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Habitual green tea consumption and risk of an aneurysmal rupture subarachnoid hemorrhage: A case–control study in Nagoya, Japan

  • Cardiovascular disease
  • Published:
European Journal of Epidemiology Aims and scope Submit manuscript

Abstract

Background

Green tea, a popular beverage in Japan, contains many polyphenolic antioxidants, which might prevent cardiovascular disease. This study is designed to determine whether the consumption of green tea is associated with a reduced risk for subarachnoid hemorrhage (SAH) using a case–control study.

Methods

Incident SAH cases (n=201) were identified and individually matched by age (±2 years) and gender to hospital (n=201) and community controls (n=201) from April 1992 to March 1997. Habitual regular tea consumption was assessed with a structured questionnaire. Conditional logistic regression models were used to compute odds ratios adjusted for smoking, history of hypertension, and educational levels.

Results

The proportion of the consumption of one time or more of tea per day was higher in controls (70.9%) than in SAH patients (60.3%). Multivariate analyses showed that green tea consumption was inversely associated with SAH risk. Subjects consuming <1, and ≥1 time per day had adjusted ORs of 0.74 (CI: 0.34–1.58), and 0.56 (CI: 0.32–0.98) in comparison with non daily green tea drinkers, respectively (p-trend <0.001).

Conclusion

In a case–control study in Japan, we found that habitual green tea consumption may be strongly associated with a reduced risk for SAH. Our findings will be useful in targeting individuals and populations for the primary prevention of SAH.

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References

  1. de Whalley CV, Rankin SM, Hoult JR, Jessup W, Leake DS, Flavonoids inhibit the oxidative modification of low density lipoproteins by macrophages Biochem Pharmacol 1990;39:1743–1750

    Article  PubMed  Google Scholar 

  2. Leenen R, Roodenburg AJ, Tijburg LB, Wiseman SA, A single dose of tea with or without milk increases plasma antioxidant activity in humans Eur J Clin Nutr 2000;54:87–92

    Article  PubMed  CAS  Google Scholar 

  3. Hertof MG, Epidemiological evidence on potential health properties of flavonoids Proc Nutr Soc 1996;55:385–397

    PubMed  Google Scholar 

  4. Gryglewski RJ, Korbut R, Robak J, Swies J, On the mechanism of antithrombotic action of flavonoids Biochem Pharmacol 1987;36:317–322

    Article  PubMed  CAS  Google Scholar 

  5. Hakim IA, Alsaif MA, Alduwaihy M, Al-Rubeaan K, Al-Nuaim AR, Al-Attas OS, Tea consumption and the prevalence of coronary heart disease in Saudi adults: Results from a Saudi national study Prev Med 2003;36:64–70

    Article  PubMed  Google Scholar 

  6. Sesso HD, Gaziano JM, Liu S, Buring JE, Flavonoid intake and the risk of cardiovascular disease in women Am J Clin Nutr 2003;77:1400–1408

    PubMed  CAS  Google Scholar 

  7. Kris-Etherton PM, Keen CL, Evidence that the antioxidant flavonoids in tea and cocoa are beneficial for cardiovascular health Curr Opin Lipidol 2002;13:41–49

    Article  PubMed  CAS  Google Scholar 

  8. Peters U, Poole C, Arab L, Does tea affect cardiovascular disease? A meta-analysis Am J Epidemiol 2001;154:495–503

    Article  PubMed  CAS  Google Scholar 

  9. Pakarinen S, Incidence, aetiology, and prognosis of primary subarachnoid haemorrhage. A study based on 589 cases diagnosed in a defined urban population during a defined period Acta Neuro Scand 1967; 43(suppl 29):1–128

    Google Scholar 

  10. Linn FH, Rinkel GJ, Algra A, van Gijn J, Incidence of subarachnoid hemorrhage: Role of region, year, and rate of computed tomography: A meta-analysis Stroke 1997; 27:625–629

    Google Scholar 

  11. Okamoto K, Horisawa R, Kawamura T, et al. Menstrual and reproductive factors for subarachnoid hemorrhage risk in women: A case–control study in Nagoya, Japan Stroke 2001;32:2841–2844

