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Fruits, Vegetables, and Cancer Risk

Posted 2/17/2011

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There is so much information and advice about diet and cancer that it can feel impossible to sort things out. Some of it is clearly (to me, anyway) wacko, but much seems reasonable, but it often is impossible to tell if the recommendations are based on good research and experience. Here is the bottom line of what we know: there is no such thing as a "cancer prevention diet" or a diet that will slow or cure cancer. It is reasonable, always, to eat a balanced and healthy diet with an emphasis on fruits, vegetables, whole grain, and proteins that do not rely totally on red meat. My personal belief is that life, regardless of cancer, is too short to exist on carrot sticks and sea weed, and food (and some wine) are among the great pleasures we can enjoy.

Here is the summary from a new study from the UK and then a link to read the article:

Fruit and vegetables and cancer risk

TJ Key*,1

1Cancer Epidemiology Unit, Nuffield Department of Clinical Medicine, Oxford University, Richard Doll Building, Roosevelt Drive, Oxford OX3 7LF, UK

The possibility that fruit and vegetables may help to reduce the risk of cancer has been studied for over 30 years, but no protective effects have been firmly established. For cancers of the upper gastrointestinal tract, epidemiological studies have generally observed that people with a relatively high intake of fruit and vegetables have a moderately reduced risk, but these observations must be

interpreted cautiously because of potential confounding by smoking and alcohol. For lung cancer, recent large prospective analyses with detailed adjustment for smoking have not shown a convincing association between fruit and vegetable intake and reduced risk.

For other common cancers, including colorectal, breast and prostate cancer, epidemiological studies suggest little or no association between total fruit and vegetable consumption and risk. It is still possible that there are benefits to be identified: there could be benefits in populations with low average intakes of fruit and vegetables, such that those eating moderate amounts have a lower

cancer risk than those eating very low amounts, and there could also be effects of particular nutrients in certain fruits and vegetables, as fruit and vegetables have very varied composition. Nutritional principles indicate that healthy diets should include at least moderate amounts of fruit and vegetables, but the available data suggest that general increases in fruit and vegetable intake would not have much effect on cancer rates, at least in well-nourished populations. Current advice in relation to diet and cancer should include the recommendation to consume adequate amounts of fruit and vegetables, but should put most emphasis on the well-established adverse effects of obesity and high alcohol intakes.

British Journal of Cancer (2011) 104, 6-11. doi:10.1038/sj.bjc.6606032 www.bjcancer.com

Published online 30 November 2010

& 2011 Cancer Research UK

http://www.nature.com/bjc/journal/v104/n1/full/6606032a.html

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