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Coffee, tea, and caffeine intake and amyotrophic lateral sclerosis mortality in a pooled analysis of eight prospective cohort studies
Author(s) -
Petimar J.,
O'Reilly É.,
Adami H.O.,
Brandt P. A.,
Buring J.,
English D. R.,
Freedman D. M.,
Giles G. G.,
Håkansson N.,
Kurth T.,
Larsson S. C.,
Robien K.,
Schouten L. J.,
Weiderpass E.,
Wolk A.,
SmithWarner S. A.
Publication year - 2019
Publication title -
european journal of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.881
H-Index - 124
eISSN - 1468-1331
pISSN - 1351-5101
DOI - 10.1111/ene.13840
Subject(s) - medicine , caffeine , prospective cohort study , amyotrophic lateral sclerosis , confidence interval , cohort study , cohort , proportional hazards model , lower risk , relative risk , disease
Background and purpose Caffeine is associated with a lower risk of some neurological diseases, but few prospective studies have investigated caffeine intake and risk of amyotrophic lateral sclerosis (ALS) mortality. We therefore determined associations between coffee, tea and caffeine intake, and risk of ALS mortality. Methods We conducted pooled analyses of eight international, prospective cohort studies, including 351 565 individuals (120 688 men and 230 877 women). We assessed coffee, tea and caffeine intake using validated food‐frequency questionnaires administered at baseline. We used Cox regression to estimate study‐ and sex‐specific risk ratios and 95% confidence intervals (CI) for ALS mortality, which were then pooled using a random‐effects model. We conducted analyses using cohort‐specific tertiles, absolute common cut‐points and continuous measures of all exposures. Results During follow‐up, 545 ALS deaths were documented. We did not observe statistically significant associations between coffee, tea or caffeine intake and risk of ALS mortality. The pooled multivariable risk ratio (MVRR) for ≥3 cups per day vs. >0 to <1 cup per day was 1.04 (95% CI, 0.74–1.47) for coffee and 1.17 (95% CI, 0.77–1.79) for tea. The pooled MVRR comparing the highest with the lowest tertile of caffeine intake (mg/day) was 0.99 (95% CI, 0.80–1.23). No statistically significant results were observed when exposures were modeled as tertiles or continuously. Conclusions Our results do not support associations between coffee, tea or total caffeine intake and risk of ALS mortality.