Coffee Consumption and Coronary Artery Calcium Score: Cross‐Sectional Results of ELSA‐Brasil (Brazilian Longitudinal Study of Adult Health)

Miranda, Alice; Steluti, Josiane; Goulart, Alessandra Carvalho; Lotufo, Paulo A; Marchioni, Dirce Maria Lobo

doi:10.1161/jaha.117.007155

Cited by 19 publications

(10 citation statements)

References 56 publications

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“…The benefits and risks of coffee intake have been the subjects of contentious debate for decades. The existing evidence on coffee intake and subclinical atherosclerosis is inconsistent [35–38, 56, 57]. We found an inverted J-shaped association between coffee intake and CCA-IMT, with the largest CCA-IMT observed among occasional drinkers with less than 2 cups of daily coffee intake.…”

Section: Discussionmentioning

confidence: 54%

Prospective associations between beverage intake during the midlife and subclinical carotid atherosclerosis: The Study of Women’s Health Across the Nation

et al. 2019

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Background The potential impacts of beverage intake during the midlife on future subclinical atherosclerosis among women are unclear. The aim of this study was to evaluate the prospective associations between the intakes of eight beverage groups and subclinical carotid atherosclerosis in midlife women. Methods Data came from the Study of Women’s Health Across the Nation, a multicenter, multiethnic, and prospective cohort study. A total of 1,235 midlife women had measures of subclinical carotid atherosclerosis and repeatedly beverage intake data collected using a validated food frequency questionnaire. Beverages were aggregated into eight groups, including coffee, tea, sugar-sweetened beverages, artificially sweetened beverages, fruit juices, whole milk, milk with lower fat content, and alcoholic beverages. The associations of beverage intake with common carotid artery intima-media thickness (CCA-IMT) and adventitial diameter (CCA-AD) were estimated using linear models; the associations with carotid plaque were estimated using log-binomial models. Results Coffee intake was associated with CCA-IMT in an inverted J-shaped pattern. After adjusting for covariates, women with >0 to <1 cup/day and 1 to <2 cups/day of coffee intake had a 0.031 mm (95% CI: 0.012, 0.051) and a 0.027 mm (95% CI: 0.005, 0.049) larger CCA-IMT, respectively, than coffee non-drinkers. Women who consumed ≥2 cups/day of coffee did not have significantly different CCA-IMT than non-drinkers. There was an inverse linear association between moderate alcoholic beverages intake and CCA-IMT ( P -trend = 0.014). Whole milk intake had inverted U-shaped associations with CCA-IMT and carotid plaque. No significant associations were found between other beverage groups and subclinical atherosclerosis. Conclusions In midlife women, occasional coffee intake may be associated with more subclinical atherosclerosis while moderate alcoholic beverages intake may be associated with less subclinical atherosclerosis. Future work should focus on the determination of the optimal beverage intake profile for maximum cardiovascular benefits in midlife women.

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Section: Discussionmentioning

confidence: 54%

Prospective associations between beverage intake during the midlife and subclinical carotid atherosclerosis: The Study of Women’s Health Across the Nation

et al. 2019

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“…While drip filter coffee is the most popular brewing method worldwide, plunger coffee dominates in northern Europe. Turkish coffee is popular in the Middle East, Greece, Turkey, and Eastern Europe, and Espresso and Moka methods are the most common in Italy, Spain, and Portugal [ 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 ]. Tea habits also vary around the world [ 38 , 39 , 40 ].…”

Section: Discussionmentioning

confidence: 99%

Caffeine in the Diet: Country-Level Consumption and Guidelines

2018

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Coffee, tea, caffeinated soda, and energy drinks are important sources of caffeine in the diet but each present with other unique nutritional properties. We review how our increased knowledge and concern with regard to caffeine in the diet and its impact on human health has been translated into food-based dietary guidelines (FBDG). Using the Food and Agriculture Organization list of 90 countries with FBDG as a starting point, we found reference to caffeine or caffeine-containing beverages (CCB) in 81 FBDG and CCB consumption data (volume sales) for 56 of these countries. Tea and soda are the leading CCB sold in African and Asian/Pacific countries while coffee and soda are preferred in Europe, North America, Latin America, and the Caribbean. Key themes observed across FBDG include (i) caffeine-intake upper limits to avoid risks, (ii) CCB as replacements for plain water, (iii) CCB as added-sugar sources, and (iv) health benefits of CCB consumption. In summary, FBDG provide an unfavorable view of CCB by noting their potential adverse/unknown effects on special populations and their high sugar content, as well as their diuretic, psycho-stimulating, and nutrient inhibitory properties. Few FBDG balanced these messages with recent data supporting potential benefits of specific beverage types.

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“…Whilst some studies have investigated the association between CAC and specific beverages (i.e. coffee and sugar-sweetened beverages) (10,11) and a review reported evidence for micronutrients (12) , few studies (13,14) have evaluated the relationship between dietary patterns and CAC. Dietary pattern analysis, which reflects the complexity of dietary intake, accounts for cumulative and interactive effects and reflects actual eating habits and might be useful in the context of prevention of CVD (15,16) .…”

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confidence: 99%

Dietary patterns associated with subclinical atherosclerosis: a cross-sectional analysis of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) study

Gorgulho

Alves

Teixeira

et al. 2021

Public Health Nutr.

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Objective: To identify dietary patterns associated with subclinical atherosclerosis measured as coronary artery calcification (CAC). Design: Cross-sectional analysis of data from the Brazilian Longitudinal Study of Adult Health. Dietary data were assessed using a FFQ, and a principal component factor analysis was used to derive the dietary patterns. Scree plot, eigenvalues > 1 and interpretability were considered to retain the factors. CAC was measured using a computed tomography scanner and an electrocardiography-gated prospective Ca score examination and was categorised into three groups based on the CAC score: 0, 1–100 and >100 Agatston units. Multinomial regression models were conducted for dietary patterns and CAC severity categories. Setting: Brazil, São Paulo, 2008–2010. Participants: Active and retired civil servants who lived in São Paulo and underwent a CAC exam were included (n 4025). Results: Around 10 % of participants (294 men, 97 women) had a detectable CAC (>0), 6·5 % (182 men, 73 women) had a CAC of 1–100 and 3·5 % (110 men, 23 women) had a CAC > 100. Three dietary patterns were identified: convenience food, which was positively associated with atherosclerotic calcification; plant-based and dairy food, which showed no association with CAC; and the traditional Brazilian food pattern (rice, legumes and meats), which was inversely associated with atherosclerotic calcification. Conclusions: Our results showed that a dietary pattern consisting of traditional Brazilian foods could be important to reducing the risk of atherosclerotic calcification and prevent future cardiovascular events, whereas a convenience dietary pattern was positively associated with this outcome.

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Coffee Consumption and Coronary Artery Calcium Score: Cross‐Sectional Results of ELSA‐Brasil (Brazilian Longitudinal Study of Adult Health)

Cited by 19 publications

References 56 publications

Prospective associations between beverage intake during the midlife and subclinical carotid atherosclerosis: The Study of Women’s Health Across the Nation

Prospective associations between beverage intake during the midlife and subclinical carotid atherosclerosis: The Study of Women’s Health Across the Nation

Caffeine in the Diet: Country-Level Consumption and Guidelines

Dietary patterns associated with subclinical atherosclerosis: a cross-sectional analysis of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) study

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