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Ensayo controlado aleatorizado2013

Long-term alcohol and caffeine intake and risk of sudden cardiac death in women

Bertoia ML, Triche EW, Michaud DS, Baylin A, Hogan JW, Neuhouser ML, Freiberg MS, Allison MA, Safford MM, Li W, Mossavar-Rahmani Y, Rosal MC, Eaton CB

The American journal of clinical nutrition · 25 citas

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Eventos clínicos como enfermedad o muerte

Quién lo pagó

Financiación
Financiación independiente
Gobierno
National Institutes of Health
Gobierno
U.S. Public Health Service
Gobierno
Eunice Kennedy Shriver National Institute of Child Health and Human Development
Gobierno
PHS HHS
Gobierno
WHI NIH HHS
Gobierno
NICHD NIH HHS
Subvenciones
U.S. Public Health Service (44221); U.S. Public Health Service (32122); U.S. Public Health Service (24152); U.S. Public Health Service (42107-26); Eunice Kennedy Shriver National Institute of Child Health and Human Development (R24-HD041020); U.S. Public Health Service (42129-32); U.S. Public Health Service (32118-32119); U.S. Public Health Service (32100-2); U.S. Public Health Service (32105-6); National Institutes of Health (N01-WH-2-2110); U.S. Public Health Service (32108-9); U.S. Public Health Service (32111-13); U.S. Public Health Service (32115)

Según 6 financiadores declarados.

Publicación

Publicado
2013-04-25 · Am J Clin Nutr · vol. 97 · número 6 · págs. 1356–1363
Editorial
Elsevier BV
Citado
38 citas · más que el 90% de estudios similares · 2.9× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
30 trabajos
Acceso
Lectura gratuita
Áreas de investigación
Alcohol Consumption and Health Effects · Coffee research and impacts · Cardiac electrophysiology and arrhythmias
Palabras clave
sudden cardiac death, alcohol consumption, caffeine consumption, coffee consumption, tea consumption, postmenopausal women, cardiovascular risk factors, time-varying exposure, Women's Health Initiative
MeSH
humans, death, sudden, cardiac, caffeine, body mass index, risk factors, alcohol drinking, smoking, postmenopause, socioeconomic factors, coffee, tea, aged, middle aged, female, surveys and questionnaires

13 autores

  • Monica L. Bertoia🇺🇸Brown University
  • Elizabeth Westerlund Triche🇺🇸Brown University
  • Dominique S. Michaud🇺🇸Brown University
  • Ana Baylín🇺🇸University of Michigan
  • Joseph W. Hogan🇺🇸Brown University
  • Marian L. Neuhouser🇺🇸Fred Hutch Cancer Center
  • Matthew S. Freiberg🇺🇸University of Pittsburgh
  • Matthew Allison🇺🇸University of California San Diego
  • Monika M. Safford🇺🇸University of Alabama at Birmingham
  • Wenjun Li🇺🇸University of Massachusetts Chan Medical School
  • Yasmin Mossavar‐Rahmani
  • Milagros C. Rosal🇺🇸University of Massachusetts Chan Medical School
  • Charles B. Eaton🇺🇸Brown University; Memorial Hospital of Rhode Island

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

Alcohol and caffeine intakes may play a role in the development of sudden cardiac death (SCD) because of their effects on cholesterol, blood pressure, heart rate variability, and inflammation.

Objective

Our objective was to examine the association between long-term alcohol and caffeine intakes and risk of SCD in women.

Design

We examined 93,676 postmenopausal women who participated in the Women's Health Initiative Observational Study. Women were enrolled between 1993 and 1998 and were followed until August 2009. Women completed a food-frequency questionnaire at baseline and again at year 3. We modeled exposure to alcohol 3 ways: by using baseline intake only, a cumulative average of baseline and year 3 intake, and the most recent reported intake (a simple time-varying analysis).

Results

Intake of 5-15 g alcohol/d (about one drink) was associated with a nonsignificantly reduced risk of SCD compared with 0.1-5 g/d of baseline intake (HR: 0.64; 95% CI: 0.40, 1.02), of cumulative average intake (HR: 0.69; 95% CI: 0.43, 1.11), and of most recent intake (HR: 0.58; 95% CI: 0.35, 0.96), with adjustment for age, race, income, smoking, body mass index, physical activity, hormone use, and total energy. No association was found between SCD and total caffeine intake (mg/d) or cups of caffeinated coffee, decaffeinated coffee, and caffeinated tea.

Conclusions

Our results suggest that about one drink per day (or 5.1-15 g/d) may be associated with a reduced risk of SCD in this population; however, this association was only statistically significant for a model using the most recent alcohol intake. Total caffeine, regular coffee, decaffeinated coffee, and regular tea intake were not associated with the risk of SCD. This trial was registered at clinicaltrials.gov as NCT00000611.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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