Abstract
The association between coffee consumption and the incidence rate of breast cancer has been analysed in 152 incident cases of breast cancer that developed among 14,593 Norwegian women during a mean follow-up of 12 years. At the time of inquiry they were between 35 and 51 years of age, and at the end of follow-up between 46 and 63. There was an overall weak negative association between daily intake of coffee and risk of breast cancer, which was not statistically significant. However, the association with coffee varied, depending on the body mass index (BMI) of the women. In the lean (Quetelet less than 24; population mean) there was an inverse relation between coffee intake and risk of breast cancer (chi 2 trend = 5.07, P = 0.02). In this group, women who reported drinking 5 cups or more per day had an age-adjusted IRR of 0.5 (95% confidence intervals, 0.3 and 0.9) compared to women who had 2 cups or less. In women with Quetelet's index equal to or greater than 24 there was a positive relation between coffee intake and breast cancer risk (chi 2 trend = 2.33, P = 0.13), where the corresponding age-adjusted IRR was 2.1 (95% confidence intervals, 0.8 and 5.2). This interaction effect between coffee intake and BMI was statistically significant (chi 2 interaction = 10.2, 3 d.f., P = 0.02). In summary, the results of this study suggest that coffee consumption reduces the risk of breast cancer in lean women, whereas coffee might have the opposite effect in relatively obese women.
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Jacobsen B. K., Bjelke E., Kvåle G., Heuch I. Coffee drinking, mortality, and cancer incidence: results from a Norwegian prospective study. J Natl Cancer Inst. 1986 May;76(5):823–831. [PubMed] [Google Scholar]
- La Vecchia C., Talamini R., Decarli A., Franceschi S., Parazzini F., Tognoni G. Coffee consumption and the risk of breast cancer. Surgery. 1986 Sep;100(3):477–481. [PubMed] [Google Scholar]
- Lawson D. H., Jick H., Rothman K. J. Coffee and tea consumption and breast disease. Surgery. 1981 Nov;90(5):801–803. [PubMed] [Google Scholar]
- Lubin F., Ron E., Wax Y., Modan B. Coffee and methylxanthines and breast cancer: a case-control study. J Natl Cancer Inst. 1985 Mar;74(3):569–573. [PubMed] [Google Scholar]
- Lubin J. H., Burns P. E., Blot W. J., Ziegler R. G., Lees A. W., Fraumeni J. F., Jr Dietary factors and breast cancer risk. Int J Cancer. 1981 Dec;28(6):685–689. doi: 10.1002/ijc.2910280605. [DOI] [PubMed] [Google Scholar]
- Minton J. P., Abou-Issa H., Foecking M. K., Sriram M. G. Caffeine and unsaturated fat diet significantly promotes DMBA-induced breast cancer in rats. Cancer. 1983 Apr 1;51(7):1249–1253. doi: 10.1002/1097-0142(19830401)51:7<1249::aid-cncr2820510713>3.0.co;2-q. [DOI] [PubMed] [Google Scholar]
- Rohan T. E., Bain C. J. Diet in the etiology of breast cancer. Epidemiol Rev. 1987;9:120–145. doi: 10.1093/oxfordjournals.epirev.a036299. [DOI] [PubMed] [Google Scholar]
- Rohan T. E., McMichael A. J. Methylxanthines and breast cancer. Int J Cancer. 1988 Mar 15;41(3):390–393. doi: 10.1002/ijc.2910410312. [DOI] [PubMed] [Google Scholar]
- Rosenberg L., Miller D. R., Helmrich S. P., Kaufman D. W., Schottenfeld D., Stolley P. D., Shapiro S. Breast cancer and the consumption of coffee. Am J Epidemiol. 1985 Sep;122(3):391–399. doi: 10.1093/oxfordjournals.aje.a114120. [DOI] [PubMed] [Google Scholar]
- Rothwell K. Dose-related inhibition of chemical carcinogenesis in mouse skin by caffeine. Nature. 1974 Nov 1;252(5478):69–70. doi: 10.1038/252069a0. [DOI] [PubMed] [Google Scholar]
- Snowdon D. A., Phillips R. L. Coffee consumption and risk of fatal cancers. Am J Public Health. 1984 Aug;74(8):820–823. doi: 10.2105/ajph.74.8.820. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Solvoll K., Selmer R., Løken E. B., Foss O. P., Trygg K. Coffee, dietary habits, and serum cholesterol among men and women 35-49 years of age. Am J Epidemiol. 1989 Jun;129(6):1277–1288. doi: 10.1093/oxfordjournals.aje.a115247. [DOI] [PubMed] [Google Scholar]
- Willett W. C., Browne M. L., Bain C., Lipnick R. J., Stampfer M. J., Rosner B., Colditz G. A., Hennekens C. H., Speizer F. E. Relative weight and risk of breast cancer among premenopausal women. Am J Epidemiol. 1985 Nov;122(5):731–740. doi: 10.1093/oxfordjournals.aje.a114156. [DOI] [PubMed] [Google Scholar]