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Diet, Drugs and Colon Cancer: Is There A Connection?


Author:

Diana Santini, M.D

Weill Medical College of Cornell University, New York

Steven Shiff, MD

The Rockefeller University, New York

Medically Reviewed On: April 17, 2000

Does Scientific Data Support the Idea that Diet Can Affect Colon Cancer Risk?

For centuries, it has been suspected that diet influences cancer development. This is particularly true for colon cancer. Among the first modern evidence for this came from studies of Japanese citizens who emigrated to the US earlier this century. Investigators observed that Japanese natives developed colon cancer less often than US citizens did. However, after living in the US for many years, these migrants developed colon cancer at rates similar to other US citizens. This change was likely due to abandoning the traditional low fat Japanese diet and adopting a colon cancer-promoting Western diet.

Other studies suggest a connection between colon cancer and the amount of meat and fat a person consumes. The amount of meat and fat eaten was compared in different countries worldwide; the more meat and fat was consumed in a certain country, the more colon cancer would be observed there. Denis Burkitt, a famous British surgeon working in Africa as a medical missionary, made the keen observation that Africans consume a large amount of dietary fiber and rarely develop colon cancer. These two observations formed the foundation for modern theory of the effect of diet on colon cancer.

Intensive work has been done to verify these landmark observations and to identify other factors affecting colon cancer development. Possible elements include: a) daily energy intake (i.e., the number of calories one eats per day); b) abundance or deficiency of specific nutrients; c) abundance or deficiency of nutrients from selected sources (such as meats or vegetables); or d) the presence of cancer-causing substances in foods. It is possible that any or all of these are important in the development of colon cancer. Selected key factors are briefly discussed below.
 

Key Research Areas
Calories: Total daily caloric intake (also known as total energy intake) may be important in colon cancer development. In animal studies, it has been shown that cutting calories reduces the formation of colon tumors. Human studies also have suggested but not proven this. Obesity has also been linked with increased colon cancer risk. Consumption of more calories than are burned off causes weight gain and obesity.

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