Abstract
Studies on the association between coffee consumption and risk of lung cancer have been conflicting. The aim of this study was to systematically review the current evidence on the association between coffee consumption and risk of lung cancer and to quantify this association by performing a meta-analysis. A comprehensive systematic search was performed on online databases up to July 2023 investigating the association between coffee consumption and risk of lung cancer. All prospective cohort studies reporting odds ratios (ORs), rate or risk ratios (RRs), or hazard ratios (HRs) and 95% confidence intervals (CIs) in this context were included. The overall effect size was calculated using the random-effects model and statistical between-studies heterogeneity was examined using Cochrane’s Q test and I2. A total of 14 prospective cohort studies were included in this systematic review and meta-analysis. We found a significant positive association between coffee consumption and risk of lung cancer (RR: 1.28; 95% CI: 1.12, 1.47). This association remained significant when we included a pooled analysis paper and excluded 5 cohort studies (RR: 1.37; 95% CI: 1.12, 1.66). We observed no proof of significant publication bias using Egger’s test (P = 0.58). Moreover, dose–response analysis showed that each one cup/day increase in coffee consumption was related with a 6% higher lung cancer risk (RR: 1.06; 95% CI: 1.03, 1.09). In conclusion, we found a significant positive association between coffee consumption and risk of lung cancer.
Introduction
Lung cancer is the second commonly diagnosed cancer and one of the leading causes of cancer mortality by its high fatality rate1. Smoking is a well-known modifiable risk factor for lung cancer followed by carcinogen exposures such as asbestos, heavy metals, and polycyclic aromatic hydrocarbons and etc2,3,4. Dietary intakes have also been shown to contribute to this type of cancer. Earlier studies suggested an inverse association between healthy dietary pattern and risk of this cancer, while high consumption of red and processed meat and total and saturated fats have been associated with elevated risk5,6,7.
Coffee is one of the most widely consumed beverages throughout the world next to water and tea. It contains mixtures of biochemically active ingredients such as antimutagenic and antioxidant or cancer-promoting agents including caffeine, acrylamide, melanoidins, chlorogenic acid, diterpenes, and trigonelline, which might be important in cancer development or prevention8,9. Previous investigations have indicated that coffee may have a protective role in type 2 diabetes, stroke, dementia, and cardiovascular diseases; however, data about cancer is conflicting10, The dataset used and analyzed during the current study is available from the corresponding author on a reasonable request. Confidence intervals Hazard ratios Newcastle–Ottawa Scale Odds ratios Rate or risk ratios Women’s Health Initiative Sung, H. et al. Global Cancer Statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J. Clin. 71(3), 209–249. https://doi.org/10.3322/caac.21660 (2021). Chen, C.-Y., Peng, H.-C., Chen, Y.-Y., Chan, C.-C. & Yu, C.-J. Association of environmental heavy metals exposure and lung cancer incidence and prognosis. Eur. Respir. J. 48(suppl 60), PA2805. https://doi.org/10.1183/13993003.congress-2016.PA2805 (2016). de Groot, P. & Munden, R. F. Lung cancer epidemiology, risk factors, and prevention. Radiol. Clin. North Am. 50(5), 863–876. https://doi.org/10.1016/j.rcl.2012.06.006 (2012). Singh, A. et al. PAH exposure-associated lung cancer: An updated meta-analysis. Occup. Med. 68(4), 255–261. https://doi.org/10.1093/occmed/kqy049 (2018). Sun, Y., Li, Z., Li, J., Li, Z. & Han, J. A healthy dietary pattern reduces lung cancer risk: A systematic review and meta-analysis. Nutrients 8(3), 134. https://doi.org/10.3390/nu8030134 (2016). Xue, X.-J. et al. Red and processed meat consumption and the risk of lung cancer: A dose-response meta-analysis of 33 published studies. Int. J. Clin. Exp. Med. 7(6), 1542–1553 (2014). Yang, J. J. et al. Dietary fat intake and lung cancer risk: A pooled analysis. J. Clin. Oncol. 