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. 2021 Mar 24;124(11):1873–1881. doi: 10.1038/s41416-021-01277-1

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).