Is Coffee Bad for You Part 2 – Coffee and Cancer Risk

coffee and newspaperIn my previous posts title, “Is Coffee Bad for You?” I covered a recent study which explored the effect of drinking coffee on your cholesterol levels, glucose metabolism, and oxidative stress markers.  For part two in this series, I will review the recent data on coffee consumption on your risk of developing certain types of cancer.

In the past, randomized, double-blind, placebo-controlled trials were considered the ‘gold standard’ in terms of level of evidence.  However, with paradigm changes in modern medicine, the new buzzword is ‘Evidence Based Medicine’ (EBM).

Under the rubric of EBM, meta-analysis or systematic reviews are now considered the highest level of evidence.   Essentially, these are publications in the medial literature in which the study authors review all of the previous published studies and evaluate their data to reach specific conclusions.

Coffee Consumption and Cancer Risk:

Coffee Consumption and Risk of Lung Cancer:  ↑/↓?

“In conclusion, results from this meta-analysis indicate that high or an increased consumption of coffee may increase the risk of lung cancer. (Tang et al, 2010).”

A recent meta-analysis (Tang el al 2010), did make the above conclusion.  However, the study authors conceded that it was difficult to control for the cofounding effect of smoking.  In fact, they noted that there’s some evidence that drinking coffee actually decreased the risk of developing lung cancer in non-smokers.

As well, the study authors noted that drinking decaffeinated coffee was associated with a reduced risk of developing lung cancer.

Coffee and Risk of Colorectal Cancer:  ↓?

“An inverse association between coffee consumption and the risk of colorectal cancer has been found in several case-control studies, but such an association was not consistent in prospective cohort studies…

…but there was a slight suggestion of an inverse association between coffee consumption and colon cancer in women, especially Japanese women (Je Y et al, 2009).”

Researchers at Harvard University published the above study (Je Y et al, 2009).  For men, they did not find that coffee consumption had an effect on the risk of developing colorectal cancer.  However, they did find that coffee consumption slightly reduced the risk of women developing colorectal cancer.

Coffee Consumption and Breast Cancer Risk:  ↑?

“Our findings suggest a possible influence of high coffee consumption or an increased coffee consumption on the risk of breast cancer (Tang et al, 2008).”

This research suggests a possible connection between high intake of coffee and breast cancer risk in women.

Coffee Consumption and Hepatocellular (Liver) Cancer Risk:  ↓

“The present analysis provides evidence that the inverse relation between coffee and HCC is real, though inference on causality remains open to discussion (Bravi et al, 2007).

Findings from this meta-analysis suggest that an increased consumption of coffee may reduce the risk of liver cancer (Larsson et al, 2007).”

Both of these studies highlight the possibility that higher consumption of coffee is linked to a lower risk of liver cancer.

Coffee Consumption and Gastric Cancer:  –

“In this meta-analysis we found no adverse effect of coffee associated with gastric cancer (Botello et al, 2006).”

No association found between gastric or stomach cancer risk and coffee consumption.

Coffee Consumption and Endometrial Cancer:  ↓

“…which suggests an inverse relation between coffee and endometrial cancer. However, the causality must be confirmed (Bravi et al, 2007).”

Though no causal link has been ascertained, coffee consumption has been associated with a lower risk of endometrial cancer.

Conclusions:

In terms of coffee and cancer risk, there still is no definitive information that coffee consumption increases your risk of developing the aforementioned types of cancer.

However, consumption of coffee may increase the risk of developing lung cancer or breast cancer based on the present evidence.  Though in both cases, it’s difficult to control for the confounding effects of smoking cigarettes.  In contrast, coffee consumption is associated with a decreased risk of liver cancer, endometrial cancer, and colorectal cancer (in women).

Important! If you drink coffee, there’s certainly nothing to panic about at this point, but like anything else, moderation is usually a good idea.

References:

  1. Tang N, Wu Y, Ma J, Wang B, Yu R.  Coffee consumption and risk of lung cancer: a meta-analysis.  Lung Cancer. 2010 Jan;67(1):17-22.
  2. Je Y, Liu W, Giovannucci E.  Coffee consumption and risk of colorectal cancer: a systematic review and meta-analysis of prospective cohort studies.  Int J Cancer. 2009 Apr 1;124(7):1662-8.
  3. Tang N, Zhou B, Wang B, Yu R.  Coffee consumption and risk of breast cancer: a metaanalysis.  Am J Obstet Gynecol. 2009 Mar;200(3):290.e1-9. Epub 2008 Dec 27.
  4. Bravi F, Bosetti C, Tavani A, Bagnardi V, Gallus S, Negri E, Franceschi S, La Vecchia C.  Coffee drinking and hepatocellular carcinoma risk: a meta-analysis.  Hepatology. 2007 Aug;46(2):430-5.
  5. Larsson SC, Wolk A.  Coffee consumption and risk of liver cancer: a meta-analysis.  Gastroenterology. 2007 May;132(5):1740-5. Epub 2007 Mar 24.
  6. Botelho F, Lunet N, Barros H.  Coffee and gastric cancer: systematic review and meta-analysis.  Cad Saude Publica. 2006 May;22(5):889-900. Epub 2006 Apr 28.
  7. Bravi F, Scotti L, Bosetti C, Gallus S, Negri E, La Vecchia C, Tavani A.  Tea and coffee drinking and ovarian cancer risk: results from the Netherlands Cohort Study and a meta-analysis.  Br J Cancer. 2007 Nov 5;97(9):1291-4. Epub 2007 Oct 9.

One thought on “Is Coffee Bad for You Part 2 – Coffee and Cancer Risk

  1. Thanks for the objective article, complete with citations. Believe it or not, this type of unbiased information is not that easy to locate. The keyword being unbiased!

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