35(26), 3055–3064. https://doi.org/10.1200/jco.2017.73.3329 (2017). Nuhu, A. A. Bioactive micronutrients in coffee: Recent analytical approaches for characterization and quantification. ISRN Nutr. 2014, 384230. https://doi.org/10.1155/2014/384230 (2014). Yu, X., Bao, Z., Zou, J. & Dong, J. Coffee consumption and risk of cancers: A meta-analysis of cohort studies. BMC Cancer 11, 96. https://doi.org/10.1186/1471-2407-11-96 (2011). Wachamo, H. L. Review on health benefit and risk of coffee consumption. Med. Arom. Plants. https://doi.org/10.4172/2155-9821.1000301 (2017). **e, Y. et al. Coffee consumption and the risk of lung cancer: An updated meta-analysis of epidemiological studies. Eur. J. Clin. Nutr. 70(2), 199–206. https://doi.org/10.1038/ejcn.2015.96 (2016). Zhao, L.-G. et al. Coffee drinking and cancer risk: An umbrella review of meta-analyses of observational studies. BMC Cancer 20(1), 101. https://doi.org/10.1186/s12885-020-6561-9 (2020). Tang, N., Wu, Y., Ma, J., Wang, B. & Yu, R. Coffee consumption and risk of lung cancer: A meta-analysis. Lung Cancer (Amsterdam, Netherlands) 67(1), 17–22. https://doi.org/10.1016/j.lungcan.2009.03.012 (2010). Galarraga, V. & Boffetta, P. Coffee drinking and risk of lung cancer—A meta-analysis. Cancer Epidemiol. Biomark. Prev. 25(6), 951–957. https://doi.org/10.1158/1055-9965.epi-15-0727 (2016). Takezaki, T. et al. Diet and lung cancer risk from a 14-year population-based prospective study in Japan: With special reference to fish consumption. Nutr. Cancer 45(2), 160–167. https://doi.org/10.1207/s15327914nc4502_04 (2003). Gnagnarella, P. et al. Red meat, Mediterranean diet and lung cancer risk among heavy smokers in the COSMOS screening study. Ann. Oncol. 24(10), 2606–2611. https://doi.org/10.1093/annonc/mdt302 (2013). Narita, S. et al. Coffee consumption and lung cancer risk: The Japan Public Health Center-Based Prospective Study. J. Epidemiol. 28(4), 207–213. https://doi.org/10.2188/jea.JE20160191 (2018). Park, S. Y. et al. Prospective study of coffee consumption and cancer incidence in non-White populations. Cancer Epidemiol. Biomark. Prev. 27(8), 928–935. https://doi.org/10.1158/1055-9965.epi-18-0093 (2018). Kudwongsa, W., Promthet, S., Suwanrungruang, K., Phunmanee, A. & Vatanasapt, P. Coffee consumption and lung cancer risk: A prospective cohort study in Khon Kaen Thailand. Asian Pac. J. Cancer Prev. 21(8), 2367–2371. https://doi.org/10.31557/apjcp.2020.21.8.2367 (2020). Schmit, S. L. et al. Coffee consumption and cancer risk in African Americans from the Southern Community Cohort Study. Sci. Rep. 10(1), 17907. https://doi.org/10.1038/s41598-020-72993-6 (2020). Seow, W. J., Koh, W. P., **, A., Wang, R. & Yuan, J. M. Associations between tea and coffee beverage consumption and the risk of lung cancer in the Singaporean Chinese population. Eur. J. Nutr. 59(7), 3083–3091. https://doi.org/10.1007/s00394-019-02146-7 (2020). Lukic, M. et al. Coffee consumption and the risk of cancer in the Norwegian Women and Cancer (NOWAC) Study. Eur. J. Epidemiol. 31(9), 905–916. https://doi.org/10.1007/s10654-016-0142-x (2016). Khan, M. M. et al. Dietary habits and cancer mortality among middle aged and older Japanese living in Hokkaido, Japan by cancer site and sex. Asian Pac. J. Cancer Prev. 5(1), 58–65 (2004). Chow, W. H. et al. A cohort study of tobacco use, diet, occupation, and lung cancer mortality. Cancer Causes Control 3(3), 247–254. https://doi.org/10.1007/bf00124258 (1992). Orsini, N., Bellocco, R. & Greenland, S. Generalized least squares for trend estimation of summarized dose–response data. Stata J. 6(1), 40–57 (2006). Berlin, J. A., Longnecker, M. P. & Greenland, S. Meta-analysis of epidemiologic dose-response data. Epidemiology (Cambridge, Mass) 4(3), 218–228. https://doi.org/10.1097/00001648-199305000-00005 (1993). Frank, E. H. Regression Modeling Strategies: With Applications to Linear Models, Logistic and Ordinal Regression, and Survival Analysis (Springer, 2015). Santos, A. Coffee and tea consumption and the risk of lung cancer in a population of postmenopausal women. Masters Theses https://doi.org/10.7275/5463398 (2014). Ong, J. S. et al. Association between coffee consumption and overall risk of being diagnosed with or dying from cancer among >300 000 UK Biobank participants in a large-scale Mendelian randomization study. Int. J. Epidemiol. 