Table 2.

Main Characteristics of Studies Examining Association Between Caffeine and Type of Coffee Consumption and Risk of Ovarian Cancer

InvestigatorCountryAge Range/Mean Age, yFollow-Up Duration, yCases/Cohort Size, nExposure AssessmentOutcomeOutcome AssessmentComparisonOR, RR, or HR (95% CI)Quality Score
Coffee
 Lukic et al. (11), 2016Norway30–7013.1446/91,767FFQOCRegistries>7 cups/d vs ≤1 cup/dHR, 0.87 (0.50–1.51)9
 Lueth et al. (12), 2008USA55–6918266/29,060FFQEOCRegistries≥5 cups/d vs 0 cup/dHR, 1.28 (0.76–2.16)9
 Braem et al. (13), 201210 European countriesa25–7011.71244/330,849FFQEOCRegistriesQ5 vs no intakeHR, 1.05 (0.75–1.46)8
 Hashibe et al. (14), 2015USA55–7410162/50,563DHQOCRegistries≥2 cups/d vs < 1 cup/dRR, 1.17 (0.82–1.67)8
 Steevens et al. (15), 2007Netherlands55–6913.3280/2083FFQEOCRegistries≥5 cups/d vs 0 to <1 cup/dRR, 1.48 (0.82–2.68)8
 Stensvold et al. (17), 1994Norway35–5410.193/21,238FFQOCRegistries≥7 cups/d vs ≤2 cups/dRR, 2.15 (0.80–5.80)6
 Jacobsen et al. (18), 1986Norway>2011.512/2891QuestionnaireOCRegistries≥7 cups/d vs ≤2 cups/dRR, 0.77 (0.09–6.60)6
 Nilsson et al. (19), 2010Sweden30–60671/30,639FFQOCRegistries≥4 occasions/d vs <1 occasion/dHR, 1.41 (0.53–3.74)8
 Arthur et al. (20), 2018Canada48–7012.2104/2826FFQOCRegistries>3 cups/d vs noneHR, 1.00 (0.54–1.87)9
 Chang et al. (22), 2007USA<848.1280/97,275FFQOCRegistriesHighest vs lowest quintileRR, 1.02 (0.55–1.90)7
 Larsson et al., 2005 (23)Sweden40–7615.1301/61,057FFQOCRegistries≥4 cups/d vs <1 cup/dRR, 1.02 (0.62–1.69)8
 Silvera et al. (24), 2007Canada40–5916.4264/48,776FFQOCRegistries≥4 cups/d vs noneHR, 1.62 (0.95–2.75)8
 Park et al. (25), 2018USA45–7515.3404/91,082FFQOCRegistries≥4 cups/d vs noneHR, 0.33 (0.17–0.65)9
Caffeine
 Lueth et al. (12), 2008USA55–6918266/29,060FFQEOCRegistries464–1162 mg/d vs 0–20 mg/dHR, 1.16 (0.77–1.75)9
 Hashibe et al. (14), 2015USA55–7410162/50,563DHQOCRegistries>647.25 mg/d vs ≤34 mg/dRR, 1.25 (0.72–2.15)8
 Arthur et al. (20), 2018Canada48–7012.2104/2826FFQOCRegistries>319.7 mg/d vs ≤142.1 mg/dHR, 1.08 (0.74–1.86)9
 Tworoger et al. (21), 2008USA30–5524507/80,253FFQEOCRegistries>500 mg/d vs ≤136 mg/dRR, 0.80 (0.60–1.07)7
 Park et al. (25), 2018USA45–7515.3404/91,082FFQOCRegistries≥218.8 mg/d vs <28.5 mg/dHR, 0.57 (0.38–0.84)9
Caffeinated coffee
 Lueth et al. (12), 2008USA55–6918266/29,060FFQEOCRegistries≥5 cups/d vs 0 cup/dHR, 1.81 (1.11–2.95)9
 Braem et al. (13), 201210 European countriesa25–7011.71244/330,849FFQEOCRegistriesT3 vs no intakeHR, 1.05 (0.78–1.39)8
 Arthur et al. (20), 2018Canada48–7012.2104/2826FFQOCRegistries>3 cups/d vs noneHR, 1.41 (0.74–2.67)9
 Tworoger et al. (21), 2008USA30–5524507/80,253FFQEOCRegistries≥3 cups/d vs noneRR, 0.75 (0.55–1.02)7
 Park et al. (25), 2018USA45–7515.3263/91,082FFQOCRegistries≥4 cups/d vs noneHR, 0.29 (0.11–0.75)9
Decaffeinated coffee
 Lueth et al. (12), 2008USA55–6918266/29,060FFQEOCRegistries≥5 cups/d vs 0 cup/dHR, 0.91 (0.37–2.24)9
 Braem et al. (13), 201210 European countriesa25–7011.71244/330,849FFQEOCRegistriesT3 vs no intakeHR, 0.90 (0.61–1.31)8
 Arthur et al. (20), 2018Canada48–7012.2104/2826FFQOCRegistries>1 cup/d vs noneHR, 0.91 (0.50–1.68)9
 Tworoger et al. (21), 2008USA30–5524507/80,253FFQEOCRegistries≥3 cups/d vs noneRR, 0.86 (0.49–1.49)7
