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咖啡和茶的摄入与前列腺癌预后的关系。

Coffee and tea consumption in relation to prostate cancer prognosis.

机构信息

Department of Epidemiology, GROW School for Oncology and Developmental Biology, Maastricht University, Maastricht, The Netherlands,

出版信息

Cancer Causes Control. 2013 Nov;24(11):1947-54. doi: 10.1007/s10552-013-0270-5. Epub 2013 Aug 2.

Abstract

BACKGROUND

Bioactive compounds found in coffee and tea may delay the progression of prostate cancer.

METHODS

We investigated associations of pre-diagnostic coffee and tea consumption with risk of prostate cancer recurrence/progression. Study participants were men diagnosed with prostate cancer in 2002-2005 in King County, Washington, USA. We assessed the usual pattern of coffee and tea consumption two years before diagnosis date. Prostate cancer-specific outcome events were identified using a detailed follow-up survey. Multivariable Cox proportional hazards regression models were used to estimate hazard ratios (HRs) and 95 % confidence intervals (CIs).

RESULTS

The analysis of coffee intake in relation to prostate cancer recurrence/progression included 630 patients with a median follow-up of 6.4 years, during which 140 prostate cancer recurrence/progression events were recorded. Approximately 61 % of patients consumed at least one cup of coffee per day. Coffee consumption was associated with a reduced risk of prostate cancer recurrence/progression; the adjusted HR for ≥4 cups/day versus ≤1 cup/week was 0.41 (95 % CI: 0.20, 0.81; p for trend = 0.01). Approximately 14 % of patients consumed one or more cups of tea per day, and tea consumption was unrelated to prostate cancer recurrence/progression.

CONCLUSION

Results indicate that higher pre-diagnostic coffee consumption is associated with a lower risk of prostate cancer recurrence/progression. This finding will require replication in larger studies.

摘要

背景

咖啡和茶中的生物活性化合物可能会延缓前列腺癌的进展。

方法

我们研究了诊断前咖啡和茶的消耗与前列腺癌复发/进展风险之间的关联。研究参与者为 2002-2005 年在美国华盛顿州金县诊断出前列腺癌的男性。我们评估了诊断前两年的咖啡和茶的通常消耗模式。使用详细的随访调查确定前列腺癌特异性结局事件。多变量 Cox 比例风险回归模型用于估计风险比 (HR) 和 95%置信区间 (CI)。

结果

分析咖啡摄入与前列腺癌复发/进展的关系包括 630 名患者,中位随访时间为 6.4 年,在此期间记录了 140 例前列腺癌复发/进展事件。大约 61%的患者每天至少喝一杯咖啡。咖啡消耗与前列腺癌复发/进展的风险降低有关;每天≥4 杯与每周≤1 杯的调整 HR 为 0.41(95%CI:0.20,0.81;趋势检验 p=0.01)。大约 14%的患者每天饮用一杯或更多杯茶,而茶的消耗与前列腺癌复发/进展无关。

结论

结果表明,较高的诊断前咖啡消耗与前列腺癌复发/进展的风险降低相关。这一发现需要在更大的研究中进行复制。

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