Study Finds Coffee May “Cancel Out” the Mortality Risks of Sitting for Long Hours Each Day

Among adults sitting more than 6 hours a day, coffee drinkers had ~23% lower all-cause death risk than non-coffee drinkers.

by Nicolas Hulscher, MPH

A recent National Health and Nutrition Examination Survey (NHANES) analysis suggests something surprising: coffee may “cancel out” the increased mortality risk seen in sedentary individuals that sit for long periods of time.

Researchers analyzed 10,639 U.S. adults (NHANES 2007–2018) with mortality follow-up through Dec 31, 2019 (up to 13 years). During follow-up, there were 945 deaths, including 284 cardiovascular deaths. They adjusted for major confounders—including age, sex, race/ethnicity, education, income, BMI and waist circumference, smoking, alcohol use, diet quality, hypertension, cholesterol, diabetes, cardiovascular disease, cancer history, and physical activity.

As expected, sitting was harmful:

Sitting more than 8 hours/day was linked to a 46% higher all-cause mortality risk and 79% higher cardiovascular mortality risk, compared with sitting less than 4 hours/day.

Independent of sitting time, higher coffee intake was associated with lower mortality risk overall:

Compared with non-coffee consumers, the highest coffee intake group had 33% lower all-cause mortality and 54% lower cardiovascular mortality.

But the most important finding came from the joint analysis: prolonged sitting showed a clear mortality penalty in non–coffee drinkers, while that signal was markedly blunted in coffee drinkers:

Among adults sitting more than 6 hours/day, coffee drinkers had ~23% lower all-cause death hazard than non-coffee drinkers, and the excess mortality was statistically significant only in the non-coffee group (HR 1.58; 95% CI 1.25–1.99).

This is consistent with coffee “canceling out” much of the sedentary death penalty.

This has biological plausibility: prolonged, uninterrupted sitting appears to impair glucose metabolism and increase inflammatory signaling (including higher pro-inflammatory markers and CRP), while coffee contains >1,000 bioactive compounds—including caffeine and polyphenols—with antioxidant and anti-inflammatory effects that may improve insulin resistance and dampen inflammation.

Your daily coffee may be doing more than boosting focus—it may be quietly helping protect your lifespan in a sedentary world. But movement is still essential, and more studies are needed to confirm whether coffee truly offsets sitting-related harm.

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Nicolas Hulscher, MPH

Epidemiologist and Foundation Administrator, McCullough Foundation

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