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咖啡和茶的摄入与欧洲癌症与营养前瞻性调查(EPIC)队列研究中脑肿瘤的风险。

Coffee and tea intake and risk of brain tumors in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort study.

机构信息

Department of Epidemiology and Public Health, Imperial College, London, United Kingdom.

出版信息

Am J Clin Nutr. 2010 Nov;92(5):1145-50. doi: 10.3945/ajcn.2010.29876. Epub 2010 Sep 15.

DOI:10.3945/ajcn.2010.29876
PMID:20844074
Abstract

BACKGROUND

In a recent US cohort study, total coffee and tea consumption was inversely associated with risk of glioma, and experimental studies showed that caffeine can slow the invasive growth of glioblastoma.

OBJECTIVE

The objective was to examine the relation between coffee and tea intake and the risk of glioma and meningioma in a large European cohort study, the European Prospective Investigation into Cancer and Nutrition (EPIC).

DESIGN

Data on coffee and tea intake were collected from men and women recruited into the EPIC cohort study. Over an average of 8.5 y of follow-up, 343 cases of glioma and 245 cases of meningioma were newly diagnosed in 9 countries. We used Cox proportional hazards models to examine the relation between coffee and tea and brain tumors.

RESULTS

We observed no associations between coffee, tea, or combined coffee and tea consumption and risk of either type of brain tumor when using quantiles based on country-specific distributions of intake. However, a significant inverse association was observed for glioma risk among those consuming ≥100 mL coffee and tea per day compared with those consuming <100 mL/d (hazard ratio: 0.66; 95% CI: 0.44, 0.97; P = 0.03). The association was slightly stronger in men (hazard ratio: 0.59; 95% CI: 0.34, 1.01) than in women (hazard ratio: 0.74; 95% CI: 0.42, 1.31), although neither was statistically significant.

CONCLUSIONS

In this large cohort study, we observed an inverse association between total coffee and tea consumption and risk of glioma that was consistent with the findings of a recent study. These findings, if further replicated in other studies, may provide new avenues of research on gliomas.

摘要

背景

在最近的一项美国队列研究中,总咖啡和茶的摄入量与胶质瘤风险呈负相关,并且实验研究表明咖啡因可以减缓胶质母细胞瘤的侵袭性生长。

目的

本研究旨在通过一项大型欧洲队列研究——欧洲癌症前瞻性调查与营养研究(EPIC),检验咖啡和茶的摄入量与胶质瘤和脑膜瘤风险之间的关系。

设计

从参加 EPIC 队列研究的男性和女性中收集咖啡和茶的摄入量数据。在 8.5 年的平均随访期间,9 个国家中有 343 例新诊断为胶质瘤,245 例新诊断为脑膜瘤。我们使用 Cox 比例风险模型来检验咖啡和茶与脑瘤之间的关系。

结果

我们未观察到咖啡、茶或两者结合的摄入量与这两种类型的脑瘤风险之间存在关联,即使使用基于国家摄入量分布的分位数进行分析也是如此。然而,与每天摄入<100 毫升相比,每天摄入≥100 毫升咖啡和茶与胶质瘤风险呈显著负相关(风险比:0.66;95%置信区间:0.44,0.97;P=0.03)。与女性相比,这种相关性在男性中更强(风险比:0.59;95%置信区间:0.34,1.01),尽管两者均无统计学意义。

结论

在这项大型队列研究中,我们观察到总咖啡和茶的摄入量与胶质瘤风险之间呈负相关,这与最近的一项研究结果一致。如果在其他研究中得到进一步证实,这些发现可能为研究胶质瘤提供新的途径。

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