Yan L J, Chen F, Liu D M, Huang J F, Liu F P, Wu J F, Liu F Q, Ye J Z, Qiu Y, Lin L S, He B C
Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou 350108, China.
Department of Stomatology, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350004, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2016 Nov 10;37(11):1531-1535. doi: 10.3760/cma.j.issn.0254-6450.2016.11.019.
To evaluate the effects of tea and coffee intakes on oral squamous cell carcinoma (OSCC) stratified by milk intake. A case-control study involving 593 OSCC patients confirmed by pathological diagnoses and 1 128 gender-age frequency matched controls was conducted in Fujian province during September 2010-March 2016. Unconditional logistic regression was used to calculate adjusted odds ratios (a) and corresponding 95% confidence intervals () to assess the effects of coffee, tea intakes and related variables on OSCC. Additive interaction was estimated by relative excess risk interaction (), attributable proportions interaction () and synergy index (). Tea intake was significantly associated with decreased risk of OSCC: the adjusted were 0.54 for all subjects (95%: 0.41-0.71), 0.47 for milk consumers (95%: 0.31-0.71) and 0.57 for non-milk consumers (95%: 0.40-0.81). Moreover, starting tea drinking at age ≥25 years, moderate tea concentration and water temperature, drinking green tea and oolong tea showed effects to decrease the risk for OSCC in three groups. Additionally, there was a tendency of a reduced risk with increased daily tea drinking and longer tea-drinking period (all trend <0.05). No significant association was observed between coffee intake and OSCC. A multiplicative but not additive interactions was found between tea drinking and milk intake. Additionally, we did not observe multiplicative and additive interaction between coffee drinking and milk intake. Tea drinking is a protective factor for OSCC, and there is a multiplicative interaction between tea drinking and milk intake. Therefore, tea drinking and increasing intake of milk can reduce the risk of OSCC at certain extent.
评估按牛奶摄入量分层的茶和咖啡摄入量对口腔鳞状细胞癌(OSCC)的影响。2010年9月至2016年3月期间,在福建省进行了一项病例对照研究,纳入了593例经病理诊断确诊的OSCC患者和1128例性别年龄频率匹配的对照。采用无条件逻辑回归计算调整后的比值比(a)和相应的95%置信区间(),以评估咖啡、茶摄入量及相关变量对OSCC的影响。通过相对超额风险交互作用()、归因比例交互作用()和协同指数评估相加交互作用。茶摄入量与OSCC风险降低显著相关:所有受试者的调整后比值比为0.54(95%:0.41 - 0.71),牛奶消费者为0.47(95%:0.31 - 0.71),非牛奶消费者为0.57(95%:0.40 - 0.81)。此外,25岁及以上开始饮茶、适度的茶浓度和水温、饮用绿茶和乌龙茶在三组中均显示出降低OSCC风险的作用。此外,每日饮茶量增加和饮茶时间延长有降低风险的趋势(所有趋势<0.05)。未观察到咖啡摄入量与OSCC之间存在显著关联。饮茶与牛奶摄入量之间存在相乘而非相加的交互作用。此外,未观察到咖啡饮用与牛奶摄入量之间存在相乘和相加交互作用。饮茶是OSCC的保护因素,且饮茶与牛奶摄入量之间存在相乘交互作用。因此,饮茶和增加牛奶摄入量在一定程度上可降低OSCC风险。