 Park et al. (25), 2018USA45–7515.3135/91,082FFQOCRegistries≥2 cups/d vs noneHR, 0.48 (0.12–1.87)9
InvestigatorCountryAge Range/Mean Age, yFollow-Up Duration, yCases/Cohort Size, nExposure AssessmentOutcomeOutcome AssessmentComparisonOR, RR, or HR (95% CI)Quality Score
Coffee
 Lukic et al. (11), 2016Norway30–7013.1446/91,767FFQOCRegistries>7 cups/d vs ≤1 cup/dHR, 0.87 (0.50–1.51)9
 Lueth et al. (12), 2008USA55–6918266/29,060FFQEOCRegistries≥5 cups/d vs 0 cup/dHR, 1.28 (0.76–2.16)9
 Braem et al. (13), 201210 European countriesa25–7011.71244/330,849FFQEOCRegistriesQ5 vs no intakeHR, 1.05 (0.75–1.46)8
 Hashibe et al. (14), 2015USA55–7410162/50,563DHQOCRegistries≥2 cups/d vs < 1 cup/dRR, 1.17 (0.82–1.67)8
 Steevens et al. (15), 2007Netherlands55–6913.3280/2083FFQEOCRegistries≥5 cups/d vs 0 to <1 cup/dRR, 1.48 (0.82–2.68)8
 Stensvold et al. (17), 1994Norway35–5410.193/21,238FFQOCRegistries≥7 cups/d vs ≤2 cups/dRR, 2.15 (0.80–5.80)6
 Jacobsen et al. (18), 1986Norway>2011.512/2891QuestionnaireOCRegistries≥7 cups/d vs ≤2 cups/dRR, 0.77 (0.09–6.60)6
 Nilsson et al. (19), 2010Sweden30–60671/30,639FFQOCRegistries≥4 occasions/d vs <1 occasion/dHR, 1.41 (0.53–3.74)8
 Arthur et al. (20), 2018Canada48–7012.2104/2826FFQOCRegistries>3 cups/d vs noneHR, 1.00 (0.54–1.87)9
 Chang et al. (22), 2007USA<848.1280/97,275FFQOCRegistriesHighest vs lowest quintileRR, 1.02 (0.55–1.90)7
 Larsson et al., 2005 (23)Sweden40–7615.1301/61,057FFQOCRegistries≥4 cups/d vs <1 cup/dRR, 1.02 (0.62–1.69)8
 Silvera et al. (24), 2007Canada40–5916.4264/48,776FFQOCRegistries≥4 cups/d vs noneHR, 1.62 (0.95–2.75)8
 Park et al. (25), 2018USA45–7515.3404/91,082FFQOCRegistries≥4 cups/d vs noneHR, 0.33 (0.17–0.65)9
Caffeine
 Lueth et al. (12), 2008USA55–6918266/29,060FFQEOCRegistries464–1162 mg/d vs 0–20 mg/dHR, 1.16 (0.77–1.75)9
 Hashibe et al. (14), 2015USA55–7410162/50,563DHQOCRegistries>647.25 mg/d vs ≤34 mg/dRR, 1.25 (0.72–2.15)8
 Arthur et al. (20), 2018Canada48–7012.2104/2826FFQOCRegistries>319.7 mg/d vs ≤142.1 mg/dHR, 1.08 (0.74–1.86)9
 Tworoger et al. (21), 2008USA30–5524507/80,253FFQEOCRegistries>500 mg/d vs ≤136 mg/dRR, 0.80 (0.60–1.07)7
 Park et al. (25), 2018USA45–7515.3404/91,082FFQOCRegistries≥218.8 mg/d vs <28.5 mg/dHR, 0.57 (0.38–0.84)9
Caffeinated coffee
 Lueth et al. (12), 2008USA55–6918266/29,060FFQEOCRegistries≥5 cups/d vs 0 cup/dHR, 1.81 (1.11–2.95)9
 Braem et al. (13), 201210 European countriesa25–7011.71244/330,849FFQEOCRegistriesT3 vs no intakeHR, 1.05 (0.78–1.39)8
 Arthur et al. (20), 2018Canada48–7012.2104/2826FFQOCRegistries>3 cups/d vs noneHR, 1.41 (0.74–2.67)9
 Tworoger et al. (21), 2008USA30–5524507/80,253FFQEOCRegistries≥3 cups/d vs noneRR, 0.75 (0.55–1.02)7
 Park et al. (25), 2018USA45–7515.3263/91,082FFQOCRegistries≥4 cups/d vs noneHR, 0.29 (0.11–0.75)9
Decaffeinated coffee
 Lueth et al. (12), 2008USA55–6918266/29,060FFQEOCRegistries≥5 cups/d vs 0 cup/dHR, 0.91 (0.37–2.24)9
 Braem et al. (13), 201210 European countriesa25–7011.71244/330,849FFQEOCRegistriesT3 vs no intakeHR, 0.90 (0.61–1.31)8
 Arthur et al. (20), 2018Canada48–7012.2104/2826FFQOCRegistries>1 cup/d vs noneHR, 0.91 (0.50–1.68)9
 Tworoger et al. (21), 2008USA30–5524507/80,253FFQEOCRegistries≥3 cups/d vs noneRR, 0.86 (0.49–1.49)7
 Park et al. (25), 2018USA45–7515.3135/91,082FFQOCRegistries≥2 cups/d vs noneHR, 0.48 (0.12–1.87)9

