McCann Susan E, Yeh Michael, Rodabaugh Kerry, Moysich Kirsten B
Department of Cancer Prevention and Control, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY 14263, USA.
Int J Cancer. 2009 Apr 1;124(7):1650-3. doi: 10.1002/ijc.24125.
Several studies have investigated the associations between diet and endometrial cancer, but few have focused specifically on coffee and tea. In a hospital-based case-control study, we examined the associations between endometrial cancer risk and usual consumption of coffee, decaffeinated coffee, and black tea among 541 women with endometrial cancer and 541 women with an intact uterus but without a cancer diagnosis seen at Roswell Park Cancer Institute (Buffalo, New York) between 1982 and 1998. Daily frequency of consumption of coffee, decaffeinated coffee, and black tea in the few years prior to diagnosis in cases and questionnaire completion in controls was assessed with a self-administered epidemiologic questionnaire and categorized as none, 0.5 cups/d, 1-2 cups/d and >2 cups/d. Odds ratios (OR) and 95% confidence intervals (CI) for each category referent to nondrinkers were estimated with unconditional logistic regression adjusting for age, endometrial cancer risk factors and each beverage mutually adjusted for other beverages. Compared to nondrinkers, we observed a nonsignificant negative association with endometrial cancer risk among women who reported >2 cups/d regular coffee (OR 0.71, 95% CI 0.49-1.03), a significant inverse association with >2 cups/d black tea (OR 0.56, 95% CI 0.35-0.90) and a significant inverse association with >4 cups/d combined coffee and tea consumption (OR 0.47, 95% CI 0.28-0.80). These findings suggest coffee and tea may be important in reducing endometrial cancer risk.
多项研究调查了饮食与子宫内膜癌之间的关联,但很少有研究专门聚焦于咖啡和茶。在一项基于医院的病例对照研究中,我们调查了1982年至1998年间在罗斯威尔帕克癌症研究所(纽约州布法罗)就诊的541例子宫内膜癌女性患者和541例子宫完整但未患癌症的女性中,子宫内膜癌风险与咖啡、脱咖啡因咖啡和红茶的日常摄入量之间的关联。通过一份自我管理的流行病学调查问卷评估病例组在诊断前几年以及对照组在完成问卷调查时咖啡、脱咖啡因咖啡和红茶的每日饮用频率,并将其分为不饮用、0.5杯/天、1 - 2杯/天和>2杯/天。采用无条件逻辑回归对年龄、子宫内膜癌风险因素以及每种饮品与其他饮品相互调整后,估计各类别相对于不饮用者的优势比(OR)和95%置信区间(CI)。与不饮用者相比,我们观察到报告每天饮用>2杯普通咖啡的女性患子宫内膜癌的风险呈非显著负相关(OR 0.71,95% CI 0.49 - 1.03),每天饮用>2杯红茶呈显著负相关(OR 0.56,95% CI 0.35 - 0.90),每天饮用咖啡和茶总量>4杯呈显著负相关(OR 0.47,95% CI 0.28 - 0.80)。这些发现表明咖啡和茶可能对降低子宫内膜癌风险具有重要作用。