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Eduardo E. Rivera Cintrón
  UPR of Cayey                        Does the intake of coffee and tea really benefits our health?

Rise Program                         Abstract

                                     Cancer is the most deadly disease known in all mankind. Every
                                     year fatalities increase due to the complexity of this disease.
                                     Coffee and tea are one of the most popular beverages in the
                                     world. The average American drinks 3.2 cups of coffee equivalent
                                     to 336 million cups of coffee a day. The intake of tea is also
                                     considerably high in the United States and is increasing more
                                     every time. Holick and collaborators (Brain Tumor), Islami and
                                     collaborators (Tea and esophageal), and Villanueva and
                                     collaborators stated that their study addresses the prevention of
                                     brain tumors (coffee and tea), the risk bladder cancer (coffee) and
                                     esophageal cancer (tea). All of the results depended on the
                                     average intake of the beverage and how frequently the beverage
                                     was consumed. Villanueva and collaborators conducted a study
                                     where the result showed that drinking coffee four or more cups a
                                     day showed an increase risk of bladder cancer. However, Holick
                                     and collaborators concluded in their study that drinking five or
                                     more cups of coffee and tea a day showed a reduction in the risk
                                     of glioma tumors. In conclusion, the studies point to the
                                     contradictory results in the intake of coffee and/or tea, confirming
                                     that further studies are needed to discover whether the intake of
                                     coffee and/or tea can cause cancer and if so, what ingredient(s)
                                     may causes it.

      Introduction                                         cancer diseases. Cancer has been a topic
                                                           where every American is attentively
      There may be no greater goal in the
                                                           listening to new discoveries and what they
      American population, or even in the world’s
                                                           should know to be well prepared if in the
      population, than to find the cure of various
Does the intake of coffee and tea really benefits our health?


near future they get the news that they or a              Coffee is the major source of caffeine,
loved one has cancer. Cancer is becoming                  which has been reported to both stimulate
the greatest and most complex disease in the              the central nervous system and suppress
history of mankind. Every day we identify                 brain tumors. There have been various
different risk factors that can cause cancer              studies stating the inconsistency of a result
and the list of possible carcinogens is                   in coffee making it a potential carcinogenic.
greater. Every year we receive news on                    Studies have revealed that there is an
higher diagnostics of cancer deaths. Year-                ingredient in coffee, not yet specified, that is
by-year the fear of this disease is greater               labeled 2b carcinogens. Although the
because of the average mortality rate in the              consumption of coffee has various health
world’s society. The main reason for such a               benefits in our daily living, it also has
high mortality rate from cancer is due to the             negative effects shown in recent studies.
highly invasive behavior of cancer cells,
                                                          Tea is known as the number one beverage
which usually results in cancer progression
                                                          worldwide and its consumption is increasing
and metastasis. Metastasis is the process
                                                          rapidly in the United States. Tea is generally
where neoplastic cells spread from a primary
                                                          consumed in the form of green (20%),
site, where the primary tumor originated, to
                                                          oolong (2%), or black (78%) tea, all of
distant organs and is responsible for the
                                                          which originate from the leaves of the plant
majority of deaths related to cancer.
                                                          Camellia sinensis (Naghma 2010). Tea and
(Naghma 2010)
                                                          its constituents have been shown to inhibit
Our main focus in this article is to inform               tumor genesis in many animal models,
whether the consumption of coffee and/or                  including those for cancer of the skin, lung,
tea causes cancer or prevents it. In the                  oral cavity, esophagus, stomach, small
population of the United States 50% of                    intestine, colon, liver, pancreas, bladder,
Americans drink coffee averaging 3.1 cups                 breast and prostate (Kang et al. 2010).
of coffee a day. Coffee consumption has                   Recent studies reveal that tea contains an
been shown to be associated with cancer of                ingredient called Tannin, a strong chemical,
various sites in epidemiological studies.                 which is linked to the risk of esophageal
However, there is not a comprehensive                     cancer. Although the consumption of tea is
overview of the substantial body of                       favorable for everyone because of its health
epidemiologic evidence. [Yu et al. 2011)                  benefits like antibiotic effects, increase of


