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咖啡消费和食道状细胞癌的风险:日本的一项基于人口的前性队列研究
Izumi Nakayama1, Atsushi Goto2, Taiki Yamaji3
1Department of Public Health, School of Medicine, Yokohama City University, Kanagawa, Japan.
The Journal of nutrition
|June 22, 2025
概括
这项研究发现,咖啡消费与食道状细胞癌 (ESCC) 风险之间没有显著的联系. 无论饮料的温度偏好如何,这些发现都是一致的,这表明咖啡本身不是ESCC的主要风险因素.
科学领域:
- 流行病学 流行病学
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
背景情况:
- 咖啡消费对食道状细胞癌 (ESCC) 的影响受到争议,具有潜在的保护性或有害影响.
- 关于咖啡与ESCC风险的关联,存在不一致的证据,从保护性增加到三倍增加.
- 饮料的温度偏好可能会影响咖啡和ESCC之间的关联.
研究的目的:
- 要区分咖啡消费与热伤害对ESCC风险的影响.
- 根据饮料温度偏好,研究咖啡摄入量与ESCC发病率之间的关联.
主要方法:
- 一项基于人口的前性队列研究 (基于日本公共卫生中心的前性研究) 涉及103,932名参与者 (40-69岁).
- 通过基准调查问卷收集的关于咖啡消费和热食品/饮料偏好的数据.
- 通过癌症登记册确定ESCC发病率,分析按热饮品偏好进行分层.
主要成果:
- 在18.7年的时间里,发现了434例ESCC病例;咖啡消费与ESCC风险没有显著关联.
- 在那些喜欢热饮或不喜欢热饮的人中没有发现统计学意义上的关联.
- 联合关联分析没有显示出咖啡,温度偏好和ESCC风险之间的明显联系.
结论:
- 这项前性研究没有发现强有力的证据表明咖啡消费与ESCC风险有关.
- 咖啡和ESCC之间的关联仍然不显著,无论参与者对热饮品的偏好.
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