Skip to main content
Log in

Green Tea Consumption and Subsequent Risk of Gastric Cancer by Subsite: The JPHC Study

  • Published:
Cancer Causes & Control Aims and scope Submit manuscript

Abstract

Objective: To investigate the relationship between green tea consumption and subsequent risk of gastric cancer at different anatomical subsites in a population-based prospective study.

Methods: The Japan Public Health Center-based prospective study (JPHC Study) was established in 1990 for Cohort I and in 1993 for Cohort II. Among 72,943 subjects (34,832 men and 38,111 women), 892 gastric cancer cases (665 men and 227 women) were identified from 1990 to 2001.

Results: While no association between green tea consumption and gastric cancer was observed among men, a decreased risk of gastric cancer was observed among women after adjustment for potential confounding factors. This result was more remarkable when only the tumors in the distal portion were analyzed; for that subsite, the relative risk was 0.51 (95% confidence interval 0.30–0.86) in the highest category of green tea consumption (5 or more cups per day versus less than 1 cup per day)(p for trend = 0.01). The null association for upper-third gastric cancer was consistent for both sexes.

Conclusions: An inverse association between green tea consumption and distal gastric cancer was observed among women. More prospective studies with detailed information are needed to confirm the role of green tea in the occurrence of gastric cancer.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Hirohata T, Kono S (1989) Diet/nutrition and stomach cancer in Japan. Int J Cancer 10: 34–36.

    Google Scholar 

  2. Wang ZY et al. (1989). Antimutagenic activity of green tea polyphenols. Mutat Res 223: 273–285.

    Article  PubMed  Google Scholar 

  3. Xu Y, Ho CT, Amin SG, Han C, Chung FL (1992) Inhibition of tobacco-specific nitrosamine-induced lung tumorigenesis in A/J mice by green tea and its major polyphenol as antioxidants. Cancer Res 52: 3875–3879.

    PubMed  Google Scholar 

  4. Wang ZY, Hong JY, Huang MT, Reuhl KR, Conney AH, Yang CS (1992). Inhibition of N-nitrosodiethylamine-and 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone-induced tomorigenesis in A/J mice by green tea and black tea. Cancer Res 52: 1943–1947.

    PubMed  Google Scholar 

  5. Kohlmeier L, Weterings KGC, Steck S, Kok FJ (1997) Tea and cancer prevention: an evaluation of the epidemiologic literature. Nutr Cancer 27: 1–13.

    PubMed  Google Scholar 

  6. Tsubono Y et al. (2001) Green tea and the risk of gastric cancer in Japan. N Engl J Med 344: 632–636.

    Article  PubMed  Google Scholar 

  7. Nagano J, Kono S, Preston DL, Mabuchi K (2001) A prospective study of green tea consumption and cancer incidence, Hiroshima and Nagasaki (Japan). Cancer Causes Control 15: 501–508.

    Google Scholar 

  8. HoshiyamaY et al. for the Japan Collaborative Cohort StudyGroup (2002) A prospective study of stomach cancer death in relation to green tea consumption in Japan. Br J Cancer 87: 309–313.

    Article  PubMed  Google Scholar 

  9. Tredaniel J, Boffetta P, Buiatti E, Saracci R, Hirsch A (1997) Tobacco smoking and gastric cancer: review and meta-analysis. Int J Cancer 72: 565–573.

    Article  PubMed  Google Scholar 

  10. Powell J, McConkey CC (1990) Increasing incidence of adenocarcinoma of the gastric cardia and adjacent sites. Br J Cancer 62: 440–443.

    PubMed  Google Scholar 

  11. Blot WJ, Devesa SS, Kneller RW, Fraumeni JF (1991) Rising incidence of adenocarcinoma of the esophagus and gastric cardia. JAMA 265: 1287–1289.

    Article  PubMed  Google Scholar 

  12. MacDonald WC (1972) Clinical and pathologic features of adenocarcinoma of the gastric cardia. Cancer 29: 724–732.

    PubMed  Google Scholar 

  13. Yang PC, Davis S (1988) Epidemiological characteristics of adenocarcinoma of the gastric cardia and distal stomach in the United States, 1973-1982. Int J Epidemiol 17: 293–297.

    PubMed  Google Scholar 

  14. Tsugane S, Fahey MT, Sasaki S, Baba S (1999) Alcohol consumption and all-cause and cancer mortality among middle-aged Japanese men: seven-year follow-up of the JPHC Study Cohort I. Am J Epidemiol 150: 1201–1207.

    PubMed  Google Scholar 

  15. Sobue T, Yamamoto S, Hara M, Sasazuki S, Sasaki S, Tsugane S, for the JPHC Study Group (2002) Cigarette smoking and subsequent risk of lung cancer by histologic type in middle-aged Japanese men and women: the JPHC Study. Int J Cancer 99: 245–251.

    Article  PubMed  Google Scholar 

  16. Sobue T, Yamamoto S, Watanabe S, for the JPHC Study Group (2001) Smoking and drinking habits among the JPHC Study participants at baseline survey. J Epidemiol 11 (Suppl): S44–S56.

    PubMed  Google Scholar 

  17. Tsugane S, Sasaki S, Kobayashi M, Tsubono Y, Sobue T, for the JPHC Study Group (2001) Dietary habits among the JPHC Study participants at baseline survey. J Epidemiol 11 (Suppl): S30–S43.

