Rheumatoid arthritis

Association between beverage consumption and risk of rheumatoid arthritis: a prospective study from the French E3N Cohort

Rheumatology (Oxford)Published Prospective cohort study

Authors' conclusion

In a large cohort of women, tea, alcohol and sugar-sweetened soft drinks consumption was not associated with RA risk, whereas consumption of coffee (especially caffeinated coffee), and artificially sweetened soft drinks was associated with higher RA risk, particularly among never-smokers.

Study context

Population
Women of the French E3N prospective cohort (98,995 women since 1990)481 incident RA cases
Participants
62,631 women
Exposure
Consumption of coffee, tea, alcohol and soft drinks and risk of RA
Outcome
Incident RA
Methodological detailsCox proportional hazards model, validated food-frequency questionnaire
  • Cox proportional hazards model
  • Validated food-frequency questionnaire

Main finding

As reported in the abstract

Incident RA by beverage consumption
Hazard ratio (95% CI)P value
≥4 cups/day coffeevs ≤1cup/day coffeelinear association
1.24(0.94–1.64)
P = 0.04for trend
Artificially sweetened soft drink consumersvs Non-consumers of artificially sweetened soft drinksparticularly in never-smokers
1.66(1.12–2.45)

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
RA in ever-smokers, liquor intake (subgroup)1-3 glasses/week liquorvs Liquor non-consumers0.63 (0.43–0.91)

RA in ever-smokers, liquor intake (subgroup)

Moderate wine consumption associated with reduced risk of seropositive RA in ever-smokers

Original publication

Association between beverage consumption and risk of rheumatoid arthritis: a prospective study from the French E3N Cohort. Rheumatology (Oxford). Published 30 September 2022. doi:10.1093/rheumatology/keac544

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