                                                                                                          2
Does the intake of coffee and tea really benefits our health?


metabolic rate, anti-diabetes effect, boost to          per day or more had an OR of 1.27 (95%CI
mental alertness, and others; tea may have a            0.88-1.81) (Villanueva et al. 2009). In
negative effect on the human being.                     addition, the consumption of coffee was
                                                        correlated with smoking habits. Among the
Risk of cancer in tea and coffee
                                                        group who didn’t smoke, the risk was found
Coffee and the risk of Bladder cancer                   only in the group who drank 4 or more cups
                                                        of coffee a day. These results supported their
Bladder cancer is one of the most commonly
                                                        hypothesis that coffee is a weak carcinogen.
diagnosed cancers in the U.S. Studies
suggest that coffee is possibly carcinogenic            Tea and the risk of Esophageal Cancer
to urinary bladder, although evidence
                                                        Esophagus cancer kills nearly 500,000
remains controversial (Villanueva et al.
                                                        people a year. The areas in which the deaths
2009). A number of studies have reported a
                                                        are most often seen are in Asia, Africa, and
positive association that was not replicated
                                                        South America. The most common subtype
in other studies (Villanueva et al. 2009).
                                                        of esophagus cancer worldwide is
The study was conducted in Spain in 18
                                                        esophageal squamous cell carcinoma. The
hospitals located in five different areas.
                                                        main causes of this cancer are smoking and
Villanueva and collaborators identified
                                                        alcohol consumption. However, in the
1,457 cases and 1,465 eligible controls.
                                                        Eastern part of the world one of the causes is
They ask various questions to the
                                                        the consumption of hot tea, something that is
participants on how frequently they drank
                                                        commonly used in these countries. Studies
coffee, when did you first drink coffee, how
                                                        support the hypothesis that the consumptions
many times a week they drank coffee, and
                                                        of hot tea can cause esophageal cancer.
how many cups of coffee they drank per
                                                        Islami and collaborators concentrated their
day. Eighty seven percent of the study
                                                        study in the area of Golestan, Iran by
subjects consumed coffee (89% of cases,
                                                        conducting a case-control study and a cohort
85% of controls). By gender, 89% of men
                                                        study. In the cohort study participants,
vs. of 79% of women consumed coffee.
                                                        around 50,045 adults, had to answer various
Coffee consumer drank an average 2.4 cups
                                                        questions that were: do you drink tea, if so,
a day. Overall, the risk of bladder cancer
                                                        did they drink it warm, lukewarm, hot, or
among coffee drinkers was slightly
                                                        very hot. In the case-control study
increased. Drinkers of four cups of coffee


                                                                                                        3
Does the intake of coffee and tea really benefits our health?


participant’s nearly 300 cases and 571                    beneficial compounds; however, such
controls answered the same questions as in                activity has not been convincingly shown in
the cohort study. Researchers started at 75C              human(Islami et al. 2007). The association
and drop 5C if the temperature wasn’t the                 between drinking hot beverages and the risk
one in which the participant drank the tea.               of esophageal cancer suggests that thermal
Tea temperature was associated with the risk              injury could be a cause of other cancers of
of esophageal squamous cell carcinoma.                    the upper aero digestive epithelia; however,
(Islami et al. 2007) Compared with drinking               this hypothesis has been investigated in only
warm or lukewarm tea, drinking hot tea                    a few epidemiological studies. Even though
(odds ratio 2.07, 95% confidence interval                 the evidence shows that hot tea drinking
1.28 to 3.35) or very hot tea (8.16, 3.93 to              causes esophageal cancer it’s too early to
16.91) was associated with an increased risk              draw any conclusion. Further studies are
of esophageal cancer (P for trend <0.001).                needed.
(Islami et al. 2007) What was also
                                                          Prevention of cancer
associated with the risk of esophageal cancer
was the interval between tea being poured                 Tea and Coffee associated with brain
and drunk. Compared with an interval of                   tumors
four or more minutes, intervals of 2-3
                                                          Coffee is of the most frequently consumed
minutes (odds ratio 2.49, 95% confidence
                                                          beverage in the world. Coffee is mainly
interval 1.62 to 3.83) and less than two
                                                          caffeine, which is known to be a stimulant of
minutes (5.41, 2.63 to 11.14) were
                                                          the central nervous system. There have been
associated with an increased risk of
                                                          only three epidemiologic studies that have
esophageal cancer (P for trend <0.001). In
                                                          examined the relationship between the
their study they concluded that the majority
                                                          intake of coffee and glioma risk. These
of the population drinks tea. They used more
                                                          studies showed a null result when examining
black tea, and it is the one they drink in large
                                                          them differently with other variables. When
amounts per day compared with green tea
                                                          researchers examined the tea alone, they did
that is rarely consumed in their population.
                                                          not find an association. On the other hand,
Both green and black tea has shown cancer
                                                          studying it combining coffee, tea and cola
prevention activity in animal models, which
                                                          drinks showed an inversed association. This
may be attributable to flavonoids and other
                                                          study is combining the data obtained by


