Oolong Tea Consumption and the Risk of Oral Squamous Cell Carcinoma: A Propensity Score-Based Analysis in Southeast China

Oolong tea is one of the world's most popular non-alcoholic beverages, particularly in coastal Southeast China. Hitherto, epidemiological studies on the association between oolong tea consumption and the risk of patients with oral squamous cell carcinoma (OSCC) are very limited. This study aime...

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Main Authors: Qingrong Deng, Yuying Wu, Xiaoying Hu, Huiqing Wu, Mengzhu Guo, Yimin Lin, Menglin Yu, Wenwen Huang, Yuxuan Wu, Lisong Lin, Yu Qiu, Jing Wang, Baochang He, Fa Chen
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2022.928840/full
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author Qingrong Deng
Qingrong Deng
Yuying Wu
Yuying Wu
Xiaoying Hu
Xiaoying Hu
Huiqing Wu
Huiqing Wu
Mengzhu Guo
Mengzhu Guo
Yimin Lin
Yimin Lin
Menglin Yu
Menglin Yu
Wenwen Huang
Wenwen Huang
Yuxuan Wu
Yuxuan Wu
Lisong Lin
Yu Qiu
Jing Wang
Baochang He
Baochang He
Baochang He
Fa Chen
Fa Chen
author_facet Qingrong Deng
Qingrong Deng
Yuying Wu
Yuying Wu
Xiaoying Hu
Xiaoying Hu
Huiqing Wu
Huiqing Wu
Mengzhu Guo
Mengzhu Guo
Yimin Lin
Yimin Lin
Menglin Yu
Menglin Yu
Wenwen Huang
Wenwen Huang
Yuxuan Wu
Yuxuan Wu
Lisong Lin
Yu Qiu
Jing Wang
Baochang He
Baochang He
Baochang He
Fa Chen
Fa Chen
author_sort Qingrong Deng
collection DOAJ
description Oolong tea is one of the world's most popular non-alcoholic beverages, particularly in coastal Southeast China. Hitherto, epidemiological studies on the association between oolong tea consumption and the risk of patients with oral squamous cell carcinoma (OSCC) are very limited. This study aimed to evaluate the potential effect of oolong tea consumption on OSCC risk in Southeast China. From January 2010 to October 2020, face-to-face interviews were conducted for 744 newly diagnosed OSCC patients and 1,029 healthy controls to collect information on demographics, oolong tea consumption behaviors, and other lifestyle factors. Propensity score matching (PSM), inverse probability of treatment weight (IPTW), and stabilized inverse probability of treatment weight (SIPTW) were utilized to minimize confounding effects. Multivariate, conditional, and weighted logistic regression was used to evaluate the associations of oolong tea consumption behaviors with OSCC risk. Participants who drank oolong tea showed a lower risk of OSCC when compared to their non-drink counterparts [PSM population, OR (95%CI): 0.69 (0.49–0.97); SIPTW population, OR (95%CI): 0.74 (0.58–0.94)]. Moreover, the reduced risk was found to be significantly associated with certain tea-drinking habits (consumed amount over 500 mL per day, a duration of <20 years, age at initiation older than 30 years, and warm and moderately concentrated tea). Similar results were yielded in the sensitivity analyses (Multivariate adjustment and the IPTW analysis). Furthermore, subgroup analysis revealed that the negative association of oolong tea drinking with OSCC risk was more evident among those with poor oral hygiene. This study provides supportive evidence that oolong tea consumption may have a potentially beneficial effect in preventing OSCC, especially for those with poor oral hygiene.
