Coffee and Green Tea Consumption and Cardiovascular Disease Mortality Among People With and Without Hypertension

Background This study was conducted to examine the impacts of coffee and green tea consumption on cardiovascular disease (CVD) mortality among people with severe hypertension. Methods and Results In the JACC (Japan Collaborative Cohort Study for Evaluation of Cancer Risk), 18 609 participants (6574...

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Main Authors: Masayuki Teramoto, Kazumasa Yamagishi, Isao Muraki, Akiko Tamakoshi, Hiroyasu Iso
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
Subjects:
Online Access:https://www.ahajournals.org/doi/10.1161/JAHA.122.026477
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author Masayuki Teramoto
Kazumasa Yamagishi
Isao Muraki
Akiko Tamakoshi
Hiroyasu Iso
author_facet Masayuki Teramoto
Kazumasa Yamagishi
Isao Muraki
Akiko Tamakoshi
Hiroyasu Iso
author_sort Masayuki Teramoto
collection DOAJ
description Background This study was conducted to examine the impacts of coffee and green tea consumption on cardiovascular disease (CVD) mortality among people with severe hypertension. Methods and Results In the JACC (Japan Collaborative Cohort Study for Evaluation of Cancer Risk), 18 609 participants (6574 men and 12 035 women) aged 40 to 79 years at baseline who completed a lifestyle, diet, and medical history questionnaire, and health examinations, were followed up until 2009. We classified the participants into four blood pressure (BP) categories: optimal and normal BP, high‐normal BP, grade 1 hypertension, and grade 2–3 hypertension. A Cox proportional hazard model was used to calculate the multivariable hazard ratios with 95% CIs of CVD mortality. During the 18.9 years of median follow‐up, a total of 842 CVD deaths were documented. Coffee consumption was associated with an increased risk of CVD mortality among people with grade 2–3 hypertension; the multivariable hazard ratios (95% CI) of CVD mortality were 0.98 (0.67–1.43) for <1 cup/day, 0.74 (0.37–1.46) for 1 cup/day, and 2.05 (1.17–3.59) for ≥2 cups/day, compared with non–coffee drinkers. Such associations were not found among people with optimal and normal, high‐normal BP, and grade 1 hypertension. Green tea consumption was not associated with an increased risk of CVD across any BP categories. Conclusions Heavy coffee consumption was associated with an increased risk of CVD mortality among people with severe hypertension, but not people without hypertension and with grade 1 hypertension. In contrast, green tea consumption was not associated with an increased risk of CVD mortality across all categories of BP.
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spelling doaj.art-55f5e6f695204809b1eaeff4d33a47132023-02-07T16:01:10ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802023-01-0112210.1161/JAHA.122.026477Coffee and Green Tea Consumption and Cardiovascular Disease Mortality Among People With and Without HypertensionMasayuki Teramoto0Kazumasa Yamagishi1Isao Muraki2Akiko Tamakoshi3Hiroyasu Iso4Department of Social Medicine Osaka University Graduate School of Medicine Osaka JapanDepartment of Public Health Medicine, Faculty of Medicine, and Health Services Research and Development Center University of Tsukuba Tsukuba JapanDepartment of Social Medicine Osaka University Graduate School of Medicine Osaka JapanDepartment of Public Health Hokkaido University Faculty of Medicine Sapporo JapanDepartment of Social Medicine Osaka University Graduate School of Medicine Osaka JapanBackground This study was conducted to examine the impacts of coffee and green tea consumption on cardiovascular disease (CVD) mortality among people with severe hypertension. Methods and Results In the JACC (Japan Collaborative Cohort Study for Evaluation of Cancer Risk), 18 609 participants (6574 men and 12 035 women) aged 40 to 79 years at baseline who completed a lifestyle, diet, and medical history questionnaire, and health examinations, were followed up until 2009. We classified the participants into four blood pressure (BP) categories: optimal and normal BP, high‐normal BP, grade 1 hypertension, and grade 2–3 hypertension. A Cox proportional hazard model was used to calculate the multivariable hazard ratios with 95% CIs of CVD mortality. During the 18.9 years of median follow‐up, a total of 842 CVD deaths were documented. Coffee consumption was associated with an increased risk of CVD mortality among people with grade 2–3 hypertension; the multivariable hazard ratios (95% CI) of CVD mortality were 0.98 (0.67–1.43) for <1 cup/day, 0.74 (0.37–1.46) for 1 cup/day, and 2.05 (1.17–3.59) for ≥2 cups/day, compared with non–coffee drinkers. Such associations were not found among people with optimal and normal, high‐normal BP, and grade 1 hypertension. Green tea consumption was not associated with an increased risk of CVD across any BP categories. Conclusions Heavy coffee consumption was associated with an increased risk of CVD mortality among people with severe hypertension, but not people without hypertension and with grade 1 hypertension. In contrast, green tea consumption was not associated with an increased risk of CVD mortality across all categories of BP.https://www.ahajournals.org/doi/10.1161/JAHA.122.026477coffeecohort studydietgreen teahypertension
spellingShingle Masayuki Teramoto
Kazumasa Yamagishi
Isao Muraki
Akiko Tamakoshi
Hiroyasu Iso
Coffee and Green Tea Consumption and Cardiovascular Disease Mortality Among People With and Without Hypertension
Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
coffee
cohort study
diet
green tea
hypertension
title Coffee and Green Tea Consumption and Cardiovascular Disease Mortality Among People With and Without Hypertension
title_full Coffee and Green Tea Consumption and Cardiovascular Disease Mortality Among People With and Without Hypertension
title_fullStr Coffee and Green Tea Consumption and Cardiovascular Disease Mortality Among People With and Without Hypertension
title_full_unstemmed Coffee and Green Tea Consumption and Cardiovascular Disease Mortality Among People With and Without Hypertension
title_short Coffee and Green Tea Consumption and Cardiovascular Disease Mortality Among People With and Without Hypertension
title_sort coffee and green tea consumption and cardiovascular disease mortality among people with and without hypertension
topic coffee
cohort study
diet
green tea
hypertension
url https://www.ahajournals.org/doi/10.1161/JAHA.122.026477
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