Evidence map›Paper›PMID 41323814›Full record

ArticleFood science & nutrition2025

Coffee Consumption and Risk of Incident Gastrointestinal Disease: A Large Prospective Cohort Study.

Shenxuan Zhou, Fulan Hu, Zhiping Long, Hao Huang, Dapeng Li, Minjie Chu, Lei Zhang

Abstract read
In one paragraph

Article in Food science & nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Shenxuan ZhouDepartment of Epidemiology, School of Public Health Nantong University Nantong Jiangsu China.
Fulan HuDepartment of Biostatistics and Epidemiology, School of Public Health, Shenzhen University Medical School Shenzhen Guangdong China.ORCID https://orcid.org/0000-0002-2386-1503
Zhiping LongJinhua Center for Disease Control and Prevention Jinhua Zhejiang China.
Hao HuangDepartment of Preventive Medicine, Zhuhai Campus of Zunyi Medical University Zhuhai Guangdong China.
Dapeng LiDepartment of Epidemiology and Biostatistics, School of Public Health of Wenzhou Medical University Wenzhou Zhejiang China.
Minjie ChuDepartment of Epidemiology, School of Public Health Nantong University Nantong Jiangsu China.ORCID https://orcid.org/0000-0002-7533-9119
Lei ZhangDepartment of Epidemiology, School of Public Health Nantong University Nantong Jiangsu China.ORCID https://orcid.org/0009-0001-3866-1096

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coffee's health effects are well studied, but its relationship with gastrointestinal diseases (GIDs) remains unclear, particularly with the frequent use of sweeteners. A prospective cohort of 147,263 participants without pre-existing GIDs was analyzed. Coffee intake, assessed via a 24-h dietary recall, was categorized as unsweetened, naturally sweetened, or artificially sweetened. Incident GIDs were identified through medical records. Cox proportional hazards models estimated hazard ratios (HRs) and 95% confidence intervals (CIs). Genetic predisposition was assessed using polygenic risk scores (PRS), with subgroup and sensitivity analyses conducted for robustness. Over a 12.6-year median follow-up, 29,118 incident GIDs occurred. Unsweetened coffee showed a dose-dependent, U-shaped association with lower GID risk (P-non-linear < 0.001), with the lowest risk at 2-4 cups/day (HR: 0.84, 95% CI: 0.81-0.88). Naturally sweetened coffee had limited benefits, while artificial sweeteners showed inconsistent associations. Protective effects were observed for GERD, gastritis/duodenitis, and biliary diseases. Unsweetened coffee mitigated genetic GID risk, with significant additive interactions for diverticulosis and cirrhosis. Findings were robust across subgroup and sensitivity analyses. Unsweetened coffee consumption is associated with a lower GID risk, supporting its inclusion in dietary recommendations. Further studies are needed to clarify underlying mechanisms and validate findings in diverse populations.

Indexed as

gastrointestinal diseaserisk factorssweetened coffeeUK Biobank

Identifiers

PMID41323814
PMCPMC12658384

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.