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. 2015 Nov 24;182(12):1010–1022. doi: 10.1093/aje/kwv146

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.