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Cancer

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Lifestyle Medicine

Abstract

A number of lifestyle factors affect cancer risk and survival, including nutrition and eating patterns, overweight and obesity status, physical activity and sedentary behavior, and alcohol and tobacco use. More than 30 % of cancers are associated with diet. Public health guidelines recommend a plant-based diet for cancer prevention. Maintaining a healthy weight throughout life may be one of the most important ways to protect against cancer. Physical activity may protect against cancer in general, improve long-term health of cancer survivors, and possibly reduce the risk of cancer recurrence. Alcohol acts in various ways to increase cancer risk. A vast array of research findings show tobacco use in any form is associated with diseases of practically all organs in the human body, including multiple cancers. Inherited genetic variants, such as single nucleotide polymorphisms, may retard or enhance the carcinogenic effects of these exposures. Epigenetic processes may also influence the adverse or beneficial effects of lifestyle exposures.

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Abbreviations

BMI:

Body Mass Index

FDA:

Food and Drug Administration

IL-1:

Interleukin-1

IL-6:

Interleukin-6

PA:

Physical activity

SELECT:

Selenium and Vitamin E Cancer Prevention Trial

SNP:

Singlenucleotide polymorphisms

TNF-α:

Tumor necrosis factor-α

WCRF/AICR:

World Cancer Research Fund/American Institute for Cancer Research

WHEL:

Women’s Healthy Eating and Living

WINS:

Women’s Intervention Nutrition Study

References

  1. Greenwald P, Dunn BK. Smoking. In: Rose MD, DeVita VT, Lawrence TS, Rosenberg SA, editors. Oncology in primary care. Philadelphia: Lippincott Williams & Wilkins; 2013. p. 30–5.

    Google Scholar 

  2. Ong TP, Moreno FS, Ross SA. Targeting the epigenome with bioactive food components for cancer prevention. J Nutrigenet Nutrigenomics. 2011;4(5):275–92. PMID:22353664.

    Article  CAS  PubMed  Google Scholar 

  3. Doll R, Peto R. The causes of cancer: quantitative estimates of avoidable risks of cancer in the United States today. J Natl Cancer Inst. 1981;66(6):1191–308. PMID:7017215.

    Article  CAS  PubMed  Google Scholar 

  4. Koya DL, Egede LE. Association between length of residence and cardiovascular disease risk factors among an ethnically diverse group of United States immigrants. J Gen Intern Med. 2007;22(6):841–6. PMID:17503110. http://www.ncbi.nlm.nih.gov/pubmed/17503110/pubmed/17503110.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Key TJ, Schatzkin A, Willett WC, Allen NE, Spencer EA, Travis RC. Diet, nutrition and the prevention of cancer. Public Health Nutr. 2004;7(1A):187–200. PMID:14972060.

    Article  PubMed  Google Scholar 

  6. Rock CL, Doyle C, Demark-Wahnefried W, Meyerhardt J, Courneya KS, Schwartz AL, et al. Nutrition and physical activity guidelines for cancer survivors. CA Cancer J Clin. 2012;62(4):243–74. PMID:22539238.

    Article  PubMed  Google Scholar 

  7. Continuous Update Project Report. Food, nutrition, physical activity, and the prevention of breast cancer. 2010.

    Google Scholar 

  8. Continuous Update Project Report. Food, nutrition, physical activity, and the prevention of colorectal cancer. 2011.

    Google Scholar 

  9. van Rompay MI, McKeown NM, Castaneda-Sceppa C, Falcon LM, Ordovas JM, Tucker KL. Acculturation and sociocultural influences on dietary intake and health status among Puerto Rican adults in Massachusetts. J Acad Nutr Diet. 2012;112(1):64–74. PMID:22389874. http://www.ncbi.nlm.nih.gov/pubmed/22389874/pubmed/22389874.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Continuous Update Project Report. Food, nutrition, physical activity and the prevention of endometrial cancer. 2013.

    Google Scholar 

  11. Continuous Update Project Report. Food, nutrition, physical activity, and the prevention of ovarian cancer. 2014.

    Google Scholar 

  12. Prentice RL, Anderson GL. The women’s health initiative: lessons learned. Annu Rev Public Health. 2008;29:131–50. PMID:18348708.

    Article  PubMed  Google Scholar 

  13. Blot WJ, Li JY, Taylor PR, Guo W, Dawsey S, Wang GQ, et al. Nutrition intervention trials in Linxian, China: supplementation with specific vitamin/mineral combinations, cancer incidence, and disease-specific mortality in the general population. J Natl Cancer Inst. 1993;85(18):1483–92. PMID:8360931.

    Article  CAS  PubMed  Google Scholar 

  14. Kristal AR, Darke AK, Morris JS, Tangen CM, Goodman PJ, Thompson IM, et al. Baseline selenium status and effects of selenium and vitamin E supplementation on prostate cancer risk. J Natl Cancer Inst. 2014;106(3):djt456. PMID:24563519.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Murillo G, Mehta RG. Cruciferous vegetables and cancer prevention. Nutr Cancer. 2001;41(1–2):17–28. PMID:12094621.

    Article  CAS  PubMed  Google Scholar 

  16. Seow A, Vainio H, Yu MC. Effect of glutathione-S-transferase polymorphisms on the cancer preventive potential of isothiocyanates: an epidemiological perspective. Mutat Res. 2005;592(1–2):58–67. PMID:16019037.