Abbreviations: DHQ, diet history questionnaire; EOC, epithelial ovarian cancer; FFQ, food frequency questionnaire; OC, ovarian cancer.

a

Including Denmark, France, Germany, Greece, Italy, Netherland, Norway, Spain, Sweden, and the United Kingdom.

Table 2.

Main Characteristics of Studies Examining Association Between Caffeine and Type of Coffee Consumption and Risk of Ovarian Cancer

InvestigatorCountryAge Range/Mean Age, yFollow-Up Duration, yCases/Cohort Size, nExposure AssessmentOutcomeOutcome AssessmentComparisonOR, RR, or HR (95% CI)Quality Score
Coffee
 Lukic et al. (11), 2016Norway30–7013.1446/91,767FFQOCRegistries>7 cups/d vs ≤1 cup/dHR, 0.87 (0.50–1.51)9
 Lueth et al. (12), 2008USA55–6918266/29,060FFQEOCRegistries≥5 cups/d vs 0 cup/dHR, 1.28 (0.76–2.16)9
 Braem et al. (13), 201210 European countriesa25–7011.71244/330,849FFQEOCRegistriesQ5 vs no intakeHR, 1.05 (0.75–1.46)8
 Hashibe et al. (14), 2015USA55–7410162/50,563DHQOCRegistries≥2 cups/d vs < 1 cup/dRR, 1.17 (0.82–1.67)8
 Steevens et al. (15), 2007Netherlands55–6913.3280/2083FFQEOCRegistries≥5 cups/d vs 0 to <1 cup/dRR, 1.48 (0.82–2.68)8
 Stensvold et al. (17), 1994Norway35–5410.193/21,238FFQOCRegistries≥7 cups/d vs ≤2 cups/dRR, 2.15 (0.80–5.80)6
 Jacobsen et al. (18), 1986Norway>2011.512/2891QuestionnaireOCRegistries≥7 cups/d vs ≤2 cups/dRR, 0.77 (0.09–6.60)6
 Nilsson et al. (19), 2010Sweden30–60671/30,639FFQOCRegistries≥4 occasions/d vs <1 occasion/dHR, 1.41 (0.53–3.74)8
 Arthur et al. (20), 2018Canada48–7012.2104/2826FFQOCRegistries>3 cups/d vs noneHR, 1.00 (0.54–1.87)9
 Chang et al. (22), 2007USA<848.1280/97,275FFQOCRegistriesHighest vs lowest quintileRR, 1.02 (0.55–1.90)7
 Larsson et al., 2005 (23)Sweden40–7615.1301/61,057FFQOCRegistries≥4 cups/d vs <1 cup/dRR, 1.02 (0.62–1.69)8
 Silvera et al. (24), 2007Canada40–5916.4264/48,776FFQOCRegistries≥4 cups/d vs noneHR, 1.62 (0.95–2.75)8
 Park et al. (25), 2018USA45–7515.3404/91,082FFQOCRegistries≥4 cups/d vs noneHR, 0.33 (0.17–0.65)9
Caffeine
 Lueth et al. (12), 2008USA55–6918266/29,060FFQEOCRegistries464–1162 mg/d vs 0–20 mg/dHR, 1.16 (0.77–1.75)9
 Hashibe et al. (14), 2015USA55–7410162/50,563DHQOCRegistries>647.25 mg/d vs ≤34 mg/dRR, 1.25 (0.72–2.15)8
 Arthur et al. (20), 2018Canada48–7012.2104/2826FFQOCRegistries>319.7 mg/d vs ≤142.1 mg/dHR, 1.08 (0.74–1.86)9
 Tworoger et al. (21), 2008USA30–5524507/80,253FFQEOCRegistries>500 mg/d vs ≤136 mg/dRR, 0.80 (0.60–1.07)7
