Review Article

A Decade of Research on Coffee as an Anticarcinogenic Beverage

Table 3

Coffee consumption and cancer risk. 78 meta-analyses, cohort, or prospective studies, published between 2010 and 2021, which reported some type of significant association between coffee consumption and different cancer types, were analyzed. Italic rows: studies that report a negative association between coffee and cancer risk; bold rows: studies that report a positive association between coffee and cancer risk. Abbreviations: Pt: participants; Cn: control; Cn: cancer cases; c/d: cups/day.

First author, dateType of cancerStudy groupDate of completion of included dataObserved effect on coffee consumption

Yu, 2011 [72]Breast40 prospective cohort studies (2,179,126 Pt and 34,177 Cc)March 2010Meta-analysis showed coffee drinking had an inverse association with cancer.
Li, 2013 [73]16 cohort and 10 case-control studies (49,497 Cc)July 2012An inverse association was observed in ER- negative subgroup.
Jiang, 2013 [74]37 articles (966,263 Pt and 59,018 Cc)December 2012A strong and significant association with cancer risk was found for BRCA1 mutation carriers. The risk of breast cancer decreased by 2% for every 2 days.
Lowcock, 2013 [52]1 cohort study (3,427 Cn and 3,062 Cc)2002-2003High coffee consumption, but not total caffeine, may be associated with reduced risk of ER- and postmenopausal cancers.
Simonsson, 2013 [75]1 preoperative study (634 Pt)2002-2008Tamoxifen-treated patients with ER+ tumors who consumed 2 or more c/d had significantly decreased risk for early events.
Rosendahl, 2015 [76]1 cohort (1,090 Pt with invasive primary cancer)2002-2012A moderate (2–4 c/d) to high (≥5 c/d) coffee intake was associated with smaller invasive primary tumors and a lower proportion of ER+ tumors.
Lafranconi, 2018 [77]21 prospective studiesMarch 2017Coffee intake was associated with a 10% reduction in postmenopausal cancer risk.
Sánchez-Quesada, 2020 [78]1 cohort study (10,812 Pt)UninformedAmong postmenopausal women, more than 1 c/d of coffee was associated with a lower incidence of cancer.

Yu, 2011 [72]Leukemic40 prospective cohort studies (2,179,126 Pt and 34,177 Cc)March 2010It confirmed that coffee consumption is associated with a reduced risk of cancer.

Zhang, 2015 [79]Oral12 studies (1,872,231 Pt and 4,037 Cc)March 2015Higher consumption might reduce the risk of cancer, especially in Europe.
Li, 2016 [80]11 case-control and 4 cohort studies (2,832,706 Cn and 5,021 Cc)2015A protective benefit in oral cancer
He, 2020 [81]14 case-control and 5 cohort studies (6456 Cc)September 2018High and intermediate versus low coffee intake was associated with a reduced risk of cancer. Coffee intake might have protective effects against cancer.
Farvid, 2021 [82]2 preoperative studies (8900 Cc)1980-2010 1991-2011>3 c/d of coffee was associated with a 25% lower risk of cancer. Among cancer survivors, higher postdiagnostic coffee consumption was associated with better cancer and overall survival.

Turati, 2011 [83]Oral and pharyngeal1 cohort and 8 case-control studies (2,633 Cc)October 2009Coffee drinking is inversely related to oral pharyngeal cancer risk.
Miranda, 2017 [84]13 case-control and 4 cohort studiesAugust 2016An inverse association between high consumption and the risk of both cancer types
Hildebrand, 2013 [85]A prospective US cohort study (967,564 Cn and 868 Cc)1982-2008Intake of >4 c/d was associated with a 49% lower risk of cancer. Caffeinated coffee intake was inversely associated with oral/pharyngeal cancer mortality.

