Association of Lung Cancer and Tea-Drinking Habits of Different Subgroup Populations: Meta-Analysis of Case-Control Studies and Cohort Studies

  • Zijun GUO Guangzhou Institute of Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
  • Mei JIANG Guangzhou Institute of Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
  • Wenting LUO Guangzhou Institute of Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
  • Peiyan ZHENG Guangzhou Institute of Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
  • Huimin HUANG Guangzhou Institute of Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
  • Baoqing SUN Guangzhou Institute of Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
Keywords: Tea; Meta-analysis; Case-control studies; Cohort studies; Lung cancer

Abstract

Abstract Background: We aimed to investigate the association between lung cancer and tea-drinking habits of different subgroup populations. Methods: Systematic search of the PubMed, Web of Science, China National Knowledge Infrastructure (CNKI) and Sinomed databases from database construction until January 2017 for English and Chinese language articles on association of lung cancer and tea drinking. Meta-analysis was used to calculate the combined odds ratio (OR) value and its 95% confidence interval (95% CI). The Newcastle-Ottawa scale was used to evaluate the quality of the studies and Q-test and I2 was used for heterogeneity testing. Results: Forty two papers were included, 30 case-control studies included 14578 lung cancer patients and 180574 controls, 12 cohort studies included 543825 subjects, of which the outcome was 5085 with lung cancer. Tea drinkers were found to have a decreased OR of lung cancer compared with non-tea drinkers (OR 0. 80, 95% CI: 0. 73, 0. 87). Consumption of green, black or unspecified tea has a protective effect compared with not drinking tea at all. Increased intake of green tea to 7. 5 g per day can further reduce the OR of lung cancer (OR 0. 69, 95% CI: 0. 48-0. 98). Tea consumption had a protective effect against lung cancer in non-smokers, Further analysis found that drinking of one or more cups of tea a day has a protective effect on smokers (OR 0. 79, 95%CI: 0. 64–0. 96). Conclusion: Tea drinking could be a protective factor in lung cancer.    