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spelling doaj.art-0be19b719bbb402586bbc443f0fcee932022-12-22T02:29:22ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2022-07-01910.3389/fnut.2022.928840928840Oolong Tea Consumption and the Risk of Oral Squamous Cell Carcinoma: A Propensity Score-Based Analysis in Southeast ChinaQingrong Deng0Qingrong Deng1Yuying Wu2Yuying Wu3Xiaoying Hu4Xiaoying Hu5Huiqing Wu6Huiqing Wu7Mengzhu Guo8Mengzhu Guo9Yimin Lin10Yimin Lin11Menglin Yu12Menglin Yu13Wenwen Huang14Wenwen Huang15Yuxuan Wu16Yuxuan Wu17Lisong Lin18Yu Qiu19Jing Wang20Baochang He21Baochang He22Baochang He23Fa Chen24Fa Chen25Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, ChinaKey Laboratory of Ministry of Education for Gastrointestinal Cancer, Fujian Medical University, Fuzhou, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, ChinaKey Laboratory of Ministry of Education for Gastrointestinal Cancer, Fujian Medical University, Fuzhou, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, ChinaKey Laboratory of Ministry of Education for Gastrointestinal Cancer, Fujian Medical University, Fuzhou, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, ChinaKey Laboratory of Ministry of Education for Gastrointestinal Cancer, Fujian Medical University, Fuzhou, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, ChinaKey Laboratory of Ministry of Education for Gastrointestinal Cancer, Fujian Medical University, Fuzhou, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, ChinaKey Laboratory of Ministry of Education for Gastrointestinal Cancer, Fujian Medical University, Fuzhou, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, ChinaKey Laboratory of Ministry of Education for Gastrointestinal Cancer, Fujian Medical University, Fuzhou, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, ChinaKey Laboratory of Ministry of Education for Gastrointestinal Cancer, Fujian Medical University, Fuzhou, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, ChinaKey Laboratory of Ministry of Education for Gastrointestinal Cancer, Fujian Medical University, Fuzhou, ChinaDepartment of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, ChinaDepartment of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, ChinaLaboratory Center, The Major Subject of Environment and Health of Fujian Key Universities, School of Public Health, Fujian Medical University, Fuzhou, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, ChinaKey Laboratory of Ministry of Education for Gastrointestinal Cancer, Fujian Medical University, Fuzhou, ChinaDepartment of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, ChinaKey Laboratory of Ministry of Education for Gastrointestinal Cancer, Fujian Medical University, Fuzhou, ChinaOolong tea is one of the world's most popular non-alcoholic beverages, particularly in coastal Southeast China. Hitherto, epidemiological studies on the association between oolong tea consumption and the risk of patients with oral squamous cell carcinoma (OSCC) are very limited. This study aimed to evaluate the potential effect of oolong tea consumption on OSCC risk in Southeast China. From January 2010 to October 2020, face-to-face interviews were conducted for 744 newly diagnosed OSCC patients and 1,029 healthy controls to collect information on demographics, oolong tea consumption behaviors, and other lifestyle factors. Propensity score matching (PSM), inverse probability of treatment weight (IPTW), and stabilized inverse probability of treatment weight (SIPTW) were utilized to minimize confounding effects. Multivariate, conditional, and weighted logistic regression was used to evaluate the associations of oolong tea consumption behaviors with OSCC risk. Participants who drank oolong tea showed a lower risk of OSCC when compared to their non-drink counterparts [PSM population, OR (95%CI): 0.69 (0.49–0.97); SIPTW population, OR (95%CI): 0.74 (0.58–0.94)]. Moreover, the reduced risk was found to be significantly associated with certain tea-drinking habits (consumed amount over 500 mL per day, a duration of <20 years, age at initiation older than 30 years, and warm and moderately concentrated tea). Similar results were yielded in the sensitivity analyses (Multivariate adjustment and the IPTW analysis). Furthermore, subgroup analysis revealed that the negative association of oolong tea drinking with OSCC risk was more evident among those with poor oral hygiene. This study provides supportive evidence that oolong tea consumption may have a potentially beneficial effect in preventing OSCC, especially for those with poor oral hygiene.https://www.frontiersin.org/articles/10.3389/fnut.2022.928840/fulloolong tea consumptionOSCCpropensity score analysesoral hygienerisk assessment
spellingShingle Qingrong Deng
Qingrong Deng
Yuying Wu
Yuying Wu
Xiaoying Hu
Xiaoying Hu
Huiqing Wu
Huiqing Wu
Mengzhu Guo
Mengzhu Guo
Yimin Lin
Yimin Lin
Menglin Yu
Menglin Yu
Wenwen Huang
Wenwen Huang
Yuxuan Wu
Yuxuan Wu
Lisong Lin
Yu Qiu
Jing Wang
Baochang He
Baochang He
Baochang He
Fa Chen
Fa Chen
Oolong Tea Consumption and the Risk of Oral Squamous Cell Carcinoma: A Propensity Score-Based Analysis in Southeast China
Frontiers in Nutrition
oolong tea consumption
OSCC
propensity score analyses
oral hygiene
risk assessment
title Oolong Tea Consumption and the Risk of Oral Squamous Cell Carcinoma: A Propensity Score-Based Analysis in Southeast China
title_full Oolong Tea Consumption and the Risk of Oral Squamous Cell Carcinoma: A Propensity Score-Based Analysis in Southeast China
title_fullStr Oolong Tea Consumption and the Risk of Oral Squamous Cell Carcinoma: A Propensity Score-Based Analysis in Southeast China
title_full_unstemmed Oolong Tea Consumption and the Risk of Oral Squamous Cell Carcinoma: A Propensity Score-Based Analysis in Southeast China
title_short Oolong Tea Consumption and the Risk of Oral Squamous Cell Carcinoma: A Propensity Score-Based Analysis in Southeast China
title_sort oolong tea consumption and the risk of oral squamous cell carcinoma a propensity score based analysis in southeast china
topic oolong tea consumption
OSCC
propensity score analyses
oral hygiene
risk assessment
url https://www.frontiersin.org/articles/10.3389/fnut.2022.928840/full
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