华南预防医学 ›› 2014, Vol. 40 ›› Issue (3): 201-207.doi: 10.13217/j.scjpm.2014.0201

• 论著 •    下一篇

饮茶与女性乳腺癌易感性的病例对照研究

李彬,汪莲,莫雄飞2,罗伟平,杜雨峰,张彩霞   

  1. 1.中山大学公共卫生学院,广东 广州 510080;2. 中山大学附属第一医院
  • 收稿日期:2014-01-10 出版日期:2014-06-20 发布日期:2014-06-13
  • 通讯作者: 张彩霞 E-mail:zhangcx3@mail.sysu.edu.cn
  • 作者简介:李彬(1987—),男,在读硕士研究生,研究方向:慢性病流行病学
  • 基金资助:
    国家自然科学基金资助项目(No.81102188);教育部博士点基金新教师基金项目(No.20100171120057)

Tea drinking and susceptibility to breast cancer: case-control study

LI Bin, WANG Lian, MO Xiong-fei, LUO Wei-ping, DU Yu-feng, ZHANG Cai-xia   

  1. 1. School of Public Health, Sun Yat-sen University, Guangzhou 510080,China;2.The First Affiliated Hospital, Sun Yat-sen University
  • Received:2014-01-10 Online:2014-06-20 Published:2014-06-13

摘要: 目的 探讨饮茶与乳腺癌易感性的关联。方法 采用以医院为基础的病例对照研究,对中山大学2所附属医院2012年4月至2013年9月间确诊的乳腺癌患者(464例)和同时期同医院就诊的其他非肿瘤患者(464例),调查其社会人口学特征、膳食习惯、月经生育史、疾病及家族史、生活方式和体力活动情况。采用多因素非条件logistic回归模型分析饮茶与乳腺癌易感性的关联。结果 464例病例组和464例对照组的平均年龄分别为(46.78±10.36)和(46.58±10.84)岁,其中219例(47.2%)病例和263名(56.7%)对照经常饮茶。Logistic回归模型中调整了年龄、家庭收入、体力活动、被动吸烟、饮用咖啡、一级亲属乳腺癌史、良性乳腺癌病史,结果显示饮茶与乳腺癌存在负相关(OR=0.74,95% CI为0.56~0.97),且随着饮茶频次或饮茶量的增加,女性患乳腺癌的危险性逐渐降低(均P趋势<0.01)。不同饮茶类型与乳腺癌关系的结果显示,饮乌龙茶与乳腺癌易感性存在负相关(OR=0.62,95% CI为0.42~0.93),并且随着饮乌龙茶量的增加,患乳腺癌危险降低(P趋势<0.05)。按绝经状态分层分析,仅发现饮茶与绝经后女性乳腺癌易感性存在负相关(OR=0.58,95% CI为0.36~0.94)。结论 饮茶对女性乳腺癌具有保护作用,此作用仅限于饮乌龙茶女性和绝经后女性。

Abstract: Objective To examine the association between tea drinking and susceptibility to breast cancer. Methods A hospital-based case-control study was conducted. Breast cancer cases (n=464) and nontumorous patients (n=464) were recruited from two affiliated hospitals of Sun Yat-sen University between April 2012 and September 2013. Each individual was interviewed with a questionnaire including socio-demographic factors, dietary habits, menstrual and reproductive histories, disease and family histories, living habits and physical activity. A multivariate unconditional logistic regression model was used to estimate the association between tea drinking and breast cancer risk. Results The average age for cases was (46.78±10.36) years (mean±SD) and for controls (46.58±10.84) years. Two hundred and nineteen cases (47.2%) and 263 controls (56.7%) had the habit of often drinking tea. The logistic regression analyses were adjusted for age, family income, physical activity, passive smoking, coffee drinking, family history of breast cancer in a first-degree relatives, and history of benign breast disease. A significant negative association was found between tea drinking and breast cancer risk (OR=0.74; 95% CI, 0.56-0.97). The frequency and amount of tea drinking had dose-response relationships with breast cancer risk (all P trend<0.01). Further analyses revealed that only oolong tea drinking had a negative association with breast cancer risk (OR=0.62; 95% CI, 0.42-0.93), and the risk decreased with the increased amount of oolong drinking (Ptrend<0.05). Stratified analysis by menopausal status showed that the significant negative association between tea drinking and breast cancer risk were found in postmenopausal women (OR=0.58; 95% CI, 0.36-0.94). Conclusion Tea drinking was negatively associated with breast cancer risk. This potential protective effect may be restricted to oolong tea drinking women and postmenopausal women.

中图分类号: 

  • R737.9