Department of Cancer Epidemiology, H. Lee Moffitt Cancer Center & Research Institute, 12902 Magnolia Drive, Tampa FL 33612, USA.
Departments of Nutrition and Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.
Eur J Cancer. 2020 Apr;129:123-131. doi: 10.1016/j.ejca.2020.01.012. Epub 2020 Mar 6.
Coffee and tea have been hypothesised to reduce the risk of some cancers; however, their impact on glioma is less well studied.
We examined associations between self-reported intake of tea and coffee in relation to glioma risk in the UK Biobank. We identified 487 incident glioma cases among 379,259 participants. Hazard ratios (HR) and 95% confidence intervals (CI) for glioma according to caffeinated beverage consumption were calculated using Cox proportional hazards regression with adjustment for age, gender, race and education; daily cups of tea or coffee were included in models considering the other beverage.
Consuming 4 or more cups of tea was associated with reduced risk of glioma when compared to no tea consumption (HR = 0.69; 95% CI, 0.51-0.94). A significant inverse association was observed for glioblastoma (HR = 0.93 per 1 cup/d increment; 95% CI, 0.89-0.98) and among males for all gliomas combined (HR = 0.95 per 1 cup/d increment; 95% CI, 0.90-1.00). A suggestive inverse association was also observed with greater consumption of coffee (HR = 0.71; 95% CI, 0.49-1.05 for >4 versus 0 cups/d). Results were not materially changed with further adjustment for smoking, alcohol and body mass index. Associations were similar in 2-year and 3-year lagged analyses.
In this prospective study, we found a significant inverse association between tea consumption and the risk of developing glioma, and a suggestive inverse association for the consumption of coffee. Further investigation on the possible preventive role of caffeine in glioma is warranted.
咖啡和茶被推测可以降低某些癌症的风险;然而,它们对神经胶质瘤的影响研究得较少。
我们在英国生物库中研究了自我报告的茶和咖啡摄入量与神经胶质瘤风险之间的关系。我们在 379259 名参与者中确定了 487 例新诊断的神经胶质瘤病例。使用 Cox 比例风险回归模型,通过调整年龄、性别、种族和教育程度,计算了饮用含咖啡因饮料与神经胶质瘤风险的危险比(HR)和 95%置信区间(CI);在考虑其他饮料的模型中,每天饮用的茶或咖啡杯数也被包括在内。
与不喝茶相比,饮用 4 杯或更多杯茶与神经胶质瘤风险降低相关(HR=0.69;95%CI,0.51-0.94)。对于胶质母细胞瘤,观察到显著的负相关(每增加 1 杯/天,HR=0.93;95%CI,0.89-0.98),对于所有神经胶质瘤,男性中也观察到这种负相关(每增加 1 杯/天,HR=0.95;95%CI,0.90-1.00)。饮用更多咖啡也与风险降低呈负相关(HR=0.71;95%CI,0.49-1.05,每天饮用>4 杯与饮用 0 杯相比)。进一步调整吸烟、饮酒和体重指数后,结果没有明显改变。在 2 年和 3 年滞后分析中,结果相似。
在这项前瞻性研究中,我们发现茶的摄入量与神经胶质瘤发病风险之间存在显著的负相关,咖啡的摄入量与神经胶质瘤发病风险之间存在负相关的趋势。需要进一步研究咖啡因在神经胶质瘤中的可能预防作用。