关键词: Caffeine Coffee Glucose intolerance Prediabetes Type 2 diabetes

来  源:   DOI:10.1007/s40200-023-01356-5   PDF(Pubmed)

Abstract:
UNASSIGNED: We aimed to investigate the association between coffee drinking and total caffeine intakes with the chance of prediabetes (Pre-DM) regression and progression over 9-years of follow-up.
UNASSIGNED: This cohort study included 334 Pre-DM individuals (mean age of 49.4 ± 12.8 years and 51.5% men) who participated in the third phase of the Tehran Lipid and Glucose Study (2006-2008). A validated food frequency questionnaire at baseline assessed habitual coffee consumption. All measurements were done at baseline and all subsequent examinations with 3-year follow-up intervals. The odds ratios (OR) and 95% confidence intervals (CIs) of Pre-DM regression to normal glycemia or progression to type 2 diabetes (T2D) in coffee drinkers/non-drinkers were estimated using multinomial logistic regression analysis.
UNASSIGNED: During the study follow-up 39.8% of the study participants were progressed to T2D and 39.8% returned to normal glycemia. Coffee consumption nearly doubled the chance of returning to normal (OR = 2.26, 95% CI = 1.03-4.97). Total caffeine intake was not related to Pre-DM progression and regression. Compared to non-drinkers, coffee drinkers had significantly lower 2-hour serum glucose concentrations over time (152, 95% CI = 144-159 vs. 162, 95% CI = 155-169 mg/dL, P = 0.05).
UNASSIGNED: Habitual coffee drinking may increase the chance of returning to normal glycemia in Pre-DM subjects.
摘要:
我们的目的是调查咖啡饮用和总咖啡因摄入量与9年随访期间前驱糖尿病(Pre-DM)消退和进展的可能性之间的关系。
该队列研究包括334名参加德黑兰脂质和葡萄糖研究第三阶段(2006-2008)的DM前个体(平均年龄49.4±12.8岁,男性占51.5%)。基线时经过验证的食物频率问卷评估了习惯性咖啡消费。所有测量均在基线时进行,所有后续检查均以3年的随访间隔进行。使用多项逻辑回归分析估计了饮用咖啡/不饮用咖啡的人中Pre-DM回归到正常血糖或进展为2型糖尿病(T2D)的比值比(OR)和95%置信区间(CI)。
在研究随访期间,39.8%的研究参与者进展到T2D,39.8%的参与者恢复正常血糖。咖啡消费恢复正常的机会几乎增加了一倍(OR=2.26,95%CI=1.03-4.97)。总咖啡因摄入量与DM前进展和消退无关。与不喝酒的人相比,随着时间的推移,喝咖啡的人2小时血清葡萄糖浓度显着降低(152,95%CI=144-159vs.162,95%CI=155-169mg/dL,P=0.05)。
习惯性饮用咖啡可能会增加DM前受试者恢复正常血糖的机会。
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