-013-2563-7

    Article  CAS  PubMed  Google Scholar 

  28. Chen B, Shi HF, Wu SC (2014) Tea consumption didn't modify the risk of fracture: a dose-response meta-analysis of observational studies. Diagn Pathol 9:44. https://doi.org/10.1186/1746-1596-9-44

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Yan A, Zhang HH, Wang SQ, Zhao Y (2015) Does tea consumption correlate to risk of fracture? A meta-analysis. Int J Clin Exp Med 8:8347–8357

    PubMed  PubMed Central  Google Scholar 

  30. Guo M, Qu H, Xu L, Shi DZ (2017) Tea consumption may decrease the risk of osteoporosis: an updated meta-analysis of observational studies. Nutr Res 42:1–10. https://doi.org/10.1016/j.nutres.2017.02.010

    Article  CAS  PubMed  Google Scholar 

  31. Stroup DF, Berlin JA, Morton SC, Olkin I, Williamson GD, Rennie D, Moher D, Becker BJ, Sipe TA, Thacker SB (2000) Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. Jama 283:2008–2012

    Article  CAS  Google Scholar 

  32. Wells GA, Shea B, Connell D, Peterson J,Welch V, Losos M, et al. The Newcastle–Ottawa Scale (NOS) for assessing the quality if nonrandomized studies in meta-analyses. [cited 2019 May 1]; Available from: http://www.ohri.ca/programs/clinical_epidemiology/oxford.asp

  33. Higgins JP, Thompson SG, Deeks JJ, Altman DG (2003) Measuring inconsistency in meta-analyses. Bmj 327:557–560. https://doi.org/10.1136/bmj.327.7414.557

    Article  PubMed  PubMed Central  Google Scholar 

  34. Song F, Gilbody S (1998) Bias in meta-analysis detected by a simple, graphical test. Increase in studies of publication bias coincided with increasing use of meta-analysis. Bmj 316:471

    CAS  PubMed  PubMed Central  Google Scholar 

  35. Lin SY, Kang L, Wang CZ, Huang HH, Cheng TL, Huang HT, Lee MJ, Lin YS, Ho ML, Wang GJ, Chen CH (2018) Epigallocatechin-3-Gallate (EGCG) enhances osteogenic differentiation of human bone marrow mesenchymal stem cells. Molecules 23. https://doi.org/10.3390/molecules23123221

    Article  Google Scholar 

  36. Chen ST, Kang L, Wang CZ, Huang PJ, Huang HT, Lin SY, Chou SH, Lu CC, Shen PC, Lin YS, Chen CH (2019) (−)-Epigallocatechin-3-Gallate decreases Osteoclastogenesis via modulation of RANKL and Osteoprotegrin. Molecules 24. https://doi.org/10.3390/molecules24010156

    Article  Google Scholar 

  37. Zofkova I, Nemcikova P, Matucha P (2013) Trace elements and bone health. Clin Chem Lab Med 51:1555–1561. https://doi.org/10.1515/cclm-2012-0868

    Article  CAS  PubMed  Google Scholar 

  38. Schamschula RG, Barmes DE (1981) Fluoride and health: dental caries, osteoporosis, and cardiovascular disease. Annu Rev Nutr 1:427–435. https://doi.org/10.1146/annurev.nu.01.070181.002235

    Article  CAS  PubMed  Google Scholar 

  39. Hreha J, Wey A, Cunningham C, Krell ES, Brietbart EA, Paglia DN, Montemurro NJ, Nguyen DA, Lee YJ, Komlos D, Lim E, Benevenia J, O'Connor JP, Lin SS (2015) Local manganese chloride treatment accelerates fracture healing in a rat model. J Orthop Res 33:122–130. https://doi.org/10.1002/jor.22733

    Article  CAS  PubMed  Google Scholar 

  40. Hao G, Zhang B, Gu M, Chen C, Zhang Q, Zhang G, Cao X (2017) Vitamin K intake and the risk of fractures: a meta-analysis. Medicine (Baltimore) 96:e6725. https://doi.org/10.1097/md.0000000000006725

    Article  CAS  Google Scholar 

  41. Lin X, Chen Z, Zhang Y, Luo W, Tang H, Deng B, Deng J, Li B (2015) Comparative characterisation of green tea and black tea cream: physicochemical and phytochemical nature. Food Chem 173:432–440. https://doi.org/10.1016/j.foodchem.2014.10.048

    Article  CAS  PubMed  Google Scholar 

  42. Zeng FF, Wu BH, Fan F, Xie HL, Xue WQ, Zhu HL, Chen YM (2013) Dietary patterns and the risk of hip fractures in elderly Chinese: a matched case-control study. J Clin Endocrinol Metab 98:2347–2355. https://doi.org/10.1210/jc.2013-1190

    Article  CAS  PubMed  Google Scholar 

  43. Cumming RG, Klineberg RJ (1994) Case-control study of risk factors for hip fractures in the elderly. Am J Epidemiol 139:493–503

    Article  CAS  Google Scholar 

  44. Tomata Y, Kakizaki M, Nakaya N, Tsuboya T, Sone T, Kuriyama S, Hozawa A, Tsuji I (2012) Green tea consumption and the risk of incident functional disability in elderly Japanese: the Ohsaki Cohort 2006 Study. Am J Clin Nutr 95:732–739. https://doi.org/10.3945/ajcn.111.023200

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  45. Kiel DP, Felson DT, Hannan MT, Anderson JJ, Wilson PW (1990) Caffeine and the risk of hip fracture: the Framingham Study. Am J Epidemiol 132:675–684

    Article  CAS  Google Scholar 

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Acknowledgments

We thank the authors of the included studies for their data. We would like to thank the Natural Science Foundation of Shandong Province (grant number ZR2015HM029) and Qingdao Municipal Science and Technology Bureau (grant number 186179nsh) for funding our research.

Authorship criteria and contributions

Wenzhi Xiang and Xiubo Jiang designed the study, participated in its design and conception, analysis, and interpretation of the data, and involved in drafting the article or revising it critically for important intellectual content. Wenzhi Xiang, Kunfang Gu, and Weijing Wang performed acquisition and interpretation of the data. All authors have seen and approved the final version of the manuscript.

Funding

This study was funded by the Natural Science Foundation of Shandong Province (grant number ZR2015HM029) and Qingdao Municipal Science and Technology Bureau (grant number 186179nsh).

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Correspondence to X. Jiang.

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This article does not contain any studies with human participants or animals performed by any of the authors. Informed consent was obtained from all individual participants included in the study.

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Xiang, W., Gu, K., Wang, W. et al. Tea consumption and risk of fractures: an updated meta-analysis. Osteoporos Int 30, 1941–1951 (2019). https://doi.org/10.1007/s00198-019-05095-3

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