Top

The journal of nutrition, health & aging

Published in:

01-05-2017

Tea consumption and health-related quality of life in older adults

Authors: C.-W. Pan, Q. Ma, H.-P. Sun, Y. Xu, N. Luo, Pei Wang

Published in: The journal of nutrition, health & aging | Issue 5/2017

Abstract

Background

Although tea consumption has been reported to have various health benefits in humans, its association with health-related quality of life (HRQOL) has not been investigated directly. We aimed to examine the relationship between tea consumption and HRQOL among older Chinese adults.

Methods

We analyzed community-based cross-sectional data of 5,557 older Chinese individuals aged 60 years or older who participated in the Weitang Geriatric Diseases study. Information on tea consumption and HRQOL assessed by the European Quality of Life-5 dimensions (EQ-5D) were collected by questionnaires. We estimated the relationship of tea consumption and the EQ-5D index score using linear regression models and the association between tea consumption and self-reported EQ-5D health problems using logistic regression models.

Results

The EQ-5D index score was higher for habitual tea drinkers than their counterparts. In multivariate linear analyses controlling for socio-demographic conditions, health conditions, and lifestyle habits, the differences in ED-5D index score between individuals with and without tea drinking habits was 0.012 (95% confidence interval, 0.006-0.017). In multivariate logistic analyses, habitual tea drinking was inversely associated with reporting of problems in EQ-5D dimensions mobility (odds ration [OR], 0.44; 95% CI: 0.23-0.84); pain/discomfort (OR, 0.74; 95% CI: 0.61-0.90); and anxiety/depression (OR, 0.60; 95% CI: 0.38-0.97). These associations were more evident for black or oolong tea than green tea.

Conclusion

Habitual tea consumption was associated with better HRQOL in older adults.

Statista. Global production and exports of tea 2004-2012. http://www.statista.com/statistics/264183/global-production-and-exports-of-tea-since-2004/. Accessed 14, May, 2015.

Xu N, Chen ZM. Green tea, black tea, and semi-fermented tea. In: Zhen Y-S, ed. Tea bioactivity and therapeutic potential. London, United Kingdom: CRC Press UK, 2002:35–54.

Chen ZM, Xu N. Agronomy and commercial production of tea. In: Zhen Y-S, ed. Tea: bioactivity and therapeutic potential. London, United Kingdom: CRC Press UK, 2002:243–256.

Cabrera C, Gimenez R, Lopez MC. Determination of tea components with antioxidant activity. J Agric Food Chem. 2003;51(5):4427–4435.CrossRefPubMed

Osada K, Takahashi M, Hoshina S, et al. Tea catechins inhibit cholesterol oxidation accompanying oxidation of low density lipoprotein in vitro. Comp Biochem Physiol Part C Toxicol Pharmacol. 2001;128(2):153–164.CrossRef

Tipoe GL, Leung TM, Hung MW, et al. Green tea polyphenols as an anti-oxidant and anti-inflammatory agent for cardiovascular protection. Cardiovasc Hematol Disord Drug Targets. 2007;7(2):135–144.CrossRefPubMed

Reznichenko L, Amit T, Youdim MB, et al. Green tea polyphenol (-)-epigallocatechin-3-gallate induces neurorescue of long-term serum-deprived PC12 cells and promotes neuroprotective outgrowth. J Neurochem. 2005;93(5):1157–1167.CrossRefPubMed

Nathan PJ, Lu K, Gray M, et al. The neuropharmacology of L-theanine (N-ethyl-L-glutamine): a possible neuroprotective and cognitive enhancing agent. J Herb Pharmacother. 2006;6(2):21–30.PubMed

Wang W, Yang Y, Zhang W, et al. Association of tea consumption and the risk of oral cancer: a meta-analysis. Oral Oncology. 2014;50(4):276–281.CrossRefPubMed

10.

Sun CL, Yuan JM, Koh WP, et al. Green tea, black tea and colorectal cancer risk: a meta-analysis of epidemiologic studies. Carcinogenesis. 2006;27(7):1301–1309.CrossRefPubMed

11.

Sun CL, Yuan JM, Koh WP, et al. Green tea, black tea and breast cancer risk: a metaanalysis of epidemiologic studies. Carcinogenesis. 2006;27(7):1310–1315.CrossRefPubMed

12.

Lambert JD. Does tea prevent cancer? Evidence from laboratory and human intervention studies. Am J Clin Nutr. 2013;98(6):1667S–1675S.CrossRefPubMed

13.

Huxley RR, Neil HA. The relationship between dietary flavonol intake and coronary heart disease mortality: a meta-analysis of prospective cohort studies. Eur J Clin Nutr. 2003;57(8):904–908.CrossRefPubMed

14.

Arab L, Khan F, Lam H. Tea consumption and cardiovascular disease risk. Am J Clin Nutr. 2013;98(6):1651S–1659S.CrossRefPubMed

15.

