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Meta-Analysis
. 2017 Mar 21;8(12):18699-18711.
doi: 10.18632/oncotarget.8627.

Association of coffee consumption with risk of colorectal cancer: a meta-analysis of prospective cohort studies

Affiliations
Meta-Analysis

Association of coffee consumption with risk of colorectal cancer: a meta-analysis of prospective cohort studies

Yong Gan et al. Oncotarget. .

Abstract

A meta-analysis was performed to assess the association of coffee consumption with colorectal cancer and to investigate the shape of the association. Relevant prospective cohort studies were identified by a comprehensive search of the PubMed, Embase and Web of Science databases from their inception through August 2015. Either a random-effects model or fixed-effects model was used to compute the pooled risk estimates when appropriate. Linear and nonlinear dose-response meta-analyses were also performed. Nineteen prospective cohort studies involving 2,046,575 participants and 22,629 patients with colorectal cancer were included. The risk of colon cancer was decreased by 7% for every 4 cups per day of coffee (RR=0.93, 95%CI, 0.88-0.99; P=0.199). There was a threshold approximately five cups of coffee per day, and the inverse association for colorectal cancer appeared to be stronger at a higher range of intake. However, a nonlinear association of rectal cancer with coffee consumption was not observed (P for nonlinearity = 0.214). In conclusion, coffee consumption is significantly associated with a decreased risk of colorectal cancer at ≥ 5 cups per day of coffee consumption. The findings support the recommendations of including coffee as a healthy beverage for the prevention of colorectal cancer.

Keywords: coffee; colorectal cancer; epidemiology; meta-analysis; prospective cohort.

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Conflict of interest statement

CONFLICTS OF INTEREST

We declare that we have no conflicts of interest.

Figures

Figure 1
Figure 1. Screening and selection process of studies investigating effect of coffee consumption on colorectal cancer
Figure 2
Figure 2. Pooled random effects relative risk (95% CI) of colorectal cancer comparing highest with lowest coffee consumption levels
Figure 3
Figure 3. Risk of colorectal cancer associated with per 4 cups/day in coffee consumption
Figure 4
Figure 4. Dose-response relation plots between coffee consumption (cup/day) and the risk of colorectal cancer
Figure 5
Figure 5. Pooled random effects relative risk (95% CI) of colon cancer comparing highest with lowest coffee consumption levels
Figure 6
Figure 6. Risk of colon cancer associated with per 4 cups/day in coffee consumption
Figure 7
Figure 7. Dose-response relation plots between coffee consumption (cup/day) and the risk of colon cancer

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