Vaseghi, 2016 [86]Nonmelanoma skin6 independent studies (320,370 Pt and 104,770 Cc)January 2016Caffeinated coffee might have chemopreventive effects dose-dependent effects against basal cell carcinoma
Caini, 2017 [87]13 articles (37,627 Cc)February 2016A moderate protective effect against basal cell cancer development

Wang, 2016 [88]Cutaneous melanoma23 studies (2,268,338 Pt)August 2015The risk of cancer decreased by 3% and 4% for 1 c/d increment of total coffee and caffeinated coffee consumption, respectively.

Liu, 2016 [89]Melanoma2 case-control (846 Cc and 843 Cn) and 5 cohort studies (844,246 Pt and 5,737 Cc)November 2015Caffeinated coffee might have chemopreventive effects against cancer.
Yew, 2016 [90]9 studies (927,173 Pt and 3,787 Cc)September 2015Beneficial effects of regular coffee consumption on cancer.
Micek, 2018 [91]7 studies (1,418,779 Pt and 9,211 Cc)March 2017An increase in consumption of one c/d was associated with a 3% reduction in cancer risk. Coffee intake may be inversely associated with the incidence of melanoma.

Je, 2012 [92]Endometrial10 case-control and 6 cohort studies (6,628 Cc)October 2011Increased intake is associated with a reduced risk of cancer.
Zhou, 2015 [53]13 articles (1,534,039 Pt)May 2015Risk decreased by 5% for every 1 c/d intake, 7% for every 1 c/d of caffeinated coffee intake, 4% for every 1 c/d of decaffeinated coffee intake, and 4% for every 100 mg of caffeine intake/d
Lafranconi, 2017 [93]12 studiesMarch 2017Increasing consumption by 4 c/d was associated with a 20% reduction in risk and a 24% reduction in postmenopausal cancer risk.
Lukic, 2018 [94]12 cohort and 8 case-control studies (11,663 Pt and 2,746 Cc)August 2016Protective effect

Bravi, 2013 [95]Hepatocellular carcinoma8 cohort and 8 control studies (3,153 Cc)September 2012The risk of cancer is reduced by 40% for any coffee consumption vs. no consumption regardless of the subjects’ sex.
Bai, 2016 [96]11 studies (340,749 Cn and 2,795 Cc)August 2015An inverse association between coffee consumption and cancer risk was observed, with quantitative evidence.
Bravi, 2017 [97]12 studies (3,414 Cc)UninformedThe meta-analysis provides a precise quantification of the inverse relation between coffee consumption and the risk of cancer.
Kennedy, 2017 [54]18 cohorts (2,272,642 Pt and 2,905 Cc) and 8 case-control studies, (4,652 Cn and 1,825 Cc)UninformedAn extra 2 cups of caffeinated and decaffeinated coffee were associated with reductions of 27 and 14% in the risk of cancer. Increased consumption is associated with a reduced risk of cancer, including preexisting liver disease.

Discacciati, 2014 [98]Prostate3 case-control and 5 cohort studiesJuly 2013Inversely associated with the risk of fatal cancer
Lu, 2014 [99]12 case-control (9,461 Cn and 7,909 Cc) and 9 cohort studies (455,123 Pt)June 2013High (highest ≥4 or 5 c/d) consumption may not only be associated with a reduced risk of cancer but also inversely associated with fatal and high-grade cancer.
Cao, 2014 [100]10 cohort studies (206,096 and Pt8,973 Cc)June 2013Coffee consumption may decrease the risk of cancer.
Zhong, 2014 [101]12 case-control and 12 cohort studies (42,179 Cc)July 2013An increase of 2 c/d was associated with a 7% decreased risk of cancer. A significant inverse relationship was also found for fatal cases and high-grade cancers.
Huang, 2014 [102]13 cohort studiesAugust 2013A significant reverse association was found between highest versus none/lowest consumption and risk of cancer.
Liu, 2015 [103]13 cohort studies (539,577 Pt and 34,105 Cc)UninformedCoffee consumption may be associated with a reduced risk of cancer, and it also has an inverse association with nonadvanced cancer.
Xia, 2017 [104]14 case-control and 14 cohort studies (42,399 Pt)July 2016An effect on reducing the localized cancer risk
Pounis, 2017 [32]1 cohort study (6,989 Pt and 100 Cc)March 2005-April 2010Reduction of 53% lower cancer risk by Italian-style coffee consumption
Chen, 2021 [105]16 cohort studies (1.081.586 Pt and 57,732 Cc)September 2020Higher coffee consumption was significantly associated with a lower risk of cancer.

