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台湾西南部一项基于人群的绿茶消费与白血病风险的病例对照研究。

A population-based, case-control study of green tea consumption and leukemia risk in southwestern Taiwan.

作者信息

Kuo Yau-Chang, Yu Chu-Ling, Liu Chen-Yu, Wang Su-Fen, Pan Pi-Chen, Wu Ming-Tsang, Ho Chi-Kung, Lo Yu-Shing, Li Yi, Christiani David C

机构信息

Environmental and Occupational Medicine and Epidemiology Program, Department of Environmental Health, Harvard School of Public Health, Boston, MA, USA.

出版信息

Cancer Causes Control. 2009 Feb;20(1):57-65. doi: 10.1007/s10552-008-9217-7. Epub 2008 Aug 28.

Abstract

OBJECTIVE

This study investigated the association between green tea consumption and leukemia.

METHODS

A total of 252 cases (90.3% response) and 637 controls (53.4% response) were enrolled. Controls were matched for cases on age and gender. Information was collected on participants' living habits, including tea consumption. Green tea was used as a standard to estimate the total amount of individual catechin consumption. We stratified individual consumption of catechins into four levels. Conditional logistic regression models were fit to subjects aged 0-15 and 16-29 years to evaluate separate associations between leukemia and catechin consumption.

RESULTS

A significant inverse association between green tea consumption and leukemia risk was found in individuals aged 16-29 years, whereas no significant association was found in the younger age groups. For the older group with higher amounts of tea consumption (>550 units of catechins), the adjusted odds ratio (OR) compared with the group without tea consumption was 0.47 [95% confidence interval (CI) = 0.23-0.97]. After we adjusted for smoking status and medical irradiation exposure, the overall OR for all participants was 0.49 (95% CI = 0.27-0.91), indicating an inverse relation between large amounts of catechins and leukemia.

CONCLUSION

Drinking sufficient amounts of tea, especially green tea, which contains more catechins than oolong tea and black tea, may reduce the risk of leukemia.

摘要

目的

本研究调查了绿茶消费与白血病之间的关联。

方法

共纳入252例病例(应答率90.3%)和637名对照(应答率53.4%)。对照在年龄和性别上与病例匹配。收集了参与者的生活习惯信息,包括茶的消费情况。以绿茶为标准估算个体儿茶素消费总量。我们将个体儿茶素消费量分为四个水平。对0至15岁和16至29岁的受试者拟合条件逻辑回归模型,以评估白血病与儿茶素消费之间的独立关联。

结果

在16至29岁的个体中发现绿茶消费与白血病风险之间存在显著的负相关,而在较年轻的年龄组中未发现显著关联。对于茶消费量较高(儿茶素>550单位)的老年组,与不饮茶组相比,调整后的比值比(OR)为0.47 [95%置信区间(CI)= 0.23 - 0.97]。在我们调整了吸烟状况和医疗辐射暴露后,所有参与者的总体OR为0.49(95% CI = 0.27 - 0.91),表明大量儿茶素与白血病之间存在负相关关系。

结论

饮用足够量的茶,尤其是绿茶,其儿茶素含量比乌龙茶和红茶更多,可能会降低白血病风险。

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