                                                                                                          4
Does the intake of coffee and tea really benefits our health?


analyzing three large prospective studies on            Discussion
men and women. Holick and collaborators
                                                        Previous research on coffee and/or tea states
conducted their study by asking the
                                                        the positive health benefits in the different
participants the sizes of their intakes of food.
                                                        types of cancer, in other diseases and
Individual intakes were calculated by
                                                        nutritional health. In spite of these results
multiplying the frequency of each food or
                                                        there have been contradictory effects related
beverage consumed by the nutrient content
                                                        to coffee and tea that show the contrary. At
of the specified portion size and then by
                                                        this point, we are aware of the various
summing the contribution from all foods and
                                                        benefits that coffee and tea provide. With
beverages. (Holick et al. 2010) In each
                                                        these results, people must take their cautions
questionnaire, participants were asked if
                                                        to moderate their intake of coffee and tea.
they had been diagnosed with any type of
                                                        Coffee and tea have been studied for years
cancer or medical disease during the past 2-
                                                        in various diseases. In the past decades,
years. Investigators evaluated every
                                                        researchers have revealed contradictory
questionnaire and the participants who
                                                        results. Cancer is a disease that is spreading
didn’t answer were called by phone and
                                                        fast in society. Due to the inconsistency of
interviewed. For (83%) of the men and 70%
                                                        the results further studies are required to
of the women in NHS I, glioblastoma was
                                                        reveal what ingredient is the possible
the most common histological type, while
                                                        carcinogen in coffee, and why the intake of
astrocytomas accounted for 14% of tumors
                                                        coffee and/or tea has contradictory effects
in men and 24% in women. (Holick et al.
                                                        on humans.
2010) However, there was a significantly
lower risk of glioma among men and women                References
who consumed five or more cups a day
compared with the ones who drank one cup                    1. Holick C, Smith S., Giovanucci E,
                                                               Michaud D, 2010. Coffee, tea,
or less a day. In conclusion, the findings                     caffeine intake and risk of adult
suggested that high intake of coffee and tea                   glioma 3 prospective study, Cancer
                                                               Epidemiology, Biomarkers &
reduces the risk of glioma in both men and                     Prevention (Internet); (cited
women. Nonetheless, further study is                           January 2010). 19(39): Doi:
                                                               10.1158/1055-9965.EPI-09-0732
needed in other populations to confirm these                   (approximately 9 pages), available
findings.                                                      in
                                                               http://cebp.aacrjournals.org/cont


                                                                                                         5
Does the intake of coffee and tea really benefits our health?


   ent/19/1/39.long                                    icles/PMC3066123/?tool=pubmed



2. Islami F, Purshams A,
   Nasrollahzadeh D, et al; Tea
   Drinking habits and oseophageal
   cancer in a high risk area in
   northern Iran: Population based
   case-control study; BMJ [Internet];
   [Cited 2009 March 26]; 338 doi:
   10.1136/bmj.b929, available at
   http://www.bmj.com/content/338/bm
   j.b929


3. Naghma K, Mukhtar H, Cancer
   mestatasis: prevention and treatment
   by green tea. BMC Cancer.
   [Published 2010 September 23]
   29(3): Doi: 10.1007/s 10555 010
   92361, Available at:
   http://www.ncbi.nlm.nih.gov/pmc/art
   icles/PMC3142888/?tool=pubmed