References

1. Jemal A, Bray F, Center MM, et al (2011). Global cancer statistics. CA Cancer J Clin, 61(2):69-90.
2. J MarchandL, Murphy SP, Hankin JH, et al (2000). Intake off lavonoidsand lung can-cer. J Natl Cancer Inst, 92(2):154-60.
3. Nakachi K, Matsuyama S, Miyake S, et al (2000). Preventive effects of drinking green tea on cancer and cardiovascular disease:epidemiological evidence for mul-tiple targeting prevention. Biofactors, 13(1-4):49-54.
4. Kuriyama S, Shimazu T, Ohmori K, et al (2006). Green tea consumption and mor-tality due to cardiovascular disease, can-cer, and all causes in Japan:the Ohsaki study. JAMA, 296(10):1255-65.
5. Tang N, Wu Y, Zhou B, et al (2009). Green tea, black tea consumption and risk of lung cancer:a meta-analysis. Lung Cancer, 65(3):274-83.
6. Wang L, Zhang X, Liu J, et al (2014). Tea consumption and lung cancer risk:a me-ta-analysis of case-control and cohort studies. Nutrition, 30(10):1122-7.
7. Thun MJ, Carter BD, Feskanich D et al (2013). 50-year trends in smoking-related mortality in the United States. N Engl J Med, 368(4):351-64.
8. Prescott E, Hippe M, Schnohr P et al (1998). Smoking and risk of myocardial infarc-tion in women and men: longitudinal population study. BMJ, 316(7137):1043-7.
9. No authors lists (1991). Coffee, tea, mate, methylxanthines and methylglyoxal. IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. Lyon, 27 February to 6 March 1990. IARC Monogr Eval Carcinog Risks Hum, 51:1-513.
10. Cabrera C, Giménez R, López MC (2003). Determination of tea components with antioxidant activity. J Agric Food Chem, 51(15):4427-35.
11. Liang W, Binns CW, Jian L, Lee AH (2007). Does the consumption of green tea re-duce the risk of lung cancer among smokers? Evid Based Complement Al-ternat Med, 4(1):17-22.
12. Hedges LV, Pigott TD (2001). The power of statistical tests in meta-analysis. Psychol Methods, 6(3):203-17.
13. Egger M, Davey Smith G, Schneider M, et al (1997). Bias in meta-analysis detected by a simple, graphical test. BMJ, 315(7109):629-34.
14. Pasquet R, Karp I, Siemiatycki J et al (2016). The consumption of coffee and black tea and the risk of lung cancer. Ann Epidemiol, 26(11):757-763. e2.
15. Wu W (2015). Association of endogenous, exogenous estrogen factors and single nucleotide polymorphisms in estrogen related genes with risk of lung cancer in non-smoking females. China medical university.
16. Wang Z, Yang K, Wan C, et al (2015). As-sociation of urine isothiocyanate ester levels with lung cancer: a case-control study. Chin J Public Health, 31(9).
17. Hashibe M, Galeone C, Buys SS, et al (2015). Coffee, tea, caffeine intake, and the risk of cancer in the PLCO cohort. Br J Can-cer, 113(5):809-16.
18. Zabłocka-Słowińska K, Porębska I, Gołecki M et al (2015). Dietary habits of lung can-cer patients from the Lower Silesia region of Poland. Contemp Oncol (Pozn), 19(5):391-5.
19. Bao L (2014). Clinical analysis of 50 cases of lung cancer. Chinese Journal of Practical Medi-cine, 41(24) [In Chinese).
20. Phukan RK, Saikia BJ, Borah PK, et al (2014). Role of household exposure, die-tary habits and glutathione S-Transferases M1, T1 polymorphisms in susceptibility to lung cancer among women in Mizo-ram India. Asian Pac J Cancer Prev, 15(7):3253-60.
21. Xu X (2013). A case-control study on tea consumption and the risk of lung cancer. Wei Sheng Yan Jiu, 42:211-6.
22. Gnagnarella P, Maisonneuve P, Bellomi M et al (2013). Red meat, Mediterranean diet and lung cancer risk among heavy smok-ers in the COSMOS screening study. Ann Oncol, 24(10):2606-11.
23. Takata Y, Xiang YB, Yang G, et al (2013). Intakes of fruits, vegetables, and related vitamins and lung cancer risk: results from the Shanghai Men's Health Study (2002-2009). Nutr Cancer, 65(1):51-61.
24. Jin ZY, Wu M, Han RQ, et al (2013). Raw garlic consumption as a protective factor for lung cancer, a population-based case-control study in a Chinese population. Cancer Prev Res (Phila), 6(7):711-8.
25. Takata Y, Shu XO, Yang G, et al (2013). Calcium intake and lung cancer risk among female nonsmokers: a report from the Shanghai Women's Health Study. Cancer Epidemiol Biomarkers Prev, 22(1):50-7.
26. Lin IH, Ho ML, Chen HY, et al (2012). Smoking, green tea consumption, genetic polymorphisms in the insulin-like growth factors and lung cancer risk. PLoS One, 7:e30951.
27. Zhang H (2012). Population attributable risk estimation of risk factors for lung cancer in urban Shanghai. Unpublished master’s thesis. Shanghai, China: Fudan Universi-ty.
28. Ganesh B, Sushama S, Monika S, Suvarna P (2011). A case-control study of risk fac-tors for lung cancer in Mumbai, India. Asian Pac J Cancer Prev, 12(2):357-62.
29. Wang L, Lee IM, Zhang SM, et al (2009). Dietary intake of selected flavonols, fla-vones, and flavonoid-rich foods and risk of cancer in middle-aged and older women. Am J Clin Nutr, 89:905-12.
30. Han RQ, Zhao JK, Liu AM (2008). The ef-fect of green tea and its possible interac-tions with relevant factors on lung cancer in Dafeng county, Jiangsu province, Chi-na. Acta Universitatis Medicinalis Nanjing, 3:354-9.
31. Zhang K, Wang J, Qu Z, et al (2008). A case-control study on risk factors of lung cancer in Tianning District. Chin Cancer, 17:567-9.
