Evidence map›Paper›PMID 29490609›Full record

SynthesisBMC cancer2018

Comparative oesophageal cancer risk assessment of hot beverage consumption (coffee, mate and tea): the margin of exposure of PAH vs very hot temperatures.

Alex O Okaru, Anke Rullmann, Adriana Farah, Elvira Gonzalez de Mejia, Mariana C Stern, Dirk W Lachenmeier

Open access · goldAbstract readComparative StudyMeta-Analysis
In one paragraph

Synthesis in BMC cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
7.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
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  16. Review
  17. Polycyclic aromatic hydrocarbons as a potential source of carcinogenicity of mate.Journal of environmental science and health. Part C, Environmental carcinogenesis & ecotoxicology reviews · 2019
    Review
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 4 countries.

Alex O OkaruChemisches und Veterinäruntersuchungsamt (CVUA) Karlsruhe, Weissenburger Strasse 3, D-76187, Karlsruhe, Germany.
Anke RullmannChemisches und Veterinäruntersuchungsamt (CVUA) Karlsruhe, Weissenburger Strasse 3, D-76187, Karlsruhe, Germany.
Adriana FarahNutrition Institute, Centre of Health Sciences, Federal University of Rio de Janeiro, Bloco J - Av. Carlos Chagas Filho 373, Ilha do Fundão, Rio de Janeiro, Brazil.
Elvira Gonzalez de MejiaDepartment of Food Science and Human Nutrition, Division of Nutritional Sciences, University of Illinois, 228 ERML, 1201 W. Gregory Drive, Urbana, IL, 61801, USA.
Mariana C SternDepartment of Preventive Medicine, Norris Comprehensive Cancer Center, Keck School of Medicine of USC, Los Angeles, CA, USA.
Dirk W LachenmeierChemisches und Veterinäruntersuchungsamt (CVUA) Karlsruhe, Weissenburger Strasse 3, D-76187, Karlsruhe, Germany. lachenmeier@web.de.
Chemisches und Veterinäruntersuchungsamt Karlsruhe · DEUniversidade Federal do Rio de Janeiro · BRUniversity of Illinois Urbana-Champaign · USUSC Norris Comprehensive Cancer Center · US

Funding

Deutscher Akademischer Austauschdienst 57250960
6 · The paper itself

Abstract

backgroundConsumption of very hot (> 65 °C) beverages is probably associated with increased risk of oesophageal cancer. First associations were reported for yerba mate and it was initially believed that high content of polycyclic aromatic hydrocarbons (PAH) might explain the risk. Later research on other beverage groups such as tea and coffee, which are also consumed very hot, found associations with increased risk of oesophageal cancer as well. The risk may therefore not be inherent in any compound contained in mate, but due to temperature. The aim of this study was to quantitatively assess the risk of PAH in comparison with the risk of the temperature effect using the margin of exposure (MOE) methodology.

methodsThe human dietary benzo[a]pyrene (BaP) and PAH4 (sum of benzo[a]pyrene, benzo[a]anthracene, chrysene, and benzo[b]fluoranthene) exposure through consumption of coffee, mate, and tea was estimated. The oesophageal cancer risk assessment for both PAH and temperature was conducted using the MOE approach.

resultsConsidering differences in the transfer of the PAH from the leaves of mate and tea or from the ground coffee to the infusion, and considering the different preparation methods, exposures may vary considerably. The average individual exposure in μg/kg bw/day arising from consumption of 1 cup (0.2 L) of infusion was highest for mate (2.85E-04 BaP and 7.22E-04 PAH4). The average per capita exposure in μg/kg bw/day was as follows: coffee (4.21E-04 BaP, 4.15E-03 PAH4), mate (4.26E-03 BaP, 2.45E-02 PAH4), and tea (8.03E-04 BaP, 4.98E-03 PAH4). For all individual and population-based exposure scenarios, the average MOE for BaP and PAH4 was > 100,000 independent of beverage type. MOE values in this magnitude are considered as a very low risk. On the contrary, the MOE for the temperature effect was estimated as < 1 for very hot drinking temperatures, corroborating epidemiological observations about a probable oesophageal cancer risk caused by this behaviour.

conclusionsThe temperature effect but not PAH exposure may pose an oesophageal cancer risk. Consumer education on risks associated with consumption of 'very hot' beverages and policy measures to threshold serving temperatures should be discussed.

Indexed as

Hot TemperatureAnimalsBenz(a)AnthracenesBenzo(a)pyreneChrysenesCoffeeEsophageal NeoplasmsFluorenesHumansMicePolycyclic Aromatic HydrocarbonsRatsRisk AssessmentTeabenz(a)anthraceneBenz(a)AnthracenesBenzo(a)pyrenebenzo(b)fluoranthenechryseneChrysenesCoffeeFluorenesPolycyclic Aromatic HydrocarbonsTeaBeveragesCoffeeEsophageal cancerHot temperatureMatePolycyclic aromatic hydrocarbonsTea

Identifiers

PMID29490609
PMCPMC5831222
OpenAlexW2804269607

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.