48(5), 1447–1456. https://doi.org/10.1093/ije/dyz144 (2019). Carter, P. et al. Coffee consumption and cancer risk: A Mendelian randomisation study. Clin. Nutr. 41(10), 2113–2123. https://doi.org/10.1016/j.clnu.2022.08.019 (2022). Hashibe, M. et al. Coffee, tea, caffeine intake, and the risk of cancer in the PLCO cohort. Br. J. Cancer 113(5), 809–816. https://doi.org/10.1038/bjc.2015.276 (2015). Guertin, K. et al. Coffee consumption and risk of lung cancer in the NIH-AARP diet and health study. FASEB J. 29, 906–928 (2015). Bae, J. M. et al. Pulmonary tuberculosis and lung cancer risk in current smokers: The Seoul Male Cancer Cohort Study. J. Korean Med. Sci. 28(6), 896–900. https://doi.org/10.3346/jkms.2013.28.6.896 (2013). Stensvold, I. & Jacobsen, B. K. Coffee and cancer: A prospective study of 43,000 Norwegian men and women. Cancer Causes Control 5(5), 401–408. https://doi.org/10.1007/bf01694753 (1994). Nomura, A., Heilbrun, L. K. & Stemmermann, G. N. Prospective study of coffee consumption and the risk of cancer. J. Natl. Cancer Inst. 76(4), 587–590. https://doi.org/10.1093/jnci/76.4.587 (1986). Jacobsen, B. K., Bjelke, E., Kvåle, G. & Heuch, I. Coffee drinking, mortality, and cancer incidence: Results from a Norwegian prospective study. J. Natl. Cancer Inst. 76(5), 823–831 (1986). Zhu, J. et al. Associations of coffee and tea consumption with lung cancer risk. Int. J. Cancer https://doi.org/10.1002/ijc.33445 (2020). Wang, M., Qin, S., Zhang, T., Song, X. & Zhang, S. The effect of fruit and vegetable intake on the development of lung cancer: A meta-analysis of 32 publications and 20,414 cases. Eur. J. Clin. Nutr. 69(11), 1184–1192. https://doi.org/10.1038/ejcn.2015.64 (2015). Tu, H. et al. Different dietary patterns and reduction of lung cancer risk: A large case-control study in the U.S. Sci. Rep. 6, 26760. https://doi.org/10.1038/srep26760 (2016). Pasquet, R., Karp, I., Siemiatycki, J. & Koushik, A. The consumption of coffee and black tea and the risk of lung cancer. Ann. Epidemiol. 26(11), 757–632. https://doi.org/10.1016/j.annepidem.2016.09.001 (2016). Mojska, H. & Gielecińska, I. Studies of acrylamide level in coffee and coffee substitutes: Influence of raw material and manufacturing conditions. Roczniki Panstwowego Zakladu Higieny 64(3), 173–181 (2013). Klaunig, J. E. & Kamendulis, L. M. Mechanisms of acrylamide induced rodent carcinogenesis. Adv. Exp. Med. Biol. 561, 49–62. https://doi.org/10.1007/0-387-24980-x_4 (2005). Deplanque, G. et al. Caffeine and the G2/M block override: A concept resulting from a misleading cell kinetic delay, independent of functional p53. Int. J. Cancer 94(3), 363–369. https://doi.org/10.1002/ijc.1478 (2001). Enoma, D., Dokunmu, T. & Obi, P. The anticancer activity of caffeine—A review. Fortune 3, 326–342. https://doi.org/10.26502/acbr.50170077 (2019). Pauwels, E. K. J. & Volterrani, D. Coffee consumption and cancer risk: An assessment of the health implications based on recent knowledge. Med. Princ. Pract. 30(5), 401–411. https://doi.org/10.1159/000516067 (2021). MJ contributed to the conception, literature search, interpretation of the data, and drafting of the manuscript. ASM contributed to the design, statistical analyses, interpretation of the data, and manuscript drafting. AB contributed to the statistical analyses, interpretation of the data, and manuscript drafting. BL contributed to the design, conception, and drafting of the manuscript. AE contributed to the conception, design, statistical analyses, interpretation of the data, and drafting of the manuscript. AE supervised the study. All the authors read and approved the final manuscript before submission. The authors declare no competing interests. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. Jabbari, M., Salari-Moghaddam, A., Bagheri, A. et al. A systematic review and dose–response meta-analysis of prospective cohort studies on coffee consumption and risk of lung cancer.
Sci Rep 14, 14991 (2024). https://doi.org/10.1038/s41598-024-62619-6 Received: Accepted: Published: DOI: https://doi.org/10.1038/s41598-024-62619-6Data availability
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