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Estudio2017Financiado por la industriaAcceso abierto

Financiado en parte por Novo Nordisk, Novo Nordisk Fonden

Association between coffee or caffeine consumption and fecundity and fertility: a systematic review and dose-response meta-analysis

Lyngsø J, Ramlau-Hansen CH, Bay B, Ingerslev HJ, Hulman A, Kesmodel US

Clinical epidemiology · 42 citas

Etiquetas de revisión

Financiado por la industria

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Cómo se estudió

Diseño
Metaanálisis (clasificado por nuestro filtro de IA)
Estudiado en
Personas
Resultado principal
Eventos clínicos como enfermedad o muerte

Quién lo pagó

Financiación
Financiado por la industria
Universidad u hospital
Aarhus Universitet
Gobierno
European Food Safety Authority
Universidad u hospital
Danish Diabetes Academy
Empresa
Novo Nordisk
Empresa
Novo Nordisk Fonden

Según 5 financiadores declarados.

Publicación

Publicado
2017-12-01 · Clin Epidemiol · vol. Volume 9 · págs. 699–719
Editorial
Dove Medical Press
Citado
61 citas · más que el 72% de estudios similares · 1.0× el promedio de su campo
Referencias
120 trabajos
Acceso
Acceso abierto (revista) · CC-BY-NC
Áreas de investigación
Coffee research and impacts · Ovarian function and disorders · Gestational Diabetes Research and Management
Palabras clave
Fecundity, Caffeine, Fertility, Medicine, Meta-analysis, Consumption (sociology), Demography, Traditional medicine, Internal medicine, Environmental health, Population, Social science

6 autores

  • Julie Lyngsø🇩🇰Aarhus University
  • Cecilia Høst Ramlau‐Hansen🇩🇰Aarhus University
  • Bjørn Bay🇩🇰Regional Hospital Horsens
  • Hans Jakob Ingerslev🇩🇰Aarhus University Hospital
  • Ádám Hulmán🇩🇰Aarhus University; Danish Diabetes Academy
  • Ulrik Schiøler Kesmodel🇩🇰Gentofte Hospital

Resumen

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

Objective

The aim was to investigate whether coffee or caffeine consumption is associated with reproductive endpoints among women with natural fertility (ie, time to pregnancy [TTP] and spontaneous abortion [SAB]) and among women in fertility treatment (ie, clinical pregnancy rate or live birth rate).

Design

This study was a systematic review and dose-response meta-analysis including data from case-control and cohort studies.

Methods

An extensive literature search was conducted in MEDLINE and Embase, with no time and language restrictions. Also, reference lists were searched manually. Two independent reviewers assessed the manuscript quality using the Newcastle-Ottawa Scale (NOS). A two-stage dose-response meta-analysis was applied to assess a potential association between coffee/caffeine consumption and the outcomes: TTP, SAB, clinical pregnancy, and live birth. Heterogeneity between studies was assessed using Cochrane Q-test and I2 statistics. Publication bias was assessed using Egger's regression test.

Results

The pooled results showed that coffee/caffeine consumption is associated with a significantly increased risk of SAB for 300 mg caffeine/day (relative risk [RR]: 1.37, 95% confidence interval [95% CI]: 1.19; 1.57) and for 600 mg caffeine/day (RR: 2.32, 95% CI: 1.62; 3.31). No association was found between coffee/caffeine consumption and outcomes of fertility treatment (based on two studies). No clear association was found between exposure to coffee/caffeine and natural fertility as measured by fecundability odds ratio (based on three studies) or waiting TTP (based on two studies).

Conclusion

Results from this meta-analysis support the growing evidence of an association between coffee/caffeine intake and the risk of SAB. However, viewing the reproductive capacity in a broader perspective, there seems to be little, if any, association between coffee/caffeine consumption and fecundity. In general, results from this study are supportive of a precautionary principle advised by health organizations such as European Food Safety Authority (EFSA) and World Health Organization (WHO), although the advised limit of a maximum of two to three cups of coffee/200-300 mg caffeine per day may be too high.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY-NC).

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