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Association between coffee consumption and metabolic syndrome in Korean adults

Abstract

Background/Objectives

Studies examining the association between coffee consumption and metabolic syndrome (MetS), considering different coffee types, have reported inconsistent results. We investigated the relationship between coffee consumption and MetS, taking into account coffee types, using data from the Korea National Health and Nutrition Examination Survey conducted from 2016 to 2021 among 14,631 adults aged 19–64 years.

Subjects/Methods

We used a 24-h dietary recall method to assess diet, including the type and quantity of coffee consumed. Coffee was categorized into black coffee and coffee with sugar and/or cream (non-drinkers, ≤1, 2–3, and >3 cups/day). Multivariable logistic regression models were utilized to investigate the relationship between coffee consumption and MetS, defined by the harmonized criteria.

Results

After adjusting for potential covariates, for women, 2–3 cups/day of black coffee were inversely associated with MetS (OR = 0.66; 95% CI = 0.46–0.96). Three or fewer cups per day of black coffee were inversely associated with low high-density lipoprotein cholesterol (HDL-C) and elevated triglycerides in women. Coffee consumption was not significantly associated with MetS in men. Consumption of coffee with sugar and/or cream or more than three cups per day of coffee was not significantly associated with MetS overall.

Conclusion

Our findings suggest that moderate of 2–3 cups/day of black coffee consumption is inversely associated with MetS in women, possibly due to its favorable impact on HDL-C and triglycerides. Further prospective studies examining the consumption of different coffee types in relation to MetS are warranted to offer definitive evidence.

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Fig. 1: Study participants aged 19–64 years after following exclusion criteria.

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Data availability

The relevant data are publicly available through KNHANES website: https://knhanes.kdca.go.kr/knhanes/eng/index.do.

References

  1. Silveira Rossi JL, Barbalho SM, Reverete de Araujo R, Bechara MD, Sloan KP, Sloan LA. Metabolic syndrome and cardiovascular diseases: Going beyond traditional risk factors. Diabetes Metab Res Rev. 2022;38:e3502.

    Article  CAS  PubMed  Google Scholar 

  2. Hudish LI, Reusch JE, Sussel L. β Cell dysfunction during progression of metabolic syndrome to type 2 diabetes. J Clin Investig. 2019;129:4001–8.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Battelli MG, Bortolotti M, Polito L, Bolognesi A. Metabolic syndrome and cancer risk: The role of xanthine oxidoreductase. Redox Biol. 2019;21:101070.

    Article  CAS  PubMed  Google Scholar 

  4. Eckel RH, Grundy SM, Zimmet PZ. The metabolic syndrome. Lancet. 2005;365:1415–28.

    Article  CAS  PubMed  Google Scholar 

  5. Saklayen MG. The Global Epidemic of the Metabolic Syndrome. Curr Hypertens Rep. 2018;20:12.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Finicelli M, Squillaro T, Di Cristo F, Di Salle A, Melone MAB, Galderisi U, et al. Metabolic syndrome, Mediterranean diet, and polyphenols: Evidence and perspectives. J Cell Physiol. 2019;234:5807–26.

    Article  CAS  PubMed  Google Scholar 

  7. Zhao W, Ma L, Cai C, Gong X. Caffeine Inhibits NLRP3 Inflammasome Activation by Suppressing MAPK/NF-κB and A2aR Signaling in LPS-Induced THP-1 Macrophages. Int J Biol Sci. 2019;15:1571–81.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Agunloye OM, Oboh G, Ademiluyi AO, Ademosun AO, Akindahunsi AA, Oyagbemi AA, et al. Cardio-protective and antioxidant properties of caffeic acid and chlorogenic acid: Mechanistic role of angiotensin converting enzyme, cholinesterase and arginase activities in cyclosporine induced hypertensive rats. Biomed Pharmacother. 2019;109:450–8.

    Article  CAS  PubMed  Google Scholar 

  9. Spagnol CM, Assis RP, Brunetti IL, Isaac VLB, Salgado HRN, Corrêa MA. In vitro methods to determine the antioxidant activity of caffeic acid. Spectrochimica Acta Part A Mol Biomolecular Spectrosc. 2019;219:358–66.

    Article  CAS  Google Scholar 

  10. Kim J-Y, Leem J, Kim GM. Kahweol protects against acetaminophen-induced hepatotoxicity in mice through inhibiting oxidative stress, hepatocyte death, and inflammation. BioMed Res Int. 2022;2022:8121124.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Ding M, Bhupathiraju SN, Satija A, van Dam RM, Hu FB. Long-term coffee consumption and risk of cardiovascular disease: a systematic review and a dose-response meta-analysis of prospective cohort studies. Circulation. 2014;129:643–59.

    Article  CAS  PubMed  Google Scholar 

  12. Kim Y, Je Y, Giovannucci E. Coffee consumption and all-cause and cause-specific mortality: a meta-analysis by potential modifiers. Eur J Epidemiol. 2019;34:731–52.

