Association of caffeine intake and histological features of chronic hepatitis C

Background & Aims The severity of chronic hepatitis C (CHC) is modulated by host and environmental factors. Several reports suggest that caffeine intake exerts hepatoprotective effects in patients with chronic liver disease. The aim of this study was to evaluate the impact of caffeine consumptio...

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Veröffentlicht in:Journal of hepatology 2011-06, Vol.54 (6), p.1123-1129
Hauptverfasser: Costentin, Charlotte E, Roudot-Thoraval, Françoise, Zafrani, Elie-Serge, Medkour, Fatiha, Pawlotsky, Jean-Michel, Mallat, Ariane, Hézode, Christophe
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container_end_page 1129
container_issue 6
container_start_page 1123
container_title Journal of hepatology
container_volume 54
creator Costentin, Charlotte E
Roudot-Thoraval, Françoise
Zafrani, Elie-Serge
Medkour, Fatiha
Pawlotsky, Jean-Michel
Mallat, Ariane
Hézode, Christophe
description Background & Aims The severity of chronic hepatitis C (CHC) is modulated by host and environmental factors. Several reports suggest that caffeine intake exerts hepatoprotective effects in patients with chronic liver disease. The aim of this study was to evaluate the impact of caffeine consumption on activity grade and fibrosis stage in patients with CHC. Methods A total of 238 treatment-naïve patients with histologically-proven CHC were included in the study. Demographic, epidemiological, environmental, virological, and metabolic data were collected, including daily consumption of alcohol, cannabis, tobacco, and caffeine during the six months preceding liver biopsy. Daily caffeine consumption was estimated as the sum of mean intakes of caffeinated coffee, tea, and caffeine-containing sodas. Histological activity grade and fibrosis stage were scored according to Metavir. Patients (154 men, 84 women, mean age: 45 ± 11 years) were categorized according to caffeine consumption quartiles: group 1 (678 mg/day, n = 60). Results There was a significant inverse relationship between activity grade and daily caffeine consumption: activity grade >A2 was present in 78%, 61%, 52%, and 48% of patients in group 1, 2, 3, and 4, respectively ( p A2 (OR = 0.32 (0.12–0.85). Caffeine intake showed no relation with fibrosis stage. Conclusions Caffeine consumption greater than 408 mg/day (3 cups or more) is associated with reduced histological activity in patients with CHC. These findings support potential hepatoprotective properties of caffeine in chronic liver diseases.
doi_str_mv 10.1016/j.jhep.2010.08.027
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Several reports suggest that caffeine intake exerts hepatoprotective effects in patients with chronic liver disease. The aim of this study was to evaluate the impact of caffeine consumption on activity grade and fibrosis stage in patients with CHC. Methods A total of 238 treatment-naïve patients with histologically-proven CHC were included in the study. Demographic, epidemiological, environmental, virological, and metabolic data were collected, including daily consumption of alcohol, cannabis, tobacco, and caffeine during the six months preceding liver biopsy. Daily caffeine consumption was estimated as the sum of mean intakes of caffeinated coffee, tea, and caffeine-containing sodas. Histological activity grade and fibrosis stage were scored according to Metavir. Patients (154 men, 84 women, mean age: 45 ± 11 years) were categorized according to caffeine consumption quartiles: group 1 (&lt;225 mg/day, n = 59), group 2 (225–407 mg/day, n = 57), group 3 (408–678 mg/day, n = 62), and group 4 (&gt;678 mg/day, n = 60). Results There was a significant inverse relationship between activity grade and daily caffeine consumption: activity grade &gt;A2 was present in 78%, 61%, 52%, and 48% of patients in group 1, 2, 3, and 4, respectively ( p &lt;0.001). By multivariate analysis, daily caffeine consumption greater than 408 mg/day was associated with a lesser risk of activity grade &gt;A2 (OR = 0.32 (0.12–0.85). Caffeine intake showed no relation with fibrosis stage. Conclusions Caffeine consumption greater than 408 mg/day (3 cups or more) is associated with reduced histological activity in patients with CHC. These findings support potential hepatoprotective properties of caffeine in chronic liver diseases.</description><identifier>ISSN: 0168-8278</identifier><identifier>EISSN: 1600-0641</identifier><identifier>DOI: 10.1016/j.jhep.2010.08.027</identifier><identifier>PMID: 21145804</identifier><identifier>CODEN: JOHEEC</identifier><language>eng</language><publisher>Kidlington: Elsevier B.V</publisher><subject>Adult ; Biological and medical sciences ; Caffeine ; Caffeine - administration &amp; dosage ; Chronic hepatitis C ; Coffee ; Female ; Gastroenterology and Hepatology ; Gastroenterology. Liver. Pancreas. Abdomen ; Hepatitis C virus ; Hepatitis C, Chronic - diet therapy ; Hepatitis C, Chronic - pathology ; Hepatitis C, Chronic - prevention &amp; control ; Human viral diseases ; Humans ; Infectious diseases ; Liver - pathology ; Male ; Medical sciences ; Middle Aged ; Multivariate Analysis ; Surveys and Questionnaires ; Viral diseases ; Viral hepatitis</subject><ispartof>Journal of hepatology, 2011-06, Vol.54 (6), p.1123-1129</ispartof><rights>European Association for the Study of the Liver</rights><rights>2010 European Association for the Study of the Liver</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2010 European Association for the Study of the Liver. Published by Elsevier B.V. 