Total, caffeinated and decaffeinated coffee and tea intake and gastric cancer risk: Results from the EPIC cohort study

被引:17
|
作者
Sanikini, Harinakshi [1 ,2 ,3 ]
Dik, Vincent K. [1 ]
Siersema, Peter D. [1 ]
Bhoo-Pathy, Nirmala [4 ,5 ]
Uiterwaal, Cuno S. P. M. [6 ]
Peeters, Petra H. M. [6 ]
Alez, Carlos A. Gonz [7 ]
Zamora-Ros, Raul [7 ,8 ]
Overvad, Kim [9 ]
Nneland, Anne Tj [10 ]
Roswall, Nina [10 ]
Boutron-Ruault, Marie-Christine [3 ,11 ,12 ]
Fagherazzi, Guy [3 ,11 ,12 ]
Racine, Antoine [3 ,11 ,12 ]
Kuehn, Tilman [13 ]
Katzke, Verena [13 ]
Boeing, Heiner [14 ]
Trichopoulou, Antonia [15 ,16 ]
Trichopoulos, Dimitrios [15 ,16 ,17 ]
Lagiou, Pagona [16 ,17 ,18 ]
Palli, Domenico [19 ]
Grioni, Sara [20 ]
Vineis, Paolo [21 ,22 ]
Tumino, Rosario [23 ,24 ]
Panico, Salvatore
Weiderpass, Elisabete
Skeie, Guri
Braaten, Tonje
Huerta, Jose Maria
Sanchez-Cantalejo, Emilio
Barricarte, Aurelio
Sonestedt, Emily
Wallstrom, Peter
Nilsson, Lena Maria
Johansson, Ingegerd
Bradbury, Kathryn E.
Khaw, Kay-Tee
Wareham, Nick
Huybrechts, Inge [8 ]
Freisling, Heinz [8 ]
Cross, Amanda J. [22 ]
Riboli, Elio [22 ]
Bueno-de-Mesquita, H. B [1 ,22 ]
机构
[1] Univ Med Ctr Utrecht, Dept Gastroenterol & Hepatol, Utrecht, Netherlands
[2] INSERM, Ctr Res Epidemiol & Populat Hlth CESP, U1018, Environm Epidemiol Canc Team, Paris, France
[3] Univ Paris Sud, UMRS 1018, Paris, France
[4] Univ Malaya, Fac Med, Dept Social & Prevent Med, Kuala Lumpur, Malaysia
[5] Kuala Lumpur Hosp, Natl Clin Res Ctr, Kuala Lumpur, Malaysia
[6] Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, Utrecht, Netherlands
[7] Catalan Inst Oncol ICO IDIBELL, Unit Nutr Environm & Canc, Barcelona, Spain
[8] Int Agcy Res Canc IARC WHO, Lyon, France
[9] Aarhus Univ, Epidemiol Sect, Dept Publ Hlth, Aarhus, Denmark
[10] Danish Canc Soc Res Ctr, Copenhagen, Denmark
[11] INSERM, Ctr Res Epidemiol & Populat Hlth CESP, Nutr Hormones & Womens Hlth Team, U1018, Paris, France
[12] IGR, Paris, France
[13] German Canc Res Ctr, Div Canc Epidemiol, Heidelberg, Germany
[14] Deutsch Inst Ernahrungsforsch, Dept Epidemiol, Potsdam, Nuthetal, Germany
[15] Hellen Hlth Fdn, Athens, Greece
[16] Acad Athens, Bur Epidemiol Res, Athens, Greece
[17] Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA
[18] Univ Athens, Sch Med, Dept Hyg Epidemiol & Med Stat, GR-11527 Athens, Greece
[19] Canc Res & Prevent Inst ISPO, Mol & Nutr Epidemiol Unit, Florence, Italy
[20] Ist Nazl Tumori, Fdn IRCCS, Epidemiol & Prevent Unit, I-20133 Milan, Italy
[21] HuGeF Fdn, Turin, Italy
[22] Univ London Imperial Coll Sci Technol & Med, Sch Publ Hlth, Dept Epidemiol & Biostat, London, England
[23] Civ MP Arezzo Hosp, Canc Registry, Asp Ragusa, Italy
[24] Civ MP Arezzo Hosp, Histopathol Unit, Asp Ragusa, Italy
基金
英国医学研究理事会;
关键词
coffee; caffeinated coffee; decaffeinated coffee; tea; gastric cancer; European Prospective Investigation into Cancer and Nutrition; STOMACH-CANCER; HELICOBACTER-PYLORI; UNITED-STATES; BLACK TEA; CONSUMPTION; ADENOCARCINOMA; ALCOHOL; METAANALYSIS; ESOPHAGUS; SMOKING;
D O I
10.1002/ijc.29223
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Prospective studies examining the association between coffee and tea consumption and gastric cancer risk have shown inconsistent results. We investigated the association between coffee (total, caffeinated and decaffeinated) and tea consumption and the risk of gastric cancer by anatomical site and histological type in the European Prospective Investigation into Cancer and Nutrition study. Coffee and tea consumption were assessed by dietary questionnaires at baseline. Adjusted hazard ratios (HRs) were calculated using Cox regression models. During 11.6 years of follow up, 683 gastric adenocarcinoma cases were identified among 477,312 participants. We found no significant association between overall gastric cancer risk and consumption of total coffee (HR 1.09, 95%-confidence intervals [CI]: 0.84-1.43; quartile 4 vs. non/quartile 1), caffeinated coffee (HR 1.14, 95%-CI: 0.82-1.59; quartile 4 vs. non/quartile 1), decaffeinated coffee (HR 1.07, 95%-CI: 0.75-1.53; tertile 3 vs. non/tertile 1) and tea (HR 0.81, 95%-CI: 0.59-1.09; quartile 4 vs. non/quartile 1). When stratified by anatomical site, we observed a significant positive association between gastric cardia cancer risk and total coffee consumption per increment of 100 mL/day (HR 1.06, 95%-CI: 1.03-1.11). Similarly, a significant positive association was observed between gastric cardia cancer risk and caffeinated coffee consumption (HR 1.98, 95%-CI: 1.16-3.36, p-trend=0.06; quartile 3 vs. non/quartile 1) and per increment of 100 mL/day (HR 1.09, 95%-CI: 1.04-1.14). In conclusion, consumption of total, caffeinated and decaffeinated coffee and tea is not associated with overall gastric cancer risk. However, total and caffeinated coffee consumption may be associated with an increased risk of gastric cardia cancer. Further prospective studies are needed to rule out chance or confounding. What's New? Can drinking coffee or tea lead to cancer? Can they protect against cancer? These popular drinks certainly contain antioxidants, but despite many investigations into the question, we still have no clear answer. A new study has plied the data from the European Prospective Investigation into Cancer and Nutrition (EPIC) in search of a link. Participants self-reported their coffee and tea consumption by questionnaire. The authors found no link between drinking tea or coffee - with or without caffeine - and overall risk of gastric cancer; they did discern a slight increase in gastric cardia cancer with consumption of caffeinated coffee.
引用
收藏
页码:E720 / E730
页数:11
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