{"title":"咖啡消费与食管鳞状细胞癌的风险:日本一项基于人群的前瞻性队列研究。","authors":"Izumi Nakayama , Atsushi Goto , Taiki Yamaji , Motoki Iwasaki , Manami Inoue , Shoichiro Tsugane , Norie Sawada","doi":"10.1016/j.tjnut.2025.06.010","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Coffee consumption can be protective owing to its chemical compounds or harmful because of thermal injury in esophageal squamous cell carcinoma (ESCC). However, evidence remains inconsistent, as different studies have reported results ranging from protective effects to a 3-fold increase in esophageal cancer risk with coffee consumption. The association may differ between individuals who prefer hot beverages and those who do not.</div></div><div><h3>Objectives</h3><div>To distinguish the effects of coffee from thermal injury, we examined the association between coffee consumption and ESCC according to beverage temperature preferences.</div></div><div><h3>Methods</h3><div>This population-based prospective cohort study used data from the Japan Public Health Center-based Prospective Study from 1990. Overall, 103,932 participants aged 40–69 y were included in the study. Coffee consumption and hot food or beverage preference were self-reported using baseline questionnaires. The incidence of ESCC until 2013 was identified through active surveillance of cancer registries. The association between coffee consumption and ESCC was assessed by stratification according to hot food or beverage preference. The joint association between the combination of coffee and hot food or beverage preference and ESCC risk was analyzed.</div></div><div><h3>Results</h3><div>During a mean follow-up of 18.7 y, 434 patients with ESCC were identified. Coffee consumption was not significantly associated with ESCC risk [hazard ratio (HR) for ≥3 cups/d: 0.84; 95% confidence interval (CI): 0.58, 1.20]. The associations were not statistically significant among those who preferred hot food or beverages (HR for ≥3 cups/d: 0.90; 95% CI: 0.48, 1.69) and those who did not (HR: 1.40, 95% CI: 0.80, 2.48). Joint association analysis revealed no clear association. The results were similar when ESCC cases diagnosed within the first 3 y of follow-up were excluded.</div></div><div><h3>Conclusions</h3><div>This population-based prospective study did not find strong evidence supporting an association between coffee consumption and ESCC, either among individuals who preferred hot beverages or those who did not.</div></div>","PeriodicalId":16620,"journal":{"name":"Journal of Nutrition","volume":"155 8","pages":"Pages 2560-2567"},"PeriodicalIF":3.8000,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Coffee Consumption and Risk of Esophageal Squamous Cell Carcinoma: A Population-Based Prospective Cohort Study in Japan\",\"authors\":\"Izumi Nakayama , Atsushi Goto , Taiki Yamaji , Motoki Iwasaki , Manami Inoue , Shoichiro Tsugane , Norie Sawada\",\"doi\":\"10.1016/j.tjnut.2025.06.010\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Coffee consumption can be protective owing to its chemical compounds or harmful because of thermal injury in esophageal squamous cell carcinoma (ESCC). However, evidence remains inconsistent, as different studies have reported results ranging from protective effects to a 3-fold increase in esophageal cancer risk with coffee consumption. The association may differ between individuals who prefer hot beverages and those who do not.</div></div><div><h3>Objectives</h3><div>To distinguish the effects of coffee from thermal injury, we examined the association between coffee consumption and ESCC according to beverage temperature preferences.</div></div><div><h3>Methods</h3><div>This population-based prospective cohort study used data from the Japan Public Health Center-based Prospective Study from 1990. Overall, 103,932 participants aged 40–69 y were included in the study. Coffee consumption and hot food or beverage preference were self-reported using baseline questionnaires. The incidence of ESCC until 2013 was identified through active surveillance of cancer registries. The association between coffee consumption and ESCC was assessed by stratification according to hot food or beverage preference. The joint association between the combination of coffee and hot food or beverage preference and ESCC risk was analyzed.</div></div><div><h3>Results</h3><div>During a mean follow-up of 18.7 y, 434 patients with ESCC were identified. Coffee consumption was not significantly associated with ESCC risk [hazard ratio (HR) for ≥3 cups/d: 0.84; 95% confidence interval (CI): 0.58, 1.20]. The associations were not statistically significant among those who preferred hot food or beverages (HR for ≥3 cups/d: 0.90; 95% CI: 0.48, 1.69) and those who did not (HR: 1.40, 95% CI: 0.80, 2.48). Joint association analysis revealed no clear association. The results were similar when ESCC cases diagnosed within the first 3 y of follow-up were excluded.</div></div><div><h3>Conclusions</h3><div>This population-based prospective study did not find strong evidence supporting an association between coffee consumption and ESCC, either among individuals who preferred hot beverages or those who did not.</div></div>\",\"PeriodicalId\":16620,\"journal\":{\"name\":\"Journal of Nutrition\",\"volume\":\"155 8\",\"pages\":\"Pages 2560-2567\"},\"PeriodicalIF\":3.8000,\"publicationDate\":\"2025-06-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Nutrition\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0022316625003700\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NUTRITION & DIETETICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nutrition","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0022316625003700","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
Coffee Consumption and Risk of Esophageal Squamous Cell Carcinoma: A Population-Based Prospective Cohort Study in Japan
Background
Coffee consumption can be protective owing to its chemical compounds or harmful because of thermal injury in esophageal squamous cell carcinoma (ESCC). However, evidence remains inconsistent, as different studies have reported results ranging from protective effects to a 3-fold increase in esophageal cancer risk with coffee consumption. The association may differ between individuals who prefer hot beverages and those who do not.
Objectives
To distinguish the effects of coffee from thermal injury, we examined the association between coffee consumption and ESCC according to beverage temperature preferences.
Methods
This population-based prospective cohort study used data from the Japan Public Health Center-based Prospective Study from 1990. Overall, 103,932 participants aged 40–69 y were included in the study. Coffee consumption and hot food or beverage preference were self-reported using baseline questionnaires. The incidence of ESCC until 2013 was identified through active surveillance of cancer registries. The association between coffee consumption and ESCC was assessed by stratification according to hot food or beverage preference. The joint association between the combination of coffee and hot food or beverage preference and ESCC risk was analyzed.
Results
During a mean follow-up of 18.7 y, 434 patients with ESCC were identified. Coffee consumption was not significantly associated with ESCC risk [hazard ratio (HR) for ≥3 cups/d: 0.84; 95% confidence interval (CI): 0.58, 1.20]. The associations were not statistically significant among those who preferred hot food or beverages (HR for ≥3 cups/d: 0.90; 95% CI: 0.48, 1.69) and those who did not (HR: 1.40, 95% CI: 0.80, 2.48). Joint association analysis revealed no clear association. The results were similar when ESCC cases diagnosed within the first 3 y of follow-up were excluded.
Conclusions
This population-based prospective study did not find strong evidence supporting an association between coffee consumption and ESCC, either among individuals who preferred hot beverages or those who did not.
期刊介绍:
The Journal of Nutrition (JN/J Nutr) publishes peer-reviewed original research papers covering all aspects of experimental nutrition in humans and other animal species; special articles such as reviews and biographies of prominent nutrition scientists; and issues, opinions, and commentaries on controversial issues in nutrition. Supplements are frequently published to provide extended discussion of topics of special interest.