Abstract
Background
To provide information about the association of coffee, black tea with gastric cancer risk.
Methods
Between 1985 and 2007, we conducted two case–control studies in northern Italy. Overall, cases were 999 subjects with incident, histologically confirmed gastric cancer and controls were 2,628 patients admitted to the same network of hospitals for acute non-neoplastic diseases. Odds ratios (OR) and the corresponding 95% confidence intervals (CI) for coffee (mostly espresso and mocha) and black tea consumption were estimated after allowance for socio-demographic data, smoking, and other major covariates of interest.
Results
When compared with non-coffee drinkers, the OR was 0.94 (95% CI: 0.73–1.22) for drinkers of one cup of coffee per day, 1.03 (95% CI: 0.80–1.32) for two, 1.07 (95% CI: 0.82–1.40) for three, and 1.24 (95% CI: 0.94–1.65) for four or more cups per day. No association was found with reference to duration of coffee consumption, or consumption of decaffeinated coffee. When compared with non–black-tea drinkers, the OR was 0.89 (95% CI: 0.56–1.42) for drinkers of two or more cups of black tea per day.
Conclusions
Our investigation, based on a uniquely large dataset, provides convincing evidence that coffee and black tea consumption is unlikely to be strongly associated with gastric cancer risk.
Similar content being viewed by others
References
Tokui N, Yoshimura T, Fujino Y et al (2005) Dietary habits and stomach cancer risk in the JACC Study. J Epidemiol 15(Suppl 2):S98–S108. doi:10.2188/jea.15.S98
Botelho F, Lunet N, Barros H (2006) Coffee and gastric cancer: systematic review and meta-analysis. Cad Saude Publica 22:889–900. doi:10.1590/S0102-311X2006000500002
La Vecchia C, Tavani A (2007) Coffee and cancer risk: an update. Eur J Cancer Prev 16:385–389. doi:10.1097/01.cej.0000243853.12728.76
Munoz N, Plummer M, Vivas J et al (2001) A case–control study of gastric cancer in Venezuela. Int J Cancer 93:417–423. doi:10.1002/ijc.1333
De Stefani E, Correa P, Boffetta P, Deneo-Pellegrini H, Ronco AL, Mendilaharsu M (2004) Dietary patterns and risk of gastric cancer: a case–control study in Uruguay. Gastric Cancer 7:211–220. doi:10.1007/s10120-004-0295-2
van Loon AJ, Goldbohm RA, van den Brandt PA (1998) Socioeconomic status and stomach cancer incidence in men: results from The Netherlands cohort study. J Epidemiol Community Health 52:166–171. doi:10.1136/jech.52.3.166
Galanis DJ, Kolonel LN, Lee J, Nomura A (1998) Intakes of selected foods and beverages and the incidence of gastric cancer among the Japanese residents of Hawaii: a prospective study. Int J Epidemiol 27:173–180. doi:10.1093/ije/27.2.173
Larsson SC, Giovannucci E, Wolk A (2006) Coffee consumption and stomach cancer risk in a cohort of Swedish women. Int J Cancer 119:2186–2189. doi:10.1002/ijc.22105
Viani R (1993) The composition of coffee. In: Garattini S (ed) Caffeine, coffee and health. Raven Press, LTD, New York
IARC Working Group (1991) IARC monographs on the evaluation of carcinogenic risks to humans, vol 51: coffee, tea, maté, methylxanthines and methylglyoxal. IARC, Lyon (France)
Rao DN, Ganesh B, Dinshaw KA, Mohandas KM (2002) A case–control study of stomach cancer in Mumbai, India. Int J Cancer 99:727–731. doi:10.1002/ijc.10339
Hansson LE, Nyren O, Bergstrom R et al (1993) Diet and risk of gastric cancer. A population-based case–control study in Sweden. Int J Cancer 55:181–189. doi:10.1002/ijc.2910550203
Chow WH, Swanson CA, Lissowska J et al (1999) Risk of stomach cancer in relation to consumption of cigarettes, alcohol, tea and coffee in Warsaw, Poland. Int J Cancer 81:871–876. doi:10.1002/(SICI)1097-0215(19990611)81:6<871::AID-IJC6>3.0.CO;2-#
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
Kinlen LJ, Willows AN, Goldblatt P, Yudkin J (1988) Tea consumption and cancer. Br J Cancer 58:397–401
Goldbohm RA, Hertog MG, Brants HA, van Poppel G, van den Brandt PA (1996) Consumption of black tea and cancer risk: a prospective cohort study. J Natl Cancer Inst 88:93–100. doi:10.1093/jnci/88.2.93
Heilbrun LK, Nomura A, Stemmermann GN (1986) Black tea consumption and cancer risk: a prospective study. Br J Cancer 54:677–683