    Article  PubMed  Google Scholar 

  13. Shang F, Li X, Jiang X. Coffee consumption and risk of the metabolic syndrome: A meta-analysis. Diabetes Metab. 2016;42:80–7.

    Article  CAS  PubMed  Google Scholar 

  14. Grosso G, Stepaniak U, Micek A, Topor-Mądry R, Pikhart H, Szafraniec K, et al. Association of daily coffee and tea consumption and metabolic syndrome: results from the Polish arm of the HAPIEE study. Eur J Nutr. 2015;54:1129–37.

    Article  CAS  PubMed  Google Scholar 

  15. Barrea L, Pugliese G, Frias-Toral E, El Ghoch M, Castellucci B, Chapela SP, et al. Coffee consumption, health benefits and side effects: a narrative review and update for dietitians and nutritionists. Crit Rev food Sci Nutr. 2023;63:1238–61.

    Article  PubMed  Google Scholar 

  16. Han G. Status of Beverage and Water Intake among Adults in Korea-Data from Korea National Health and Nutrition Examination Survey 2019. Korean J Food Nutr. 2021;34:430–40.

    Google Scholar 

  17. Corbi-Cobo-Losey MJ, Martinez-Gonzalez MÁ, Gribble AK, Fernandez-Montero A, Navarro AM, Domínguez LJ, et al. Coffee Consumption and the Risk of Metabolic Syndrome in the ‘Seguimiento Universidad de Navarra’Project. Antioxidants. 2023;12:686.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Kim HJ, Cho S, Jacobs DR Jr, Park K. Instant coffee consumption may be associated with higher risk of metabolic syndrome in Korean adults. Diabetes Res Clin Pract. 2014;106:145–53.

    Article  CAS  PubMed  Google Scholar 

  19. Kim S-A, Shin S. The association between coffee consumption pattern and prevalence of metabolic syndrome in Korean adults. Nutrients. 2019;11:2992.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Nina R, Lingling H, Qiushuang L, Honglin G, Liyuan S, Yuting Z. Association of coffee consumption pattern and metabolic syndrome among middle-aged and older adults: A cross-sectional study. Front Public Health. 2023;11:1022616.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Tan L-J, Jeon HJ, Park S, Kim S-A, Lim K, Chung S, et al. Association of coffee consumption and its types according to addition of sugar and creamer with metabolic syndrome incidence in a korean population from the health examinees (Hexa) study. Nutrients. 2021;13:920.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Kim Y, Je Y. Moderate coffee consumption is inversely associated with the metabolic syndrome in the Korean adult population. Br J Nutr. 2018;120:1279–87.

    Article  CAS  PubMed  Google Scholar 

  23. Kim K, Kim K, Park SM. Association between the prevalence of metabolic syndrome and the level of coffee consumption among Korean women. PLoS One. 2016;11:e0167007.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Kim J-H, Park YS, Kim H. Association between metabolic syndrome and coffee consumption in the Korean population by gender: a cross-sectional study in Korea. Asia Pac J Clin Nutr. 2018;27:1131–40.

    CAS  PubMed  Google Scholar 

  25. Shin H, Linton JA, Kwon Y, Jung Y, Oh B, Oh S. Relationship between coffee consumption and metabolic syndrome in Korean adults: data from the 2013–2014 Korea National Health and Nutrition Examination Survey. Korean J Fam Med. 2017;38:346.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Shin S, Lim J, Lee H-W, Kim CE, Kim S-A, Lee J-k, et al. Association between the prevalence of metabolic syndrome and coffee consumption among Korean adults: results from the Health Examinees study. Appl Physiol Nutr Metab. 2019;44:1371–8.

    Article  PubMed  Google Scholar 

  27. Choi S, Je Y. Association between coffee consumption and high C-reactive protein levels in Korean adults. Brit J Nutr. 2023;130:2146–54.

  28. Je Y, Jeong S, Park T. Coffee consumption patterns in Korean adults: the Korean National Health and Nutrition Examination Survey (2001-2011). Asia Pac J Clin Nutr. 2014;23:691–702.

    PubMed  Google Scholar 

  29. Kweon S, Kim Y, Jang MJ, Kim Y, Kim K, Choi S, et al. Data resource profile: the Korea National Health and Nutrition Examination Survey (KNHANES). Int J Epidemiol. 2014;43:69–77.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Alberti KG, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA, et al. Harmonizing the metabolic syndrome: a joint interim statement of the international diabetes federation task force on epidemiology and prevention; national heart, lung, and blood institute; American heart association; world heart federation; international atherosclerosis society; and international association for the study of obesity. Circulation. 2009;120:1640–5.

    Article  CAS  PubMed  Google Scholar 

  31. Lim J, Lee Y, Shin S, Lee HW, Kim CE, Lee JK, et al. An association between diet quality index for Koreans (DQI-K) and total mortality in Health Examinees Gem (HEXA-G) study. Nutr Res Pract. 2018;12:258–64.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Coffee and Metabolic Syndrome: A review of the latest research. Dublin, Ireland: Institute for scientific information on coffee; 2019.