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Several reports suggest that caffeine intake exerts hepatoprotective effects in patients with chronic liver disease. The aim of this study was to evaluate the impact of caffeine consumption on activity grade and fibrosis stage in patients with CHC. Methods A total of 238 treatment-naïve patients with histologically-proven CHC were included in the study. Demographic, epidemiological, environmental, virological, and metabolic data were collected, including daily consumption of alcohol, cannabis, tobacco, and caffeine during the six months preceding liver biopsy. Daily caffeine consumption was estimated as the sum of mean intakes of caffeinated coffee, tea, and caffeine-containing sodas. Histological activity grade and fibrosis stage were scored according to Metavir. Patients (154 men, 84 women, mean age: 45 ± 11 years) were categorized according to caffeine consumption quartiles: group 1 (&lt;225 mg/day, n = 59), group 2 (225–407 mg/day, n = 57), group 3 (408–678 mg/day, n = 62), and group 4 (&gt;678 mg/day, n = 60). Results There was a significant inverse relationship between activity grade and daily caffeine consumption: activity grade &gt;A2 was present in 78%, 61%, 52%, and 48% of patients in group 1, 2, 3, and 4, respectively ( p &lt;0.001). By multivariate analysis, daily caffeine consumption greater than 408 mg/day was associated with a lesser risk of activity grade &gt;A2 (OR = 0.32 (0.12–0.85). Caffeine intake showed no relation with fibrosis stage. Conclusions Caffeine consumption greater than 408 mg/day (3 cups or more) is associated with reduced histological activity in patients with CHC. 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Liver. Pancreas. Abdomen</topic><topic>Hepatitis C virus</topic><topic>Hepatitis C, Chronic - diet therapy</topic><topic>Hepatitis C, Chronic - pathology</topic><topic>Hepatitis C, Chronic - prevention &amp; control</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Liver - pathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Surveys and Questionnaires</topic><topic>Viral diseases</topic><topic>Viral hepatitis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Costentin, Charlotte E</creatorcontrib><creatorcontrib>Roudot-Thoraval, Françoise</creatorcontrib><creatorcontrib>Zafrani, Elie-Serge</creatorcontrib><creatorcontrib>Medkour, Fatiha</creatorcontrib><creatorcontrib>Pawlotsky, Jean-Michel</creatorcontrib><creatorcontrib>Mallat, Ariane</creatorcontrib><creatorcontrib>Hézode, Christophe</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Costentin, Charlotte E</au><au>Roudot-Thoraval, Françoise</au><au>Zafrani, Elie-Serge</au><au>Medkour, Fatiha</au><au>Pawlotsky, Jean-Michel</au><au>Mallat, Ariane</au><au>Hézode, Christophe</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of caffeine intake and histological features of chronic hepatitis C</atitle><jtitle>Journal of hepatology</jtitle><addtitle>J Hepatol</addtitle><date>2011-06-01</date><risdate>2011</risdate><volume>54</volume><issue>6</issue><spage>1123</spage><epage>1129</epage><pages>1123-1129</pages><issn>0168-8278</issn><eissn>1600-0641</eissn><coden>JOHEEC</coden><abstract>Background &amp; Aims The severity of chronic hepatitis C (CHC) is modulated by host and environmental factors. Several reports suggest that caffeine intake exerts hepatoprotective effects in patients with chronic liver disease. The aim of this study was to evaluate the impact of caffeine consumption on activity grade and fibrosis stage in patients with CHC. Methods A total of 238 treatment-naïve patients with histologically-proven CHC were included in the study. Demographic, epidemiological, environmental, virological, and metabolic data were collected, including daily consumption of alcohol, cannabis, tobacco, and caffeine during the six months preceding liver biopsy. Daily caffeine consumption was estimated as the sum of mean intakes of caffeinated coffee, tea, and caffeine-containing sodas. Histological activity grade and fibrosis stage were scored according to Metavir. Patients (154 men, 84 women, mean age: 45 ± 11 years) were categorized according to caffeine consumption quartiles: group 1 (&lt;225 mg/day, n = 59), group 2 (225–407 mg/day, n = 57), group 3 (408–678 mg/day, n = 62), and group 4 (&gt;678 mg/day, n = 60). Results There was a significant inverse relationship between activity grade and daily caffeine consumption: activity grade &gt;A2 was present in 78%, 61%, 52%, and 48% of patients in group 1, 2, 3, and 4, respectively ( p &lt;0.001). By multivariate analysis, daily caffeine consumption greater than 408 mg/day was associated with a lesser risk of activity grade &gt;A2 (OR = 0.32 (0.12–0.85). Caffeine intake showed no relation with fibrosis stage. Conclusions Caffeine consumption greater than 408 mg/day (3 cups or more) is associated with reduced histological activity in patients with CHC. These findings support potential hepatoprotective properties of caffeine in chronic liver diseases.</abstract><cop>Kidlington</cop><pub>Elsevier B.V</pub><pmid>21145804</pmid><doi>10.1016/j.jhep.2010.08.027</doi><tpages>7</tpages></addata></record>
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subjects Adult
Biological and medical sciences
Caffeine
Caffeine - administration & dosage
Chronic hepatitis C
Coffee
Female
Gastroenterology and Hepatology
Gastroenterology. Liver. Pancreas. Abdomen
Hepatitis C virus
Hepatitis C, Chronic - diet therapy
Hepatitis C, Chronic - pathology
Hepatitis C, Chronic - prevention & control
Human viral diseases
Humans
Infectious diseases
Liver - pathology
Male
Medical sciences
Middle Aged
Multivariate Analysis
Surveys and Questionnaires
Viral diseases
Viral hepatitis
title Association of caffeine intake and histological features of chronic hepatitis C
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