Lowering Your Risk of Cancer
Published as a series in the Manitoba Post and Lifestyles55.
Cancer is the second leading cause of death in the United States and Canada. As additional countries adopt a more "Western" lifestyle, estimates are that the number of new diagnoses of cancer will increase to 21 million, with up to 13 million deaths by 2030. Over 1.6 million people are diagnosed with cancer each year in the United States alone (4,600 daily or about three people every minute).
What we eat, weigh, and expose our body to can all influence our health, as can sleep, exercise, and stress. The typical Western diet often incorporates exposure to many risk factors including overconsumption of sugar as well as refined, processed, and preserved foods. We tend to eat fewer vegetables and fruits, consume too much omega 6 essential fatty acids (compared to omega 3), and have more nutrient deficiencies. Lifestyle factors also contribute -- heating foods to high temperatures, sleep disruptions, oral infections, increased stress, and a more sedentary way of life all take their toll. Research has also found there are foods associated with an increase in some aggressive cancers, and The Journal of the National Cancer Institute found that blood donors have a significantly decreased cancer risk, and a lower mortality following cancer diagnoses.
Modifiable Lifestyle Factors
While genetics play a role in all disease, the field of epigenetics, one of the most active areas of research in life sciences, is showing we can change our genetic tendencies through dietary and lifestyle changes. There's a saying in the field of nutrition: "Genetics loads the gun, but it's our diet and lifestyle that pull the trigger." Diet, exercise, sleep (quality and quantity), social interactions, and stress can all affect gene expression (positively or negatively). Healthy lifestyle choices can reduce or increase the risk of many diseases including cancer.
Combined with effective stress, sleep, and exercise strategies, the human body has an amazing ability to maintain good health when we supply it with the required macronutrients (carbohydrates, protein, and fat), and micronutrients (vitamins, minerals, essential fatty acids, antioxidants, phytochemicals, and amino acids).
I've identified twenty-one actionable steps shown to improve health and reduce the risk of cancer:
(1) Stop smoking.
This link to cancer is well-known for a reason: about 30% of all cancer deaths are caused by the use of tobacco products. In the United States, about 443,000 die from tobacco-related illnesses each year -- more than AIDS, vehicle accidents, alcohol, suicides, illegal drugs, and homicides combined. Smoking is a key factor in oral cancers and cancer of the lungs, larynx, esophagus, stomach, cervix, kidney, bladder, and colon. I'm amazed that about 20% of Americans still smoke. Research confirms that only 1 to 4 cigarettes per day can lead to heart disease and cancer.
(2) Breathe clean air.
Exposure to particulates in the air can increase mortality and morbidity, especially in the elderly or those with existing lung and heart issues. While smokers expose themselves to a higher risk of lung cancer, air pollution affects everyone. According to the International Agency for Research on Cancer (IARC), indoor and outdoor air pollution increases the risk of lung cancer, and evidence suggests it may also increase the risk of other respiratory and heart diseases. A Canadian study found that portable HEPA filters can reduce fine particles inside homes by 60%, improving circulation and systemic inflammation. The study found that reducing air pollution provided health benefits even when levels of particulates were low. One 2013 Danish study showed just two days of breathing HEPA-filtered air resulted in a significant improvement in microvascular function and a reduction in inflammation.
(3) Avoid junk food.
Reduce your sugar consumption and avoid fried, refined, and processed foods -- just about everything found in a supermarket's inner aisles.
(4) Maintain a healthy weight.
Even a few extra pounds increases the risk. Overweight and obese people see a more rapid proliferation of cancer cells and worse outcomes from treatments. Over 70% of US adults are overweight, and close to 40% are obese. Obesity is linked with premature death, hypertension, heart disease, arthritis, depression, diabetes, and other diseases (including many types of cancer).
Being overweight is predicted to soon surpass smoking as the number one risk factor, increasing the risk of developing many types of cancer including liver, ovarian, uterine, prostate, oral, stomach, bowel, breast, gallbladder, kidney, and pancreas. In a recent study published in the journal Cancer Research it was shown that losing even 10 pounds resulted in lower markers of inflammation. Men who are overweight (especially in the abdominal area) are 50% more likely to die from prostate cancer than men with a normal weight, and obese men have a 150% higher risk of dying. Obesity is thought to be a direct cause of 20% of cancer deaths.
Fat located in the abdominal area (surrounding many vital organs) is especially dangerous. This belly fat releases hormones, fatty acids, and other chemicals that increase the risk of diabetes and contribute to inflammation. Even if you're not obese but have extra weight in the belly area, you can make a significant health improvement by implementing a weight loss program combined with exercise.
(5) Eat more vegetables and fruits.
You don't have to be a vegetarian or vegan, but try to focus on a plant-based diet and aim to eat at least 30 grams of fibre per day.
While all vegetables have health benefits, cruciferous vegetables like broccoli, Brussels sprouts, cabbage, cauliflower, rapini, kale, and bok choy all contain glucosinolates -- compounds with potent anti-cancer properties. Chop cruciferous vegetables and let them sit for five minutes; this allows the important anti-cancer phytochemicals to convert to more bioavailable forms.
