Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, PO Box 14155-6117, Tehran, Iran.
Eur J Nutr. 2019 Feb;58(1):103-111. doi: 10.1007/s00394-017-1575-z. Epub 2017 Nov 9.
Data on the link between tea and coffee consumption and risk of glioma are controversial. We aimed to examine the association between tea and coffee consumption and glioma in Iranian adults.
In this hospital-based case-control study, we enrolled 128 pathologically confirmed new cases of glioma and 256 age- and sex-matched controls. Dietary intakes of study participants including tea and coffee consumption was assessed using the validated Block-format 123-item semi-quantitative FFQ. Participants were categorized based on tertiles of tea and coffee consumption. Data on potential confounders were also collected through the use of pre-tested questionnaire.
Individuals with the greatest tea consumption were less likely to have glioma compared with those with the lowest consumption (0.36; 0.20-0.68). This inverse association was not changed after controlling for energy intake. The association remained statistically significant even after taking other potential confounders, including dietary intakes of red and processed meats, legumes and nuts, fruits, salt and mutual effects of tea and coffee consumption, into account (0.33; 0.13-0.86). Additional adjustments for BMI did not alter the association. After controlling for potential confounders, including dietary intakes and BMI, coffee consumption was inversely associated with odds of glioma; such that individuals in the top category of coffee consumption were 91% less likely to have glioma compared with those in the bottom category (0.09; 0.03-0.24). Considering coffee and tea intake combined, those in the highest tertile were 65% less likely to have glioma compared with those in the lowest tertile (0.35; 0.15-0.83).
We found an inverse association between tea and coffee consumption and odds of glioma, even after controlling for a wide range of confounders.
关于茶和咖啡摄入与胶质瘤风险之间关联的数据存在争议。我们旨在研究伊朗成年人中茶和咖啡摄入与胶质瘤之间的关系。
在这项基于医院的病例对照研究中,我们纳入了 128 例经病理证实的新诊断胶质瘤病例和 256 名年龄和性别匹配的对照。通过使用经过验证的 Block 格式 123 项半定量 FFQ 评估研究参与者包括茶和咖啡摄入在内的饮食摄入量。参与者根据茶和咖啡摄入量的三分位数进行分类。还通过使用预先测试的问卷收集潜在混杂因素的数据。
与最低摄入量相比,摄入量最大的人群患胶质瘤的可能性较低(0.36;0.20-0.68)。这种反比关联在控制能量摄入后仍然存在。即使考虑到其他潜在混杂因素,包括红肉类和加工肉类、豆类和坚果、水果、盐的饮食摄入量以及茶和咖啡摄入的相互作用,这种关联仍然具有统计学意义(0.33;0.13-0.86)。进一步调整 BMI 并未改变这种关联。在控制潜在混杂因素,包括饮食摄入量和 BMI 后,咖啡摄入与胶质瘤的发病几率呈反比关系;与最低摄入量相比,咖啡摄入量最高的人群患胶质瘤的几率降低了 91%(0.09;0.03-0.24)。考虑到咖啡和茶的摄入量,最高三分位数的人群患胶质瘤的几率比最低三分位数的人群降低了 65%(0.35;0.15-0.83)。
即使在控制了广泛的混杂因素后,我们发现茶和咖啡摄入与胶质瘤的发病几率呈反比关系。