High-Value Life GuideLife's expensive mistakes
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Let hot drinks cool down before drinking; avoid tea, soup, and coffee that are piping hot

Original: eternity4719 · source details

Original author: eternity4719 · Chinese source: · English adaptation: parveen0029. Translation and grade notes ↗

Bibliographic titles are retained in their original language.

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Cost and benefit at a glance
Check the cost Cost ↓
There’s no monetary cost — you just need to wait two to three extra minutes each time. The hard part is resisting the urge to drink them when you’re craving the…
Then the source benefit Benefit ↓
In a high-risk area for esophageal cancer in northern Iran, researchers compared 300 patients with esophageal cancer to 571 healthy individuals. All results below are compared to p…

In plain terms

Drinking tea that is extremely hot raises your risk of esophageal cancer by 8 times compared to drinking lukewarm tea. Even “hot” tea doubles that risk. If you drink tea less than two minutes after pouring it, your risk is 5 times higher than if you wait at least four minutes to drink it.

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Chapter 2 editorial cartoon: A full wellness cart. An empty habit tracker. Enlarge illustration
A full wellness cart. An empty habit tracker.

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Editorial cartoon · Chapter 2A full wellness cart. An empty habit tracker.

Original illustration with Chinese lettering; the English dialogue is below. Humour is a reading aid, not evidence.

English dialogue
  • I take health seriously!
  • What does your average day look like?

Cost: what it takes

There’s no monetary cost — you just need to wait two to three extra minutes each time. The hard part is resisting the urge to drink them when you’re craving them.

Benefit: what the source reports

In a high-risk area for esophageal cancer in northern Iran, researchers compared 300 patients with esophageal cancer to 571 healthy individuals. All results below are compared to people who drank lukewarm tea. Those who drank “hot” tea had roughly 2.07 times the risk of developing squamous cell carcinoma of the esophagus (95% CI: 1.28–3.35). For those who drank “extremely hot” tea, the risk was about 8.16 times higher (95% CI: 3.93–16.9). People who drank tea less than two minutes after pouring it had 5.41 times the risk of those who waited at least four minutes to drink it (95% CI: 2.63–11.1).

Conditions, limits and disagreements

The International Agency for Research on Cancer classifies hot drinks above 65°C as Group 2A carcinogens, meaning they are “probably carcinogenic to humans.” The same assessment also confirms that coffee itself is not carcinogenic. In China, high rates of esophageal cancer in regions such as Chaoshan and the Taihang Mountains are linked to the habit of drinking tea while it is still very hot.

Original references

Original bibliographic titles and links are preserved; some titles are in Chinese.

Islami F, Pourshams A, Nasrollahzadeh D, et al. (2009). Tea drinking habits and oesophageal cancer in a high risk area in northern Iran: population based case-control study. BMJ, 338, b929. https://doi.org/10.1136/bmj.b929;Loomis D, Guyton KZ, Grosse Y, et al. (2016). Carcinogenicity of drinking coffee, mate, and very hot beverages. Lancet Oncology, 17(7), 877-878. https://doi.org/10.1016/S1470-2045(16)30239-X;Yu C, Tang H, Guo Y, et al. (2018). Hot tea consumption and its interactions with alcohol and tobacco use on the risk for esophageal cancer: a population-based cohort study. Annals of Internal Medicine, 168(7), 489-497. https://doi.org/10.7326/M17-2000

Medical, legal, financial and policy conditions vary by person, place and time. Policy material primarily concerns mainland China; check the cited document and current local requirements.