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Published in: BMC Gastroenterology 1/2012

Open Access 01-12-2012 | Research article

Effects of coffee, smoking, and alcohol on liver function tests: a comprehensive cross-sectional study

Authors: Eun Sun Jang, Sook-Hyang Jeong, Sung Ho Hwang, Hyun Young Kim, So Yeon Ahn, Jaebong Lee, Sang Hyub Lee, Young Soo Park, Jin Hyeok Hwang, Jin-Wook Kim, Nayoung Kim, Dong Ho Lee

Published in: BMC Gastroenterology | Issue 1/2012

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Abstract

Background

Liver function tests (LFTs) can be affected by many factors and the proposed effects of coffee on LFT require a comprehensive evaluation. The aim of this study was to elucidate whether drinking coffee, smoking, or drinking alcohol have independent effects on LFTs in Korean health-check examinees.

Methods

We used the responses of 500 health-check examinees, who had participated in a self-administered questionnaire survey about coffee, alcohol drinking, and smoking habits.

Results

Coffee consumption was closely related to male gender, high body mass index (BMI), alcohol drinking, and smoking. On univariable and multivariable analyses, drinking coffee lowered serum levels of total protein, albumin, and aspartate aminotransferases (AST). On multivariable analyses, smoking raised serum γ-glutamyl transferase (GGT) level and decreased serum protein and albumin levels, while alcohol drinking raised GGT level after adjustment for age, gender, regular medication, BMI, coffee and alcohol drinking amounts, and smoking.

