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
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
Mandel HG., Update on caffeine consumption, disposition and action, Food Chem Toxicol., 2002, 40, 1231–1234
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
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
van Dam RM., Hu FB., Coffee consumption and risk of type 2 diabetes: a systematic review, JAMA., 2005, 294, 97–104
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
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
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
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
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
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
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
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
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
Larsson SC., Virtamo J., Wolk A., Coffee consumption and risk of stroke in women, Stroke., 2011, 42, 908–912
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
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
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
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
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
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
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
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
Arnlov J., Vessby B., Riserus U., Coffee consumption and insulin sensitivity, JAMA., 2004, 291, 1199–1201
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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
Keywords
- Stroke
- Risk
- Coffee
- Caffeine
- Meta analysis
- Cohort studies