Zheng, 2013 [106]Esophageal24 case-control and cohort studies (7,376 Cc)October 2011Borderline significantly inverse association of highest versus non/lowest consumption against risk (protective effects)
Zhang, 2018 [107]11 studies (457,010 Pt and 2,628 Cc)January 2017An inverse association between coffee consumption and incidence of cancer was found in East Asian participants.

Shafiei, 2019 [55]Ovarian22 case–control and 20 studies (40,140 Pt)April 2018Inverse association between decaffeinated coffee consumption and risk of cancer

Galeone, 2010 [108]Colorectal24 studies (14,846 Cc)May 2010A moderate favorable effect on cancer risk
Li, 2013 [109]25 case-control (15,522 Cc) and 16 cohort studies (10 443 Cc)May 2011Coffee consumption can significantly decrease the risks of colorectal and colon cancer, especially in Europe and for females.
Tian, 2013 [110]21 studies case-control and 12 cohort studiesUninformedA significant association was found between consumption and decreased risk of colorectal and colon cancer among subjects consuming ≥4 c/d.
Gan, 2017 [60]19 cohort studies (2,046,575 Pt and 22,629 Cc)August 2015Coffee consumption was significantly associated with a decreased risk of cancer at ≥5 c/d.
Nakagawa-Senda, 2017 [111]2 case-control studies (13,480 Cn and 2,696 Cc)1988 – 2000
2001-2005
The study found a significant inverse linear trend between consumption and distal colon cancer and a tendency toward a lower risk of rectal cancer.
Micek, 2019 [43]14 prospective studies (1,381,085 Pt and 28,404 Cc)August 2018Restriction to decaffeinated coffee revealed a 15% lower risk of cancer for the highest category consumption. Coffee consumption was related with a decreased risk of cancer in a subgroup of never-smokers and in Asian countries.
Sartini, 2019 [56]26 prospective studiesUninformedRegarding colorectal cancer, a protective effect emerged in US subjects. Concerning colon cancer, a significant protective effect was noted only in European men and only in Asian women. Decaffeinated coffee exhibited a protective effect against colorectal cancer in men and women combined.
Mackintosh, 2020 [57]1 prospective observational cohort study (1171 Pt)2005-2018Increased consumption of coffee was associated with decreased risk of cancer progression. Significant associations were noted for both caffeinated and decaffeinated coffee.
Um, 2020 [58]1 prospective cohort study (107,061 Pt and 1,829 Cc)1999-2015A higher intake of decaffeinated coffee was associated with a lower risk of colorectal, colon, and rectal cancer.

Sang, 2013 [112]Liver9 case-control and 7 cohort studiesMay 2012An inverse association was observed between coffee consumption and cancer.
Yu, 2016 [113]20 cohort studies from 10 publicationsJan 2016A significant linear dose-response relationship was found between consumption and cancer risk.
Godos, 2017 [114]13 studiesMarch 2017An inverse correlation was noted between consumption and cancer. Increasing consumption by 1 c/d was associated with 15% reduction in cancer risk.
Tamura, 2019 [115]6 cohort studies from 5 publicationsUninformedConsumption among Japanese people has a significant role in preventing cancer.
Tanaka, 2019 [116]4 cohort and 4 case-control studiesSeptember 2018Coffee drinking decreases the risk of primary cancer among the Japanese population.
Bhurwal, 2020 [117]20 prospective studiesJune 2019Higher doses of coffee consumption were associated with a significant decrease in the risk of developing cancer.

