Evidence map›Paper›PMID 33557575›Full record

ArticleCirculation. Heart failure2021

Association Between Coffee Intake and Incident Heart Failure Risk: A Machine Learning Analysis of the FHS, the ARIC Study, and the CHS.

Laura M Stevens, Erik Linstead, Jennifer L Hall, David P Kao

Open access · bronzeAbstract read
In one paragraph

Article in Circulation. Heart failure, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Well-Known and Novel Behavioural Risk Factors for Heart Failure.Journal of cardiovascular development and disease · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Laura M StevensComputational Bioscience Program, Department of Pharmacology (L.M.S.), University of Colorado Anschutz Medical School, Aurora.
Erik LinsteadDepartment of Electrical Engineering and Computer Science, Fowler School of Engineering, Chapman University, Orange, CA (E.L.).
Jennifer L HallInstitute for Precision Cardiovascular Medicine at the American Heart Association, Dallas, TX (L.M.S., J.L.H.).
David P KaoDivisions of Cardiology and Bioinformatics and Personalized Medicine, Department of Medicine, (D.P.K.), University of Colorado Anschutz Medical School, Aurora.
American Heart Association · USChapman University · USUniversity of Colorado Anschutz Medical Campus · US

Funding

A Closed-Loop Integrated Framework for development of Novel Treatment Strategies in Heart Failure (CLIFFNOTES-HF)K08HL125725 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI KAO, DAVID PETER · 2017 to 2021
$826k
NHLBI NIH HHS K08 HL125725NHLBI NIH HHS L30 HL110124
6 · The paper itself

Abstract

backgroundCoronary heart disease, heart failure (HF), and stroke are complex diseases with multiple phenotypes. While many risk factors for these diseases are well known, investigation of as-yet unidentified risk factors may improve risk assessment and patient adherence to prevention guidelines. We investigated the diet domain in FHS (Framingham Heart Study), CHS (Cardiovascular Heart Study), and the ARIC study (Atherosclerosis Risk in Communities) to identify potential lifestyle and behavioral factors associated with coronary heart disease, HF, and stroke.

methodsWe used machine learning feature selection based on random forest analysis to identify potential risk factors associated with coronary heart disease, stroke, and HF in FHS. We evaluated the significance of selected variables using univariable and multivariable Cox proportional hazards analysis adjusted for known cardiovascular risks. Findings from FHS were then validated using CHS and ARIC.

resultsWe identified multiple dietary and behavioral risk factors for cardiovascular disease outcomes including marital status, red meat consumption, whole milk consumption, and coffee consumption. Among these dietary variables, increasing coffee consumption was associated with decreasing long-term risk of HF congruently in FHS, ARIC, and CHS.

conclusionsHigher coffee intake was found to be associated with reduced risk of HF in all three studies. Further study is warranted to better define the role, possible causality, and potential mechanism of coffee consumption as a potential modifiable risk factor for HF.

Indexed as

CoffeeMachine LearningAgedAnimalsCardiovascular DiseasesCoronary DiseaseDietFemaleHeart Disease Risk FactorsHeart FailureHumansIncidenceMaleMiddle AgedMilkProportional Hazards ModelsCoffeecaffeinecoffeedietheart failuremarital statusrisk factors

Identifiers

PMID33557575
PMCPMC8081115
OpenAlexW3129160301

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.