Do Certain Foods Lead to or Help Prevent Cancer?

文摘   2024-09-19 17:50   北京  


Cancer is becoming more common with the growth of the global population and the increase in life expectancy. Data shows that by 2030, the number of new cancer cases worldwide is expected to rise to 21.7 million, and the number of cancer deaths is projected to increase to 13 million [1].


In our country, more than 10,000 people are diagnosed with cancer every day, with 7.5 individuals confirmed every minute [2].


A popular belief circulating online states, "Meat is unhealthy, eating meat can cause cancer, and a vegetarian diet can prevent cancer." Is this really the case? The answer is not so straightforward.



Picture source:Bigstock


Consuming red meat and processed meat can increase the risk of certain cancers but...


There is ample evidence to suggest that the consumption of red meat (such as pork, beef, and lamb) and processed meats (such as sausages, bacon, and hot dogs) can increase the risk of colorectal cancer [3].


Not only that but there are as many as 15 types of cancer associated with the intake of red meat and processed meat products [4]. The International Agency for Research on Cancer has classified red meat and processed meat products as "Group 1 carcinogens."


Although the carcinogen classification does not equate to the intensity of carcinogenicity, it also clarifies that red meat and processed meats are substances that have carcinogenic effects on the human body.


Picture source:Bigstock


Currently, the carcinogenic mechanisms of red meat and processed meat products are not entirely clear, but possible reasons include the following:


1. Compared to poultry and seafood, red meat contains more heme iron, which may lead to the production of free radicals that can damage DNA and promote the formation of nitro compounds, causing damage in the intestines that can lead to cancer [5];


2. Red meat may promote chronic inflammation in the body, thereby increasing the risk of cancer;


3. Meats cooked at high temperatures, such as grilled and smoked meats (including chicken and seafood), produce heterocyclic amines and polycyclic aromatic hydrocarbons during the cooking process, which are carcinogens;


4. Processed meats often contain large amounts of fat and nitrites, which not only produce carcinogens (such as nitrosamines) but may also lead to weight gain, thereby increasing the risk of colorectal cancer.


Picture source:Bigstock


However, it is important to note that even though consuming red meat may increase the risk of certain cancers, the World Cancer Research Fund and the American Institute for Cancer Research do not recommend abstaining from meat entirely.


This is because the benefits of eating meat are also clear, as meat is an important source of high-quality protein, iron, zinc, and vitamin B12. By choosing lean meats, controlling your intake to no more than 350-500 grams per week (cooked weight), and reducing the consumption of processed meat products, one can lower the cancer risk associated with meat consumption.


Therefore, it is a misinterpretation to assert that eating meat will definitely cause cancer.


Even cancer patients need to eat meat. Due to the increased energy expenditure caused by surgery and radiotherapy, cancer patients' needs for protein and calories also increase accordingly, and meat can provide them with high-quality protein.



The notion that "a vegetarian diet prevents cancer" is inconclusive


Evidence suggests that dietary fiber can reduce the risk of certain cancers, and vegetables, fruits, soy products, nuts, and other plant-based foods are the primary sources of dietary fiber [1].


In addition, the antioxidants and phytochemicals found in vegetables and fruits also protect cells. However, it would be incorrect to assume that a vegetarian diet will prevent cancer.


Picture source:Bigstock


At present, the idea that "a vegetarian diet prevents cancer" is not conclusively proven. Although a vegetarian diet may be healthier than a traditional diet that is high in animal products, there is currently no evidence to suggest that a vegan diet is more effective in preventing cancer than a balanced dietary pattern that is primarily plant-based with some animal products.


A 2018 report from the American Institute for Cancer Research also concluded that the current evidence is too limited to determine that a vegan diet significantly reduces the risk of cancer occurrence.


A vegetarian diet can also be unhealthy and increase the risk of cancer. If one frequently consumes fried vegetarian foods and often has refined grains and sugary beverages, the risk of cancer may actually increase.


For vegetarians who are overweight, obese, smokers, or have other unhealthy lifestyle habits, the rate of cancer will not be reduced simply by being vegetarian [6].



How can we eat to reduce the risk of cancer?


The World Cancer Research Fund/American Institute for Cancer Research has proposed some cancer prevention recommendations that are worth learning:


If your diet is mainly meat-based, to reduce the risk of cancer, you don't necessarily have to give up meat. Instead, you can add more plant-based foods to your diet.