(6) Reduce Inflammation.
Chronic inflammation is now considered to be a key cause of just about every health concern including arthritis pain, cardiovascular disease, dementia, and degenerative diseases like cancer. Our diet and lifestyle choices are critical to preventing chronic inflammation.
Inflammation isn't always a bad thing. When you’re injured or have an infection, the inflammatory process helps the body heal and protect itself. This is "acute" inflammation, which can last mere moments or up to a few days, and it dissipates once healing is underway. But continuous "chronic" inflammation is the primary cause of pain (including arthritis, back pain, and fibromyalgia) and can potentially lead to cardiovascular disease, cognitive impairment, and cancer.
Foods and Inflammation
While both omega-3 and omega-6 fatty acids are important to our health, the standard North American diet and our use of traditional vegetable oils result in an imbalance. Omega-6 fats have inflammatory properties, while omega-3 fats are anti-inflammatory. Specific foods including sugar, refined grains, fried foods, and most vegetable oils (canola, soybean, corn, grape seed, and peanut, among others) contribute to this imbalance, fueling inflammation. To help separate "fat from fiction," I recommend the fabulous book The Big Fat Surprise. Nina Teicholz details how saturated fats including butter, lard, beef tallow, and coconut oil have many health benefits.
The ideal ratio ranges from 3-1 (three parts omega-6 to one part omega-3) to a 1-1 ratio, but packaged and processed foods with their high levels of sugar, refined grains, and the omega-6 fats used to fry foods can all trigger inflammation.
Sugar (and anything that is quickly converted to sugar including white flour and other refined grains) is called a "high glycemic index food." These foods spike blood sugar levels and drive inflammation to higher levels. When you consume sugar or simple carbohydrates the pancreas produces the hormone insulin to push the sugar into our cells where it can be used as a quick source of energy or stored for future needs. But if our cells are already saturated with sugar, it stays in the blood, inciting the pancreas to make more insulin, raising blood sugar levels even higher. More insulin is then produced as blood sugar spikes, with the excess glucose being stored as fat. This condition is called insulin resistance, syndrome X, or metabolic syndrome, and can lead to type 2 diabetes.
Blood sugar spikes and the metabolism of sugar also induces sugar molecules to attach to various proteins. This creates "advanced glycation end products" (AGEs), which can result in injury to blood vessel walls, and chronic inflammation. Research has shown AGEs contribute to the development of diabetes, cardiovascular disease, renal failure, arthritis, neurodegenerative disorders, early cancer development, and a progression to more aggressive forms of cancer.
Eliminate highly-processed, refined, sugary, and fried foods which promote inflammation. Don’t eat any proteins that have been breaded and fried. Avoid potato chips, fast foods, donuts, cookies, cakes, candy, crackers, commercially-prepared salad dressings, breads, packaged meals, granola bars, and deli meats. Just about everything found in a supermarket’s inner aisles contains sugar and artificial preservatives that can adversely affect your health. Eliminate soda and any drinks with added sugar (including fruit juices which can contain as much sugar as sweetened soft drinks).
Focus on fresh vegetables, whole foods, and healthy fats which can lower inflammation and the risk of cancer. During the summer months, visit farmers markets and buy locally grown produce. Herbs, berries, and spices with strong anti-cancer and anti-inflammatory effects include curcumin, ginger, aronia berries, blueberries, and green tea.
(7) Use Healthier Cooking Methods.
Carcinogenic AGE compounds form when foods (particularly meat and fish) are heated to high temperatures. Temperatures above 212 °F (100 °C) increase production of these chemicals, including polycyclic aromatic hydrocarbons (PAHs), and heterocyclic amines like PhIP (HCAs) and acrylamide. These potent carcinogens may promote the growth of tumors and trigger colon, breast, and other cancers. I recommend either avoiding, or at least greatly reducing foods that have been grilled, barbecued, broiled, or prepared using high-temperature methods. Safer means of cooking include steaming, pressure cooking, slow cooking, and sous vide. Preferred by world-class chefs, sous vide cooks vacuum-sealed ingredients in a super-precise temperature-controlled water bath to enhance texture and flavour. Producing safe, healthy, consistent, and top quality results, sous vide can turn the least experienced cook into a gourmet chef.
(8) Know What to Cook and Why.
It's important to research which plant foods should be cooked and which are best consumed raw to maximize their nutritional value and anti-cancer properties. The most beneficial antioxidants in plants are found in blue, yellow, orange, purple, and red fruits and vegetables. These foods contain polyphenols including carotenoids like lycopene and beta-carotene. Anthocyanins are found in blueberries, blackberries, cherries, cranberries, and eggplant. I recommend the book Eating on the Wild Side by Jo Robinson which outlines how to shop for the most nutritious varieties of produce, as well as the best methods of preparation to ensure that nutrients are retained and available in their most absorbable form. I knew that lycopene (the red pigment in tomatoes) was best consumed cooked (as in a tomato sauce), but like most antioxidants (which are fat soluble), you can increase absorption by eating them with a healthy fat. This is why tomato sauce prepared with olive oil increases lycopene absorption. This important antioxidant is associated with lower rates of prostate, breast, lung, pancreas, colon, oral, and cervical cancer.
