Coffee consumption and the risk of cerebrovascular disease: a meta-analysis of prospective cohort studies.

Tytuł:: Coffee consumption and the risk of cerebrovascular disease: a meta-analysis of prospective cohort studies.
Autorzy:: Chan L; Department of Neurology, Shuang-Ho Hospital, Taipei Medical University, No. 291, Zhongzheng Rd, Zhonghe District, New Taipei City, 23561, Taiwan.; Department of Neurology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Hong CT; Department of Neurology, Shuang-Ho Hospital, Taipei Medical University, No. 291, Zhongzheng Rd, Zhonghe District, New Taipei City, 23561, Taiwan. .; Department of Neurology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan. .
Bai CH; School of Public Health, College of Public Health and Nutrition, Taipei Medical University, 5/F Health Science Building, 250 Wu-Hsing Street, Taipei City, Taiwan. .; Department of Public Health, College of Medicine, Taipei Medical University, Taipei, Taiwan. .
Źródło:: BMC neurology [BMC Neurol] 2021 Oct 02; Vol. 21 (1), pp. 380. Date of Electronic Publication: 2021 Oct 02.
Typ publikacji:: Journal Article; Meta-Analysis
Język:: English
Imprint Name(s):: Original Publication: London : BioMed Central, [2001-
MeSH Terms:: Coffee*
Stroke*/epidemiology
Adult ; Cohort Studies ; Follow-Up Studies ; Humans ; Prospective Studies ; Risk Factors
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Contributed Indexing:: Keywords: Cerebrovascular disease; Coffee; Cohort; Stroke; meta-analysis
Substance Nomenclature:: 0 (Coffee)
Entry Date(s):: Date Created: 20211003 Date Completed: 20211015 Latest Revision: 20211015
Update Code:: 20240105
PubMed Central ID:: PMC8487108
DOI:: 10.1186/s12883-021-02411-5
PMID:: 34600504
: Czasopismo naukowe

Pełny tekst

Background: Stroke is a crucial health threat to adults worldwide. Despite extensive knowledge of risk-factor mitigation, no primary prevention exists for healthy people. Coffee is a widely consumed beverage globally. Health benefit of coffee for several neurological diseases has been identified; however, the association between stroke risk and coffee consumption in healthy people has not been determined. We investigated the effect of coffee on stroke risk by conducting a meta-analysis of prospective cohort studies.
Methods: Electronic databases, namely PubMed, BioMed Central, Medline, and Google Scholar, were searched using terms related to stroke and coffee. Articles that described clear diagnostic criteria for stroke and details on coffee consumption were included. The reference lists of relevant articles were reviewed to identify eligible studies not shortlisted using these terms. Enrolled studies were grouped into three outcome categories: overall stroke, hemorrhagic stroke, and ischemic stroke.
Results: Seven studies were included and all of them were large-scale, long-term, follow-up cohort studies of a healthy population. Upon comparing the least-coffee-consuming groups from each study, the meta-analysis revealed a reduction in the risk of overall stroke during follow-up (hazard ratio [HR] for overall stroke = 0.922, 95% confidence interval [CI] = 0.855-0.994, P = 0.035). In studies with a clear definition of hemorrhagic and ischemic stroke, coffee consumption reduced the risk of ischemic stroke more robustly than that of hemorrhagic stroke (hemorrhagic, HR = 0.895, 95% CI = 0.824-0.972, P = .008; ischemic, HR = 0.834, 95% CI = 0.739-0.876, P < .001). No obvious dose-dependent or U-shaped effect was observed.
Conclusions: Coffee consumption reduces the risk of overall stroke, especially ischemic stroke. Further investigation is required to identify beneficial components in coffee, including caffeine and phenolic acids, to develop preventive medication for stroke.
(© 2021. The Author(s).)

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