School of Public Health, Sun Yat-sen University, 74 Zhongshan 2nd Road, Guangzhou, 510080, China.
Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, 511430, China.
Breast Cancer Res Treat. 2019 Aug;176(3):679-686. doi: 10.1007/s10549-019-05253-5. Epub 2019 May 16.
The effect of tea consumption on breast cancer survival remained to be explored. Meanwhile, green tea favorably facilitates lipid metabolisms in breast cancer survivors. This study aimed to examine the effect of tea consumption and the interactions with lipids on breast cancer survival.
A total of 1551 breast cancer patients were recruited between April 2008 and March 2012 and followed up until 31 December 2017 in Guangzhou. The endpoint was progression-free survival (PFS). Hazard ratios (HR) and 95% confidence intervals (CI) were calculated using multivariate Cox proportional to estimate the associations.
PFS was better among women who regularly drank all teas (mainly green tea) except oolong after cancer diagnosis compared with non-tea drinkers (HR 0.52; 95% CI 0.29 ~ 0.91). This association was more evident among women with normal (HR 0.38; 95% CI 0.18 ~ 0.82) than higher (HR 1.22; 95% CI 0.13 ~ 11.82) total cholesterol, though the interaction was not significant. Moreover, the more they drank (≥ 7 times/week), the better prognosis was (HR 0.30; 95% CI 0.11 ~ 0.84). In contrast, oolong tea was observed to have a potential impaired effect on PFS.
Our findings suggested that regularly drinking all teas (mainly green tea) except oolong after diagnosis was beneficial to breast cancer survival, particularly for women with normal lipids, while oolong tea may have an impaired effect.
饮茶对乳腺癌生存的影响仍有待探讨。同时,绿茶有利于促进乳腺癌幸存者的脂代谢。本研究旨在探讨饮茶及其与脂类的相互作用对乳腺癌生存的影响。
本研究共纳入 1551 例 2008 年 4 月至 2012 年 3 月期间在广州确诊的乳腺癌患者,并随访至 2017 年 12 月 31 日。终点为无进展生存期(PFS)。采用多变量 Cox 比例风险回归计算危害比(HR)和 95%置信区间(CI),以评估相关性。
与非饮茶者相比,定期饮用所有茶(主要是绿茶)但不包括乌龙茶的患者癌症诊断后 PFS 更好(HR 0.52;95%CI 0.290.91)。在总胆固醇正常(HR 0.38;95%CI 0.180.82)的女性中,这种关联更为明显,而在总胆固醇较高(HR 1.22;95%CI 0.1311.82)的女性中则不明显,尽管交互作用无统计学意义。此外,饮茶量越多(≥7 次/周),预后越好(HR 0.30;95%CI 0.110.84)。相比之下,观察到乌龙茶对 PFS 有潜在的不利影响。
本研究结果表明,诊断后定期饮用所有茶(主要是绿茶)但不包括乌龙茶有助于乳腺癌的生存,尤其是对血脂正常的女性有益,而乌龙茶可能有不利影响。