For example, when preparing a meal, at least 2/3rds of the food should be vegetables, fruits, whole grains, and legumes; eat two fist-sized portions of fresh fruit daily; limit red meat intake to no more than 350-500 grams per week (cooked weight); add an extra serving of vegetables when eating meat; and consume less processed meats such as ham, hot dogs, deli meats, and bacon.


It is important to note that the above suggestions are for dietary combinations to reduce cancer risk. Reducing the risk of cancer does not mean you won't get cancer, so don't fantasize about preventing cancer by eating a certain food—currently, there is no evidence that any food can cure or prevent cancer.


In addition, talking about cancer prevention without considering external factors is also incomplete. To reduce the risk of cancer, a healthy lifestyle, a balanced diet, maintaining a normal weight, and exercising more are also very important external factors.



Picture source:Bigstock



Nutritionist Tips


Summary:

● Although consuming red meat may increase the risk of certain cancers, the benefits of eating meat are also evident. It is a misinterpretation to believe that eating meat will necessarily lead to cancer.

● There is no definitive conclusion that a vegetarian diet can prevent cancer, and an unhealthy vegetarian diet may increase the risk of cancer.

● Currently, there is no evidence to suggest that any specific food can cure or prevent cancer. To reduce the risk of cancer, it is also very important to maintain a healthy lifestyle, a balanced diet, an average weight, and exercise regularly.









Jackie GAO

Nutrition Consultant, Accredited Practicing Dietitian (APD), Registered Dietitian (RD)

Click here to make an appointment


Ms. Jackie Gao graduated from the University of Sydney (Australia) in 2009 with a master's in Nutrition and Dietetics, following her Bachelor of Science degree in Physiology from the University of Auckland (New Zealand) in 2007.


Ms. Gao worked as a Clinical Dietitian for over seven years at various tertiary hospitals in Australia, including the Sydney Children’s Hospital, Prince of Wales Hospital, Gosford Hospital Oncology Center, and various Family Medicine centers. Before joining Beijing United Family Hospital and Clinics in 2017, Ms. Gao was a Senior Dietitian at Sydney Children’s Hospital and one of the few dietitians in Australia and New Zealand who specialized in using the ketogenic diet for treating intractable epilepsy in children.


Ms. Gao has over 10 years of clinical experience in nutrition management, which comes from working with patients across all age groups, diverse cultural backgrounds, and a vast range of acute or chronic conditions. These include, but are not limited to infant feeding difficulties, growth issues in children and adolescents, food allergies and intolerances, gastrointestinal conditions (e.g. inflammatory bowel disease, irritable bowel syndrome, and celiac disease), various cancers, pre/post-surgery diet, prenatal and pregnancy nutrition, diabetes, cardiovascular diseases, renal diseases, and overweight/obesity. She has over 10 years of clinical experience in enteral and parenteral nutrition support and is highly experienced in geriatric nutrition and enteral feeding. She takes a holistic approach in her practice and strives to provide high-quality, personalized nutrition care for the patients she sees.


Ms. Gao is an Accredited Practicing Dietitian in Australia and a Registered Dietitian in China.


References:

[1] https://www.wcrf.org/wp-content/uploads/2021/02/diet-cancer-report-summary-mandarin.pdf

[2] 国家癌症中心。中国结直肠癌筛查与早诊早治指南制定专家组。中国结直肠癌筛查与早诊早治指南(2020,北京)中国肿瘤杂志,2021,43(1):16-38

[3] Aune D, et al. Red and processed meat intake and risk of colorectal adenomas: A systematic review and meta-analysis of epidemiological studies. Cancer Causes Control. 2013; doi:10.1007/s10552-012-0139-z.

[4] Maximova K, Khodayari Moez E, Dabravolskaj J, Ferdinands AR, Dinu I, Lo Siou G, Al Rajabi A, Veugelers PJ. Co-consumption of Vegetables and Fruit, Whole Grains, and Fiber Reduces the Cancer Risk of Red and Processed Meat in a Large Prospective Cohort of Adults from Alberta's Tomorrow Project. Nutrients. 2020 Jul 29;12(8):2265. doi: 10.3390/nu12082265. PMID: 32751091; PMCID: PMC7468967.

[5] https://www.wcrf.org/dietandcancer/meat-fish-and-dairy/

[6] Vegetarian diets and the incidence of cancer in a low-risk population. https://pubmed.ncbi.nlm.nih.gov/23169929/








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