    Article  PubMed  CAS  Google Scholar 

  12. Okamoto K, Horisawa R, Kawamura T, et al. Family history and risk of subarachnoid hemorrhage: A case–control study in Nagoya, Japan Stroke 2003;34:422–426

    Article  PubMed  Google Scholar 

  13. ACROSS Group 2000 Epidemiology of aneurysmal subarachnoid hemorrhage in Australia and New Zealand: Incidence and case fatality from the Australasian Cooperative Research on Subarachnoid Hemorrhage Study (ACROSS). Stroke 31:1843–1850

    Google Scholar 

  14. Ni Mhurchu C, Anderson C, Jamrozik K, Hankey G, Dunbabin D, Hormonal factors and risk of aneurysmal subarachnoid hemorrhage: An international population-based, case–control study Stroke 2001; 32:606–612

    PubMed  Google Scholar 

  15. Breslow NE, Day NE. Statistical Methods in Cancer Research, Volume I: The Analysis of Case–Control Studies. Lyon, France: International Agency for Research on Cancer, 1980

  16. Keli SO, Hertog MG, Feskens EJ, Kromhout D, Dietary flavonoids, antioxidant vitamins, and incidence of stroke: The Zutphen study Arch Intern Med 1996; 156:637–642

    Article  PubMed  CAS  Google Scholar 

  17. Arts IC, Hollman PC, Feskens EJ, Catechin intake might explain the inverse relation between tea consumption and ischemic heart disease: The Zutphen Elderly Study Am J Clin Nutr 2001;74:227–232

    PubMed  CAS  Google Scholar 

  18. Hertog MG, Sweetnam PM, Fehily AM, Elwood PC, Kromhout D, Antioxidant flavonols and ischemic heart disease in a Welsh population of men: The Caerphilly Study Am J Clin Nutr 1997;65:1489–1494

    PubMed  CAS  Google Scholar 

  19. Negishi H, Xu JW, Ikeda K, Njelekela M, Nara Y, Yamori Y, Black and green tea polyphenols attenuate blood pressure increases in stroke-prone spontaneously hypertensive rats J Nutr 2004;134:38–42

    PubMed  CAS  Google Scholar 

  20. Hodgson JM, Devine A, Puddey IB, Chan SY, Beilin LJ, Prince RL, Tea intake is inversely related to blood pressure in older women J Nutr 2003;133:2883–2886

    PubMed  CAS  Google Scholar 

  21. Stensvold I, Tverdal A, Solvoll K, Foss OP, Tea consumption. Relationship to cholesterol, blood pressure, and coronary and total mortality Prev Med 1992;21:546–553

    Article  PubMed  CAS  Google Scholar 

  22. Duffy SJ, Keaney JF Jr, Holbrook M, et al. Short- and long-term black tea consumption reverses endothelial dysfunction in patients with coronary artery disease Circulation. 2001;104(2):151–156

    PubMed  CAS  Google Scholar 

  23. Thompson FE, Metzner HL, Lamphiear DE, Hawthorne VM, Characteristics of individuals and long term reproducibility of dietary reports: The Tecumseh Diet Methodology Study J Clin Epidemiol 1990;43:1169–1178

    Article  PubMed  CAS  Google Scholar 

  24. Okamoto K, Ohno Y, Horisawa R, Wakai K, Tamakoshi A, Kawamura T, Agreement between self- and partner reports obtained by a self-administered questionnaire: Medical and lifestyle information J Epidemiol 1999;9:183–189

    PubMed  CAS  Google Scholar 

  25. Kolonel LN, Hirohata T, Nomura AM, Adequacy of survey data collected from substitute respondents Am J Epidemiol 1977;106:476–484

    PubMed  CAS  Google Scholar 

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Acknowledgements

We are very thankful to the staffs of the Department of Cranial Nerve Surgery and Alimentary disease, Nagoya Daini Red Cross Hospital and of the Department of Cranial Nerve Surgery Nagaya City Higashi Municipal Hospital for successful and coordination in data collection.

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Correspondence to Kazushi Okamoto.

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Okamoto, K. Habitual green tea consumption and risk of an aneurysmal rupture subarachnoid hemorrhage: A case–control study in Nagoya, Japan. Eur J Epidemiol 21, 367–371 (2006). https://doi.org/10.1007/s10654-006-9000-6

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