32. Li Q, Kakizaki M, Kuriyama S et al (2008). Green tea consumption and lung cancer risk:the Ohsaki study. Br J Cancer, 99:1179-84.
33. Wang JY, Zhu L, Wang XS (2008). A case-control study on risk factors for com-mon cancer in low incidence area of Jiangsu province, China. Chin Cancer, 17(1):3-5.
34. Cui Y, Morgenstern H, Greenland S, et al (2008). Dietary flavonoid intake and lung cancerda population-based case-control study. Cancer, 112:2241-8.
35. Tao WH, Jin YT, Yu ZC, et al (2007). The effects of CYP1A1 gene polymorphism and Pl-6 gene methylation on the risk of lung cancer. Acta Univ Med Anhui, 42(1):62-66.
36. Bonner MR, Rothman N, Mumford JL, et al (2005). Green tea consumption, genetic susceptibility, PAH-rich smoky coal, and the risk of lung cancer. Mutat Res, 582(1-2):53-60.
37. Baker JA, McCann SE, Reid ME, et al (2005). Associations between black tea and coffee consumption and risk of lung cancer among current and former smok-ers. Nutr Cancer, 52:15-21.
38. Khan MM, Goto R, Kobayashi K et al (2004). Dietary habits and cancer mortali-ty among middle aged and older Japa-nese living in hokkaido, Japan by cancer site and sex. Asian Pac J Cancer Prev, 5:58-65.
39. Hu JF, Mao Y, Dryer D, et al (2002). Cana-dian Cancer Registries Epidemiology Re-search Group. Risk factors for lung can-cer among Canadian women who have never smoked. Cancer Detect Prev, 26:129-38.
40. Zhong L, Goldberg MS, Gao YT et al (2001). A populationbased case-control study of lung cancer and green tea con-sumption among women living in Shanghai, China. Epidemiology, 12:695-700.
41. Nagano J, Kono S, Preston DL, et al (2001). A prospective study of green tea con-sumption and cancer incidence, Hiroshi-ma and Nagasaki. Cancer Causes Control, 12:501-8.
42. Hirvonen T, Virtamo J, Korhonen P, et al (2001). Flavonol and flavone intake and the risk of cancer in male smokers. Cancer Causes Control, 12:789-96.
43. Nyberg F, Agrenius V, Svartengren K (1998). Dietary factors and risk of lung cancer in never-smokers. Int J Cancer, 78:430-6.
44. Mendilaharsu M, De Stefani E, Deneo-Pellegrini H (1998). Consumption of tea and coffee and the risk of lung cancer in cigarettesmoking men: a case-control study in Uruguay. Lung Cancer, 19:101-7.
45. Ko YC, Lee CH, Chen MJ, et al (1997). Risk factors for primary lung cancer among non-smoking women in Taiwan. Int J Ep-idemiol, 26:24-31.
46. Goldbohm RA, Hertog MG, Brants HA, et al (1996). Consumption of black tea and cancer risk: a prospective cohort study. J Natl Cancer Inst, 88:93-100.
47. Axelsson G, Liljeqvist T, Andersson L, et al (1996). Dietary factors and lung cancer among men in west Sweden. Int J Epi-demiol, 25:32-9.
48. Zheng W, Doyle TJ, Kushi LH, et al (1996). Tea consumption and cancer incidence in a prospective cohort study of postmeno-pausal women. Am J Epidemiol, 144:175-82.
49. Xu ZY, Brown LM, Pan GW, et al (1996). Cancer risks among iron and steel work-ers in Anshan:Case-control studies of lung and stomach cancer. Am J Ind Med, 30:7-15.
50. Ohno Y, Wakai K, Genka K, et al (1995). Tea consumption and lung cancer risk:a case-control study in Okinawa, Japan. Jpn J Cancer Res, 86:1027-34.
51. Tewes FJ, Koo LC, Meisgen TJ, Rylander R (1990). Lung cancer risk and mutagenicity of tea. Environ Res, 52:23-33.
52. Mettlin C (1989). Milk drinking, other bever-age habits, and lung cancer risk. Int J Can-cer, 43:608-12.
53. Kinlen LJ, Willows AN, Goldblatt P, Yudkin J (1988). Tea consumption and cancer. Br J Cancer, 58:397-401.
54. Hecht SS (1999). Tobacco smoke carcino-gens and lung cancer. J Natl Cancer Inst, 91:1194-210.
55. Katiyar SK, Mukhtar H (1997). Tea antioxi-dants in cancer chemoprevention. J Cell Biochem Suppl, 27:59-67.
56. Khan SG, Katiyar SK, Agarwal R, et al (1992). Enhancement of antioxidant and phase II enzymes by oral feeding of green tea polyphenols in drinking water to SKH-1 hairless mice:possible role in cancer chemoprevention. Cancer Res, 52:4050-2.
57. Ahmad N, Mukhtar H (1999). Green tea polyphenols and cancer: biologic mecha-nisms and practical implications. Nutr Rev, 57:78-83.
58. Hakim IA, Harris RB, Brown S, et al (2003). Effect of increased tea consumption on oxidative DNA damage among smok-ers:a randomized controlled study. J Nutr, 133:3303S- 3309S.
59. Schwartz JL, Baker V, Larios E, et al (2005). Molecular and cellular effects of green tea on oral cells of smokers: a pilot study. Mol Nutr Food Res, 49:43-51.
60. Liao J, Yang GY, Park ES et al (2004). Inhi-bition of lung carcinogenesis and effects on angiogenesis and apoptosis in A/J mice by oral administration of green tea. Nutr Cancer, 48:44-53.
61. Yang CS, Chung JY, Yang G, et al (2000). Tea and tea polyphenols in cancer pre-vention. J Nutr, 130(2S Suppl):472S-478S.
62. Alberg AJ, Samet JM (2003). Epidemiology of lung cancer. Chest, 123(1 Suppl):21S-49S.
Published
2019-09-03
How to Cite
1.
GUO Z, JIANG M, LUO W, ZHENG P, HUANG H, SUN B. Association of Lung Cancer and Tea-Drinking Habits of Different Subgroup Populations: Meta-Analysis of Case-Control Studies and Cohort Studies. Iran J Public Health. 48(9):1566-1576.
Section
Review Article(s)