Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Vanderbilt School of Medicine, Nashville, TN 37203-1738, USA.
Ann Epidemiol. 2010 Jan;20(1):74-81. doi: 10.1016/j.annepidem.2009.09.005.
Studies have found that tea polyphenols inhibit aromatase. Because of the substantial difference in levels of estrogens between premenopausal and postmenopausal women, the relationship between tea consumption and breast cancer risk may depend on menopausal status.
We examined this hypothesis in the Shanghai Women's Health Study, a population-based cohort study of 74,942 Chinese women.
We found a time-dependent interaction between green tea consumption and age of breast cancer onset (p for interaction, 0.03). In comparison with non-tea drinkers, women who started tea-drinking at 25 years of age or younger had a hazard ratio (HR) of 0.69 (95% confidence interval [CI]: 0.41-1.17) to develop premenopausal breast cancer. On the other hand, compared with non-tea drinkers, women who started tea drinking at 25 years of age or younger had an increased risk of postmenopausal breast cancer with an HR of 1.61 (95% CI: 1.18-2.20). Additional analyses suggest regularly drinking green tea may delay the onset of breast cancer.
Further studies are needed to confirm our findings.
研究发现,茶多酚能抑制芳香酶。由于绝经前和绝经后妇女的雌激素水平存在显著差异,因此,饮茶与乳腺癌风险之间的关系可能取决于绝经状态。
我们在上海妇女健康研究中检验了这一假设,该研究是一项基于人群的 74942 名中国女性的队列研究。
我们发现绿茶的摄入与乳腺癌发病年龄之间存在时间依赖性交互作用(交互作用检验的 P 值为 0.03)。与不饮茶者相比,25 岁或以下开始饮茶的女性患绝经前乳腺癌的风险比(HR)为 0.69(95%置信区间[CI]:0.41-1.17)。另一方面,与不饮茶者相比,25 岁或以下开始饮茶的女性患绝经后乳腺癌的风险增加,HR 为 1.61(95%CI:1.18-2.20)。进一步的分析表明,经常饮用绿茶可能会延迟乳腺癌的发病。
需要进一步的研究来证实我们的发现。