Abstract
We evaluated the role of tea and coffee and substances added (sugar/honey, creamers, and milk) on endometrial cancer risk in a population-based case–control study in six counties in New Jersey, including 417 cases and 395 controls. Multivariate odds ratios (OR) and 95% confidence intervals (CI) were computed using unconditional logistic regression. There was a moderate inverse association with coffee consumption, with an adjusted OR of 0.65 (95% CI: 0.36–1.17) for women who reported more than two cups/day of coffee compared to none. Tea consumption appeared to increase risk (OR: 1.93; 95% CI: 1.08–3.45), but after including the variables sugar/honey and cream/milk added to tea in the model, the risk estimate was attenuated and no longer statistically significant (OR: 1.77; 95% CI: 0.96–3.28 for those consuming more than one cup/day of tea compared to nonusers). There was a suggestion of a decreased risk associated with green tea, but the confidence interval included one (adjusted OR for one or more cups/week vs. none: 0.75; 95% CI: 0.48–1.18). We found an association with adding sugar/honey to tea, with those adding two or more teaspoons/cup having an OR of 2.66 (95% CI: 1.42–4.98; p for trend <0.01) after adjusting for relevant confounders. For sugar/honey added to coffee the corresponding OR was 1.43 (95% CI: 0.81–2.55). Our results indicate that sugars and milk/cream added to coffee and tea should be considered in future studies evaluating coffee and tea and endometrial cancer risk.
This is a preview of subscription content, log in to check access.
References
- 1.
DeVivo I, Persson I, Adami H-O (2008) Endometrial cancer. In: Adami H-O, Hunter D, Trichopoulos D (eds) Textbook of cancer epidemiology, 2nd edn. Oxford University Press, New York, pp 468–493
- 2.
Bandera EV, Kushi LH, Moore DF, Gifkins DM, McCullough ML (2007) The association between food, nutrition, and physical activity and the risk of endometrial cancer and underlying mechanisms. In: Second Report on Food, Nutrition, Physical Activity and the Prevention of Cancer: World Cancer Research Fund International/American Institute for Cancer Research
- 3.
Yang CS, Wang X, Lu G, Picinich SC (2009) Cancer prevention by tea: animal studies, molecular mechanisms and human relevance. Nat Rev Cancer 9:429–439
- 4.
Scalbert A, Manach C, Morand C, Remesy C, Jimenez L (2005) Dietary polyphenols and the prevention of diseases. Crit Rev Food Sci Nutr 45:287–306
- 5.
Greenberg JA, Axen KV, Schnoll R, Boozer CN (2005) Coffee, tea and diabetes: the role of weight loss and caffeine. Int J Obes 29:1121–1129
- 6.
Greenberg JA, Boozer CN, Geliebter A (2006) Coffee, diabetes, and weight control. Am J Clin Nutr 84:682–693
- 7.
Bravi F, Scotti L, Bosetti C et al (2009) Coffee drinking and endometrial cancer risk: a metaanalysis of observational studies. Am J Obstet Gynecol 200:130–135
- 8.
Astill C, Birch MR, Dacombe C, Humphrey PG, Martin PT (2001) Factors affecting the caffeine and polyphenol contents of black and green tea infusions. J Agric Food Chem 49:5340–5347
- 9.
Olson SH, Orlow I, Bayuga S et al (2008) Variants in hormone biosynthesis genes and risk of endometrial cancer. Cancer Causes Control 19:955–963
- 10.
Bandera EV, Williams MG, Sima C et al (2009) Phytoestrogen consumption and endometrial cancer risk: a population-based case–control study in New Jersey. Cancer Causes Control 20:1117–1127
- 11.
Caan B, Sternfeld B, Gunderson E, Coates A, Quesenberry C, Slattery ML (2005) Life After Cancer Epidemiology (LACE) Study: a cohort of early stage breast cancer survivors (United States). Cancer Causes Control 16:545–556
- 12.
Horn-Ross PL, Barnes S, Lee M et al (2000) Assessing phytoestrogen exposure in epidemiologic studies: development of a database (United States). Cancer Causes Control 11:289–298
- 13.
Shimazu T, Inoue M, Sasazuki S et al (2008) Coffee consumption and risk of endometrial cancer: a prospective study in Japan. Int J Cancer 123:2406–2410
- 14.
Friberg E, Orsini N, Mantzoros CS, Wolk A (2009) Coffee drinking and risk of endometrial cancer—a population-based cohort study. Int J Cancer 125:2413–2417
- 15.
Jain MG, Howe GR, Rohan TE (2000) Nutritional factors and endometrial cancer in Ontario, Canada. Cancer Control 7:288–296
- 16.
Terry P, Vainio H, Wolk A, Weiderpass E (2002) Dietary factors in relation to endometrial cancer: a nationwide case–control study in Sweden. Nutr Cancer 42:25–32
- 17.
Koizumi T, Nakaya N, Okamura C et al (2008) Case–control study of coffee consumption and the risk of endometrial endometrioid adenocarcinoma. Eur J Cancer Prev 17:358–363
- 18.