4. Villanueva C, Silverman D, Murta
   Nascimiento C, et al; Coffee
   consumption, genetic susceptibility
   and bladder cancer: Cancer causes
   and control: [Published in formal
   form 2009 February 20]. 20(1): Doi
   10.1007/s10552-008-9226-6:
   (approximate 7 pages) Available at
   http://www.ncbi.nlm.nih.gov/pub
   med/18798002


5. Xiaofeng Yu, Zhijun Bao, Juan Zou,
   Jie Dong, Coffee consumption and
   the risk cancer: a meta analysis of
   cohort studies. PubMed. [Published
   2011 March 15] 11(96): Doi:
   10.1186/1471-11-96, Available at
   http://www.ncbi.nlm.nih.gov/pmc/art



                                                                                               6

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Does Coffee and Tea Intake Increase or Decrease Cancer Risk

  • 1. Eduardo E. Rivera Cintrón UPR of Cayey Does the intake of coffee and tea really benefits our health? Rise Program Abstract Cancer is the most deadly disease known in all mankind. Every year fatalities increase due to the complexity of this disease. Coffee and tea are one of the most popular beverages in the world. The average American drinks 3.2 cups of coffee equivalent to 336 million cups of coffee a day. The intake of tea is also considerably high in the United States and is increasing more every time. Holick and collaborators (Brain Tumor), Islami and collaborators (Tea and esophageal), and Villanueva and collaborators stated that their study addresses the prevention of brain tumors (coffee and tea), the risk bladder cancer (coffee) and esophageal cancer (tea). All of the results depended on the average intake of the beverage and how frequently the beverage was consumed. Villanueva and collaborators conducted a study where the result showed that drinking coffee four or more cups a day showed an increase risk of bladder cancer. However, Holick and collaborators concluded in their study that drinking five or more cups of coffee and tea a day showed a reduction in the risk of glioma tumors. In conclusion, the studies point to the contradictory results in the intake of coffee and/or tea, confirming that further studies are needed to discover whether the intake of coffee and/or tea can cause cancer and if so, what ingredient(s) may causes it. Introduction cancer diseases. Cancer has been a topic where every American is attentively There may be no greater goal in the listening to new discoveries and what they American population, or even in the world’s should know to be well prepared if in the population, than to find the cure of various
  • 2. Does the intake of coffee and tea really benefits our health? near future they get the news that they or a Coffee is the major source of caffeine, loved one has cancer. Cancer is becoming which has been reported to both stimulate the greatest and most complex disease in the the central nervous system and suppress history of mankind. Every day we identify brain tumors. There have been various different risk factors that can cause cancer studies stating the inconsistency of a result and the list of possible carcinogens is in coffee making it a potential carcinogenic. greater. Every year we receive news on Studies have revealed that there is an higher diagnostics of cancer deaths. Year- ingredient in coffee, not yet specified, that is by-year the fear of this disease is greater labeled 2b carcinogens. Although the because of the average mortality rate in the consumption of coffee has various health world’s society. The main reason for such a benefits in our daily living, it also has high mortality rate from cancer is due to the negative effects shown in recent studies. highly invasive behavior of cancer cells, Tea is known as the number one beverage which usually results in cancer progression worldwide and its consumption is increasing and metastasis. Metastasis is the process rapidly in the United States. Tea is generally where neoplastic cells spread from a primary consumed in the form of green (20%), site, where the primary tumor originated, to oolong (2%), or black (78%) tea, all of distant organs and is responsible for the which originate from the leaves of the plant majority of deaths related to cancer. Camellia sinensis (Naghma 2010). Tea and (Naghma 2010) its constituents have been shown to inhibit Our main focus in this article is to inform tumor genesis in many animal models, whether the consumption of coffee and/or including those for cancer of the skin, lung, tea causes cancer or prevents it. In the oral cavity, esophagus, stomach, small population of the United States 50% of intestine, colon, liver, pancreas, bladder, Americans drink coffee averaging 3.1 cups breast and prostate (Kang et al. 2010). of coffee a day. Coffee consumption has Recent studies reveal that tea contains an been shown to be associated with cancer of ingredient called Tannin, a strong chemical, various sites in epidemiological studies. which is linked to the risk of esophageal However, there is not a comprehensive cancer. Although the consumption of tea is overview of the substantial body of favorable for everyone because of its health epidemiologic evidence. [Yu et al. 2011) benefits like antibiotic effects, increase of 2
