title: Tea consumption and the risk of five major cancers: a dose-response meta-analysis of prospective studies.
abstract: BACKGROUND
  We conducted a dose-response meta-analysis of prospective studies to summarize evidence of the association between tea consumption and the risk of breast, colorectal, liver, prostate, and stomach cancer.
  
  
  METHODS
  We searched PubMed and two other databases. Prospective studies that reported risk ratios (RRs) with 95% confidence intervals (CIs) of cancer risk for ≥3 categories of tea consumption were included. We estimated an overall RR with 95% CI for an increase of three cups/day of tea consumption, and, usingrestricted cubic splines, we examined a nonlinear association between tea consumption and cancer risk.
  
  
  RESULTS
  Forty-one prospective studies, with a total of 3,027,702 participants and 49,103 cancer cases, were included. From the pooled overall RRs, no inverse association between tea consumption and risk of five major cancers was observed. However, subgroup analysis showed that increase in consumption of three cups of black tea per day was a significant risk factor for breast cancer (RR, 1.18; 95% CI, 1.05-1.32).
  
  
  CONCLUSIONS
  Ourresults did not show a protective role of tea in five major cancers. Additional large prospective cohort studies are needed to make a convincing case for associations.
authors.forename: Feifei
authors.initials: F
authors.lastname: Yu
authors.forename: Zhichao
authors.initials: Z
authors.lastname: Jin
authors.forename: Hong
authors.initials: H
authors.lastname: Jiang
authors.forename: Chun
authors.initials: C
authors.lastname: Xiang
authors.forename: Jianyuan
authors.initials: J
authors.lastname: Tang
authors.forename: Tuo
authors.initials: T
authors.lastname: Li
authors.affiliation: Department of Health Statistics, Second Military Medical University, 800 Xiangyin Road, Shanghai 200433, China. hejia63@yeah.net.
authors.forename: Jia
authors.initials: J
authors.lastname: He
mesh_terms: D001943:Breast Neoplasms / Q000139:chemically induced; D006528:Carcinoma, Hepatocellular / Q000139:chemically induced; D015179:Colorectal Neoplasms / Q000139:chemically induced; D004305:Dose-Response Relationship, Drug; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000139:chemically induced; D008297:Male; D009369:Neoplasms / Q000139:chemically induced* / Q000175:diagnosis* / Q000453:epidemiology; D064887:Observational Studies as Topic; D011446:Prospective Studies; D011471:Prostatic Neoplasms / Q000139:chemically induced; D012307:Risk Factors; D013274:Stomach Neoplasms / Q000139:chemically induced; D013662:Tea / Q000009:adverse effects*
chemical_list: D013662:Tea