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Caffeine and Incident Hypertension in Women
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To the Editor: Dr Winkelmayer and colleagues1 found that consumption of sugared or diet cola was associated with an increased risk of hypertension. They speculated that certain compounds contained in soda-type beverages may be responsible for this finding. In considering possible mechanisms, they cited a recent study by Schulze et al2 that showed an increased risk of diabetes associated with the intake of cola beverages. However, in that study, diet cola was not associated with an increased risk of diabetes after adjusting for body mass index (calculated as weight in kilograms divided by the square of height in meters).
The association of hypertension with cola intake can be explained in a different way. Schulze et al found that women who had higher intake of sugar-sweetened drinks had a tendency to be less physically active, smoke more, and have higher intake of total calories and lower intakes of protein, alcohol, magnesium, . . . [Full Text of this Article]
Dae Hyun Kim, MD, MPH
dae-hyun.kim@mail.tju.edu
Department of Medicine
Jefferson Medical College
Thomas Jefferson University
Philadelphia, Pa
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