Ask the Doctor |


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 Does
drinking coffee or caffeinated beverages increase cancer risk?
According
to a 1997 report by the World Cancer Research Fund, “Most
evidence on coffee suggests that coffee drinking has no relationship
with cancer risk.” Nonetheless, interest in this topic persists
not only because coffee is such a popular beverage, but also because
news reports are always raising possible concerns. For example,
earlier this year, a study was released suggesting that coffee
is responsible for as much as a third of daily consumption of the
cancer-causing chemical acrylamide, which occurs possibly as a result of the
roasting of coffee beans.
Earlier studies linked coffee consumption to increased risks of
two types of cancer—bladder and pancreatic—and
to a decreased risk of colon cancer. Subsequent studies have not
supported the link to pancreatic cancer. In addition, part of the
association of coffee with bladder cancer may have been due to
cigarettes. Smokers not only drink more coffee than average but
they also have higher rates of bladder cancer. When smoking is accounted
for, there is still a link between coffee and bladder cancer, but
it is much weaker one. However, the data on colon cancer,
while mixed, lean toward a possible protective effect from coffee.
Clearly, more research is needed.
Regarding another very common malignancy—breast cancer—there
is no evidence linking coffee consumption to an increased risk.
However, caffeine may increase symptoms of fibrocystic breast disease,
a common but benign breast condition. In terms of bone health,
excess caffeine consumption causes calcium to be leached from bones
and excreted in the urine. Caffeine can also increase the heart
rate, a concern in individuals with certain types of cardiac arrhythmias. Therefore,
it is probably best to keep caffeine intake to a minimum.
Gordon Saxe, M.D., Ph.D.
Assistant Professor
University of California, San Diego
Department of Family and Preventive Medicine
Moores UCSD Cancer Center
Have a question for the doctor? Send it to newsletter@CancerProject.org.
References:
World Cancer Research Fund. Food, nutrition and the prevention
of cancer: a global perspective; 1997.
Tavani A, La Vecchia C. Coffee and cancer: a review of epidemiological
studies, 1990-1999. Eur J Cancer Prev. 2000 Aug;9(4):241-56.
Review.
Chow WH, Swanson CA, Lissowska J, et al. Risk of stomach cancer
in relation to consumption of cigarettes, alcohol, tea and coffee
in Warsaw, Poland. Int J Cancer. 1999 Jun 11;81(6):871-6.
The Cancer
Project News, Fall 2006
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