Abstract

BackgroundTea has attracted considerable attention for its potential cardioprotective effects. The primary chemical components of tea are thought to have a beneficial effect by reducing arterial stiffness. The objective of this study was to assess the association between tea consumption and brachial–ankle pulse wave velocity (baPWV) in a relatively healthy Chinese population.MethodsWe enrolled 3,135 apparently healthy subjects from October 2006 to August 2009. Subjects taking medication for diabetes, hypertension, or hyperlipidemia, or with a history of cardiovascular disease, were excluded from the study. The subjects were categorized into three groups according to their tea-drinking habits: (1) none to low (n = 1615), defined as non-habitual tea drinkers, or drinking for <1 year, or drinking ≤150 mL per day for ≥1 year ; (2) moderate tea consumption, defined as drinking for ≥1 year and consumption between 151 and 450 mL per day; and (3) heavy tea consumption, defined as a drinking for ≥1 year and consumption >450 mL per day. Multiple logistic regression was used to determine whether different levels of consumption were independently associated with the highest quartile of baPWV values, defined as ≥1428.5 cm/s.ResultsOf the 3,135 subjects, 48.5% had drunk >150 mL of tea per day for at least 1 year. In multivariate regression analysis with adjustment for co-variables, including, age, sex, current smoking, alcohol use, habitual exercise, total cholesterol/high-density lipoprotein cholesterol (TC/HDL-C) ratio >5, obesity, newly diagnosed hypertension and diabetes, subjects with high tea consumption had a decreased risk of highest quartile of baPWV by 22% (odds ratio = 0.78, 95% confidence interval = 0.62–0.98, p = 0.032), while subjects with moderate tea consumption did not (p = 0.742), as compared subjects with none to low tea consumption.ConclusionsHigh, but not moderate, habitual tea consumption may decrease arterial stiffness.

Highlights

  • Arterial stiffness is characterized by arterial wall thickening and loss of elasticity, and reflects a reduction in vascular compliance involving structural and cellular elements of the vessel wall [1]

  • There was no significant difference in brachial–ankle pulse wave velocity (baPWV) values between subjects with none to low and moderate tea consumption (p = 0.703)

  • After adjustment for the covariables, including age, sex, current smoker, current alcohol drinker, habitual exercise, total cholesterol (TC)/high-density lipoprotein cholesterol (HDL-C) ratio.5.0, obesity, newly diagnosed hypertension and diabetes, subjects with high tea consumption had a 22% decreased risk of being in the highest quartile of baPWV (p = 0.032) compared with subjects with none to low tea consumption

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Summary

Introduction

Arterial stiffness is characterized by arterial wall thickening and loss of elasticity, and reflects a reduction in vascular compliance involving structural and cellular elements of the vessel wall [1]. Pulse wave velocity (PWV) is the most validated of the noninvasive methods used to assess arterial stiffness [3]. The gold standard for assessment is measurement of central arterial stiffness via the carotid–femoral PWV (cfPWV), this is inconvenient due to the requirement of exposure of the inguinal region [4]. Brachial–ankle PWV (baPWV) requires only a pressure cuff to be wrapped around both arms and ankles, and can be reproducibly measured. Tea has attracted considerable attention for its potential cardioprotective effects. The primary chemical components of tea are thought to have a beneficial effect by reducing arterial stiffness. The objective of this study was to assess the association between tea consumption and brachial–ankle pulse wave velocity (baPWV) in a relatively healthy Chinese population

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