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Reduced coffee consumption among individuals with primary sclerosing cholangitis but not primary biliary cirrhosis
Craig Lammert1, Brian D Juran1, Erik Schlicht1
1Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, Rochester, Minnesota.
Insights
Coffee consumption is lower in patients with primary sclerosing cholangitis (PSC), but not primary biliary cirrhosis (PBC), compared to healthy individuals. This study explored coffee habits in autoimmune liver diseases.
Area of Science:
- Hepatology
- Gastroenterology
- Autoimmune Diseases
Background:
- Coffee consumption is linked to reduced liver disease risk.
- Limited research exists on coffee's role in cholestatic autoimmune liver diseases like PBC and PSC.
Purpose of the Study:
- To investigate the association between coffee consumption and the risk of primary biliary cirrhosis (PBC) and primary sclerosing cholangitis (PSC).
Main Methods:
- A large North American cohort study involving 606 PBC patients, 480 PSC patients, and 564 healthy controls.
- Lifetime coffee drinking habits were assessed via questionnaires.
- Logistic regression analysis adjusted for age, sex, smoking, and education.
Main Results:
- Patients with PSC reported lower coffee consumption than controls, with a higher percentage of never-drinkers and fewer current drinkers.
- PSC patients consumed fewer cups per month and a smaller lifetime percentage of coffee consumption compared to controls.
- Coffee consumption did not differ between PBC patients and controls.
Conclusions:
- Coffee consumption is significantly lower among individuals with PSC, but not PBC, compared to healthy controls.
- Findings suggest a potential difference in coffee's relationship with PSC versus PBC.
Background & Aims:
Coffee consumption has been associated with decreased risk of liver disease and related outcomes. However, coffee drinking has not been investigated among patients with cholestatic autoimmune liver diseases, primary biliary cirrhosis (PBC), or primary sclerosing cholangitis (PSC). We investigated the relationship between coffee consumption and risk of PBC and PSC in a large North American cohort.
Methods:
Lifetime coffee drinking habits were determined from responses to questionnaires from 606 patients with PBC, 480 with PSC, and 564 healthy volunteers (controls). Patients (those with PBC or PSC) were compared with controls by using the Wilcoxon rank sum test for continuous variables and c(2) method for discrete variables. Logistic regression was used to analyze the estimate of the effects of different coffee parameters (time, frequency, and type of coffee consumption) after adjusting for age, sex, smoking status, and education level.
Results:
Patients with PBC and controls did not differ in coffee parameters. However, 24% of patients with PSC had never drunk coffee compared with 16% of controls (P < .05), and only 67% were current drinkers compared with 77% of controls (P < .05). Patients with PSC also consumed fewer lifetime cups per month (45 vs 47 for controls, P < .05) and spent a smaller percentage of their lifetime drinking coffee (46.6% vs 66.7% for controls, P < .05). These differences remained significant in a multivariate model. Among PSC patients with concurrent ulcerative colitis, coffee protected against proctocolectomy (hazard ratio, 0.34; P < .001).
Conclusions:
Coffee consumption is lower among patients with PSC, but not PBC, compared with controls.
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