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Systematic review with meta-analysis: Coffee consumption and the risk of gallstone disease
Abstract
Summary: Background: Epidemiologic evidence on coffee consumption reducing the risk of gallstone disease has been contradictory. Aim: To perform a meta‐analysis of observational studies, to investigate an association and dose–response of coffee consumption with gallstone disease. Methods: We used PubMed and EMBASE databases to identify all published studies before June 2015. A random‐effects model was used to compute a pooled relative risk (RR) and corresponding 95% confidence intervals (CI s). Results: One case–control study and five prospective cohort studies (with seven cohorts) involving 227 749 participants and 11 477 gallstone disease cases were included. Coffee consumption was significantly associated with a reduced risk of gallstone disease (RR, 0.83; 95% CI, 0.76 to 0.89; I2 = 35.9%), based on prospective studies; specifically, we observed an inverse relation in females, but not in males. The case–control study did not reveal any association between coffee and gallstone disease (OR, 0.99; 95% CI, 0.64 to 1.53). In a dose–response analysis, the RR of gallstone disease was 0.95 (95% CI, 0.91 to 1.00; P = 0.049) per 1 cup/day of coffee consumption. A significant nonlinear dose–response association was also identified (P for nonlinearity = 0.0106). For people who drank 2, 4 and 6 cups of coffee per day, the estimated RR s of gallstone disease were 0.89 (95% CI, 0.79 to 0.99), 0.81 (95% CI, 0.72 to 0.92) and 0.75 (95% CI, 0.64 to 0.88), respectively, compared with the lowest level drinkers. Conclusion: This study suggests that coffee consumption is related to a significantly decreased risk of gallstone disease.
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“In the single case-control study, there was no association between coffee and gallbladder risk in both sexes (OR = 0.99; 95% CI = 0.64–1.53).”
From Effects of Coffee on the Gastro-Intestinal Tract: A Narrative Review and Literature Update (2022) · cites this paper as [89]
In the citing paper
“In prospective cohort studies, coffee intake was significantly associated with a 17% risk reduction (RR = 0.83; 95% CI = 0.76–0.89) of gallbladder stones, but only in women, not in men.”
From Effects of Coffee on the Gastro-Intestinal Tract: A Narrative Review and Literature Update (2022) · cites this paper as [89]
In the citing paper
“The risk reduction increases with coffee dosage in a non-linear manner, 5% for 1 cup/day, 11% for 2 cups/day, 19% for 4 cups/day and 25% for 6 cups/day compared to the lowest levels of consumption [89].”
From Effects of Coffee on the Gastro-Intestinal Tract: A Narrative Review and Literature Update (2022) · cites this paper as [89]
In the citing paper
“Two studies found dose-related decreases in the risk of gallstones [89,100].”
From Effects of Coffee on the Gastro-Intestinal Tract: A Narrative Review and Literature Update (2022) · cites this paper as [89]
In the citing paper
“As shown in Table 2, a recent meta-analysis including one case-control and five prospective cohort studies, 227,749 participants, and 11,477 gallbladder stones cases reviewed the association between coffee intake and the risk of gallbladder stones.”
From Effects of Coffee on the Gastro-Intestinal Tract: A Narrative Review and Literature Update (2022) · cites this paper as [89]
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Cited by
Coffee consumption and health: umbrella review of meta-analyses of multiple health outcomes
Poole, R., Kennedy, O. J., Roderick, P., Fallowfield, J. A., Hayes, P. C., & Parkes, J. (2017) · BMJ · doi:10.1136/bmj.j5024 · Cited by 835
Coffee, Caffeine, and Health Outcomes: An Umbrella Review
Grosso, G., Godos, J., Galvano, F., & Giovannucci, E. L. (2017) · Annual Review of Nutrition · doi:10.1146/annurev-nutr-071816-064941 · Cited by 531
van Dam, R. M., Hu, F. B., & Willett, W. C. (2020) · New England Journal of Medicine · doi:10.1056/nejmra1816604 · Cited by 508
Effects of Coffee on the Gastro-Intestinal Tract: A Narrative Review and Literature Update
Nehlig, A. (2022) · Nutrients · doi:10.3390/nu14020399 · Cited by 158
Metadata
- Authors
- Zhang, Y. ‐., Li, W. ‐., Sun, Y. ‐., Zhu, R. ‐., & Wang, W. ‐.
- Affiliations
- Institute of Hepatobiliary and Pancreatic Diseases, School of Medicine Department of Hepatobiliary and Pancreatic Surgery The First Affiliated Hospital of Zhengzhou University Zhengzhou University Zhengzhou China
- Venue
- Alimentary Pharmacology & Therapeutics
- Publisher
- Wiley
- Published
- 2015-07-22
- Volume
- 42
- Issue
- 6
- Pages
- 637-648
- ISSN
- 0269-2813
- 1365-2036
- Cited by
- 55
- References
- 3
- Language
- en
- Funders
- the Science and Technology Bureau of Zhengzhou, P.R. CHINA (131PLJRC658)
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