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Annals of Internal Medicine 2018-Apr

Hot Tea Consumption and Its Interactions With Alcohol and Tobacco Use on the Risk for Esophageal Cancer: A Population-Based Cohort Study.

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Canqing Yu
Haijing Tang
Yu Guo
Zheng Bian
Ling Yang
Yiping Chen
Aiyu Tang
Xue Zhou
Xu Yang
Junshi Chen

Słowa kluczowe

Abstrakcyjny

This article has been corrected. The original version (PDF) is appended to this article as a Supplement.

UNASSIGNED

Although consumption of tea at high temperatures has been suggested as a risk factor for esophageal cancer, an association has not been observed consistently, and whether any relationship is independent of alcohol and tobacco exposure has not been evaluated.

UNASSIGNED

To examine whether high-temperature tea drinking, along with the established risk factors of alcohol consumption and smoking, is associated with esophageal cancer risk.

UNASSIGNED

China Kadoorie Biobank, a prospective cohort study established during 2004 to 2008.

UNASSIGNED

10 areas across China.

UNASSIGNED

456 155 persons aged 30 to 79 years. Those who had cancer at baseline or who reduced consumption of tea, alcohol, or tobacco before baseline were excluded.

UNASSIGNED

The usual temperature at which tea was consumed, other tea consumption metrics, and lifestyle behaviors were self-reported once, at baseline. Outcome was esophageal cancer incidence up to 2015.

UNASSIGNED

During a median follow-up of 9.2 years, 1731 incident esophageal cancer cases were documented. High-temperature tea drinking combined with either alcohol consumption or smoking was associated with a greater risk for esophageal cancer than hot tea drinking alone. Compared with participants who drank tea less than weekly and consumed fewer than 15 g of alcohol daily, those who drank burning-hot tea and 15 g or more of alcohol daily had the greatest risk for esophageal cancer (hazard ratio [HR], 5.00 [95% CI, 3.64 to 6.88]). Likewise, the HR for current smokers who drank burning-hot tea daily was 2.03 (CI, 1.55 to 2.67).

UNASSIGNED

Tea consumption was self-reported once, at baseline, leading to potential nondifferential misclassification and attenuation of the association.

UNASSIGNED

Drinking tea at high temperatures is associated with an increased risk for esophageal cancer when combined with excessive alcohol or tobacco use.

UNASSIGNED

National Natural Science Foundation of China and National Key Research and Development Program.

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