Risk of Colon Cancer and Coffee, Tea, and Sugar-Sweetened Soft Drink Intake: Pooled Analysis of Prospective Cohort Studies

被引：101

作者：

Zhang, Xuehong ^{[1
]}

Albanes, Demetrius ^{[3
]}

Beeson, W. Lawrence ^{[5
]}

van den Brandt, Piet A. ^{[6
]}

Buring, Julie E. ^{[7
]}

Flood, Andrew ^{[11
,12
]}

Freudenheim, Jo L. ^{[9
]}

Giovannucci, Edward L. ^{[8
]}

Goldbohm, R. Alexandra ^{[10
]}

Jaceldo-Siegl, Karen ^{[5
]}

Jacobs, Eric J. ^{[13
]}

Krogh, Vittorio ^{[14
]}

Larsson, Susanna C. ^{[15
]}

Marshall, James R. ^{[16
]}

McCullough, Marjorie L. ^{[13
]}

Miller, Anthony B. ^{[17
]}

Robien, Kim ^{[11
,12
]}

Rohan, Thomas E. ^{[18
]}

Schatzkin, Arthur ^{[4
]}

Sieri, Sabina ^{[14
]}

Spiegelman, Donna ^{[2
]}

Virtamo, Jarmo ^{[19
]}

Wolk, Alicja ^{[15
]}

Willett, Walter C. ^{[8
]}

Zhang, Shumin M. ^{[7
]}

Smith-Warner, Stephanie A.

机构：

[1] Harvard Univ, Dept Nutr, Dept Epidemiol, Sch Publ Hlth, Boston, MA 02115 USA

[2] Harvard Univ, Sch Publ Hlth, Dept Biostat, Boston, MA 02115 USA

[3] NCI, Nutr Epidemiol Branch, NIH, Bethesda, MD 20892 USA

[4] NCI, Div Canc Epidemiol & Genet, Dept Hlth & Human Serv, NIH, Bethesda, MD 20892 USA

[5] Loma Linda Univ, Sch Publ Hlth, Ctr Hlth Res, Loma Linda, CA 92350 USA

[6] Maastricht Univ, Dept Epidemiol, GROW Sch Oncol & Dev Biol, Maastricht, Netherlands

[7] Harvard Univ, Brigham & Womens Hosp, Div Prevent Med, Sch Med,Dept Med, Boston, MA 02115 USA

[8] Harvard Univ, Brigham & Womens Hosp, Channing Lab, Sch Med,Dept Med, Boston, MA 02115 USA

[9] SUNY Buffalo, Dept Social & Prevent Med, Buffalo, NY 14260 USA

[10] TNO Qual Life, Dept Food & Chem Risk Anal, Zeist, Netherlands

[11] Univ Minnesota, Sch Publ Hlth, Div Epidemiol & Community Hlth, Minneapolis, MN USA

[12] Univ Minnesota, Mason Canc Ctr, Minneapolis, MN USA

[13] Amer Canc Soc, Dept Epidemiol, Atlanta, GA 30329 USA

[14] Natl Canc Inst, Nutr Epidemiol Unit, I-20133 Milan, Italy

[15] Karolinska Inst, Div Nutr Epidemiol, Natl Inst Environm Med, Stockholm, Sweden

[16] Roswell Pk Canc Inst, Div Canc Prevent & Populat Sci, Buffalo, NY 14263 USA

[17] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada

[18] Albert Einstein Coll Med, Dept Epidemiol & Populat Hlth, Bronx, NY 10467 USA

[19] Natl Inst Hlth & Welf, Dept Chron Dis Prevent, Helsinki, Finland

来源：

JNCI-JOURNAL OF THE NATIONAL CANCER INSTITUTE | 2010年 / 102卷 / 11期

基金：

美国国家卫生研究院;

关键词：

METHYLXANTHINE-CONTAINING BEVERAGES; COLORECTAL-CANCER; GREEN TEA; FOOD GROUPS; BLACK TEA; DIETARY QUESTIONNAIRE; BREAST-CANCER; CONSUMPTION; PREVENTION; WOMEN;

D O I：

10.1093/jnci/djq107

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

The relationships between coffee, tea, and sugar-sweetened carbonated soft drink consumption and colon cancer risk remain unresolved. We investigated prospectively the association between coffee, tea, and sugar-sweetened carbonated soft drink consumption and colon cancer risk in a pooled analysis of primary data from 13 cohort studies. Among 731 441 participants followed for up to 6-20 years, 5604 incident colon cancer case patients were identified. Study-specific relative risks (RRs) and 95% confidence intervals (CIs) were estimated using Cox proportional hazards models and then pooled using a random-effects model. All statistical tests were two-sided. Compared with nonconsumers, the pooled multivariable relative risks were 1.07 (95% CI = 0.89 to 1.30, P-trend = .68) for coffee consumption greater than 1400 g/d (about six 8-oz cups) and 1.28 (95% CI = 1.02 to 1.61, P-trend = .01) for tea consumption greater than 900 g/d (about four 8-oz cups). For sugar-sweetened carbonated soft drink consumption, the pooled multivariable relative risk comparing consumption greater than 550 g/d (about 18 oz) to nonconsumers was 0.94 (95% CI = 0.66 to 1.32, P-trend = .91). No statistically significant between-studies heterogeneity was observed for the highest category of each beverage consumed (P > .20). The observed associations did not differ by sex, smoking status, alcohol consumption, body mass index, physical activity, or tumor site (P > .05). Drinking coffee or sugar-sweetened carbonated soft drinks was not associated with colon cancer risk. However, a modest positive association with higher tea consumption is possible and requires further study.

引用

页码：771 / 783

页数：13

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