Table 3.
Association of Daily Coffee Intake With Cause-Specific Mortality in the Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial (n = 90,317), 1998–2009
Cause of Death and Model |
Coffee Consumption, cups/day |
P for Trenda | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
0 (n = 14,585) |
<1 (n = 14,600) |
1 (n = 13,886) |
2–3 (n = 34,083) |
≥4 (n = 13,163) |
|||||||
HR | 95% CI | HR | 95% CI | HR | 95% CI | HR | 95% CI | HR | 95% CI | ||
Heart disease | |||||||||||
No. of deaths | 305 | 328 | 259 | 596 | 273 | ||||||
Model 1b | 1.00 | Referent | 1.04 | 0.89, 1.22 | 0.81 | 0.69, 0.96 | 0.79 | 0.68, 0.90 | 0.97 | 0.82, 1.14 | 0.12 |
Model 2c | 1.00 | Referent | 0.96 | 0.82, 1.12 | 0.73 | 0.62, 0.87 | 0.65 | 0.56, 0.75 | 0.67 | 0.56, 0.79 | <0.0001 |
Model 3d | 1.00 | Referent | 1.00 | 0.85, 1.18 | 0.81 | 0.68, 0.96 | 0.74 | 0.64, 0.86 | 0.75 | 0.63, 0.90 | <0.0001 |
Cancer | |||||||||||
No. of deaths | 438 | 446 | 501 | 1,227 | 600 | ||||||
Model 1 | 1.00 | Referent | 1.00 | 0.88, 1.14 | 1.13 | 0.99, 1.28 | 1.15 | 1.03, 1.28 | 1.49 | 1.32, 1.69 | <0.0001 |
Model 2 | 1.00 | Referent | 0.92 | 0.80, 1.05 | 1.00 | 0.88, 1.14 | 0.90 | 0.81, 1.01 | 0.92 | 0.80, 1.04 | 0.21 |
Model 3e | 1.00 | Referent | 0.93 | 0.81, 1.07 | 1.05 | 0.92, 1.20 | 0.95 | 0.84, 1.06 | 0.95 | 0.83, 1.09 | 0.47 |
Chronic lower respiratory diseases | |||||||||||
No. of deaths | 52 | 62 | 48 | 183 | 112 | ||||||
Model 1 | 1.00 | Referent | 1.17 | 0.81, 1.69 | 0.87 | 0.59, 1.29 | 1.44 | 1.06, 1.97 | 2.46 | 1.77, 3.43 | <0.0001 |
Model 2 | 1.00 | Referent | 0.86 | 0.60, 1.25 | 0.57 | 0.38, 0.84 | 0.67 | 0.49, 0.92 | 0.68 | 0.48, 0.95 | 0.11 |
Model 3 | 1.00 | Referent | 0.93 | 0.64, 1.35 | 0.73 | 0.48, 1.08 | 0.78 | 0.57, 1.08 | 0.68 | 0.48, 0.97 | 0.04 |
Stroke | |||||||||||
No. of deaths | 83 | 79 | 82 | 149 | 66 | ||||||
Model 1 | 1.00 | Referent | 0.94 | 0.69, 1.29 | 0.92 | 0.68, 1.25 | 0.75 | 0.58, 0.99 | 0.97 | 0.70, 1.35 | 0.44 |
Model 2 | 1.00 | Referent | 0.92 | 0.67, 1.25 | 0.89 | 0.65, 1.21 | 0.68 | 0.52, 0.90 | 0.77 | 0.55, 1.08 | 0.03 |
Model 3 | 1.00 | Referent | 0.89 | 0.65, 1.22 | 0.88 | 0.64, 1.21 | 0.68 | 0.51, 0.91 | 0.77 | 0.54, 1.10 | 0.06 |
Accidents | |||||||||||
No. of deaths | 55 | 50 | 50 | 123 | 46 | ||||||
Model 1 | 1.00 | Referent | 0.89 | 0.60, 1.30 | 0.88 | 0.60, 1.30 | 0.90 | 0.66, 1.24 | 0.90 | 0.61, 1.33 | 0.78 |
Model 2 | 1.00 | Referent | 0.86 | 0.59, 1.27 | 0.86 | 0.58, 1.26 | 0.85 | 0.61, 1.17 | 0.78 | 0.53, 1.18 | 0.35 |
Model 3 | 1.00 | Referent | 0.93 | 0.62, 1.38 | 0.94 | 0.63, 1.41 | 0.91 | 0.64, 1.29 | 0.80 | 0.52, 1.22 | 0.32 |
Alzheimer's disease | |||||||||||
No. of deaths | 21 | 19 | 14 | 27 | 12 | ||||||
Model 1 | 1.00 | Referent | 0.89 | 0.48, 1.65 | 0.60 | 0.30, 1.17 | 0.54 | 0.31, 0.96 | 0.73 | 0.36, 1.48 | 0.19 |
Model 2 | 1.00 | Referent | 0.86 | 0.46, 1.60 | 0.57 | 0.29, 1.12 | 0.51 | 0.29, 0.92 | 0.64 | 0.30, 1.35 | 0.12 |
Model 3 | 1.00 | Referent | 1.01 | 0.53, 1.95 | 0.66 | 0.32, 1.36 | 0.59 | 0.31, 1.11 | 0.72 | 0.33, 1.58 | 0.20 |
Diabetes | |||||||||||
No. of deaths | 27 | 48 | 31 | 45 | 22 | ||||||
Model 1 | 1.00 | Referent | 1.72 | 1.07, 2.76 | 1.12 | 0.67, 1.87 | 0.67 | 0.41, 1.07 | 0.85 | 0.48, 1.50 | 0.003 |
Model 2 | 1.00 | Referent | 1.63 | 1.02, 2.63 | 1.06 | 0.63, 1.78 | 0.59 | 0.36, 0.97 | 0.66 | 0.37, 1.20 | 0.0002 |
Model 3f | 1.00 | Referent | 1.90 | 1.17, 3.10 | 1.38 | 0.81, 2.36 | 0.79 | 0.48, 1.32 | 0.88 | 0.48, 1.60 | 0.01 |
Kidney diseaseg | |||||||||||
No. of deaths | 18 | 17 | 27 | 37 | 9 | ||||||
