Diet's role in colon cancer in doubt
Is What We Eat
A Factor In Our Risk For Colon Cancer Or
Not?
A diet high in fruits, vegetables and
fiber, which is widely believed to reduce the risk of colon cancer,
failed to prevent the recurrence of potentially cancerous polyps in
two experiments. The studies reported in the
New England Journal of Medicine
confounded expectations raised by earlier studies showing that
dietary fiber decreased polyps, thus seemingly reducing the risk of
colon cancer.
In both colon cancer studies,
researchers tracked people who already
suffered from colorectal polyps, or adenomas, and had them
surgically removed before starting the diets.
One team divided 1,905 people over age 35 randomly into two groups.
One group ate a diet averaging about six servings of fruits and
vegetables daily; it was high in fiber and low in red meat and fat,
a diet formula thought to reduce the risk of colon cancer. The
other group stayed on regular diets. After four years, the two
groups suffered recurring polyps at equal rates, just
under 40%.
In a separate study of the effect of diet on the
occurence of colon cancer, 719 people
ages 40 to 80 were placed into a high-fiber group and 584 into a
low-fiber group. Again, differences in recurrence of polyps were not
significant.
The results indicated that such diets might offer health advantages,
but preventing colorectal adenomas, at least for the first three to
four years, may not be one of them. The studies' authors noted that
the results say nothing definitive about diet's effects on long-term
development of colon cancer.
Colon cancer kills 56,300 Americans a year. But with regular testing
of patients after age 50, physicians can remove polyps 10 years
before they can turn into colon cancer.
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