Habitual coffee consumption and 24-h blood pressure control in older adults with hypertension
| Autor: | Esther Lopez-Garcia, Fernando Rodríguez-Artalejo, Luz M. León-Muñoz, José R. Banegas, Auxiliadora Graciani, Pilar Guallar-Castillón, Edilberto Orozco-Arbeláez |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Mediterranean diet Diastole Blood Pressure 030204 cardiovascular system & hematology Diet Mediterranean Critical Care and Intensive Care Medicine Coffee 03 medical and health sciences 0302 clinical medicine Risk Factors Caffeine Internal medicine medicine Humans 030212 general & internal medicine Antihypertensive Agents Aged Aged 80 and over Nutrition and Dietetics business.industry Confounding Reproducibility of Results Odds ratio Middle Aged Confidence interval Diet Surgery Cross-Sectional Studies Blood pressure Spain Hypertension Ambulatory Patient Compliance Female business Body mass index Follow-Up Studies |
| Zdroj: | Clinical Nutrition. 35:1457-1463 |
| ISSN: | 0261-5614 |
| Popis: | Summary Background & aims In normotensive and hypertensive individuals, blood pressure (BP) rises acutely during a few hours following coffee or caffeine consumption. However, the effect of habitual coffee consumption on BP and BP control is uncertain. The aim of this study was to assess the association of habitual coffee consumption on 24-h BP and BP control among older adults with hypertension. Methods Data were taken from the Seniors-Study on Nutrition and Cardiovascular Risk in Spain (ENRICA), a cross-sectional study conducted in 2012 among 1164 individuals aged ≥63 years. Habitual coffee consumption was assessed with a validated diet history. BP was recorded by 24-h ambulatory monitoring. Ambulatory hypertension was defined as BP ≥ 130/80 mm Hg or being under antihypertensive treatment, and uncontrolled BP was deemed as BP ≥ 130/80 mm Hg among hypertensives. Analyses were performed with linear and logistic regressions adjusted for the main confounders, including diet, time since diagnosis of hypertension and the number of antihypertensive drugs. Results Among the 715 hypertensive participants, those consuming ≥3 cups of coffee/day showed higher 24-h systolic BP (beta: 3.25 mm Hg, p value = 0.04) and diastolic BP (beta: 2.24 mm Hg, p value = 0.02) than non-coffee drinkers. Compared to non-coffee drinkers, the odds ratios (95% confidence interval) for uncontrolled BP among those consuming 1, 2, and ≥3 cups of coffee/day were, respectively: 1.95 (1.15–3.30), 1.41 (0.75–2.68), and 2.55 (1.28–5.09); p for trend = 0.05. The association was similar among individuals who were smokers, had excess weight (body mass index ≥25 kg/m 2 ), low adherence to the Mediterranean diet, or hypercholesterolemia. No association was found between coffee consumption and having a non-dipper BP pattern ( Conclusion Habitual coffee consumption was associated with uncontrolled BP in a hypertensive older population. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect