Caffeine and caffeinated beverage consumption and risk of spontaneous abortion
Hahn KA, Wise LA, Rothman KJ, Mikkelsen EM, Brogly SB, Sørensen HT, Riis AH, Hatch EE
Human reproduction (Oxford, England) · 22 citas
Cómo se estudió
- Diseño
- Estudio de cohortes (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Eventos clínicos como enfermedad o muerte
Quién lo pagó
- Financiación
- Financiación independiente
- Gobierno
- Eunice Kennedy Shriver National Institute of Child Health and Human Development
- Gobierno
- NICHD NIH HHS
- Subvenciones
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (T32HD052458); Eunice Kennedy Shriver National Institute of Child Health and Human Development (R21-HD050264)
Según 2 financiadores declarados.
Publicación
- Publicado
- 2015-03-18 · Hum Reprod · vol. 30 · número 5 · págs. 1246–1255
- Editorial
- Oxford University Press
- Citado
- 44 citas · más que el 96% de estudios similares · 6.1× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 52 trabajos
- Acceso
- Acceso abierto (copia en repositorio)
- Áreas de investigación
- Coffee research and impacts · Gestational Diabetes Research and Management · Ovarian function and disorders
- Palabras clave
- Caffeine, Abortion, Consumption (sociology), Medicine, Obstetrics, Pregnancy, Internal medicine, Biology
- MeSH
- humans, abortion, spontaneous, caffeine, incidence, proportional hazards models, risk factors, prospective studies, fertilization, beverages, adolescent, adult, denmark, female, young adult, surveys and questionnaires
8 autores
- Kristen A. Hahn🇺🇸 · autor de correspondenciaBoston University
- Lauren Anne Wise🇺🇸Boston University
- Kenneth Jay Rothman🇺🇸Boston University; RTI Health Solutions
- Ellen Margrethe Mikkelsen🇩🇰Aarhus University Hospital
- Susan B. Brogly🇺🇸Boston University
- Henrik Toft Sørensen🇺🇸🇩🇰Boston University; Aarhus University Hospital
- Anders Hammerich Riis🇩🇰Aarhus University Hospital
- Elizabeth Elliott Hatch🇺🇸Boston University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Study question
Is caffeine and caffeinated beverage consumption associated with the risk of spontaneous abortion (SAB)?
Summary answer
While preconceptional caffeine consumption was not materially associated with an increased risk of SAB, consumption during early pregnancy was associated with a small increased risk of SAB, although the relation was not linear.
What is known already
Caffeine has been hypothesized as a risk factor for SAB since the 1980s; however, results from previous studies have been conflicting.
Study design, size, duration
This prospective cohort study included 5132 Danish women planning pregnancy and enrolled from 2007 to 2010.
Participants/materials, setting, methods
Participants were women who conceived after entry into the Snart-Gravid cohort and who were aged 18-40, in a stable relationship with a male partner, and did not use fertility treatments to conceive. Women reported their daily caffeine and caffeinated beverage consumption on questionnaires before conception and during early pregnancy. All exposure measurements were prospective with respect to outcome ascertainment. We estimated hazard ratios (HRs) of SAB for categories of caffeine consumption in milligrams (mg) per day and the corresponding 95% confidence intervals (CIs) using Cox proportional hazards regression models with gestational weeks as the time scale.
Main results and the role of chance
There were 732 women (14.3%) who were identified as having a SAB. In the preconceptional period, caffeine consumption was not materially associated with SAB risk (HR comparing ≥300 with <100 mg/day: 1.09; 95% CI: 0.89, 1.33). In early pregnancy, the HRs for 100-199, 200-299 and ≥300 mg/day of caffeine consumption were 1.62 (95% CI: 1.19, 2.22), 1.48 (95% CI: 1.03, 2.13) and 1.23 (95% CI: 0.61, 2.46), respectively, compared with that for <100 mg/day.
Limitations, reasons for caution
The observed results may be affected by non-differential exposure misclassification, reverse causation and residual confounding.
Wider implications of the findings
This is the largest study to date of prospectively measured, preconception caffeine consumption and risk of SAB. We were able to reduce the likelihood of differential left truncation bias and recall bias present in other analyses.
Study funding/competing interests
Snart-Gravid was funded by the NICHD (R21-050264). Dr. Hahn's work was funded in part by the BU Reproductive, Perinatal, and Pediatric Epidemiology Training Grant NIH #T32HD052458. There are no competing interests.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
Confianza de la comunidad
Cargando…
¿Cuánto confías en los hallazgos de este estudio?
Comentarios
¿Algo está mal aquí?
Señala este estudio si su información, etiquetas o financiación parecen incorrectas. Un editor revisa cada señalamiento.
Información educativa sobre investigación publicada. No es consejo médico ni una recomendación para empezar o dejar nada.