Meta-analysis2026

Caffeine and IBD Risk: A Meta-Analysis

Wu X, Jiang J, Lu Q

Journal of gastroenterology and hepatology · 0 citations

Review labels

Funding not disclosed

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Meta-analysis (indexed by PubMed)
Studied in
People
Main outcome
Clinical events such as disease or death

Who paid for it

Funding
Funding not disclosed

Publication

Published
2025-11-30 · J Gastroenterol Hepatol · vol. 41 · issue 2 · pp. 401–412
Publisher
Wiley
Cited
0 citations · more than 31% of similar papers · 0.0× the field average
References
63 works
Access
Free to read
Research areas
Coffee research and impacts · Obesity, Physical Activity, Diet · Tea Polyphenols and Effects
Keywords
Caffeine, Risk assessment, Risk factor, Disease
MeSH
humans, colitis, ulcerative, inflammatory bowel diseases, crohn disease, caffeine, risk factors, case-control studies, coffee, female, male

3 authors

From CN

  • Xiangyuan WuFirst People’s Hospital of Jingmen; Jingchu University of Technology
  • Jinqin JiangFirst People’s Hospital of Jingmen; Jingchu University of Technology
  • Qin Lu · correspondingFirst People’s Hospital of Jingmen; Jingchu University of Technology

Abstract

Background

Inflammatory bowel disease (IBD), including Crohn's disease (CD) and ulcerative colitis (UC), is a group of chronic intestinal diseases possibly linked to genetic, environmental, and dietary factors. Recently, studies on caffeine intake and IBD risk have increased, but results remain controversial.

Objective

To explore the relationship between caffeine intake and IBD risk through a systematic review and meta-analysis.

Methods

This study searched multiple databases for prospective, cross-sectional and case-control studies examining caffeine intake and IBD risk, including CNKI, VIP, Wanfang, PubMed, Embase, JBI, and WOS, from database inception to May 21, 2024. Two researchers independently extracted literature data and evaluated quality using Stata 16.0 software for meta-analysis.

Results

A total of 21 studies with 13 209 participants were included. The meta-analysis showed no significant association between caffeine intake and IBD (RR = 0.84, 95% CI = 0.68-1.04). In Americans, caffeine increased UC risk by 68% (RR = 1.68, 95% CI = 1.17-2.42). Age analysis showed caffeine increased IBD risk by 4.52 times in those ≤18 (RR = 4.52, 95% CI = 1.59-12.88) but decreased risk by 7% in those >18 (RR = 0.93, 95% CI = 0.73-1.18). Coffee reduced UC risk by 57% (RR = 0.43, 95% CI = 0.29-0.65), tea by 46% (RR = 0.54, 95% CI = 0.31-0.92). Caffeine increased CD risk by 80% in smokers (RR = 1.80, 95% CI = 1.25-2.60).

Conclusion

The relationship between caffeine intake and IBD risk varies by region, age, caffeine source, smoking, and education level. In Asia and Europe, coffee and tea reduce UC risk, whereas in America and among adolescents, caffeine may increase UC risk. Smoking and education level also significantly influence this relationship, suggesting various factors must be considered to assess caffeine's impact on IBD risk accurately.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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