 Park et al. (25), 2018USA45–7515.3404/91,082FFQOCRegistries≥218.8 mg/d vs <28.5 mg/dHR, 0.57 (0.38–0.84)9
Caffeinated coffee
 Lueth et al. (12), 2008USA55–6918266/29,060FFQEOCRegistries≥5 cups/d vs 0 cup/dHR, 1.81 (1.11–2.95)9
 Braem et al. (13), 201210 European countriesa25–7011.71244/330,849FFQEOCRegistriesT3 vs no intakeHR, 1.05 (0.78–1.39)8
 Arthur et al. (20), 2018Canada48–7012.2104/2826FFQOCRegistries>3 cups/d vs noneHR, 1.41 (0.74–2.67)9
 Tworoger et al. (21), 2008USA30–5524507/80,253FFQEOCRegistries≥3 cups/d vs noneRR, 0.75 (0.55–1.02)7
 Park et al. (25), 2018USA45–7515.3263/91,082FFQOCRegistries≥4 cups/d vs noneHR, 0.29 (0.11–0.75)9
Decaffeinated coffee
 Lueth et al. (12), 2008USA55–6918266/29,060FFQEOCRegistries≥5 cups/d vs 0 cup/dHR, 0.91 (0.37–2.24)9
 Braem et al. (13), 201210 European countriesa25–7011.71244/330,849FFQEOCRegistriesT3 vs no intakeHR, 0.90 (0.61–1.31)8
 Arthur et al. (20), 2018Canada48–7012.2104/2826FFQOCRegistries>1 cup/d vs noneHR, 0.91 (0.50–1.68)9
 Tworoger et al. (21), 2008USA30–5524507/80,253FFQEOCRegistries≥3 cups/d vs noneRR, 0.86 (0.49–1.49)7
 Park et al. (25), 2018USA45–7515.3135/91,082FFQOCRegistries≥2 cups/d vs noneHR, 0.48 (0.12–1.87)9
InvestigatorCountryAge Range/Mean Age, yFollow-Up Duration, yCases/Cohort Size, nExposure AssessmentOutcomeOutcome AssessmentComparisonOR, RR, or HR (95% CI)Quality Score
Coffee
 Lukic et al. (11), 2016Norway30–7013.1446/91,767FFQOCRegistries>7 cups/d vs ≤1 cup/dHR, 0.87 (0.50–1.51)9
 Lueth et al. (12), 2008USA55–6918266/29,060FFQEOCRegistries≥5 cups/d vs 0 cup/dHR, 1.28 (0.76–2.16)9
 Braem et al. (13), 201210 European countriesa25–7011.71244/330,849FFQEOCRegistriesQ5 vs no intakeHR, 1.05 (0.75–1.46)8
 Hashibe et al. (14), 2015USA55–7410162/50,563DHQOCRegistries≥2 cups/d vs < 1 cup/dRR, 1.17 (0.82–1.67)8
 Steevens et al. (15), 2007Netherlands55–6913.3280/2083FFQEOCRegistries≥5 cups/d vs 0 to <1 cup/dRR, 1.48 (0.82–2.68)8
 Stensvold et al. (17), 1994Norway35–5410.193/21,238FFQOCRegistries≥7 cups/d vs ≤2 cups/dRR, 2.15 (0.80–5.80)6
 Jacobsen et al. (18), 1986Norway>2011.512/2891QuestionnaireOCRegistries≥7 cups/d vs ≤2 cups/dRR, 0.77 (0.09–6.60)6
 Nilsson et al. (19), 2010Sweden30–60671/30,639FFQOCRegistries≥4 occasions/d vs <1 occasion/dHR, 1.41 (0.53–3.74)8
 Arthur et al. (20), 2018Canada48–7012.2104/2826FFQOCRegistries>3 cups/d vs noneHR, 1.00 (0.54–1.87)9
 Chang et al. (22), 2007USA<848.1280/97,275FFQOCRegistriesHighest vs lowest quintileRR, 1.02 (0.55–1.90)7
