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摄入咖啡、无咖啡因咖啡或茶不会影响胰腺癌的风险:欧洲前瞻性营养与癌症研究的结果。

Intake of coffee, decaffeinated coffee, or tea does not affect risk for pancreatic cancer: results from the European Prospective Investigation into Nutrition and Cancer Study.

机构信息

Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands; Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia; National Clinical Research Centre, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia.

出版信息

Clin Gastroenterol Hepatol. 2013 Nov;11(11):1486-92. doi: 10.1016/j.cgh.2013.05.029. Epub 2013 Jun 10.

Abstract

BACKGROUND & AIMS: Few modifiable risk factors have been implicated in the etiology of pancreatic cancer. There is little evidence for the effects of caffeinated coffee, decaffeinated coffee, or tea intake on risk of pancreatic cancer. We investigated the association of total coffee, caffeinated coffee, decaffeinated coffee, and tea consumption with risk of pancreatic cancer.

METHODS

This study was conducted within the European Prospective Investigation into Nutrition and Cancer cohort, comprising male and female participants from 10 European countries. Between 1992 and 2000, there were 477,312 participants without cancer who completed a dietary questionnaire and were followed up to determine pancreatic cancer incidence. Coffee and tea intake was calibrated with a 24-hour dietary recall. Adjusted hazard ratios (HRs) were computed using multivariable Cox regression.

RESULTS

During a mean follow-up period of 11.6 y, 865 first incidences of pancreatic cancers were reported. When divided into fourths, neither total intake of coffee (HR, 1.03; 95% confidence interval [CI], 0.83-1.27; high vs low intake), decaffeinated coffee (HR, 1.12; 95% CI, 0.76-1.63; high vs low intake), nor tea were associated with risk of pancreatic cancer (HR, 1.22, 95% CI, 0.95-1.56; high vs low intake). Moderately low intake of caffeinated coffee was associated with an increased risk of pancreatic cancer (HR, 1.33; 95% CI, 1.02-1.74), compared with low intake. However, no graded dose response was observed, and the association attenuated after restriction to histologically confirmed pancreatic cancers.

CONCLUSIONS

Based on an analysis of data from the European Prospective Investigation into Nutrition and Cancer cohort, total coffee, decaffeinated coffee, and tea consumption are not related to the risk of pancreatic cancer.

摘要

背景与目的

少数可改变的风险因素与胰腺癌的病因有关。咖啡因咖啡、无咖啡因咖啡和茶的摄入对胰腺癌风险的影响证据很少。我们研究了总咖啡、含咖啡因咖啡、无咖啡因咖啡和茶的消耗与胰腺癌风险的关系。

方法

这项研究是在欧洲前瞻性营养与癌症队列研究中进行的,该研究包括来自 10 个欧洲国家的男性和女性参与者。在 1992 年至 2000 年间,有 477312 名没有癌症的参与者完成了饮食问卷,并进行了随访以确定胰腺癌的发病率。咖啡和茶的摄入量通过 24 小时饮食回忆进行校准。使用多变量 Cox 回归计算调整后的危险比(HR)。

结果

在平均 11.6 年的随访期间,报告了 865 例首次胰腺癌病例。当分为四等分时,总咖啡摄入量(HR,1.03;95%置信区间[CI],0.83-1.27;高 vs 低摄入量)、脱咖啡因咖啡(HR,1.12;95% CI,0.76-1.63;高 vs 低摄入量)或茶都与胰腺癌风险无关(HR,1.22;95% CI,0.95-1.56;高 vs 低摄入量)。与低摄入量相比,中低摄入量的含咖啡因咖啡与胰腺癌风险增加相关(HR,1.33;95% CI,1.02-1.74)。然而,没有观察到剂量反应梯度,并且在限制为组织学证实的胰腺癌后,这种关联减弱。

结论

基于对欧洲前瞻性营养与癌症队列研究数据的分析,总咖啡、脱咖啡因咖啡和茶的消耗与胰腺癌风险无关。

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