Coffee may be off the hook
Wednesday, 22 June, 2016
A summary of the final evaluations into the carcinogenicity of drinking coffee, maté, and very hot beverages. is published today in The Lancet Oncology, and the detailed assessments will be published as Volume 116 of the IARC Monographs.
The experts did find that drinking very hot beverages probably causes cancer of the oesophagus in humans. No conclusive evidence was found for drinking maté at temperatures that are not very hot.
“These results suggest that drinking very hot beverages is one probable cause of oesophageal cancer and
that it is the temperature, rather than the drinks themselves, that appears to be responsible,” says Dr
Christopher Wild, IARC Director.
Drinking very hot beverages was classified as probably carcinogenic to humans (Group 2A).
This was based on limited evidence from epidemiological studies that showed positive associations
between cancer of the oesophagus and drinking very hot beverages. Studies in places such as China, the
Islamic Republic of Iran, Turkey, and South America, where tea or maté is traditionally drunk very hot (at about 70 °C), found that the risk of oesophageal cancer increased with the temperature at which the
beverage was drunk.
In experiments involving animals, there was also limited evidence for the carcinogenicity of very hot water. “Smoking and alcohol drinking are major causes of oesophageal cancer, particularly in many high-income countries,” stresses Dr Wild. “However, the majority of oesophageal cancers occur in parts of Asia, South America, and East Africa, where regularly drinking very hot beverages is common and where the reasons for the high incidence of this cancer are not as well understood.”
Oesophageal cancer is the eighth most common cause of cancer worldwide and one of the main causes
of cancer death, with approximately 400 000 deaths recorded in 2012 (5% of all cancer deaths). The
proportion of oesophageal cancer cases that may be linked to drinking very hot beverages is not known.
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