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Coffee consumption and circulating B-vitamins in healthy middle-aged men and women
Arve Ulvik1, Stein Emil Vollset, Geir Hoff
1LOCUS for Homocysteine and Related Vitamins, Department of Internal Medicine, Pharmacology Section, University of Bergen, Bergen, Norway. arve.ulvik@farm.uib.no
Insights
Coffee consumption is linked to lower B-vitamin levels and higher homocysteine. This study suggests coffee intake may increase B-vitamin loss through urine, potentially impacting heart health.
Area of Science:
- Nutritional Science
- Cardiovascular Health
- Human Physiology
Background:
- Coffee consumption is linked to coronary heart disease risk factors like elevated cholesterol, blood pressure, and total homocysteine (tHcy).
- Plasma tHcy levels are influenced by B-vitamin status.
- Limited research exists on the association between coffee intake and B-vitamin status.
Purpose of the Study:
- To investigate the relationship between coffee consumption and plasma concentrations of B-vitamins and tHcy.
- To explore how coffee intake affects different levels of B-vitamin distribution.
Main Methods:
- A cohort study of 10,601 healthy Norwegian men and women.
- Measurement of plasma B-vitamins and tHcy.
- Collection of lifestyle data including coffee consumption, smoking, and alcohol use via interviews.
Main Results:
- Coffee consumption showed a dose-dependent association with reduced plasma concentrations of folate, pyridoxal phosphate, and riboflavin.
- Individuals consuming four or more cups of coffee daily had significantly lower B-vitamin levels and higher mean tHcy.
- The observed reduction in folate partially explained the increase in tHcy, independent of other lifestyle factors.
Conclusions:
- Coffee consumption is associated with decreased circulating B-vitamin concentrations.
- Coffee intake appears to affect higher B-vitamin concentrations more significantly than lower ones.
- A potential mechanism involves increased urinary excretion of surplus B-vitamins due to coffee consumption.
Background:
Coffee consumption has been associated with several risk factors for coronary heart disease, including increased cholesterol, increased blood pressure, and increased plasma total homocysteine (tHcy). tHcy is determined by several B-vitamins. However, reports about the association between coffee intake and B-vitamin status are few.
Methods:
We measured plasma B-vitamins and tHcy in a cohort of 10,601 healthy, middle-aged Norwegian men and women. Information about lifestyle factors, including coffee consumption, smoking, alcohol use, height, and weight, was obtained by interview.
Results:
Coffee consumption was dose-dependently associated with reduced plasma B-vitamin concentrations. Compared with coffee abstainers, individuals drinking >or=4 cups/day had 11.7% (P < 0.001), 14.1% (P < 0.001), and 5.5% (P = 0.01) lower plasma concentrations of folate, pyridoxal phosphate, and riboflavin, respectively, and the mean tHcy concentration was 6.8% (P < 0.001) higher. Quantile regression analysis showed essentially no difference in B-vitamin concentrations between coffee consumption categories at low vitamin concentrations but a progressive increase in the difference at higher concentrations. This pattern of differences (effect profile) was found independently of smoking status, alcohol intake, and sex. The decrease in folate explained approximately half of the increase in tHcy.
Conclusions:
Coffee consumption was associated with reduced circulating B-vitamin concentrations. The observed effect profiles indicated that coffee consumption preferentially affected the upper, but not the lower, part of the B-vitamin concentration distributions. We hypothesize that coffee consumption may increase the loss of surplus B-vitamins by excretion in urine.
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