  • 3. Does the intake of coffee and tea really benefits our health? metabolic rate, anti-diabetes effect, boost to per day or more had an OR of 1.27 (95%CI mental alertness, and others; tea may have a 0.88-1.81) (Villanueva et al. 2009). In negative effect on the human being. addition, the consumption of coffee was correlated with smoking habits. Among the Risk of cancer in tea and coffee group who didn’t smoke, the risk was found Coffee and the risk of Bladder cancer only in the group who drank 4 or more cups of coffee a day. These results supported their Bladder cancer is one of the most commonly hypothesis that coffee is a weak carcinogen. diagnosed cancers in the U.S. Studies suggest that coffee is possibly carcinogenic Tea and the risk of Esophageal Cancer to urinary bladder, although evidence Esophagus cancer kills nearly 500,000 remains controversial (Villanueva et al. people a year. The areas in which the deaths 2009). A number of studies have reported a are most often seen are in Asia, Africa, and positive association that was not replicated South America. The most common subtype in other studies (Villanueva et al. 2009). of esophagus cancer worldwide is The study was conducted in Spain in 18 esophageal squamous cell carcinoma. The hospitals located in five different areas. main causes of this cancer are smoking and Villanueva and collaborators identified alcohol consumption. However, in the 1,457 cases and 1,465 eligible controls. Eastern part of the world one of the causes is They ask various questions to the the consumption of hot tea, something that is participants on how frequently they drank commonly used in these countries. Studies coffee, when did you first drink coffee, how support the hypothesis that the consumptions many times a week they drank coffee, and of hot tea can cause esophageal cancer. how many cups of coffee they drank per Islami and collaborators concentrated their day. Eighty seven percent of the study study in the area of Golestan, Iran by subjects consumed coffee (89% of cases, conducting a case-control study and a cohort 85% of controls). By gender, 89% of men study. In the cohort study participants, vs. of 79% of women consumed coffee. around 50,045 adults, had to answer various Coffee consumer drank an average 2.4 cups questions that were: do you drink tea, if so, a day. Overall, the risk of bladder cancer did they drink it warm, lukewarm, hot, or among coffee drinkers was slightly very hot. In the case-control study increased. Drinkers of four cups of coffee 3
  • 4. Does the intake of coffee and tea really benefits our health? participant’s nearly 300 cases and 571 beneficial compounds; however, such controls answered the same questions as in activity has not been convincingly shown in the cohort study. Researchers started at 75C human(Islami et al. 2007). The association and drop 5C if the temperature wasn’t the between drinking hot beverages and the risk one in which the participant drank the tea. of esophageal cancer suggests that thermal Tea temperature was associated with the risk injury could be a cause of other cancers of of esophageal squamous cell carcinoma. the upper aero digestive epithelia; however, (Islami et al. 2007) Compared with drinking this hypothesis has been investigated in only warm or lukewarm tea, drinking hot tea a few epidemiological studies. Even though (odds ratio 2.07, 95% confidence interval the evidence shows that hot tea drinking 1.28 to 3.35) or very hot tea (8.16, 3.93 to causes esophageal cancer it’s too early to 16.91) was associated with an increased risk draw any conclusion. Further studies are of esophageal cancer (P for trend <0.001). needed. (Islami et al. 2007) What was also Prevention of cancer associated with the risk of esophageal cancer was the interval between tea being poured Tea and Coffee associated with brain and drunk. Compared with an interval of tumors four or more minutes, intervals of 2-3 Coffee is of the most frequently consumed minutes (odds ratio 2.49, 95% confidence beverage in the world. Coffee is mainly interval 1.62 to 3.83) and less than two