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Risk of colon cancer and coffee, tea, and sugar-sweetened soft drink intake: Pooled analysis of prospective cohort studies

  • Xuehong Zhang
  • , Demetrius Albanes
  • , W. Lawrence Beeson
  • , Piet A. Van Den Brandt
  • , Julie E. Buring
  • , Andrew Flood
  • , Jo L. Freudenheim
  • , Edward L. Giovannucci
  • , R. Alexandra Goldbohm
  • , Karen Jaceldo-Siegl
  • , Eric J. Jacobs
  • , Vittorio Krogh
  • , Susanna C. Larsson
  • , James R. Marshall
  • , Marjorie L. McCullough
  • , Anthony B. Miller
  • , Kim Robien
  • , Thomas E. Rohan
  • , Arthur Schatzkin
  • , Sabina Sieri
  • Donna Spiegelman, Jarmo Virtamo, Alicja Wolk, Walter C. Willett, Shumin M. Zhang, Stephanie A. Smith-Warner
  • Harvard University
  • National Institutes of Health
  • Loma Linda University Health
  • Maastricht University
  • American Cancer Society
  • Netherlands Organisation for Applied Scientific Research
  • IRCCS Fondazione Istituto Nazionale per lo studio e la cura dei tumori - Milano
  • Karolinska Institutet
  • University of Toronto
  • Roswell Park Cancer Institute
  • University of Minnesota Twin Cities
  • Albert Einstein College of Medicine
  • National Institute for Health and Welfare
  • Brigham and Women’s Hospital

Research output: Contribution to journalArticlepeer-review

124 Scopus citations

Abstract

BackgroundThe relationships between coffee, tea, and sugar-sweetened carbonated soft drink consumption and colon cancer risk remain unresolved. MethodsWe investigated prospectively the association between coffee, tea, and sugar-sweetened carbonated soft drink consumption and colon cancer risk in a pooled analysis of primary data from 13 cohort studies. Among 731441 participants followed for up to 6-20 years, 5604 incident colon cancer case patients were identified. Study-specific relative risks (RRs) and 95% confidence intervals (CIs) were estimated using Cox proportional hazards models and then pooled using a random-effects model. All statistical tests were two-sided. ResultsCompared with nonconsumers, the pooled multivariable relative risks were 1.07 (95% CI = 0.89 to 1.30, Ptrend =. 68) for coffee consumption greater than 1400 g/d (about six 8-oz cups) and 1.28 (95% CI = 1.02 to 1.61, Ptrend =. 01) for tea consumption greater than 900 g/d (about four 8-oz cups). For sugar-sweetened carbonated soft drink consumption, the pooled multivariable relative risk comparing consumption greater than 550 g/d (about 18 oz) to nonconsumers was 0.94 (95% CI = 0.66 to 1.32, Ptrend =. 91). No statistically significant between-studies heterogeneity was observed for the highest category of each beverage consumed (P >. 20). The observed associations did not differ by sex, smoking status, alcohol consumption, body mass index, physical activity, or tumor site (P >. 05). ConclusionsDrinking coffee or sugar-sweetened carbonated soft drinks was not associated with colon cancer risk. However, a modest positive association with higher tea consumption is possible and requires further study. The Author 2010. Published by Oxford University Press.

Original languageEnglish
Pages (from-to)771-783
Number of pages13
JournalJournal of the National Cancer Institute
Volume102
Issue number11
DOIs
StatePublished - Jun 2010

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