Conclusions

Coffee consumption, smoking, and alcohol drinking affect the individual components of LFT in different ways, and the above 3 habits each have an impact on LFTs. Therefore, their effects on LFTs should be carefully interpreted, and further study on the mechanism of the effects is warranted.
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Literature
1.
go back to reference Rahmioglu N, Andrew T, Cherkas L, Surdulescu G, Swaminathan R, Spector T, Ahmadi KR: Epidemiology and genetic epidemiology of the liver function test proteins. PLoS One. 2009, 4: e4435-10.1371/journal.pone.0004435.CrossRefPubMedPubMedCentral Rahmioglu N, Andrew T, Cherkas L, Surdulescu G, Swaminathan R, Spector T, Ahmadi KR: Epidemiology and genetic epidemiology of the liver function test proteins. PLoS One. 2009, 4: e4435-10.1371/journal.pone.0004435.CrossRefPubMedPubMedCentral
2.
go back to reference Adams LA, Knuiman MW, Divitini ML, Olynyk JK: Body mass index is a stronger predictor of alanine aminotransaminase levels than alcohol consumption. J Gastroenterol Hepatol. 2008, 23: 1089-1093. 10.1111/j.1440-1746.2008.05451.x.CrossRefPubMed Adams LA, Knuiman MW, Divitini ML, Olynyk JK: Body mass index is a stronger predictor of alanine aminotransaminase levels than alcohol consumption. J Gastroenterol Hepatol. 2008, 23: 1089-1093. 10.1111/j.1440-1746.2008.05451.x.CrossRefPubMed
3.
go back to reference Sharpe PC: Biochemical detection and monitoring of alcohol abuse and abstinence. Ann Clin Biochem. 2001, 38: 652-664. 10.1258/0004563011901064.CrossRefPubMed Sharpe PC: Biochemical detection and monitoring of alcohol abuse and abstinence. Ann Clin Biochem. 2001, 38: 652-664. 10.1258/0004563011901064.CrossRefPubMed
4.
go back to reference Nathwani RA, Pais S, Reynolds TB, Kaplowitz N: Serum alanine aminotransferase in skeletal muscle diseases. Hepatology. 2005, 41: 380-382. 10.1002/hep.20548.CrossRefPubMed Nathwani RA, Pais S, Reynolds TB, Kaplowitz N: Serum alanine aminotransferase in skeletal muscle diseases. Hepatology. 2005, 41: 380-382. 10.1002/hep.20548.CrossRefPubMed
5.
go back to reference Bravi F, Bosetti C, Tavani A, Bagnardi V, Gallus S, Negri E, Franceschi S, La Vecchia C: Coffee drinking and hepatocellular carcinoma risk: a meta-analysis. Hepatology. 2007, 46: 430-435. 10.1002/hep.21708.CrossRefPubMed Bravi F, Bosetti C, Tavani A, Bagnardi V, Gallus S, Negri E, Franceschi S, La Vecchia C: Coffee drinking and hepatocellular carcinoma risk: a meta-analysis. Hepatology. 2007, 46: 430-435. 10.1002/hep.21708.CrossRefPubMed
6.
go back to reference Bravi F, Bosetti C, Tavani A, La Vecchia C: Coffee drinking and hepatocellular carcinoma: an update. Hepatology. 2009, 50: 1317-1318. 10.1002/hep.23272.CrossRefPubMed Bravi F, Bosetti C, Tavani A, La Vecchia C: Coffee drinking and hepatocellular carcinoma: an update. Hepatology. 2009, 50: 1317-1318. 10.1002/hep.23272.CrossRefPubMed
7.
go back to reference Tanaka K, Hara M, Sakamoto T, Higaki Y, Mizuta T, Eguchi Y, Yasutake T, Ozaki I, Yamamoto K, Onohara S, et al: Inverse association between coffee drinking and the risk of hepatocellular carcinoma: a case–control study in Japan. Cancer Sci. 2007, 98: 214-218. 10.1111/j.1349-7006.2006.00368.x.CrossRefPubMed Tanaka K, Hara M, Sakamoto T, Higaki Y, Mizuta T, Eguchi Y, Yasutake T, Ozaki I, Yamamoto K, Onohara S, et al: Inverse association between coffee drinking and the risk of hepatocellular carcinoma: a case–control study in Japan. Cancer Sci. 2007, 98: 214-218. 10.1111/j.1349-7006.2006.00368.x.CrossRefPubMed
8.
go back to reference Tanaka K, Tokunaga S, Kono S, Tokudome S, Akamatsu T, Moriyama T, Zakouji H: Coffee consumption and decreased serum gamma-glutamyltransferase and aminotransferase activities among male alcohol drinkers. Int J Epidemiol. 1998, 27: 438-443. 10.1093/ije/27.3.438.CrossRefPubMed Tanaka K, Tokunaga S, Kono S, Tokudome S, Akamatsu T, Moriyama T, Zakouji H: Coffee consumption and decreased serum gamma-glutamyltransferase and aminotransferase activities among male alcohol drinkers. Int J Epidemiol. 1998, 27: 438-443. 10.1093/ije/27.3.438.CrossRefPubMed
9.
go back to reference Breitling LP, Raum E, Muller H, Rothenbacher D, Brenner H: Synergism between smoking and alcohol consumption with respect to serum gamma-glutamyltransferase. Hepatology. 2009, 49: 802-808. 10.1002/hep.22727.CrossRefPubMed Breitling LP, Raum E, Muller H, Rothenbacher D, Brenner H: Synergism between smoking and alcohol consumption with respect to serum gamma-glutamyltransferase. Hepatology. 2009, 49: 802-808. 10.1002/hep.22727.CrossRefPubMed
