(P24-007-24) Long-Term Consumption of Six Different Beverages and Cardiovascular Mortality: A Systematic Review and Meta-Analysis of Prospective Cohort Studies

Monday, July 1, 2024

12:45 PM – 1:45 PM CT

Location: Poster Board 150

Presenting Author(s)

Buna Bhandari Bhattarai, MPH, PhD (she/her/hers)

Lown Scholars
Department of Global Health and Population, Harvard T H Chan School of Public Health, USA
Tallahassee, Florida, United States

Co-Author(s)

LZ

Ling Zeng

University of New South Wales
Sydney, New South Wales, Australia
SG

Sara Grafenauer

University of New South Wales
Sydney, Australia
AS

Aletta E. Schutte

University of New South Wales
Sydney, New South Wales, Australia
XX

Xiaoyue Xu

University of New South Wales
Sydney, New South Wales, Australia

Disclosure(s):

Buna Bhandari Bhattarai, MPH, PhD: No relevant financial relationship(s) with ineligible companies to disclose.

Objectives: We examined the association between the long-term consumption of six types of beverages (sugar-sweetened or artificially sweetened beverages, tea, coffee, fruit juice, energy drinks and alcohol) and cardiovascular mortality by considering sex differences.

Methods: A comprehensive search strategy was developed by using key terms and MeSH (Medical Subject Headings) terms. We conducted a systematic search of MEDLINE, EMBASE, CINAHL, Web of Science and Scopus databases from 2010 to December 2023. Of 8,049 studies identified, 20 studies were included for meta-analysis. Summary Hazard Ratios (HR) and 95% CIs were estimated using a random effects model. This review was registered in PROSPERO (CRD42020214679).

Results: We found that long-term coffee consumption was related to reduced cardiovascular mortality in males (Pooled HR: 0.63; 95% CI: 0.46, 0.87; P=0.005) but not in females (HR: 0.78; 95% CI: 0.60, 1.02; P=0.07). Long-term higher tea intake was associated with a lower risk of cardiovascular mortality in all adults (Pooled HR: 0.81; 95% CI: 0.72, 0.92; P= < 0.001). Higher alcohol intake was linked to higher stroke in both males (Pooled HR: 1.44; 95% CI: 1.06, 1.94; P=0.02) and females (Pooled HR: 2.26; 95% CI: 1.34, 3.81; P= 0.002). Higher sugar-sweetened beverage intake was related to higher cardiovascular mortality (Pooled HR: 1.31; 95% CI: 1.16, 1.46; P= < 0.0001).

Conclusions: We concluded that long-term habitual coffee consumption is beneficial for males, and tea consumption is beneficial for all adults. Long-term high alcohol and sugar-sweetened beverage consumption increased the risk of cardiovascular mortality for both males and females. However, we could not conclude the potential benefit or harm of the long-term consumption of fruit juice and energy drinks on cardiovascular mortality due to the limited number of studies available.

Funding Sources: None