Nabavi S, Daglia M, Moghaddam A, et al. Tea consumption and risk of ischemic stroke: a brief review of the literature. Curr pharm Biotechnol. 2014;15(4):298–303.CrossRefPubMed

16.

Arab L, Liu W, Elashoff D. Green and black tea consumption and risk of stroke: a meta-analysis. Stroke. 2009;40(5):1786–1792.CrossRefPubMed

17.

Odegaard AO, Pereira MA, Koh WP, et al. Coffee, tea, and incident type 2 diabetes: the Singapore Chinese Health Study. Am J Clin Nutr. 2008;88(4):979–985.PubMedPubMedCentral

18.

Katiya SK, Raman C. Green tea: a new option for the prevention of control of osteoarthritis. Arthritis Res Ther. 2011;13(4):121.CrossRef

19.

Feng L, Chong MS, Lim WS, et al. Tea for Alzheimer prevention. J Prev Alz Dis. 2015;2(2):136–141.

20.

Kuriyama S, Shimazu T, Ohmori K, et al. Green tea consumption and mortality due to cardiovascular disease, cancer, and all causes in Japan: the Ohsaki study. JAMA. 2006;296(10):1255–1265.CrossRefPubMed

21.

Kuriyama S, Hozawa A, Ohmori K, et al. Green tea consumption and cognitive function: a cross-sectional study from the Tsurugaya Project 1. Am J Clin Nutr. 2006;83(2):355–361.PubMed

22.

Ng TP, Feng L, Niti M, et al. Tea consumption and cognitive impairment and decline in older Chinese adults. Am J Clin Nutr. 2008;88(1):224–231.PubMed

23.

Panza F, Solfrizzi V, Barulli MR, et al. Coffee, tea, and caffeine consumption and prevention of later-life cognitive decline and dementia: a systematic review. J Nutr Health Aging. 2015;19(3):313–328.CrossRefPubMed

24.

Hintikka J, Tolmunen T, Honkalampi K, et al. Daily tea drinking is associated with a low level of depressive symptoms in the Finnish general population. Eur J Epidemiol. 2005;20(4):359–363.CrossRefPubMed

25.

Niu K, Hozawa A, Kuriyama S, et al. Green tea consumption is associated with depressive symptoms in the elderly. Am J Clin Nutr. 2009;90(6):1615–1622.CrossRefPubMed

26.

Hozawa A, Kuryiyama S, Nakaya N, et al. Green tea consumption is associated with lower psychological distress in a general population: the Ohsaki Chort 2006 study. Am J Clin Nutr. 2009;90(5):1390–1396.CrossRefPubMed

27.

NG TP, Aung KCY, Feng L, et al. Tea consumption and physical function in older adults: a cross-sectional study. J Nutr Health Aging. 2014;18(2):161–166.CrossRefPubMed

28.

Brooks R. EuroQol: the current state of play. Health Policy. 1996;37(1):1303–1307.CrossRef

29.

Gusi N, Olivares, Rajendram. The EQ-5D health-realted quality of life questionnaire. In: Preedy VR, Watson RR, eds. Handbook of disease brudents and quality of life measures. New York, United States: Sprigner-Verlag New York. 2010:87–99.CrossRef

30.

Liu G, Wu H, Li M, et al. Chinese time trade-off values for EQ-5D health states. Value Health. 2014;17(5):597–603.CrossRefPubMed

31.

Wang H, Kindig DA, Mullahy J. Variation in Chinese population health related quality of life: results from a EuroQol study in Beijing, China. Qual Life Res. 2005;14(1):119–132.CrossRefPubMed

32.

Zhao FL, Yue M, Yang H, et al. Validation and comparison of EuroQol and short form 6D in chronic prostatitis patients. Value Health, 2010;13(5):649–656.CrossRefPubMed

33.

Wang HM, Patrick DL, Edwards TC, et al. Validation of the EQ-5D in a general population sample in urban China. Qual Life Res. 2012;21(1):155–160.CrossRefPubMed

34.

Wu J, Han Y, Zhao FL, et al. Validation and comparison of EuroQol-5 dimension (EQ-5D) and short form-6 (SF-6D) among stable angina patients. Health Qual Life Outcomes. 2014;12:156.CrossRefPubMedPubMedCentral

35.

Sahadevan S, Tan JL, Tan T, et al. Cognitive testing of elderly Chinese people in Singapore: Influence of education and age on normative scores. Age and Ageing. 1997;26(6):481–486.CrossRefPubMed

36.

Chylack LT, Jr., Wolfe JK, Singer DM, et al. The Lens Opacities Classification System III. The Longitudinal Study of Cataract Study Group. Arch Ophthalmol. 1993;111(6):831–836.CrossRefPubMed

37.

Totsch SK, Waite ME, Sorge RE. Dietary influence on pain via immune system. Prog Mol Biol Transl Sci. 2015;13:435–469.CrossRef

38.

