Article ID Journal Published Year Pages File Type
2931913 International Journal of Cardiology 2009 10 Pages PDF
Abstract

BackgroundA large amount of cohort studies addressed coffee consumption and risk of coronary heart disease (CHD) and yielded inconsistent results. We conducted a meta-analysis to estimate the pooling effects.MethodsWe searched for all published English articles indexed in MEDLINE or PubMed from January 1966 to January 2008. Twenty-one independent prospective cohort studies, which tested CHD risk by coffee consumption, were identified. A general variance-based method was used to pool the relative risks (RR). 15,599 cases from 407,806 participants were included in pooling the overall effects.ResultsAs compared to the light coffee consumption (< 1 cup/d in US or ≤ 2 cups/d in Europe), under the random-effects model, the pooled CHD RRs (95% CI) for all studies combined were 0.96 (0.87–1.06), 1.04 (0.92–1.17) and 1.07 (0.87–1.32) for the moderate (1–3 or 3–4 cups/d), heavy (4–5 or 5–6 cups/d) and very heavy (≥ 6 or ≥ 7 cups/d) categories of coffee consumption (all p > 0.05); Moderate coffee consumption showed significantly lower CHD RR (95% CI) of 0.82 (0.73–0.92) (p < 0.001) in women, and of 0.87 (0.80–0.86) (p = 0.001) in men and women followed ≤ 10 years.ConclusionOur findings do not support the hypothesis that coffee consumption increases the long-term risk of coronary heart disease. Habitual moderate coffee drinking was associated with a lower risk of CHD in women.

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