Table 2.
Post-diagnostic coffee and tea consumption in relation to mortality after breast cancer diagnosis (n = 8900) in the Nurses’ Health Study and Nurses’ Health Study II.
Consumption levels | Ptrend | Per 1 cup/day increase | |||||
---|---|---|---|---|---|---|---|
Nondrinker | >0 to 1 cup/day | >1 to 2 cups/day | >2 to 3 cups/day | >3 cups/day | |||
Total coffee | |||||||
Breast cancer-specific mortality | |||||||
No. of deaths | 166 | 328 | 187 | 250 | 123 | ||
Person-years | 14,207 | 27,648 | 17,913 | 27,478 | 14,383 | ||
Model 1 | 1 | 0.95 (0.78–1.14) | 0.76 (0.62–0.94) | 0.69 (0.57–0.84) | 0.60 (0.48–0.76) | <0.0001 | 0.87 (0.82–0.91) |
Model 2 | 1 | 0.99 (0.82–1.20) | 1.09 (0.88–1.36) | 0.83 (0.67–1.02) | 0.75 (0.59–0.96) | 0.002 | 0.92 (0.87–0.97) |
Model 2+pre-diagnostic total coffee | 1 | 0.89 (0.71–1.12) | 0.92 (0.71–1.20) | 0.66 (0.51–0.85) | 0.54 (0.40–0.73) | <0.0001 | 0.85 (0.79–0.91) |
All-cause mortality | |||||||
No. of deaths | 355 | 786 | 509 | 565 | 286 | ||
Person-years | 14,207 | 27,648 | 17,913 | 27,478 | 14,383 | ||
Model 1 | 1 | 0.94 (0.83–1.07) | 0.91 (0.79–1.04) | 0.70 (0.61–0.80) | 0.68 (0.58–0.80) | <0.0001 | 0.89 (0.86–0.92) |
Model 2 | 1 | 0.96 (0.84–1.09) | 1.03 (0.89–1.19) | 0.76 (0.66–0.87) | 0.74 (0.63–0.87) | <0.0001 | 0.91 (0.88–0.95) |
Model 2+pre-diagnostic total coffee | 1 | 0.88 (0.75–1.03) | 0.91 (0.76–1.08) | 0.64 (0.54–0.77) | 0.58 (0.47–0.70) | <0.0001 | 0.86 (0.83–0.90) |
Regular coffee | |||||||
Breast cancer-specific mortality | |||||||
No. of deaths | 339 | 356 | 99 | 199 | 61 | ||
Person-years | 28,860 | 31,999 | 12,209 | 21,455 | 7107 | ||
Model 1 | 1 | 0.91 (0.78–1.05) | 0.62 (0.49–0.77) | 0.77 (0.65–0.92) | 0.67 (0.51–0.88) | <0.0001 | 0.89 (0.83–0.94) |
Model 2 | 1 | 1.02 (0.88–1.19) | 1.07 (0.84–1.36) | 0.87 (0.73–1.05) | 0.71 (0.53–0.94) | 0.008 | 0.93 (0.87–0.99) |
Model 2 + pre-diagnostic regular coffee | 1 | 1.01 (0.85–1.20) | 0.97 (0.75–1.26) | 0.77 (0.62–0.95) | 0.57 (0.41–0.78) | <0.0001 | 0.87 (0.81–0.94) |
All-cause mortality | |||||||
No. of deaths | 769 | 856 | 316 | 419 | 141 | ||
Person-years | 28,860 | 31,999 | 12,209 | 21,455 | 7107 | ||
Model 1 | 1 | 0.98 (0.88–1.08) | 0.95 (0.84–1.09) | 0.77 (0.68–0.87) | 0.80 (0.67–0.96) | <0.0001 | 0.91 (0.88–0.95) |
Model 2 | 1 | 1.03 (0.93–1.14) | 1.09 (0.95–1.25) | 0.81 (0.72–0.92) | 0.76 (0.63–0.91) | <0.0001 | 0.93 (0.89–0.97) |
Model 2 + pre-diagnostic regular coffee | 1 | 1.02 (0.91–1.15) | 1.04 (0.89–1.22) | 0.77 (0.66–0.89) | 0.68 (0.55–0.84) | <0.0001 | 0.89 (0.85–0.94) |
Decaffeinated coffee | |||||||
Breast cancer-specific mortality | |||||||
No. of deaths | 509 | 385 | 160 | ||||
Person-years | 44,453 | 40,368 | 16,808 | ||||
Model 1 | 1 | 0.75 (0.66–0.86) | 0.69 (0.58–0.83) | 0.0006 | 0.90 (0.84–0.97) | ||
Model 2 | 1 | 0.97 (0.85–1.12) | 0.94 (0.78–1.12) | 0.49 | 0.98 (0.91–1.06) | ||
Model 2 + pre-diagnostic decaffeinated coffee | 1 | 0.93 (0.80–1.08) | 0.93 (0.75–1.16) | 0.65 | 0.99 (0.91–1.08) | ||
All-cause mortality | |||||||
No. of deaths | 1160 | 938 | 403 | ||||
Person-years | 44,453 | 40,368 | 16,808 | ||||
Model 1 | 1 | 0.80 (0.73–0.87) | 0.77 (0.68–0.86) | 0.0001 | 0.90 (0.86–0.95) | ||
