A prospective study of caffeine and coffee intake and premenstrual syndrome

被引:21
作者
Purdue-Smithe, Alexandra C. [1 ]
Manson, JoAnn E. [2 ,3 ,4 ]
Hankinson, Susan E. [1 ,2 ,4 ]
Bertone-Johnson, Elizabeth R. [1 ]
机构
[1] Univ Massachusetts, Sch Publ Hlth & Hlth Sci, Dept Biostat & Epidemiol, Amherst, MA 01003 USA
[2] Brigham & Womens Hosp, Channing Div Network Med, 75 Francis St, Boston, MA 02115 USA
[3] Brigham & Womens Hosp, Div Prevent Med, Dept Med, 75 Francis St, Boston, MA 02115 USA
[4] Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA USA
关键词
premenstrual syndrome; women's health; caffeine; coffee; tea; FOOD FREQUENCY QUESTIONNAIRE; CEREBRAL CORTICAL-NEURONS; CONTAINING BEVERAGES; DYSPHORIC DISORDER; WOMEN; CONSUMPTION; RISK; ADENOSINE; HEALTH; REPRODUCIBILITY;
D O I
10.3945/ajcn.115.127027
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Background: Clinically significant premenstrual syndrome (PMS) affects 15-20% of premenopausal women, substantially reducing quality of life. Women with PMS often are counseled to minimize caffeine intake, although only limited evidence supports this recommendation. Objective: We evaluated the association between total caffeine, coffee, and tea intake and the development of PMS in a case-control study nested within the prospective Nurses' Health Study II. Design: All participants were free from PMS at baseline (1991). PMS cases reported a new clinician-made diagnosis of PMS on biennial questionnaires between 1993 and 2005, and then confirmed symptom timing and moderate-to-severe impact and severity of symptoms with the use of a retrospective questionnaire (n = 1234). Controls did not report PMS and confirmed experiencing no symptoms or few mild symptoms with limited personal impact (n = 2426). Caffeine, coffee, and tea intake was measured by food-frequency questionnaires every 4 y, and data on smoking, body weight, and other factors were updated every 2-4 y. Logistic regression was used to evaluate the associations of total caffeine intake and frequency of coffee and tea consumption with PMS. Results: After adjustment for age, smoking, and other factors, total caffeine intake was not associated with PMS. The OR comparing women with the highest (quintile median = 543 mg/d) to the lowest (quintile median = 18 mg/d) caffeine intake was 0.79 (95% CI: 0.61, 1.04; P-trend = 0.31). High caffeinated coffee intake also was not associated with risk of PMS or specific symptoms, including breast tenderness (OR for >= 4 cups/d compared with,1/mo: 0.73; 95% CI: 0.48, 1.12; P-trend = 0.44). Conclusions: Our findings suggest that caffeine intake is not associated with PMS, and that current recommendations for women to reduce caffeine intake may not help prevent the development of PMS.
引用
收藏
页码:499 / 507
页数:9
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