Abstract
Introduction
We aimed to investigate the association between coffee drinking and total caffeine intakes with the chance of prediabetes (Pre-DM) regression and progression over 9-years of follow-up.
Research design and methods
This cohort study included 334 Pre-DM individuals (mean age of 49.4 ± 12.8 years and 51.5% men) who participated in the third phase of the Tehran Lipid and Glucose Study (2006–2008). A validated food frequency questionnaire at baseline assessed habitual coffee consumption. All measurements were done at baseline and all subsequent examinations with 3-year follow-up intervals. The odds ratios (OR) and 95% confidence intervals (CIs) of Pre-DM regression to normal glycemia or progression to type 2 diabetes (T2D) in coffee drinkers/non-drinkers were estimated using multinomial logistic regression analysis.
Results
During the study follow-up 39.8% of the study participants were progressed to T2D and 39.8% returned to normal glycemia. Coffee consumption nearly doubled the chance of returning to normal (OR = 2.26, 95% CI = 1.03–4.97). Total caffeine intake was not related to Pre-DM progression and regression. Compared to non-drinkers, coffee drinkers had significantly lower 2-hour serum glucose concentrations over time (152, 95% CI = 144–159 vs. 162, 95% CI = 155–169 mg/dL, P = 0.05).
Conclusions
Habitual coffee drinking may increase the chance of returning to normal glycemia in Pre-DM subjects.
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Data availability
The datasets used and/or analyzed during the current study are available from the corresponding author on a reasonable request.
Abbreviations
- Pre-DM:
-
Prediabetes
- T2DM:
-
Type2 Diabetes Mellitus
- CI:
-
Confidence Interval
- OR:
-
Odds Ratio
- NGR:
-
Normal Glucose Regulation
- TLGS:
-
Tehran Lipid and Glucose Study
- WC:
-
Waist Circumference
- BMI:
-
Body Mass Index
- SBP:
-
Systolic Blood Pressure
- DBP:
-
Diastolic Blood Pressure
- FSG:
-
Fasting Serum Glucose
- 2h-SG:
-
2-hour Serum Glucose
- IFG:
-
Impaired Fasting Glucose
- IGT:
-
Impaired Glucose Tolerance
- NFG:
-
Normal Fasting Glucose
- NGT:
-
Normal Glucose Tolerance
- TG:
-
Triglyceride
- HDL-c:
-
High-Density Lipoprotein cholesterol
- OGTT:
-
Oral Glucose Tolerance Test
- MAQ:
-
Modifiable Activity Questionnaire
- FFQ:
-
Food Frequency Questionnaire
- WHR:
-
waist-to-hip ratio
- RR:
-
relative risk
- HR:
-
hazard ratio
- CE:
-
cholesteryl esters
- GEE:
-
repeated-measures generalized estimating equation
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Acknowledgements
We thank the Tehran Lipid and Glucose Study participants and the field investigators of the Tehran Lipid and Glucose Study for their cooperation and assistance in physical examinations, biochemical evaluation and database management.
Funding
This work was not supported by any funding agency.
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All authors read and approved the final manuscript. P.M designed the study. Sh.H, Z.B and F.A analyzed the data from TLGS population, Sh.H and P.M wrote the manuscript, Z.B corrected the manuscript.
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Written informed consent was obtained from all participants. The ethics research committee of the Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran, approved the study protocol. The study protocol was carried out according to the relevant guidelines expressed in the Declaration of Helsinki.
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Hosseini, S., Bahadoran, Z., Mirmiran, P. et al. Habitual coffee drinking and the chance of prediabetes remission: findings from a population with low coffee consumption. J Diabetes Metab Disord (2024). https://doi.org/10.1007/s40200-023-01356-5
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DOI: https://doi.org/10.1007/s40200-023-01356-5