Song, 2019 [118]Brain11 articlesNovember 2018A statistically significant protective effect of consumption and cancer risk was reported.

Creed, 2020 [119]Glioma1 prospective study (379,259 Pt and 487 Cc)2006-2010A suggestive inverse association was observed with greater consumption of coffee.
Pranata, 2021 [61]12 studies (1,960,731 Pt and 2,987 Cc).October 2020Dose-response meta-analysis showed that every 1 c/d of coffee decreases the risk of glioma by 3%.

Shao, 2019 [120]Thyroid10 studies (379,825 Pt and 1,254 Cc)February 2019Inversely associated with cancer occurrence in a linear dose-response manner. The occurrence of cancer was reduced by 5% with each 1 c/d increment of coffee consumption.

Sugiyama, 2017 [121]Bladder2 cohort studies (73,346 Pt and 274 Cc)UninformedA significant inverse association was observed between coffee consumption and the risk of cancer.

Wu, 2015 [122]34 case-control and 6 cohort studiesUninformedAn increased risk between coffee consumption and cancer was found.
Yu, 2020 [123]12 cohort studies (2601 Cc and 501,604 Pt)UninformedPositive associations are suggested between coffee consumption and cancer among male smokers but not among never-smokers and females.

Dong, 2011 [124]Pancreatic14 studies (669,584 Pt and 1,496 Cc)August 2010An inverse relationship was found between coffee drinking and the risk of cancer.
Ran, 2016 [125]20 cohort studiesJune 2015High coffee consumption is associated with reduced risk.

Nie, 2016 [126]20 articlesNovember 2015Every 1-cup increase was associated with a 1% increase in risk. Coffee consumption may weakly increase the risk of cancer.
Li, 2019 [127]13 cohort studies (959,992 Pt and 3,831 Cc)February 2018Coffee consumption is related to increased risk of cancer in a dose-response manner.

Xie, 2016 [128]Gastric9 cohort and 13 case-control studies (1,019,693 Cn and 7,631 Cc)July 2014An increase in consumption was associated with a decreased risk of cancer.

Shen, 2015 [129]8 studies (311,564 Pt and 1,429 Cc)October 2013Coffee consumption is associated with the development of cancer. More coffee drinking could result in an increased risk of cancer.
Zeng, 2015 [130]9 studies, 15 independent prospective cohorts (1,289,314 Pt and 2,019 Cc)February 2015High coffee consumption (>6.5  c/d) might increase the risk of cancer in the US population.
Deng, 2016 [131]13 cohort studies (1,324,559 Pt and 3,484 Cc)September 2014High coffee consumption is a risk factor for cancer.

Chen, 2014 [132]Laryngeal10 studies (503,234 Cn and 2,803 Cc)October 2013Coffee consumption would increase cancer risk.

Kudwongsa, 2020 [133]Lung1 prospective cohort study (12,668 Pt and 138 Cc)1990-2016Coffee consumption was associated with a reduced risk of cancer. Consumption may be a protective factor for cancer among this cohort.

Tang, 2010 [134]5 prospective and 8 case-control studies (104,911 Pt and 5347 Cc)January 2009Highest consumption was significantly associated with an increased risk of cancer.
Wang, 2012 [135]9 publications (3,008 Cc)2005A significantly positive association was found between coffee consumption and the risk of cancer.
Xie, 2016 [136]5 cohort and 12 case-control studies (102,516 Cn and 12,276 Cc)March 2015Cancer risk is significantly increased by 47% in the population with the highest category intake of coffee compared with that with the lowest category intake.
Zhu, 2020 [137]17 prospective cohort studies (1.1 million Pt and 20,280 Cc)UninformedHigher consumption of coffee is associated with increased cancer risk.