 Larsson et al., 2005 (23)Sweden40–7615.1301/61,057FFQOCRegistries≥4 cups/d vs <1 cup/dRR, 1.02 (0.62–1.69)8
 Silvera et al. (24), 2007Canada40–5916.4264/48,776FFQOCRegistries≥4 cups/d vs noneHR, 1.62 (0.95–2.75)8
 Park et al. (25), 2018USA45–7515.3404/91,082FFQOCRegistries≥4 cups/d vs noneHR, 0.33 (0.17–0.65)9
Caffeine
 Lueth et al. (12), 2008USA55–6918266/29,060FFQEOCRegistries464–1162 mg/d vs 0–20 mg/dHR, 1.16 (0.77–1.75)9
 Hashibe et al. (14), 2015USA55–7410162/50,563DHQOCRegistries>647.25 mg/d vs ≤34 mg/dRR, 1.25 (0.72–2.15)8
 Arthur et al. (20), 2018Canada48–7012.2104/2826FFQOCRegistries>319.7 mg/d vs ≤142.1 mg/dHR, 1.08 (0.74–1.86)9
 Tworoger et al. (21), 2008USA30–5524507/80,253FFQEOCRegistries>500 mg/d vs ≤136 mg/dRR, 0.80 (0.60–1.07)7
 Park et al. (25), 2018USA45–7515.3404/91,082FFQOCRegistries≥218.8 mg/d vs <28.5 mg/dHR, 0.57 (0.38–0.84)9
Caffeinated coffee
 Lueth et al. (12), 2008USA55–6918266/29,060FFQEOCRegistries≥5 cups/d vs 0 cup/dHR, 1.81 (1.11–2.95)9
 Braem et al. (13), 201210 European countriesa25–7011.71244/330,849FFQEOCRegistriesT3 vs no intakeHR, 1.05 (0.78–1.39)8
 Arthur et al. (20), 2018Canada48–7012.2104/2826FFQOCRegistries>3 cups/d vs noneHR, 1.41 (0.74–2.67)9
 Tworoger et al. (21), 2008USA30–5524507/80,253FFQEOCRegistries≥3 cups/d vs noneRR, 0.75 (0.55–1.02)7
 Park et al. (25), 2018USA45–7515.3263/91,082FFQOCRegistries≥4 cups/d vs noneHR, 0.29 (0.11–0.75)9
Decaffeinated coffee
 Lueth et al. (12), 2008USA55–6918266/29,060FFQEOCRegistries≥5 cups/d vs 0 cup/dHR, 0.91 (0.37–2.24)9
 Braem et al. (13), 201210 European countriesa25–7011.71244/330,849FFQEOCRegistriesT3 vs no intakeHR, 0.90 (0.61–1.31)8
 Arthur et al. (20), 2018Canada48–7012.2104/2826FFQOCRegistries>1 cup/d vs noneHR, 0.91 (0.50–1.68)9
 Tworoger et al. (21), 2008USA30–5524507/80,253FFQEOCRegistries≥3 cups/d vs noneRR, 0.86 (0.49–1.49)7
 Park et al. (25), 2018USA45–7515.3135/91,082FFQOCRegistries≥2 cups/d vs noneHR, 0.48 (0.12–1.87)9

Abbreviations: DHQ, diet history questionnaire; EOC, epithelial ovarian cancer; FFQ, food frequency questionnaire; OC, ovarian cancer.

a

Including Denmark, France, Germany, Greece, Italy, Netherland, Norway, Spain, Sweden, and the United Kingdom.

Close
This Feature Is Available To Subscribers Only

Sign In or Create an Account

Close

This PDF is available to Subscribers Only

View Article Abstract & Purchase Options

For full access to this pdf, sign in to an existing account, or purchase an annual subscription.

Close