Model 2 | 1 | 0.89 (0.82–0.98) | 0.88 (0.78–0.99) | 0.07 | 0.95 (0.91–1.00) | ||
Model 2+pre-diagnostic decaffeinated coffee | 1 | 0.87 (0.79–0.96) | 0.84 (0.74–0.97) | 0.06 | 0.94 (0.89–0.99) | ||
Total tea | |||||||
Breast cancer-specific mortality | |||||||
No. of deaths | 260 | 583 | 101 | 75 | 35 | ||
Person-years | 20,758 | 58,059 | 11,055 | 7883 | 3875 | ||
Model 1 | 1 | 0.79 (0.68–0.92) | 0.73 (0.58–0.92) | 0.77 (0.60–1.00) | 0.78 (0.55–1.11) | 0.13 | 0.94 (0.87–1.01) |
Model 2 | 1 | 0.94 (0.81–1.10) | 1.04 (0.82–1.31) | 0.83 (0.64–1.08) | 0.80 (0.56–1.14) | 0.17 | 0.97 (0.91–1.04) |
Model 2+pre-diagnostic total tea | 1 | 0.96 (0.81–1.13) | 1.05 (0.81–1.35) | 0.83 (0.62–1.10) | 0.78 (0.53–1.14) | 0.18 | 0.98 (0.90–1.06) |
All-cause mortality | |||||||
No. of deaths | 594 | 1400 | 264 | 171 | 72 | ||
Person-years | 20,758 | 58,059 | 11,055 | 7883 | 3875 | ||
Model 1 | 1 | 0.90 (0.82–0.99) | 0.95 (0.82–1.10) | 0.84 (0.71–0.99) | 0.81 (0.63–1.03) | 0.09 | 0.97 (0.92–1.01) |
Model 2 | 1 | 0.92 (0.83–1.02) | 1.00 (0.86–1.17) | 0.85 (0.71–1.01) | 0.74 (0.58–0.95) | 0.04 | 0.97 (0.93–1.02) |
Model 2+pre-diagnostic total tea | 1 | 0.92 (0.83–1.03) | 1.00 (0.85–1.17) | 0.82 (0.68–0.99) | 0.71 (0.55–0.93) | 0.02 | 0.97 (0.92–1.02) |
Note: Model 1 was stratified by cohort and adjusted for age at diagnosis (year) and calendar year of diagnosis.
Model 2 was stratified by cohort and adjusted for age at diagnosis (year), calendar year of diagnosis, time between diagnosis and first FFQ (year), calendar year at start of follow-up of each-2-year questionnaire cycle, pre-diagnostic BMI (<20, 20 to <22.5, 22.5 to <25, 25.0 to <30, 30 to <35, ≥35 kg/m2, missing), BMI change after diagnosis (no change (≥−0.5 to ≤0.5 kg/m2), decrease (<−0.5 kg/m2), increase (>0.5–2 kg/m2), increase (>2 kg/m2), missing), post-diagnostic smoking (never, past, current 1–14 cigarettes/day, current 15–24 cigarettes/day, current ≥25 cigarettes/day, missing), post-diagnostic physical activity (<5, 5 to <11.5, 11.5 to <22, ≥22 MET-h/week, missing), oral contraceptive use (ever, never), post-diagnostic alcohol consumption (<0.15, 0.15 to <2.0, 2.0 to 7.5, ≥7.5 g/day), post-diagnostic total energy intake (quintiles, kcal/day), pre-diagnostic menopausal status, age at menopause and postmenopausal hormone use status (premenopausal; postmenopausal, age at menopause <50 year and never postmenopausal hormone use; postmenopausal, age at menopause <50 year and past postmenopausal hormone use; postmenopausal, age at menopause <50 year and current postmenopausal hormone use; postmenopausal, age at menopause ≥50 year and never postmenopausal hormone use; postmenopausal, age at menopause ≥50 year and past postmenopausal hormone use; postmenopausal, age at menopause ≥50 year and current postmenopausal hormone use; missing), post-diagnostic aspirin use (never, past, current, missing), race (non-Hispanic white, other), stage of disease (I, II, III), ER/PR status (ER/PR-positive, ER-positive and PR-negative, ER/PR-negative, missing), radiotherapy (yes, no, missing), chemotherapy (yes, no, missing) and hormonal treatment (yes, no, missing).