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日本一项大规模基于人群的队列研究(JPHC研究)中绿茶和咖啡的摄入量与胰腺癌风险

Green tea and coffee intake and risk of pancreatic cancer in a large-scale, population-based cohort study in Japan (JPHC study).

作者信息

Luo Juhua, Inoue Manami, Iwasaki Motoki, Sasazuki Shizuka, Otani Tetsuya, Ye Weimin, Tsugane Shoichiro

机构信息

Epidemiology and Prevention Division, Research Center for Cancer Prevention and Screening, National Cancer Center, Tokyo, Japan.

出版信息

Eur J Cancer Prev. 2007 Dec;16(6):542-8. doi: 10.1097/CEJ.0b013e32809b4d30.

Abstract

Pancreatic cancer is one of the most aggressive and treatment-refractory malignancies in humans. The most effective means of reducing pancreatic cancer mortality may be primary prevention. Although laboratory studies have demonstrated that green tea possesses anticancer activities, results from epidemiological studies have failed to show a consistent cancer-preventive effect. In addition, there is a lingering concern that coffee mighty increase the risk of pancreatic cancer although the most recent epidemiological studies showed no overall association between coffee and risk. Here, we examined the association between the drinking of green tea or coffee and the risk of pancreatic cancer in a large population-based cohort study in Japan (JPHC study). In total, 102 137 participants were followed for an average of 11 years through to the end of 2003. A total of 233 incident cases of pancreatic cancer were identified among 1 116 945 person-years of follow-up. Overall, the risk of pancreatic cancer was not associated with either green tea or coffee intake in our population, although a reduced risk was apparent among men who drank at least three cups of coffee per day compared with those who did not drink any or only rarely drank coffee. In conclusion, our findings support the idea that green tea or coffee consumption does not have a substantial impact on pancreatic cancer risk in general.

摘要

胰腺癌是人类最具侵袭性且最难治疗的恶性肿瘤之一。降低胰腺癌死亡率最有效的方法可能是一级预防。尽管实验室研究表明绿茶具有抗癌活性,但流行病学研究结果并未显示出一致的防癌效果。此外,尽管最近的流行病学研究表明咖啡与胰腺癌风险之间没有总体关联,但人们一直担心咖啡可能会增加患胰腺癌的风险。在此,我们在日本一项基于人群的大型队列研究(JPHC研究)中,研究了饮用绿茶或咖啡与胰腺癌风险之间的关联。总共102137名参与者被随访了平均11年,直至2003年底。在1116945人年的随访中,共确诊了233例胰腺癌新发病例。总体而言,在我们的研究人群中,胰腺癌风险与绿茶或咖啡摄入量均无关联,不过,与不喝咖啡或很少喝咖啡的男性相比,每天至少喝三杯咖啡的男性患癌风险有所降低。总之,我们的研究结果支持这样一种观点,即一般而言,饮用绿茶或咖啡对胰腺癌风险没有实质性影响。

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