Salaroli Luciane Bresciani, Ferreira Júlia Rabelo Santos, Prado Camila Bruneli do, De Podestá Olívia Perim Galvão, Carvalho André Lopes, Mercante Ana Maria da Cunha, Toporcov Tatiana Natasha
Epidemiology Departament, School of Public Health, Universidade de São Paulo, São Paulo - SP, Brazil.
Graduate Program in Public Health Universidade Federal do Espírito Santo, Vitória - ES, Brazil.
Nutr Cancer. 2023;75(1):228-235. doi: 10.1080/01635581.2022.2106377. Epub 2022 Aug 8.
There is still no consensus in the literature regarding the role of coffee in head and neck cancer. Thus, we sought to analyze the cumulative consumption of coffee as a protective factor in the genesis of head and neck cancer in Brazil, one of the main coffee producing countries, from January 2011 to February 2017. We carried out a case-control study in 5 referral centers for head and neck cancer with 839 cases and 842 non-cancer hospital controls matched by sex, data collection center and age group. The results of logistic regression analysis showed that the cumulative consumption of >2 cups of coffee per day is an important protective factor (OR: 0.73, 95% CI: 0.5-0.9) against head and neck cancer. Smoking increased the risk by 22 times (OR: 22.19; 95% CI: 13.7-35.8) in individuals who smoke more than 50 packs per year, and the habit of ingesting more than 155 ml of alcohol per day represented approximately twice as high risk (OR: 2.20; 95% CI: 1.4-3.4). In summary, this study suggests that coffee consumption is associated with a lower chance of head and neck cancer.
关于咖啡在头颈癌中的作用,文献中仍未达成共识。因此,我们试图分析2011年1月至2017年2月期间,在主要咖啡生产国之一巴西,咖啡的累积消费量作为头颈癌发生的一个保护因素。我们在5个头颈癌转诊中心开展了一项病例对照研究,纳入839例病例和842例非癌症医院对照,按照性别、数据收集中心和年龄组进行匹配。逻辑回归分析结果显示,每天饮用超过2杯咖啡是预防头颈癌的一个重要保护因素(比值比:0.73,95%置信区间:0.5 - 0.9)。每年吸烟超过50包的个体,吸烟使风险增加22倍(比值比:22.19;95%置信区间:13.7 - 35.8),而每天摄入超过155毫升酒精的习惯使风险增加约两倍(比值比:2.20;95%置信区间:1.4 - 3.4)。总之,本研究表明饮用咖啡与降低头颈癌发生几率有关。