Tavani Alessandra, Bertuzzi Michaela, Talamini Renato, Gallus Silvano, Parpinel Maria, Franceschi Silvia, Levi Fabio, La Vecchia Carlo
Istituto di Ricerche Farmacologiche "Mario Negri", Via Eritrea 62, 20157 Milan, Italy.
Oral Oncol. 2003 Oct;39(7):695-700. doi: 10.1016/s1368-8375(03)00081-2.
The relation between coffee, decaffeinated coffee, tea and oral/pharyngeal, and esophageal cancer risk is inadequately quantified. Data were derived from hospital-based case-control studies conducted in Italy and Switzerland. The study on oral/pharyngeal cancer included 749 cases and 1772 controls, and that of esophageal cancer 395 cases and 1066 controls. Multivariate odds ratios (OR) and 95% confidence intervals (CI) were computed. The OR for >3 cups/day of coffee compared with </=1 were 0.6 (95% CI 0.5-0.9) for oral/pharyngeal, and 0.6 (95% CI 0.4-0.9) for esophageal cancer, consistent across strata of age, sex, education and alcohol. The inverse trends in risk were significant. No association emerged with decaffeinated coffee (OR 1.1 for oral/pharyngeal and 0.6 for esophageal cancer) or tea (OR 0.9 for both cancers), consumed in low amounts by these populations. Coffee may decrease the risk of oral/pharyngeal and esophageal cancer.
咖啡、脱咖啡因咖啡、茶与口腔/咽喉癌及食管癌风险之间的关系尚未得到充分量化。数据来源于在意大利和瑞士开展的基于医院的病例对照研究。口腔/咽喉癌研究纳入了749例病例和1772例对照,食管癌研究纳入了395例病例和1066例对照。计算了多变量比值比(OR)和95%置信区间(CI)。与每天饮用≤1杯咖啡相比,每天饮用>3杯咖啡者患口腔/咽喉癌的OR为0.6(95%CI 0.5 - 0.9),患食管癌的OR为0.6(95%CI 0.4 - 0.9),在年龄、性别、教育程度和饮酒各分层中均一致。风险呈显著的负向趋势。对于这些人群中少量饮用的脱咖啡因咖啡(口腔/咽喉癌OR为1.1,食管癌OR为0.6)或茶(两种癌症的OR均为0.9),未发现有相关性。咖啡可能会降低口腔/咽喉癌和食管癌的风险。