Coffee consumption and risk of colorectal cancer in the Cancer Prevention Study-II Nutrition Cohort

•Decaffeinated, but not caffeinated, coffee was associated with lower CRC risk.•Risk associated with caffeinated coffee varied by subsite.•Additional research should confirm subsite-specific findings observed herein. The association between coffee consumption and colorectal cancer risk generally app...

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Veröffentlicht in:Cancer epidemiology 2020-08, Vol.67, p.101730, Article 101730
Hauptverfasser: Um, Caroline Y., McCullough, Marjorie L., Guinter, Mark A., Campbell, Peter T., Jacobs, Eric J., Gapstur, Susan M.
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container_start_page 101730
container_title Cancer epidemiology
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creator Um, Caroline Y.
McCullough, Marjorie L.
Guinter, Mark A.
Campbell, Peter T.
Jacobs, Eric J.
Gapstur, Susan M.
description •Decaffeinated, but not caffeinated, coffee was associated with lower CRC risk.•Risk associated with caffeinated coffee varied by subsite.•Additional research should confirm subsite-specific findings observed herein. The association between coffee consumption and colorectal cancer risk generally appears null, but recent evidence suggests that risk may vary by coffee type. We examined associations of caffeinated and decaffeinated coffee intake with colorectal cancer risk overall and with colon and rectum separately, among older U.S. men and women. In 1999, 47,010 men and 60,051 women with no previous diagnosis of cancer, aged 47–96 years, in the Cancer Prevention Study-II Nutrition Cohort completed a food frequency questionnaire that assessed caffeinated and decaffeinated coffee intake; consumption was updated in 2003. A total of 1829 colorectal cancer cases were verified through June 2015. Cox proportional hazards regression was used to estimate multivariable-adjusted hazard rate ratios (HRs) and 95% confidence intervals (CIs), adjusting for smoking history, alcohol, caffeinated/decaffeinated coffee intake (depending on the model), and other colorectal cancer risk factors. Consumption of ≥2 cups/day of decaffeinated coffee, compared to no decaffeinated coffee, was associated with lower risk of overall colorectal cancer (HR = 0.82, 95% CI: 0.69−0.96, P-trend = 0.04), colon cancer (HR = 0.82, 95% CI: 0.69−0.99, P-trend = 0.05) and rectal cancer (HR = 0.63, 95% CI: 0.40−0.99, P-trend = 0.17). Consumption of ≥2 cups/day of caffeinated coffee was associated with higher risk of rectal cancer (HR = 1.37, 95% CI: 0.99–1.89, P-trend = 0.04), but not with colorectal or colon cancer. In this prospective study, higher intake of decaffeinated coffee was associated with lower risk of colorectal, colon, and rectal cancers. Further study on associations of caffeinated and decaffeinated coffee with colorectal cancer risk by subsite is needed.
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The association between coffee consumption and colorectal cancer risk generally appears null, but recent evidence suggests that risk may vary by coffee type. We examined associations of caffeinated and decaffeinated coffee intake with colorectal cancer risk overall and with colon and rectum separately, among older U.S. men and women. In 1999, 47,010 men and 60,051 women with no previous diagnosis of cancer, aged 47–96 years, in the Cancer Prevention Study-II Nutrition Cohort completed a food frequency questionnaire that assessed caffeinated and decaffeinated coffee intake; consumption was updated in 2003. A total of 1829 colorectal cancer cases were verified through June 2015. Cox proportional hazards regression was used to estimate multivariable-adjusted hazard rate ratios (HRs) and 95% confidence intervals (CIs), adjusting for smoking history, alcohol, caffeinated/decaffeinated coffee intake (depending on the model), and other colorectal cancer risk factors. Consumption of ≥2 cups/day of decaffeinated coffee, compared to no decaffeinated coffee, was associated with lower risk of overall colorectal cancer (HR = 0.82, 95% CI: 0.69−0.96, P-trend = 0.04), colon cancer (HR = 0.82, 95% CI: 0.69−0.99, P-trend = 0.05) and rectal cancer (HR = 0.63, 95% CI: 0.40−0.99, P-trend = 0.17). Consumption of ≥2 cups/day of caffeinated coffee was associated with higher risk of rectal cancer (HR = 1.37, 95% CI: 0.99–1.89, P-trend = 0.04), but not with colorectal or colon cancer. In this prospective study, higher intake of decaffeinated coffee was associated with lower risk of colorectal, colon, and rectal cancers. 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The association between coffee consumption and colorectal cancer risk generally appears null, but recent evidence suggests that risk may vary by coffee type. We examined associations of caffeinated and decaffeinated coffee intake with colorectal cancer risk overall and with colon and rectum separately, among older U.S. men and women. In 1999, 47,010 men and 60,051 women with no previous diagnosis of cancer, aged 47–96 years, in the Cancer Prevention Study-II Nutrition Cohort completed a food frequency questionnaire that assessed caffeinated and decaffeinated coffee intake; consumption was updated in 2003. A total of 1829 colorectal cancer cases were verified through June 2015. Cox proportional hazards regression was used to estimate multivariable-adjusted hazard rate ratios (HRs) and 95% confidence intervals (CIs), adjusting for smoking history, alcohol, caffeinated/decaffeinated coffee intake (depending on the model), and other colorectal cancer risk factors. 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Consumption of ≥2 cups/day of decaffeinated coffee, compared to no decaffeinated coffee, was associated with lower risk of overall colorectal cancer (HR = 0.82, 95% CI: 0.69−0.96, P-trend = 0.04), colon cancer (HR = 0.82, 95% CI: 0.69−0.99, P-trend = 0.05) and rectal cancer (HR = 0.63, 95% CI: 0.40−0.99, P-trend = 0.17). Consumption of ≥2 cups/day of caffeinated coffee was associated with higher risk of rectal cancer (HR = 1.37, 95% CI: 0.99–1.89, P-trend = 0.04), but not with colorectal or colon cancer. In this prospective study, higher intake of decaffeinated coffee was associated with lower risk of colorectal, colon, and rectal cancers. Further study on associations of caffeinated and decaffeinated coffee with colorectal cancer risk by subsite is needed.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>32526644</pmid><doi>10.1016/j.canep.2020.101730</doi></addata></record>
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subjects Aged
Caffeine
Caffeine - administration & dosage
Caffeine - adverse effects
Cancer
Coffee
Coffee - adverse effects
Cohort analysis
Cohort study
Colon
Colon cancer
Colorectal cancer
Colorectal carcinoma
Colorectal Neoplasms - etiology
Colorectal Neoplasms - prevention & control
Colorectal subsite
Confidence intervals
Cups
Disease prevention
Epidemiology
Female
Health risk assessment
Health risks
Hormone replacement therapy
Humans
Male
Medical research
Mortality
Nonsteroidal anti-inflammatory drugs
Nutrition
Nutrition research
Prevention
Prognosis
Prospective Studies
Questionnaires
Rectum
Risk analysis
Risk Factors
Smoking
Statistical analysis
Surveys and Questionnaires
Womens health
title Coffee consumption and risk of colorectal cancer in the Cancer Prevention Study-II Nutrition Cohort
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