    PubMed  Google Scholar 

  18. World Health Organization (1990) International classification of diseases for oncology, 2nd edn. Geneva: World Health Organization.

    Google Scholar 

  19. Japanese Research Society for Gastric Cancer (1993) The general rules for the gastric cancer study, 12th edn. Tokyo: Kanehara.

    Google Scholar 

  20. Lauren P (1965) The two histological main types of gastric carcinoma: diffuse and so-called intestinal-type carcinoma. APMIS 64: 31–49.

    Google Scholar 

  21. Rothman KJ, Greenland S (1998) Modern Epidemiolog, 2nd edn. Philadelphia: Lippincott-Raven Publishers.

    Google Scholar 

  22. SAS Institute (1996) Changes and enhancement: release 6.11. Cary (NC): SAS Institute Inc.

    Google Scholar 

  23. Sasazuki S, Sasaki S, Tsugane S, for the Japan Public Health Center Study Group (2002). Cigarette smoking, alcohol consumption and subsequent gastric cancer risk by subsite and histologic type. Int J Cancer 101: 560–566.

    Article  PubMed  Google Scholar 

  24. Yu GP, Hsieh CC, Wang LY, Yu SZ, Li XL, Jin TH (1995) Greentea consumption and risk of stomach cancer: a population-based case-control study in Shanghai, China. Cancer Causes Control 6: 532–538.

    PubMed  Google Scholar 

  25. Ji BT, et al. (1996) The influence of cigarette smoking, alcohol, and green tea consumption on the risk of carcinoma of the cardia and distal stomach in Shanghai, China. Cancer 77: 2449–2457.

    Article  PubMed  Google Scholar 

  26. Misumi A, Murakami A, Harada K, Baba K, Akagi M (1989) Definition of carcinoma of the gastric cardia. Langenbecks Arch Chir 374: 221–226.

    PubMed  Google Scholar 

  27. Cheng KK, Day NE (1996) Nutrition and esophageal cancer. Cancer Causes Control 7: 33–40.

    PubMed  Google Scholar 

  28. Kinjo Y et al. (1998) Mortality risks of oesophageal cancer associated with hot tea, alcohol, tobacco and diet in Japan. J Epidemiol 8: 235–243.

    PubMed  Google Scholar 

  29. Munoz N, Victora CG, Crespi M, Saul C, Braga NM, Correa P (1987) Hot mate drinking and precancerous lesions of the oesophagus: an endoscopic survey in southern Brazil. Int J Cancer 39: 708–709.

    PubMed  Google Scholar 

  30. Wahrendorf J et al. (1989) Precursor lesions of oesophageal cancer in adolescents in a high-risk population in China. Lancet ii: 1239–1241.

    Article  Google Scholar 

  31. Kono S, Ikeda M, Tokudome S, Kuratsune M (1988) A casecontrol study of gastric cancer and diet in Northern Kyushu, Japan. Jpn J Cancer Res (Gann) 79: 1067–1074.

    Google Scholar 

  32. Inoue M et al. (1998) Tea and coffee consumption and the risk of digestive tract cancers: data from a comparative case-referent study in Japan. Cancer Causes Control 9: 209–216.

    Article  PubMed  Google Scholar 

  33. Tajima K, Tominaga S (1985) Dietary habits and gastro-intestinal cancers: a comparative case-control study of stomach and large intestinal cancers in Nagoya, Japan. Jpn J Cancer Res (Gann) 76: 705–716.

    Google Scholar 

  34. Yu GP, Hsieh CC (1991) Risk factors for stomach cancer: a population-based case-control study in shanghai. Cancer Causes Control 2: 169–174.

    PubMed  Google Scholar 

  35. Setaiwan VW et al. (2001) Protective effect of green tea on the risks of chronic gastritis and stomach cancer. Int J Cancer 92: 600–604.

    Article  PubMed  Google Scholar 

  36. Huang JQ, Sridhar S, Chen Y, Hunt RH (1998) Meta-analysis of the relationship between helicobacter pylori seropositivity and gastric cancer. Gastroenterology 114: 1169–1179.

    PubMed  Google Scholar 

  37. Helicobacter and Cancer Collaborative Group (2001) Gastric cancer and helicobacter pylori: a combined analysis of 12 case control studies nested within prospective cohorts. Gut 49: 347–353.

    Google Scholar 

  38. Tsubono Y, Kobayashi M, Sasaki S, Tsugane S (2003) Validity and reproducibility of a self-administered food frequency questionnaire used in the baseline survey of the JPHC Study Cohort I. J Epidemiol 13(Suppl): S125–133.

    PubMed  Google Scholar 

  39. Tsugane S, Tei Y, Takahashi T, Watanabe S, Sugano K (1994) Salty food intake and risk of Helicobacter pylori infection. Jpn J Cancer Res 85: 474–478.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Shizuka Sasazuki.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sasazuki, S., Inoue, M., Hanaoka, T. et al. Green Tea Consumption and Subsequent Risk of Gastric Cancer by Subsite: The JPHC Study. Cancer Causes Control 15, 483–491 (2004). https://doi.org/10.1023/B:CACO.0000036449.68454.42

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/B:CACO.0000036449.68454.42

Navigation