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咖啡消费与非霍奇金淋巴瘤风险

Coffee consumption and risk of non-Hodgkin's lymphoma.

作者信息

Tavani A, Negri E, Franceschi S, Talamini R, La Vecchia C

机构信息

Istituto di Ricerche Farmacologiche Mario Negri, Milano, Italy.

出版信息

Eur J Cancer Prev. 1994 Jul;3(4):351-6. doi: 10.1097/00008469-199407000-00008.

Abstract

There is no adequate information on the carcinogenicity of coffee and, specifically, on a potential association of coffee drinking with non-Hodgkin's lymphoma. Consumption of coffee and other methylxanthine-containing beverages has been researched in a case-control study conducted in northern Italy. A total of 429 cases of incident histologically confirmed non-Hodgkin's lymphoma and 1,157 controls in hospital for acute, non-neoplastic, non-immunological, non-digestive tract diseases were interviewed during their hospital stay. Relative risk (RR) estimates and their 95% confidence intervals (CI), according to consumption of coffee and other methylxanthine-containing beverages, were derived from multiple logistic regression equations including terms for age, sex, study centre, body mass index, alcohol and smoking status. Compared with non-drinkers, the RR was 1.2 (95% CI, 0.8-1.7) for coffee drinkers. No trend in risk emerged with number of cups of coffee consumed/day (RR = 1.1 for one and three cups; RR = 1.2 for two; or RR = 0.9 for four cups/day), or duration of coffee intake (RR = 1.2 for less than 20 years; RR = 1.3 for 21-30 years; and RR = 1.1 for more than 30 years). Similarly, no significant association was observed with consumption of decaffeinated coffee (RR = 0.9) or tea (RR = 1.2). Consumption of cola was associated with a borderline risk (RR = 1.7; 95% CI 1.0-2.7). We found no association between non-Hodgkin's lymphoma and consumption of regular or decaffeinated coffee and tea.

摘要

关于咖啡的致癌性,尤其是喝咖啡与非霍奇金淋巴瘤之间的潜在关联,目前尚无充分信息。在意大利北部进行的一项病例对照研究中,对咖啡及其他含甲基黄嘌呤饮料的消费情况进行了研究。在住院期间,对429例经组织学确诊的新发非霍奇金淋巴瘤患者以及1157名因急性、非肿瘤性、非免疫性、非消化道疾病住院的对照者进行了访谈。根据咖啡及其他含甲基黄嘌呤饮料的消费情况,通过多因素逻辑回归方程得出相对风险(RR)估计值及其95%置信区间(CI),方程中纳入了年龄、性别、研究中心、体重指数、饮酒和吸烟状况等因素。与不喝咖啡者相比,喝咖啡者的RR为1.2(95%CI,0.8 - 1.7)。每日咖啡杯数(一杯和三杯时RR = 1.1;两杯时RR = 1.2;四杯时RR = 0.9)或咖啡饮用时长(少于20年时RR = 1.2;21 - 30年时RR = 1.3;超过30年时RR = 1.1)均未出现风险趋势。同样,饮用脱咖啡因咖啡(RR = 0.9)或茶(RR = 1.2)与非霍奇金淋巴瘤无显著关联。饮用可乐与边缘性风险相关(RR = 1.7;95%CI 1.0 - 2.7)。我们发现非霍奇金淋巴瘤与饮用普通咖啡或脱咖啡因咖啡及茶之间无关联。

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