The sedentary work environments most of us have do not promote optimum health. Try to establish and maintain a routine that incorporates more movement throughout the day. Walk more, and sit less. Exercise for at least twenty minutes every day and avoid sitting for extended periods when possible. If your job requires sitting for long periods of time, be sure to stand up and move around every 20-30 minutes.
Exercise helps protect us not only from cancer, but from just about every disease. It reduces the risk of heart attacks, strokes, diabetes, Alzheimer's disease, cognitive impairment, and depression. Regular exercise will reduce the risk of death more than any other single treatment, with none of the adverse effects of drugs. Erik Richter, professor of human physiology at the University of Copenhagen calls exercise a "wonder drug," and says "there's probably not a single organ in the body that's unaffected by it."
In the 1990s, Grahame Hardie at the University of Dundee found exercise has the potential to reverse obesity and diabetes and help prevent cancer. Earlier studies have shown that physical activity was associated with a decreased risk of colon, breast, and endometrial cancer. More recent studies published in JAMA Internal Medicine have shown that physical activity lowers the risk of esophageal, liver, stomach, and kidney cancers. Regular exercise has also been shown to decrease the risk of myeloma (a blood cancer), as well as head, neck, rectal, bladder, and lung cancer in current and former smokers.
Researchers aren't yet sure of all the mechanisms that tie exercise to reduced cancer risk, but simply losing weight has been shown to lower the risk of postmenopausal breast cancer. Hormones are stored in fat cells, and it's been theorized that hormone imbalances triggered by being overweight are a factor in the development of many cancers. Circulating hormones, growth factors, and inflammatory substances are all reduced when there are fewer fat cells present.
Men with an accumulation of fat in the abdominal area have a significantly increased risk of prostate cancer. Additionally, a Michigan State University study found that a protein called FGF-2 released from body fat can cause cells to turn cancerous. Irisin, a protein released from muscles during exercise, facilitates the self-destruction of breast cancer cells while increasing the effectiveness of chemotherapy drugs.
Exercise can help prevent the recurrence of cancer, and for those who already have it, exercise has been proven to extend life, especially for patients with breast or colon cancer. Cancer patients who exercised during treatment showed improved mental and emotional health, less anxiety, a more positive outlook, and a better quality of life. Patients that were over 80 years old and exercised also reported less memory loss.
While aerobic activity (including brisk walking) is the most common form of exercise for cancer patients, studies have shown a greater benefit when aerobic exercise is combined with resistance exercises like lifting weights or using resistance bands. The greatest benefits were seen in those who walked three to five hours weekly, but even one hour per week resulted in improvements when compared to those who were inactive.
(10) Get more sleep.
Getting seven to nine hours of quality sleep each night is critical for healing, as insufficient sleep can compromise immune function. Researchers have found a higher rate of breast and prostate cancer for those who work night shifts, which may be due to a disruption in the natural circadian rhythm and suppression of melatonin production.
(11) Supplement your diet.
According to Dr. Bruce Ames, professor of biochemistry at the University of California, we need about 40 essential vitamins, minerals, essential fatty acids, and amino acids each day, as nutrient deficiencies are the primary cause of the four major diseases of aging: cancer, heart disease, dementia, and immune system dysfunction. I recommend a quality multivitamin supplement, at least 5000 iu of vitamin D, 180 mcg of vitamin K2 (as MK7), and two to three grams of omega-3 (as EPA and DHA) daily, in combination with a healthy diet that ensures sufficient protein and plant phytonutrients.As Michael Pollan so beautifully stated in his book In Defense of Food, "Eat food. Not too much. Mostly plants." He refers to eating "real" food like fruits, vegetables, whole grains, fish, and meat. Pollan suggests avoiding highly-processed packaged foods of any kind, which he calls "edible food-like substances."
Specific herbs and supplements that have been shown to reduce the risk of many cancers include lignans from flax and sesame seeds, garlic, ginger, and curcumin, the antioxidant component found in turmeric. Sulforophane is a plant compound found in cruciferous vegetables including broccoli and has been shown to inhibit the spread of tumours. Also found in broccoli, DIM helps balance estrogen and prevent the progression of prostate cancer cells. In one study of almost 5,000 women, supplementation with DIM was linked to a 35% lower risk of developing breast cancer, and a 62% lower risk of dying from cancer.
* More Steps Coming in Future Issues *
Often, it takes a health scare to make us realize we need to be proactive and take responsibility for our health. It's important to take control of your health when you have the opportunity; it's always easier to do what we can to maintain and improve our health while healthy. Preventative measures and integrating healthy lifestyle choices can help reduce the risk of all diseases, including cancer. Regaining lost health can be incredibly challenging and isn't always possible.
Health Disclaimer. Copyright ©2018-2019. Nathan Zassman is a trained nutrition practitioner and the owner of Aviva Natural Health Solutions.