A METAANALYSIS OF COFFEE, MYOCARDIAL-INFARCTION, AND CORONARY DEATH

被引：113

作者：

GREENLAND, S

机构：

[1] Department of Epidemiology, UCLA School of Public Health, Los Angeles, CA

来源：

EPIDEMIOLOGY | 1993年 / 4卷 / 04期

关键词：

COFFEE; METAANALYSIS; MYOCARDIAL INFARCTION;

D O I：

10.1097/00001648-199307000-00013

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

This paper presents a meta-analysis of 22 studies of coffee use and myocardial infarction or coronary death. In the eight case-control studies, a fairly homogeneous increased risk was found among coffee users (geometric mean rate ratio of 1.42 for 5 cups per day vs none, with 95% confidence limits of 1.30,1.55, homogeneity P-value of 0.89). The 14 cohort studies tended to exhibit lower but very heterogeneous rate ratios, with a trend toward larger rate ratios in studies with longer follow-up periods and later publication dates (geometric mean rate ratio of 0.92 for the five cohort studies published up to 1981, 1.27 for the nine cohort studies published in 1986 or later; overall homogeneity P-value of 0.0008). The evidence thus remains ambiguous regarding both the existence and size of a coffee effect, and although a rate ratio of over 1.5 for 5 cups per day appears unlikely, stronger effects for 10-cup-per-day drinkers cannot be ruled out.

引用

页码：366 / 374

页数：9

共 58 条

[1] Greenland S., Quantitative methods in the review of epidemiologic literature, Epidemiol Rev, 9, pp. 1-30, (1987)
[2] Rosenberg L., Palmer J.R., Kelly J.P., Kaufman D.W., Shapiro S., Coffee drinking and nonfatal myocardial infarction in men under 55 years of age, Am J Epidemiol, 128, pp. 570-578, (1988)
[3] La Vecchia C., Gentile A., Negri E., Parazzini F., Franceschi S., Coffee consumption and myocardial infarction in women, Am J Epidemiol, 130, pp. 481-485, (1989)
[4] Klatsky A.L., Friedman G.D., Armstrong M.A., Coffee use prior to myocardial infarction restudied: Heavier intake may increase risk, Am J Epidemiol, 132, pp. 479-488, (1990)
[5] Grobbee D.E., Rimm E.B., Giovannucci E., Colditz G., Stampfer M., Willett W., Coffee, caffeine, and cardiovascular disease in men, N Engl J Med, 323, pp. 1026-1032, (1990)
[6] Tverdal A., Stensvold I., Solvoll K., Foss O.P., Lund-Larsen P., Bjartveit K., Coffee consumption and death from coronary heart disease in middle-aged Norwegian men and women, Brmed J, 300, pp. 566-569, (1990)
[7] Rosengren A., Wilhelmsen L., Coffee, coronary heart disease and mortality in middle-aged Swedish men: Findings from the Primary Prevention Study, J Intern Med, 230, pp. 67-71, (1991)
[8] Yano K., Reed D.M., MacLean C.J., Letter to Editor, N Engl J Med, 316, (1987)
[9] Rosenberg L., Werler M.M., Kaufman D.W., Shapiro S., Coffee drinking and myocardial infarction in young women: An update, Am J Epidemiol, 126, pp. 147-149, (1987)
[10] LeGrady D., Dyer A.R., Shekelle R.B., Stamler J., Liu K., Paul O., Lepper M., Shryock A.M., Coffee consumption and mortality in the Chicago Western Electric Company Study, Am J Epidemiol, 126, pp. 803-812, (1987)

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