Esophageal Thermal Exposure to Hot Beverages: A Comparison of Metrics to Discriminate Distinct Consumption Habits.


Journal

Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
ISSN: 1538-7755
Titre abrégé: Cancer Epidemiol Biomarkers Prev
Pays: United States
ID NLM: 9200608

Informations de publication

Date de publication:
Dec 2019
Historique:
received: 19 07 2019
revised: 28 08 2019
accepted: 17 09 2019
pubmed: 29 9 2019
medline: 12 9 2020
entrez: 28 9 2019
Statut: ppublish

Résumé

Hot beverage consumption is a probable risk factor for esophageal squamous cell carcinoma (ESCC). No standardized exposure assessment protocol exists. To compare how alternative metrics discriminate distinct drinking habits, we measured sip temperatures and sizes in an international group of hot beverage drinkers in France ( Two contrasting exposure characteristics were observed. Compared with the international group, Chinese porridge consumers took larger first sips [mean difference +17 g; 95% confidence interval (CI), 13.3-20.7] of hotter (+9.5°C; 95% CI, 6.2-12.7) liquid, and their mean sip size did not vary greatly across sips, but the former groups increased in size as temperature decreased. This resulted in higher predicted IELTs (mean 61°C vs. 42.4°C) and sip-weighted temperatures (76.9°C vs. 56°C) in Chinese porridge consumers, and compared with first sip and mean temperature, these two metrics separated the groups to a greater extent. Distinguishing thermal exposure characteristics between these groups was greatly enhanced by measuring sip sizes. Temperature at first sip alone is suboptimal for assessing human exposure to hot foods and beverages, and future studies should include sip size measurements in exposure assessment protocols. This study provides a logistically feasible framework for assessing human exposure to hot beverages.

Sections du résumé

BACKGROUND BACKGROUND
Hot beverage consumption is a probable risk factor for esophageal squamous cell carcinoma (ESCC). No standardized exposure assessment protocol exists.
METHODS METHODS
To compare how alternative metrics discriminate distinct drinking habits, we measured sip temperatures and sizes in an international group of hot beverage drinkers in France (
RESULTS RESULTS
Two contrasting exposure characteristics were observed. Compared with the international group, Chinese porridge consumers took larger first sips [mean difference +17 g; 95% confidence interval (CI), 13.3-20.7] of hotter (+9.5°C; 95% CI, 6.2-12.7) liquid, and their mean sip size did not vary greatly across sips, but the former groups increased in size as temperature decreased. This resulted in higher predicted IELTs (mean 61°C vs. 42.4°C) and sip-weighted temperatures (76.9°C vs. 56°C) in Chinese porridge consumers, and compared with first sip and mean temperature, these two metrics separated the groups to a greater extent.
CONCLUSIONS CONCLUSIONS
Distinguishing thermal exposure characteristics between these groups was greatly enhanced by measuring sip sizes. Temperature at first sip alone is suboptimal for assessing human exposure to hot foods and beverages, and future studies should include sip size measurements in exposure assessment protocols.
IMPACT CONCLUSIONS
This study provides a logistically feasible framework for assessing human exposure to hot beverages.

Identifiants

pubmed: 31558508
pii: 1055-9965.EPI-19-0856
doi: 10.1158/1055-9965.EPI-19-0856
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2005-2013

Informations de copyright

©2019 American Association for Cancer Research.

Auteurs

Daniel R S Middleton (DRS)

Section of Environment and Radiation, International Agency for Research on Cancer (IARC), Lyon, France. middletond@fellows.iarc.fr weiwq@cicams.ac.cn.

Shuang-Hua Xie (SH)

National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Liacine Bouaoun (L)

Section of Environment and Radiation, International Agency for Research on Cancer (IARC), Lyon, France.

Graham Byrnes (G)

Section of Environment and Radiation, International Agency for Research on Cancer (IARC), Lyon, France.

Guo-Hui Song (GH)

Cancer Institute/Hospital of Ci County, Cixian, China.

Joachim Schüz (J)

Section of Environment and Radiation, International Agency for Research on Cancer (IARC), Lyon, France.

Wen-Qiang Wei (WQ)

National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. middletond@fellows.iarc.fr weiwq@cicams.ac.cn.

Valerie A McCormack (VA)

Section of Environment and Radiation, International Agency for Research on Cancer (IARC), Lyon, France.

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