Tomata Y, Kakizaki M, Nakaya N, et al. Green tea consumption and the risk of incident functional disability in elderly Japanese: the Ohsaki Cohort 2006 study. Am J Clin Nutr. 2012;95(3):732–739.CrossRefPubMedPubMedCentral

39.

Serafini M, Ghiselli A, Ferro-Luzzi A. In vivo antioxidant effect of green tea and black tea in man. Eur J Clin Nutr. 1996;50(1):28–32.PubMed

40.

Weinreb O, Mandel S, Amit T, et al. Neurological mechanisms of green tea polyphenols in Alzheimer’s and Parkinson’s disease. J Nutr Biochem. 2004;15(9):506–516.CrossRefPubMed

41.

Cao H, Kelly MA, Kari F, et al. Green tea increases anti-inflammatory tristetraprolin and decrease pro-inflammatory tumor necrosis factor mRNA in rats. J Inflamm(Lond). 2007;4:1.CrossRefPubMedCentral

42.

Cesari M, Pahor M, Bartali B, et al. Antioxidants and physical performance in elderly persons: the Invecchiare in Chianti (InCHIANTI) study. Am J Clin Nutr. 2004;79(2):289–294.PubMed

43.

Pan T, Jankovic J, Le W. Potential therapeutic properties of green tea polyphenols in Parkinson’s disease. Drugs Aging. 2003;20(10):711–721.CrossRefPubMed

44.

Kimujra K, Ozeki M, Juneja LR,et al. L-Theanine reduces psychological and physiological stress responses. Biol Psychol. 2007;74(1):39–45.CrossRef

45.

Nathan PJ, Lu K, Gray M, et al. The neuropharmacology of L-theanine (N-ethyl-L-glutamine): a possible neuroprotective and cognitive enhancing agent. J Herb Pharmacother. 2006;6(2):21–30.PubMed

46.

Henning SM, Niu Y, Lee NH, et al. Bioavailability and antioxidant activity of tea flavanols after consumption of green tea, black tea, or a green tea extract supplement. Am J Clin Nutr. 2004;80(6):1558–1564.PubMed

47.

Luczaj W, Skrzydlewska E. Antioxidative properties of black tea. Prev Med. 2005;40(6):910–918.CrossRefPubMed

48.

Walters SJ, Brazier JE. Comparison of the minimally important difference for two health state utility measures: EQ-5D and SF-6D. Qual Life Res. 2005;14(6):1523–1532.CrossRefPubMed

49.

Tea Association of the U.S.A.Inc. Tea fact sheet-2014. http://www.teausa.com/14655/tea-fact-sheet. Accessed 14, December, 2015.

50.

Drinking four or more cups of tea can lower the risk of middle-aged related diabetes. Daily Mail Online. http://www.dailymail.co.uk/health/article-2154409/Drinking-tealower-risk-diabetes—drink-cups-day.html. Accessed 4, April, 2016.

51.

Ageing and Life Course. World Health Organization. http://www.who.int/ageing/en/. Accessed 14, May, 2015.

30.

Ehrnborg C, Lange KH, Dall R, Christiansen JS, Lundberg PA, Baxter RC, Boroujerdi MA, Bengtsson BA, Healey ML, Pentecost C, Longobardi S, Napoli R, Rosén T; GH-2000 Study Group. The growth hormone/insulin-like growth factor-I axis hormones and bone markers in elite athletes in response to a maximum exercise test. J Clin Endocrinol Metab. 2003;88(1):394–401.CrossRefPubMed

Title: Tea consumption and health-related quality of life in older adults
Authors: C.-W. Pan
Q. Ma
H.-P. Sun
Y. Xu
N. Luo
Pei Wang
Publication date: 01-05-2017
Publisher: Springer Paris
Published in: The journal of nutrition, health & aging / Issue 5/2017
Print ISSN: 1279-7707
Electronic ISSN: 1760-4788
DOI: https://doi.org/10.1007/s12603-016-0784-0

ACC 2024 Congress Coverage

Heart Failure Video

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Tea consumption and health-related quality of life in older adults

Abstract

Background

Methods

Results

Conclusion

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 5/2017

Construct validation of the Dietary Inflammatory Index among African Americans

Handgrip strength predicts longitudinal changes in clock drawing test performance. An observational study in a sample of older non-demented adults

Association between satisfaction with state of health and meals, physical condition and food diversity, health behavior, and perceptions of shopping difficulty among older people living alone in Japan

Effects of running wheel activity and dietary HMB and B—alanine co-supplementation on muscle quality in aged male rats

Effects of gender and age on immune responses of human peripheral blood mononuclear cells to probiotics: A large scale pilot study

Relationship between breakfast skipping and obesity among elderly: Cross-sectional analysis of the HEIJO-KYO study

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page