Tea Consumption and All-Cause and Cause-Specific Mortality in the UK Biobank : A Prospective Cohort Study.


Journal

Annals of internal medicine
ISSN: 1539-3704
Titre abrégé: Ann Intern Med
Pays: United States
ID NLM: 0372351

Informations de publication

Date de publication:
09 2022
Historique:
pubmed: 30 8 2022
medline: 23 9 2022
entrez: 29 8 2022
Statut: ppublish

Résumé

Tea is frequently consumed worldwide, but the association of tea drinking with mortality risk remains inconclusive in populations where black tea is the main type consumed. To evaluate the associations of tea consumption with all-cause and cause-specific mortality and potential effect modification by genetic variation in caffeine metabolism. Prospective cohort study. The UK Biobank. 498 043 men and women aged 40 to 69 years who completed the baseline touchscreen questionnaire from 2006 to 2010. Self-reported tea intake and mortality from all causes and leading causes of death, including cancer, all cardiovascular disease (CVD), ischemic heart disease, stroke, and respiratory disease. During a median follow-up of 11.2 years, higher tea intake was modestly associated with lower all-cause mortality risk among those who drank 2 or more cups per day. Relative to no tea drinking, the hazard ratios (95% CIs) for participants drinking 1 or fewer, 2 to 3, 4 to 5, 6 to 7, 8 to 9, and 10 or more cups per day were 0.95 (95% CI, 0.91 to 1.00), 0.87 (CI, 0.84 to 0.91), 0.88 (CI, 0.84 to 0.91), 0.88 (CI, 0.84 to 0.92), 0.91 (CI, 0.86 to 0.97), and 0.89 (CI, 0.84 to 0.95), respectively. Inverse associations were seen for mortality from all CVD, ischemic heart disease, and stroke. Findings were similar regardless of whether participants also drank coffee or not or of genetic score for caffeine metabolism. Potentially important aspects of tea intake (for example, portion size and tea strength) were not assessed. Higher tea intake was associated with lower mortality risk among those drinking 2 or more cups per day, regardless of genetic variation in caffeine metabolism. These findings suggest that tea, even at higher levels of intake, can be part of a healthy diet. National Cancer Institute Intramural Research Program.

Sections du résumé

BACKGROUND
Tea is frequently consumed worldwide, but the association of tea drinking with mortality risk remains inconclusive in populations where black tea is the main type consumed.
OBJECTIVE
To evaluate the associations of tea consumption with all-cause and cause-specific mortality and potential effect modification by genetic variation in caffeine metabolism.
DESIGN
Prospective cohort study.
SETTING
The UK Biobank.
PARTICIPANTS
498 043 men and women aged 40 to 69 years who completed the baseline touchscreen questionnaire from 2006 to 2010.
MEASUREMENTS
Self-reported tea intake and mortality from all causes and leading causes of death, including cancer, all cardiovascular disease (CVD), ischemic heart disease, stroke, and respiratory disease.
RESULTS
During a median follow-up of 11.2 years, higher tea intake was modestly associated with lower all-cause mortality risk among those who drank 2 or more cups per day. Relative to no tea drinking, the hazard ratios (95% CIs) for participants drinking 1 or fewer, 2 to 3, 4 to 5, 6 to 7, 8 to 9, and 10 or more cups per day were 0.95 (95% CI, 0.91 to 1.00), 0.87 (CI, 0.84 to 0.91), 0.88 (CI, 0.84 to 0.91), 0.88 (CI, 0.84 to 0.92), 0.91 (CI, 0.86 to 0.97), and 0.89 (CI, 0.84 to 0.95), respectively. Inverse associations were seen for mortality from all CVD, ischemic heart disease, and stroke. Findings were similar regardless of whether participants also drank coffee or not or of genetic score for caffeine metabolism.
LIMITATION
Potentially important aspects of tea intake (for example, portion size and tea strength) were not assessed.
CONCLUSION
Higher tea intake was associated with lower mortality risk among those drinking 2 or more cups per day, regardless of genetic variation in caffeine metabolism. These findings suggest that tea, even at higher levels of intake, can be part of a healthy diet.
PRIMARY FUNDING SOURCE
National Cancer Institute Intramural Research Program.