10.
go back to reference Wannamethee SG, Shaper AG: Cigarette smoking and serum liver enzymes: the role of alcohol and inflammation. Ann Clin Biochem. 2010, 47: 321-326. 10.1258/acb.2010.009303.CrossRefPubMed Wannamethee SG, Shaper AG: Cigarette smoking and serum liver enzymes: the role of alcohol and inflammation. Ann Clin Biochem. 2010, 47: 321-326. 10.1258/acb.2010.009303.CrossRefPubMed
11.
go back to reference Gordon T: Factors associated with serum alkaline phosphatase level. Arch Pathol Lab Med. 1993, 117: 187-190.PubMed Gordon T: Factors associated with serum alkaline phosphatase level. Arch Pathol Lab Med. 1993, 117: 187-190.PubMed
12.
go back to reference Kuper H, Tzonou A, Kaklamani E, Hsieh CC, Lagiou P, Adami HO, Trichopoulos D, Stuver SO: Tobacco smoking, alcohol consumption and their interaction in the causation of hepatocellular carcinoma. Internl J Cancer. 2000, 85: 498-502. 10.1002/(SICI)1097-0215(20000215)85:4<498::AID-IJC9>3.0.CO;2-F.CrossRef Kuper H, Tzonou A, Kaklamani E, Hsieh CC, Lagiou P, Adami HO, Trichopoulos D, Stuver SO: Tobacco smoking, alcohol consumption and their interaction in the causation of hepatocellular carcinoma. Internl J Cancer. 2000, 85: 498-502. 10.1002/(SICI)1097-0215(20000215)85:4<498::AID-IJC9>3.0.CO;2-F.CrossRef
13.
go back to reference Eugene R, Schiff MFS, Maddrey WC: Schiff's Diseases of the Liver. 2006, Philadelphia: Lippincott Williams & Wilkins, 10th Eugene R, Schiff MFS, Maddrey WC: Schiff's Diseases of the Liver. 2006, Philadelphia: Lippincott Williams & Wilkins, 10th
14.
go back to reference World Health Organization: International Association for the Study of Obesity, International obesity Task Force: The Asia-Pacific Perspective: Redefining obesity and its treatment. 2000, Sydney: Health Communications Australia Pty World Health Organization: International Association for the Study of Obesity, International obesity Task Force: The Asia-Pacific Perspective: Redefining obesity and its treatment. 2000, Sydney: Health Communications Australia Pty
15.
go back to reference Wingerd J, Sponzilli EE: Concentrations of serum protein fractions in white women: effects of age, weight, smoking, tonsillectomy, and other factors. Clin Chem. 1977, 23: 1310-1317.PubMed Wingerd J, Sponzilli EE: Concentrations of serum protein fractions in white women: effects of age, weight, smoking, tonsillectomy, and other factors. Clin Chem. 1977, 23: 1310-1317.PubMed
16.
17.
go back to reference Ikeda M, Maki T, Yin G, Kawate H, Adachi M, Ohnaka K, Takayanagi R, Kono S: Relation of coffee consumption and serum liver enzymes in Japanese men and women with reference to effect modification of alcohol use and body mass index. Scand J Clin Lab Invest. 2010, 70: 171-179. 10.3109/00365511003650165.CrossRefPubMed Ikeda M, Maki T, Yin G, Kawate H, Adachi M, Ohnaka K, Takayanagi R, Kono S: Relation of coffee consumption and serum liver enzymes in Japanese men and women with reference to effect modification of alcohol use and body mass index. Scand J Clin Lab Invest. 2010, 70: 171-179. 10.3109/00365511003650165.CrossRefPubMed
18.
go back to reference Urgert R, Essed N, van der Weg G, Kosmeijer-Schuil TG, Katan MB: Separate effects of the coffee diterpenes cafestol and kahweol on serum lipids and liver aminotransferases. Am J Clin Nutr. 1997, 65: 519-524.PubMed Urgert R, Essed N, van der Weg G, Kosmeijer-Schuil TG, Katan MB: Separate effects of the coffee diterpenes cafestol and kahweol on serum lipids and liver aminotransferases. Am J Clin Nutr. 1997, 65: 519-524.PubMed
19.
go back to reference Schulman JD, Goodman SI, Mace JW, Patrick AD, Tietze F, Butler EJ: Glutathionuria: inborn error of metabolism due to tissue deficiency of gamma-glutamyl transpeptidase. Biochem Biophys Res Commun. 1975, 65: 68-74. 10.1016/S0006-291X(75)80062-3.CrossRefPubMed Schulman JD, Goodman SI, Mace JW, Patrick AD, Tietze F, Butler EJ: Glutathionuria: inborn error of metabolism due to tissue deficiency of gamma-glutamyl transpeptidase. Biochem Biophys Res Commun. 1975, 65: 68-74. 10.1016/S0006-291X(75)80062-3.CrossRefPubMed
20.
go back to reference Brenner H, Rothenbacher D, Arndt V, Schuberth S, Fraisse E, Fliedner TM: Distribution, determinants, and prognostic value of gamma-glutamyltransferase for all-cause mortality in a cohort of construction workers from southern Germany. Prev Med. 1997, 26: 305-310. 10.1006/pmed.1997.0144.CrossRefPubMed Brenner H, Rothenbacher D, Arndt V, Schuberth S, Fraisse E, Fliedner TM: Distribution, determinants, and prognostic value of gamma-glutamyltransferase for all-cause mortality in a cohort of construction workers from southern Germany. Prev Med. 1997, 26: 305-310. 10.1006/pmed.1997.0144.CrossRefPubMed