Model 1 | 1.00 | Referent | 0.91 | 0.47, 1.76 | 1.35 | 0.74, 2.44 | 0.84 | 0.48, 1.48 | 0.59 | 0.27, 1.33 | 0.11 |
Model 2 | 1.00 | Referent | 0.87 | 0.45, 1.70 | 1.27 | 0.70, 2.33 | 0.75 | 0.42, 1.34 | 0.49 | 0.21, 1.11 | 0.03 |
Model 3 | 1.00 | Referent | 1.07 | 0.54, 2.12 | 1.72 | 0.92, 3.23 | 1.05 | 0.57, 1.93 | 0.62 | 0.26, 1.44 | 0.13 |
Influenza and pneumonia | |||||||||||
No. of deaths | 38 | 38 | 42 | 77 | 23 | ||||||
Model 1 | 1.00 | Referent | 0.97 | 0.62, 1.52 | 1.03 | 0.67, 1.60 | 0.82 | 0.56, 1.21 | 0.68 | 0.40, 1.14 | 0.06 |
Model 2 | 1.00 | Referent | 0.85 | 0.54, 1.33 | 0.88 | 0.57, 1.38 | 0.63 | 0.42, 0.94 | 0.44 | 0.26, 0.75 | 0.001 |
Model 3 | 1.00 | Referent | 1.00 | 0.63, 1.59 | 1.11 | 0.70, 1.75 | 0.82 | 0.54, 1.25 | 0.55 | 0.32, 0.95 | 0.01 |
Intentional self-harm | |||||||||||
No. of deaths | 8 | 13 | 15 | 19 | 8 | ||||||
Model 1 | 1.00 | Referent | 1.54 | 0.64, 3.72 | 1.91 | 0.81, 4.50 | 0.91 | 0.40, 2.08 | 0.91 | 0.34, 2.44 | 0.17 |
Model 2 | 1.00 | Referent | 1.36 | 0.56, 3.31 | 1.64 | 0.69, 3.91 | 0.70 | 0.30, 1.63 | 0.58 | 0.21, 1.60 | 0.02 |
Model 3 | 1.00 | Referent | 1.16 | 0.47, 2.87 | 1.48 | 0.61, 3.59 | 0.60 | 0.25, 1.42 | 0.50 | 0.18, 1.42 | 0.02 |
Other causes | |||||||||||
No. of deaths | 331 | 352 | 303 | 624 | 240 | ||||||
Model 1 | 1.00 | Referent | 1.05 | 0.90, 1.23 | 0.87 | 0.74, 1.02 | 0.77 | 0.68, 0.88 | 0.82 | 0.69, 0.97 | <0.0001 |
Model 2 | 1.00 | Referent | 0.99 | 0.85, 1.15 | 0.81 | 0.70, 0.95 | 0.67 | 0.59, 0.77 | 0.63 | 0.53, 0.75 | <0.0001 |
Model 3 | 1.00 | Referent | 1.05 | 0.90, 1.23 | 0.91 | 0.77, 1.07 | 0.77 | 0.66, 0.89 | 0.71 | 0.59, 0.85 | <0.0001 |
Abbreviations: CI, confidence interval; HR, hazard ratio.
a Statistical tests were 2-sided, and P < 0.05 was interpreted as statistically significant.
b Results were adjusted for age and sex.
c Results were additionally adjusted for detailed smoking history (number of cigarettes smoked per day (≤10, 11–20, 21–40, ≥41), time of smoking cessation (>1–<5, 5–<10, 10–<20, or ≥20 years prior to study entry; persons who quit within 1 year of baseline were considered current smokers), age at smoking initiation (<15, 15–<20, 20–<25, or ≥25 years), use of pipes or cigars (never, former, or current use)).
d Results were additionally adjusted for race/ethnicity (non-Hispanic white, non-Hispanic black, Hispanic, or other), educational level (less than a high school education, high school graduate or equivalent, some post–high school education, or college graduate), marital status (married or living as married or not married), employment status (working or homemaker, unemployed, retired, extended sick leave or disabled, or other), presence or absence of diabetes, body mass index (weight (kg)/height (m)2; <18.5, 18.5–<25, 25–<30, 30–<35, or ≥35), any supplemental vitamin use in the previous 12 months (yes or no), regular ibuprofen use in the previous 12 months (yes or no), regular aspirin use in the previous 12 months (yes or no), receipt of menopausal hormone therapy (women only) (never, former, or current use), alcohol consumption (0, <1, 1–<3, or ≥3 drinks/day), total daily energy intake, and quintile of intake of daily red and processed meat, white meat (i.e., poultry and fish), saturated fat, fruits, and vegetables.
e For cancer, model 3 results were additionally adjusted for a history of cancer (other than nonmelanoma skin cancer) in a first-degree relative (yes or no).
f For diabetes, model 3 results were not adjusted for the presence or absence of self-reported diabetes.
g Nephritis, nephrotic syndrome, and nephrosis.