Identifiants

pubmed: 36037472
doi: 10.7326/M22-0041
pmc: PMC10623338
mid: NIHMS1938970
doi:

Substances chimiques

Coffee 0
Tea 0
Caffeine 3G6A5W338E

Types de publication

Journal Article Research Support, N.I.H., Intramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

1201-1211

Subventions

Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_PC_17228
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_QA137853
Pays : United Kingdom
Organisme : Intramural NIH HHS
ID : Z99 CA999999
Pays : United States

Commentaires et corrections

Type : CommentIn
Type : CommentIn
Type : ErratumIn

Références

Am J Clin Nutr. 2019 Mar 1;109(3):509-516
pubmed: 30838377
Hum Mol Genet. 2016 Dec 15;25(24):5472-5482
pubmed: 27702941
Epidemiology. 2019 Jul;30(4):509-516
pubmed: 31033690
JAMA Intern Med. 2018 Aug 1;178(8):1086-1097
pubmed: 29971434
J Nutr. 2020 Dec 10;150(12):3269-3279
pubmed: 33188386
Br J Nutr. 2015 Sep 14;114(5):673-83
pubmed: 26202661
Comput Methods Programs Biomed. 2011 Jan;101(1):87-93
pubmed: 20724020
Complement Ther Med. 2019 Oct;46:210-216
pubmed: 31519281
Am J Clin Nutr. 2021 Jul 1;114(1):194-202
pubmed: 33709113
J Epidemiol. 2017 Jan;27(1):36-41
pubmed: 28135196
JAMA. 2006 Mar 8;295(10):1135-41
pubmed: 16522833
Int J Epidemiol. 2022 May 9;51(2):626-640
pubmed: 34468722
Lancet Public Health. 2018 Dec;3(12):e576-e585
pubmed: 30467019
J Agric Food Chem. 2019 Jan 30;67(4):1029-1043
pubmed: 30653316
J Nutr. 2020 Oct 12;150(10):2772-2788
pubmed: 32805014
Eur J Epidemiol. 2018 Feb;33(2):183-200
pubmed: 29380105
Cochrane Database Syst Rev. 2013 Jun 18;(6):CD009934
pubmed: 23780706
Adv Nutr. 2020 Jul 1;11(4):790-814
pubmed: 32073596
Eur J Epidemiol. 2019 Oct;34(10):917-926
pubmed: 31392470
IARC Monogr Eval Carcinog Risks Hum. 1991;51:1-513
pubmed: 1674554
Br J Nutr. 2014 Apr 28;111(8):1329-39
pubmed: 24331002
Am J Clin Nutr. 2011 Mar;93(3):506-15
pubmed: 21248184
BMJ Open. 2017 Mar 24;7(3):e011720
pubmed: 28341683
Clin Nutr. 2021 Mar;40(3):1430-1435
pubmed: 32943239
Am J Clin Nutr. 1997 May;65(5):1489-94
pubmed: 9129481
J Biol Chem. 2005 May 6;280(18):18302-10
pubmed: 15755728
Arterioscler Thromb Vasc Biol. 2010 Aug;30(8):1665-71
pubmed: 20562351
J Nutr. 2013 Aug;143(8):1299-308
pubmed: 23784068
J Nutr Sci. 2018 Feb 1;7:e6
pubmed: 29430297
Nature. 2018 Oct;562(7726):203-209
pubmed: 30305743
Am J Epidemiol. 2017 Nov 1;186(9):1026-1034
pubmed: 28641372
Eur J Epidemiol. 2016 Sep;31(9):853-65
pubmed: 27372743
Ann Intern Med. 2017 Aug 15;167(4):268-274
pubmed: 28693043
J Hypertens. 2009 Aug;27(8):1594-601
pubmed: 19451835
J Immunol. 2003 Apr 15;170(8):4335-41
pubmed: 12682270
Mol Psychiatry. 2015 May;20(5):647-656
pubmed: 25288136
Nutrients. 2018 Nov 15;10(11):
pubmed: 30445721
Eur J Epidemiol. 2015 Feb;30(2):103-13
pubmed: 25354990
Int J Cancer. 2020 Jan 1;146(1):18-25
pubmed: 30891750
J Am Coll Nutr. 2017 May-Jun;36(4):281-286
pubmed: 28557683
Am J Clin Nutr. 2019 Nov 1;110(5):1067-1078
pubmed: 31504087
Ann Epidemiol. 1993 Jul;3(4):375-81
pubmed: 8275213

Auteurs

Maki Inoue-Choi (M)

Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, Maryland (M.I.C., Y.R., A.B.G., N.D.F., E.L.).

Yesenia Ramirez (Y)

Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, Maryland (M.I.C., Y.R., A.B.G., N.D.F., E.L.).

Marilyn C Cornelis (MC)

Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois (M.C.C.).

Amy Berrington de González (A)

Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, Maryland (M.I.C., Y.R., A.B.G., N.D.F., E.L.).

Neal D Freedman (ND)

Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, Maryland (M.I.C., Y.R., A.B.G., N.D.F., E.L.).

Erikka Loftfield (E)

Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, Maryland (M.I.C., Y.R., A.B.G., N.D.F., E.L.).

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