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Coffee consumption and digestive tract cancers.

C La Vecchia1, M Ferraroni, E Negri

  • 1Mario Negri Institute for Pharmacological Research, Milan, Italy.

Cancer Research
|February 15, 1989
PubMed
Summary

Coffee consumption shows no link to most digestive tract cancers. However, it appears to reduce the risk of colon and rectal cancers, possibly by affecting bile secretion.

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Area of Science:

  • Gastroenterology
  • Oncology
  • Epidemiology

Background:

  • Digestive tract neoplasms represent a significant global health burden.
  • The role of dietary factors, including coffee consumption, in cancer risk remains an area of active research.
  • Previous studies have yielded inconsistent findings regarding coffee and digestive cancer risk.

Purpose of the Study:

  • To investigate the association between coffee consumption and the risk of various digestive tract neoplasms.
  • To analyze coffee's impact on cancers of the mouth, pharynx, esophagus, stomach, colon, rectum, liver, and pancreas.
  • To provide a comprehensive risk assessment pattern for digestive neoplasms in relation to coffee intake.

Main Methods:

  • A case-control study design was employed.

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  • Involved 50 cases of mouth/pharynx cancer, 209 esophageal, 397 stomach, 455 colon, 295 rectal, 151 liver, 214 pancreatic cancers, and 1944 control subjects.
  • Multivariate analyses were used to assess relative risks associated with coffee consumption tertiles.
  • Main Results:

    • No significant association was found between coffee consumption and cancers of the mouth, pharynx, esophagus, stomach, liver, or pancreas.
    • A significant inverse trend in risk was observed for colon and rectal cancers with increasing coffee consumption.
    • Multivariate relative risks for upper tertiles of coffee consumption were 0.64 for colon and 0.66 for rectum.

    Conclusions:

    • Coffee consumption does not appear to increase the risk of most digestive tract cancers.
    • Coffee intake may offer a protective effect against colon and rectal cancers.
    • Potential mechanisms involve interference with bile secretion, reducing bile acid and sterol concentrations in the bowel.