Petridou E, Kedikoglou S, Koukoulomatis P, Dessypris N, Trichopoulos D (2002) Diet in relation to endometrial cancer risk: a case–control study in Greece. Nutr Cancer 44:16–22
- 19.
Hirose K, Niwa Y, Wakai K, Matsuo K, Nakanishi T, Tajima K (2007) Coffee consumption and the risk of endometrial cancer: evidence from a case–control study of female hormone-related cancers in Japan. Cancer Sci 98:411–415
- 20.
Bravi F, Scotti L, Bosetti C et al (2009) Food groups and endometrial cancer risk: a case–control study from Italy. Am J Obstet Gynecol 200:293 e1–293 e7
- 21.
McCann SE, Yeh M, Rodabaugh K, Moysich KB (2009) Higher regular coffee and tea consumption is associated with reduced endometrial cancer risk. Int J Cancer 124:1650–1653
- 22.
Stensvold I, Jacobsen BK (1994) Coffee and cancer: a prospective study of 43,000 Norwegian men and women. Cancer Causes Control 5:401–408
- 23.
Goodman MT, Hankin JH, Wilkens LR et al (1997) Diet, body size, physical activity, and the risk of endometrial cancer. Cancer Res 57:5077–5085
- 24.
Levi F, Franceschi S, Negri E, La Vecchia C (1993) Dietary factors and the risk of endometrial cancer. Cancer 71:3575–3581
- 25.
Kalandidi A, Tzonou A, Lipworth L, Gamatsi I, Filippa D, Trichopoulos D (1996) A case–control study of endometrial cancer in relation to reproductive, somatometric, and life-style variables. Oncology 53:354–359
- 26.
Yang CS, Lambert JD, Sang S (2009) Antioxidative and anti-carcinogenic activities of tea polyphenols. Arch Toxicol 83:11–21
- 27.
Zheng W, Doyle TJ, Kushi LH, Sellers TA, Hong CP, Folsom AR (1996) Tea consumption and cancer incidence in a prospective cohort study of postmenopausal women. Am J Epidemiol 144:175–182
- 28.
Gao J, Xiang YB, Xu WH et al (2005) Green tea consumption and the risk of endometrial cancer: a population-based case–control study in urban Shanghai. Zhonghua Liu Xing Bing Xue Za Zhi 26:323–327
- 29.
Xu WH, Dai Q, Xiang YB et al (2007) Interaction of soy food and tea consumption with CYP19A1 genetic polymorphisms in the development of endometrial cancer. Am J Epidemiol 166:1420–1430
- 30.
La Vecchia C, Negri E, Franceschi S, D’Avanzo B, Boyle P (1992) Tea consumption and cancer risk. Nutr Cancer 17:27–31
- 31.
Salazar-Martinez E, Lazcano-Ponce E, Sanchez-Zamorano LM, Gonzalez-Lira G, Escudero de los Rios P, Hernandez-Avila M (2005) Dietary factors and endometrial cancer risk. Results of a case–control study in Mexico. Int J Gynecol Cancer 15:938–945
- 32.
Boehm K, Borrelli F, Ernst E et al (2009) Green tea (Camellia sinensis) for the prevention of cancer. Cochrane Database Syst Rev:CD005004
- 33.
Kakuta Y, Nakaya N, Nagase S et al (2009) Case–control study of green tea consumption and the risk of endometrial endometrioid adenocarcinoma. Cancer Causes Control 20:617–624
- 34.
Wu T, Willett WC, Hankinson SE, Giovannucci E (2005) Caffeinated coffee, decaffeinated coffee, and caffeine in relation to plasma C-peptide levels, a marker of insulin secretion, in U.S. women. Diabetes Care 28:1390–1396
- 35.
Tea Association of the USA (2008) Tea Fact Sheet. (www.teaUSA.org)
- 36.
Mulholland HG, Murray LJ, Cardwell CR, Cantwell MM (2008) Dietary glycaemic index, glycaemic load and endometrial and ovarian cancer risk: a systematic review and meta-analysis. Br J Cancer 99:434–441
- 37.
Hartge P (2006) Participation in population studies. Epidemiology 17:252–254
- 38.
Galea S, Tracy M (2007) Participation rates in epidemiologic studies. Ann Epidemiol 17:643–653
Acknowledgments
We thank the interviewers and students who were involved in this study, the New Jersey Department of Health and Senior Services personnel, as well as all the participants who generously donated their time to the study. Funding: This work was funded by NIH-K07 CA095666 and R01CA83918.
Author information
Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Bandera, E.V., Williams-King, M.G., Sima, C. et al. Coffee and tea consumption and endometrial cancer risk in a population-based study in New Jersey. Cancer Causes Control 21, 1467–1473 (2010). https://doi.org/10.1007/s10552-010-9575-9
Received:
Accepted:
Published:
Issue Date:
Keywords
- Endometrial cancer
- Diet
- Nutrition
- Coffee
- Tea
- Sugar