21.
go back to reference Klatsky AL, Morton C, Udaltsova N, Friedman GD: Coffee, cirrhosis, and transaminase enzymes. Arch Intern Med. 2006, 166: 1190-1195. 10.1001/archinte.166.11.1190.CrossRefPubMed Klatsky AL, Morton C, Udaltsova N, Friedman GD: Coffee, cirrhosis, and transaminase enzymes. Arch Intern Med. 2006, 166: 1190-1195. 10.1001/archinte.166.11.1190.CrossRefPubMed
22.
go back to reference Steffensen FH, Sorensen HT, Brock A, Vilstrup H, Lauritzen T: Alcohol consumption and serum liver-derived enzymes in a Danish population aged 30–50 years. Int J Epidemiol. 1997, 26: 92-99. 10.1093/ije/26.1.92.CrossRefPubMed Steffensen FH, Sorensen HT, Brock A, Vilstrup H, Lauritzen T: Alcohol consumption and serum liver-derived enzymes in a Danish population aged 30–50 years. Int J Epidemiol. 1997, 26: 92-99. 10.1093/ije/26.1.92.CrossRefPubMed
23.
go back to reference Lee DH, Lim JS, Yang JH, Ha MH, Jacobs DR: Serum gamma-glutamyltransferase within its normal range predicts a chronic elevation of alanine aminotransferase: a four year follow-up study. Free Radic Res. 2005, 39: 589-593. 10.1080/10715760400016154.CrossRefPubMed Lee DH, Lim JS, Yang JH, Ha MH, Jacobs DR: Serum gamma-glutamyltransferase within its normal range predicts a chronic elevation of alanine aminotransferase: a four year follow-up study. Free Radic Res. 2005, 39: 589-593. 10.1080/10715760400016154.CrossRefPubMed
24.
go back to reference Chan-Yeung M, Ferreira P, Frohlich J, Schulzer M, Tan F: The effects of age, smoking, and alcohol on routine laboratory tests. Am J Clin Pathol. 1981, 75: 320-326.CrossRefPubMed Chan-Yeung M, Ferreira P, Frohlich J, Schulzer M, Tan F: The effects of age, smoking, and alcohol on routine laboratory tests. Am J Clin Pathol. 1981, 75: 320-326.CrossRefPubMed
25.
go back to reference Whitehead TP, Robinson D, Allaway SL: The effects of cigarette smoking and alcohol consumption on serum liver enzyme activities: a dose-related study in men. Ann Clin Biochem. 1996, 33 (Pt 6): 530-535.CrossRefPubMed Whitehead TP, Robinson D, Allaway SL: The effects of cigarette smoking and alcohol consumption on serum liver enzyme activities: a dose-related study in men. Ann Clin Biochem. 1996, 33 (Pt 6): 530-535.CrossRefPubMed
26.
go back to reference Cheung BM, Ong KL, Wong LY: Elevated serum alkaline phosphatase and peripheral arterial disease in the United States National Health and Nutrition Examination Survey 1999–2004. Int J Cardiol. 2009, 135: 156-161. 10.1016/j.ijcard.2008.03.039.CrossRefPubMed Cheung BM, Ong KL, Wong LY: Elevated serum alkaline phosphatase and peripheral arterial disease in the United States National Health and Nutrition Examination Survey 1999–2004. Int J Cardiol. 2009, 135: 156-161. 10.1016/j.ijcard.2008.03.039.CrossRefPubMed
27.
go back to reference Inoue M, Yoshimi I, Sobue T, Tsugane S: Influence of coffee drinking on subsequent risk of hepatocellular carcinoma: a prospective study in Japan. J Natl Cancer Inst. 2005, 97: 293-300. 10.1093/jnci/dji040.CrossRefPubMed Inoue M, Yoshimi I, Sobue T, Tsugane S: Influence of coffee drinking on subsequent risk of hepatocellular carcinoma: a prospective study in Japan. J Natl Cancer Inst. 2005, 97: 293-300. 10.1093/jnci/dji040.CrossRefPubMed
28.
go back to reference Morii H, Kuboyama A, Nakashima T, Kawai K, Kasai H, Tamae K, Hirano T: Effects of instant coffee consumption on oxidative DNA damage, DNA repair, and redox system in mouse liver. J Food Sci. 2009, 74: H155-H161. 10.1111/j.1750-3841.2009.01192.x.CrossRefPubMed Morii H, Kuboyama A, Nakashima T, Kawai K, Kasai H, Tamae K, Hirano T: Effects of instant coffee consumption on oxidative DNA damage, DNA repair, and redox system in mouse liver. J Food Sci. 2009, 74: H155-H161. 10.1111/j.1750-3841.2009.01192.x.CrossRefPubMed
Metadata
Title
Effects of coffee, smoking, and alcohol on liver function tests: a comprehensive cross-sectional study
Authors
Eun Sun Jang
Sook-Hyang Jeong
Sung Ho Hwang
Hyun Young Kim
So Yeon Ahn
Jaebong Lee
Sang Hyub Lee
Young Soo Park
Jin Hyeok Hwang
Jin-Wook Kim
Nayoung Kim
Dong Ho Lee
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Gastroenterology / Issue 1/2012
Electronic ISSN: 1471-230X
DOI
https://doi.org/10.1186/1471-230X-12-145

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