Khan MM, Goto R, Kobayashi K et al (2004) Dietary habits and cancer mortality among middle aged and older Japanese living in Hokkaido, Japan by cancer site and sex. Asian Pac J Cancer Prev 5:58–65
Hoshiyama Y, Kawaguchi T, Miura Y et al (2005) Green tea and stomach cancer–a short review of prospective studies. J Epidemiol 15(Suppl 2):S109–S112. doi:10.2188/jea.15.S109
Myung SK, Bae WK, Oh SM et al (2009) Green tea consumption and risk of stomach cancer: a meta-analysis of epidemiologic studies. Int J Cancer 124:670–677. doi:10.1002/ijc.23880
La Vecchia C, Ferraroni M, Negri E et al (1989) Coffee consumption and digestive tract cancers. Cancer Res 49:1049–1051
Augustin LS, Gallus S, Negri E, La Vecchia C (2004) Glycemic index, glycemic load and risk of gastric cancer. Ann Oncol 15:581–584. doi:10.1093/annonc/mdh130
Pelucchi C, Tramacere I, Bertuccio P, Tavani A, Negri E, La Vecchia C (2009) Dietary intake of selected micronutrients and gastric cancer risk: an Italian case–control study. Ann Oncol 20:160–165. doi:10.1093/annonc/mdn536
Lucenteforte E, Scita V, Bosetti C, Bertuccio P, Negri E, La Vecchia C (2008) Food groups and alcoholic beverages and the risk of stomach cancer: a case–control study in Italy. Nutr Cancer 60:577–584. doi:10.1080/01635580802054512
D’Avanzo B, La Vecchia C, Katsouyanni K, Negri E, Trichopoulos D (1996) Reliability of information on cigarette smoking and beverage consumption provided by hospital controls. Epidemiology 7:312–315
Ferraroni M, Tavani A, Decarli A et al (2004) Reproducibility and validity of coffee and tea consumption in Italy. Eur J Clin Nutr 58:674–680. doi:10.1038/sj.ejcn.1601864
Hirose M, Takesada Y, Tanaka H, Tamano S, Kato T, Shirai T (1998) Carcinogenicity of antioxidants BHA, caffeic acid, sesamol, 4-methoxyphenol and catechol at low doses, either alone or in combination, and modulation of their effects in a rat medium-term multi-organ carcinogenesis model. Carcinogenesis 19:207–212. doi:10.1093/carcin/19.1.207
IARC Working Group. (1994) IARC monographs on the evaluation of carcinogenic risks to humans, vol 61: schistosomes, liver flukes and Helicobacter pylori. IARC, Lyon (France), p 177
Brenner H, Arndt V, Stegmaier C, Ziegler H, Rothenbacher D (2004) Is Helicobacter pylori infection a necessary condition for noncardia gastric cancer? Am J Epidemiol 159:252–258. doi:10.1093/aje/kwh039
Brenner H, Rothenbacher D, Bode G, Adler G (1997) Relation of smoking and alcohol and coffee consumption to active Helicobacter pylori infection: cross sectional study. BMJ 315:1489–1492
Inoue M, Tajima K, Hirose K et al (1998) Tea and coffee consumption and the risk of digestive tract cancers: data from a comparative case–referent study in Japan. Cancer Causes Control 9:209–216. doi:10.1023/A:1008890529261
Malaty HM (2007) Epidemiology of Helicobacter pylori infection. Best Pract Res Clin Gastroenterol 21:205–214. doi:10.1016/j.bpg.2006.10.005
Russo A, Eboli M, Pizzetti P et al (1999) Determinants of Helicobacter pylori seroprevalence among Italian blood donors. Eur J Gastroenterol Hepatol 11:867–873
Shibata A, Parsonnet J (2006) Stomach cancer. In: SDFJ (ed) Cancer epidemiology and prevention, 3rd edn. Oxford University Press, New York, pp 707–720
La Vecchia C, Franceschi S (2000) Nutrition and gastric cancer with a focus on Europe. Eur J Cancer Prev 9:291–295. doi:10.1097/00008469-200010000-00001
La Vecchia C, Negri E, Decarli A, D’Avanzo B, Franceschi S (1987) A case–control study of diet and gastric cancer in northern Italy. Int J Cancer 40:484–489. doi:10.1002/ijc.2910400409
Acknowledgments
Authors thank Mrs. I. Garimoldi for editorial assistance.
Financial support
This work was supported by the Italian Association for Cancer Research (AIRC), Milan, Italy and the Italian League against Cancer, Italy. Paola Bertuccio was supported by a fellowship from the Italian Foundation for Cancer Research (FIRC). The work of this paper was undertaken while Carlo La Vecchia was a Senior Fellow at the IARC.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Gallus, S., Tramacere, I., Tavani, A. et al. Coffee, black tea and risk of gastric cancer. Cancer Causes Control 20, 1303–1308 (2009). https://doi.org/10.1007/s10552-009-9350-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10552-009-9350-y