caffeine, which is known to be a stimulant of minutes (5.41, 2.63 to 11.14) were the central nervous system. There have been associated with an increased risk of only three epidemiologic studies that have esophageal cancer (P for trend <0.001). In examined the relationship between the their study they concluded that the majority intake of coffee and glioma risk. These of the population drinks tea. They used more studies showed a null result when examining black tea, and it is the one they drink in large them differently with other variables. When amounts per day compared with green tea researchers examined the tea alone, they did that is rarely consumed in their population. not find an association. On the other hand, Both green and black tea has shown cancer studying it combining coffee, tea and cola prevention activity in animal models, which drinks showed an inversed association. This may be attributable to flavonoids and other study is combining the data obtained by 4
  • 5. Does the intake of coffee and tea really benefits our health? analyzing three large prospective studies on Discussion men and women. Holick and collaborators Previous research on coffee and/or tea states conducted their study by asking the the positive health benefits in the different participants the sizes of their intakes of food. types of cancer, in other diseases and Individual intakes were calculated by nutritional health. In spite of these results multiplying the frequency of each food or there have been contradictory effects related beverage consumed by the nutrient content to coffee and tea that show the contrary. At of the specified portion size and then by this point, we are aware of the various summing the contribution from all foods and benefits that coffee and tea provide. With beverages. (Holick et al. 2010) In each these results, people must take their cautions questionnaire, participants were asked if to moderate their intake of coffee and tea. they had been diagnosed with any type of Coffee and tea have been studied for years cancer or medical disease during the past 2- in various diseases. In the past decades, years. Investigators evaluated every researchers have revealed contradictory questionnaire and the participants who results. Cancer is a disease that is spreading didn’t answer were called by phone and fast in society. Due to the inconsistency of interviewed. For (83%) of the men and 70% the results further studies are required to of the women in NHS I, glioblastoma was reveal what ingredient is the possible the most common histological type, while carcinogen in coffee, and why the intake of astrocytomas accounted for 14% of tumors coffee and/or tea has contradictory effects in men and 24% in women. (Holick et al. on humans. 2010) However, there was a significantly lower risk of glioma among men and women References who consumed five or more cups a day compared with the ones who drank one cup 1. Holick C, Smith S., Giovanucci E, Michaud D, 2010. Coffee, tea, or less a day. In conclusion, the findings caffeine intake and risk of adult suggested that high intake of coffee and tea glioma 3 prospective study, Cancer Epidemiology, Biomarkers & reduces the risk of glioma in both men and Prevention (Internet); (cited women. Nonetheless, further study is January 2010). 19(39): Doi: 10.1158/1055-9965.EPI-09-0732 needed in other populations to confirm these (approximately 9 pages), available findings. in http://cebp.aacrjournals.org/cont 5
  • 6. Does the intake of coffee and tea really benefits our health? ent/19/1/39.long icles/PMC3066123/?tool=pubmed 2. Islami F, Purshams A, Nasrollahzadeh D, et al; Tea Drinking habits and oseophageal cancer in a high risk area in northern Iran: Population based case-control study; BMJ [Internet]; [Cited 2009 March 26]; 338 doi: 10.1136/bmj.b929, available at http://www.bmj.com/content/338/bm j.b929 3. Naghma K, Mukhtar H, Cancer mestatasis: prevention and treatment by green tea. BMC Cancer. [Published 2010 September 23] 29(3): Doi: 10.1007/s 10555 010 92361, Available at: http://www.ncbi.nlm.nih.gov/pmc/art icles/PMC3142888/?tool=pubmed 4. Villanueva C, Silverman D, Murta Nascimiento C, et al; Coffee consumption, genetic susceptibility and bladder cancer: Cancer causes and control: [Published in formal form 2009 February 20]. 20(1): Doi 10.1007/s10552-008-9226-6: (approximate 7 pages) Available at http://www.ncbi.nlm.nih.gov/pub med/18798002 5. Xiaofeng Yu, Zhijun Bao, Juan Zou, Jie Dong, Coffee consumption and the risk cancer: a meta analysis of cohort studies. PubMed. [Published 2011 March 15] 11(96): Doi: 10.1186/1471-11-96, Available at http://www.ncbi.nlm.nih.gov/pmc/art 6