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Steaming hot tea linked to cancer

2009-03-27 10:42:04

Drinking steaming hot tea has been linked with an increased risk of oesophageal

(food tube) cancer, Iranian scientists have found.

The British Medical Journal study found that drinking black tea at temperatures

of 70C or higher increased the risk.

Experts said the finding could explain the increased oesophageal cancer risk in

some non-Western populations.

Adding milk, as most tea drinkers in Western countries do, cools the drink

enough to eliminate the risk.

The oesophagus is the muscular tube that carries food from the throat to the

stomach.

Oesophagus cancers kill more than 500,000 people worldwide each year and

oesophageal squamous cell carcinoma (OSCC) is the commonest type.

Tobacco and alcohol are the main factors linked to the development of

oesophageal cancers in Europe and America nations.

But it has not been clear why other populations around the world have high

rates of the disease although there has been a theory that regularly drinking

very hot drinks damage the lining of the gullet.

A litre a day

Golestan Province in northern Iran has one of the highest rates of OSCC in the

world, but rates of smoking and alcohol consumption are low and women are as

likely to have a diagnosis as men. Tea drinking, however, is widespread.

The University of Tehran researchers studied tea drinking habits among 300

people diagnosed with OSCC and compared them with a group of 570 people from

the same area.

Nearly all participants drank black tea regularly, on average drinking over a

litre a day.

A regular habit of eating and drinking very hot foods and drinks could

increase your risk of developing cancer of the oesophagus

Oliver Childs, Cancer Research UK

Compared with drinking warm or lukewarm tea (65C or less), drinking hot tea

(65-69C) was associated with twice the risk of oesophageal cancer, and drinking

very hot tea (70C or more) was associated with an eight-fold increased risk.

The speed with which people drank their tea was also important.

Drinking a cup of tea in under two minutes straight after it was poured was

associated with a five-fold higher risk of cancer compared with drinking tea

four or more minutes after being poured,

There was no association between the amount of tea consumed and risk of cancer.

Because the researchers had relied on study participants to say how hot their

tea was, they then went on to measure the temperature of tea drunk by nearly

50,000 residents of the same area.

This ranged from under 60C to more than 70C, and reported tea drinking

temperature and actual temperature was found to be similar.

Tea lovers

Writing in the BMJ, the researchers led by Professor Reza Malekzadeh, said:

"Our results showed a noticeable increase in risk of oesophageal squamous cell

carcinoma associated with drinking hot tea.

"A large proportion of Golestan inhabitants drink hot tea, so this habit may

account for a substantial proportion of the cases of oesophageal cancer in this

population."

Previous studies from the UK have reported people prefer their tea to be about

56-60C - cool enough not to be risky.

In a BMJ editorial, David Whiteman from the Queensland Institute of Medical

Research in Australia said: "The mechanism through which heat promotes the

development of tumours warrants further exploration and might be given renewed

impetus on the basis of these findings."

Dr Whiteman advised tea-drinkers to simply wait a few minutes for their brew to

cool from "scalding" to "tolerable".

Oliver Childs, a spokesman for Cancer Research UK, said: "Tea drinking is part

of many cultures, and these results certainly don't point to tea itself being

the problem.

"But they do provide more evidence that a regular habit of eating and drinking

very hot foods and drinks could increase your risk of developing cancer of the

oesophagus."

He added: "People in this region of northern Iran often drink very hot tea as

part of their daily routine. We're a nation of tea lovers in the UK, but we

don't tend to drink tea at such high temperatures and we usually add milk,

which cools it down."