  33. Chang HC, Nfor ON, Ho CC, Chen PH, Kung YY, Hsu SY, et al. Changes in High-Density Lipoprotein Cholesterol Levels in Relation to Coffee Consumption Among Taiwanese Adults. J Multidiscip Health. 2020;13:1427–32.

    Article  Google Scholar 

  34. Hsu TW, Tantoh DM, Lee KJ, Ndi ON, Lin LY, Chou MC, et al. Genetic and Non-Genetic Factor-Adjusted Association between Coffee Drinking and High-Density Lipoprotein Cholesterol in Taiwanese Adults: Stratification by Sex. Nutrients. 2019;11:1102.

  35. Basu D, Goldberg IJ. Regulation of lipoprotein lipase-mediated lipolysis of triglycerides. Curr Opin Lipido. 2020;31:154–60.

    Article  CAS  Google Scholar 

  36. Geidl-Flueck B, Hochuli M, Németh Á, Eberl A, Derron N, Köfeler HC, et al. Fructose- and sucrose- but not glucose-sweetened beverages promote hepatic de novo lipogenesis: A randomized controlled trial. J Hepatol. 2021;75:46–54.

    Article  CAS  PubMed  Google Scholar 

  37. Matsuura H, Mure K, Nishio N, Kitano N, Nagai N, Takeshita T. Relationship between coffee consumption and prevalence of metabolic syndrome among Japanese civil servants. J Epidemiol. 2012;22:160–6.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Kiyama R. Estrogenic activity of coffee constituents. Nutrients. 2019;11:1401.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. Kremer JI, Gömpel K, Bakuradze T, Eisenbrand G, Richling E. Urinary excretion of niacin metabolites in humans after coffee consumption. Mol Nutr food Res. 2018;62:1700735.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Santolla MF, De Francesco EM, Lappano R, Rosano C, Abonante S, Maggiolini M. Niacin activates the G protein estrogen receptor (GPER)-mediated signalling. Cell Signal. 2014;26:1466–75.

    Article  CAS  PubMed  Google Scholar 

  41. Dos Santos PR, Ferrari GSL, Ferrari CK. Diet, sleep and metabolic syndrome among a legal Amazon population, Brazil. Clin Nutr Res. 2015;4:41–5.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Mesas AE, Leon-Muñoz LM, Rodriguez-Artalejo F, Lopez-Garcia E. The effect of coffee on blood pressure and cardiovascular disease in hypertensive individuals: a systematic review and meta-analysis. Am J Clin Nutr. 2011;94:1113–26.

    Article  CAS  PubMed  Google Scholar 

  43. Jee SH, He J, Appel LJ, Whelton PK, Suh I, Klag MJ. Coffee consumption and serum lipids: a meta-analysis of randomized controlled clinical trials. Am J Epidemiol. 2001;153:353–62.

    Article  CAS  PubMed  Google Scholar 

  44. Ricketts M-L, Boekschoten MV, Kreeft AJ, Hooiveld GJ, Moen CJ, Müller M, et al. The cholesterol-raising factor from coffee beans, cafestol, as an agonist ligand for the farnesoid and pregnane X receptors. Mol Endocrinol. 2007;21:1603–16.

    Article  CAS  PubMed  Google Scholar 

  45. Hang D, Kværner AS, Ma W, Hu Y, Tabung FK, Nan H, et al. Coffee consumption and plasma biomarkers of metabolic and inflammatory pathways in US health professionals. Am J Clin Nutr. 2019;109:635–47.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Cornelis MC, van Dam RM. Habitual Coffee and Tea Consumption and Cardiometabolic Biomarkers in the UK Biobank: The Role of Beverage Types and Genetic Variation. J Nutr. 2020;150:2772–88.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Liu D, Li Z-H, Shen D, Zhang P-D, Song W-Q, Zhang W-T, et al. Association of sugar-sweetened, artificially sweetened, and unsweetened coffee consumption with all-cause and cause-specific mortality: a large prospective cohort study. Annals of internal medicine. 2022;175:909–17.

    Article  PubMed  Google Scholar 

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Acknowledgements

The authors thank the participants and staff of seventh and eighth periods (2016–2021) of KNHANES for their valuable contributions.

Funding

This work was supported by the National Research Foundation of Korea funded by the Korean government (grant number NRF–2021R1F1A1050847). The National Research Foundation of Korea had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.

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Contributions

The authors’ responsibilities were as follows— Conceptualization, YJ and SC; formal analysis, SC; investigation, YJ and SC; data curation, YJ and SC; funding acquisition, YJ; writing—original draft, SC; writing—review and editing, YJ. All the authors have read and agreed to the final manuscript.

Corresponding author

Correspondence to Youjin Je.

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Competing interests

The authors declare no competing interests.

Ethical approval

The Institutional Review Board of KCDC provided formal ethics approval for KNHANES datasets, and each participant provided informed consent.

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Choi, S., Je, Y. Association between coffee consumption and metabolic syndrome in Korean adults. Eur J Clin Nutr 78, 905–915 (2024). https://doi.org/10.1038/s41430-024-01478-w

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