Effects of coffee consumption on subclinical inflammation and other risk factors for type 2 diabetes: a clinical trial

Am J Clin Nutr. 2010 Apr;91(4):950-7. doi: 10.3945/ajcn.2009.28548. Epub 2010 Feb 24.

Abstract

Background: Coffee consumption is associated with a decreased risk of type 2 diabetes. Suggested mechanisms underlying the association have included attenuation of subclinical inflammation and a reduction in oxidative stress.

Objective: The aim was to investigate the effects of daily coffee consumption on biomarkers of coffee intake, subclinical inflammation, oxidative stress, glucose, and lipid metabolism.

Design: Habitual coffee drinkers (n = 47) refrained for 1 mo from coffee drinking; in the second month they consumed 4 cups of filtered coffee/d and in the third month 8 cups of filtered coffee/d (150 mL/cup). Blood samples were analyzed by gas chromatography-mass spectrometry, bead-based multiplex technology, enzyme-linked immunosorbent assay, or immunonephelometry.

Results: Coffee consumption led to an increase in coffee-derived compounds, mainly serum caffeine, chlorogenic acid, and caffeic acid metabolites. Significant changes were also observed for serum concentrations of interleukin-18, 8-isoprostane, and adiponectin (medians: -8%, -16%, and 6%, respectively; consumption of 8 compared with 0 cups coffee/d). Serum concentrations of total cholesterol, HDL cholesterol, and apolipoprotein A-I increased significantly by 12%, 7%, and 4%, respectively, whereas the ratios of LDL to HDL cholesterol and of apolipoprotein B to apolipoprotein A-I decreased significantly by 8% and 9%, respectively (8 compared with 0 cups coffee/d). No changes were seen for markers of glucose metabolism in an oral-glucose-tolerance test.

Conclusions: Coffee consumption appears to have beneficial effects on subclinical inflammation and HDL cholesterol, whereas no changes in glucose metabolism were found in our study. Furthermore, many coffee-derived methylxanthines and caffeic acid metabolites appear to be useful as biomarkers of coffee intake.

Publication types

  • Clinical Trial, Phase III
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adiponectin / blood
  • Adult
  • Anti-Inflammatory Agents / pharmacology
  • Anti-Inflammatory Agents / therapeutic use*
  • Apolipoproteins / blood
  • Biomarkers / blood
  • Blood Glucose / metabolism
  • Caffeic Acids / blood
  • Caffeic Acids / metabolism
  • Caffeine / blood
  • Chlorogenic Acid / blood
  • Cholesterol / blood
  • Coffee / chemistry*
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / drug therapy*
  • Dinoprost / analogs & derivatives
  • Dinoprost / blood
  • Female
  • Humans
  • Inflammation / drug therapy*
  • Interleukin-18 / blood
  • Lipids / blood*
  • Male
  • Middle Aged
  • Plant Preparations / pharmacology
  • Plant Preparations / therapeutic use*
  • Risk Factors
  • Single-Blind Method

Substances

  • Adiponectin
  • Anti-Inflammatory Agents
  • Apolipoproteins
  • Biomarkers
  • Blood Glucose
  • Caffeic Acids
  • Coffee
  • Interleukin-18
  • Lipids
  • Plant Preparations
  • 8-epi-prostaglandin F2alpha
  • Chlorogenic Acid
  • Caffeine
  • Cholesterol
  • Dinoprost
  • caffeic acid