    Article  CAS  PubMed  Google Scholar 

  17. Kucuk O, Sarkar FH, Sakr W, Djuric Z, Pollak MN, Khachik F, et al. Phase II randomized clinical trial of lycopene supplementation before radical prostatectomy. Cancer Epidemiol Biomarkers Prev. 2001;10(8):861–8. PMID:11489752.

    CAS  PubMed  Google Scholar 

  18. Kristal AR, Arnold KB, Neuhouser ML, Goodman P, Platz EA, Albanes D, et al. Diet, supplement use, and prostate cancer risk: results from the prostate cancer prevention trial. Am J Epidemiol. 2010;172(5):566–77. PMID:20693267.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Inoue-Choi M, Robien K. Cancer and nutrition: significance and background. In: Leser M, Ledesma N, Bergerson S, Trujillo E, editors. Oncology nutrition for clinical practice. Chicago: Oncology Nutrition Dietetic Practice Group; 2013. p. 9–14.

    Google Scholar 

  20. Vollset SE, Clarke R, Lewington S, Ebbing M, Halsey J, Lonn E, et al. Effects of folic acid supplementation on overall and site-specific cancer incidence during the randomised trials: meta-analyses of data on 50,000 individuals. Lancet. 2013;381(9871):1029–36. PMID:23352552.

    Article  CAS  PubMed  Google Scholar 

  21. Pierce JP, Natarajan L, Caan BJ, Parker BA, Greenberg ER, Flatt SW, et al. Influence of a diet very high in vegetables, fruit, and fiber and low in fat on prognosis following treatment for breast cancer: the Women’s Healthy Eating and Living (WHEL) randomized trial. JAMA. 2007;298(3):289–98. PMID:17635889.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Chlebowski RT, Blackburn GL, Thomson CA, Nixon DW, Shapiro A, Hoy MK, et al. Dietary fat reduction and breast cancer outcome: interim efficacy results from the Women’s Intervention Nutrition Study. J Natl Cancer Inst. 2006;98(24):1767–76. PMID:17179478.

    Google Scholar 

  23. Farzaneh-Far R, Lin J, Epel ES, Harris WS, Blackburn EH, Whooley MA. Association of marine omega-3 fatty acid levels with telomeric aging in patients with coronary heart disease. JAMA. 2010;303(3):250–7. PMID:20085953.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Chung M, Lee J, Terasawa T, Lau J, Trikalinos TA. Vitamin D with or without calcium supplementation for prevention of cancer and fractures: an updated meta-analysis for the U.S. Preventive Services Task Force. Ann Intern Med. 2011;155(12):827–38. PMID: 22184690.

    Article  PubMed  Google Scholar 

  25. Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, et al. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2011;96(7):1911–30. PMID:21646368.

    Article  CAS  PubMed  Google Scholar 

  26. Aleem E. β-Glucans and their applications in cancer therapy: focus on human studies. Anticancer Agents Med Chem. 2013;13(5):709–19. PMID:23140353.

    Article  CAS  PubMed  Google Scholar 

  27. Villaseca P. Non-estrogen conventional and phytochemical treatments for vasomotor symptoms: what needs to be known for practice. Climacteric. 2012;15(2):115–24. PMID:22148909.

    Article  CAS  PubMed  Google Scholar 

  28. Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Blaha MJ, et al. Heart disease and stroke statistics–2014 update: a report from the American Heart Association. Circulation. 2014;129(3):e28–292. PMID:24352519.

    Article  PubMed  Google Scholar 

  29. Jensen MD, Ryan DH, Apovian CM, Ard JD, Comuzzie AG, Donato KA, et al. 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. Circulation. 2014;129(25 Suppl 2):S102–38. PMID:24222017.

    Article  PubMed  Google Scholar 

  30. Gonzalez-Campoy JM, St Jeor ST, Castorino K, Ebrahim A, Hurley D, Jovanovic L, et al. Clinical practice guidelines for healthy eating for the prevention and treatment of metabolic and endocrine diseases in adults: cosponsored by the American Association of Clinical Endocrinologists/the American College of Endocrinology and the Obesity Society. Endocr Pract. 2013;19(Suppl 3):1–82. PMID:24129260.

    Article  PubMed  Google Scholar 

  31. United States Department of Health and Human Services. 2008 physical activity guidelines for Americans: be active, healthy, and happy! Washington, DC: U.S. Department of Health and Human Services; 2008. ix, 61 p.

    Google Scholar 

  32. United States Department of Agriculture. Human Nutrition Information Service. Dietary Guidelines Advisory Committee., United States. Agricultural Research Service. Report of the Dietary Guidelines Advisory Committee on the dietary guidelines for Americans, 2010: to the Secretary of Agriculture and the Secretary of Health and Human Services. Washington, D.C.: United States Department of Agriculture: United States Department of Health and Human Services; 2010. vi, 445 p.

    Google Scholar 

  33. Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012;380(9838):219–29. PMID:22818936. http://www.ncbi.nlm.nih.gov/pubmed/22818936/pubmed/22818936.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Healy GN, Dunstan DW, Salmon J, Cerin E, Shaw JE, Zimmet PZ, et al. Breaks in sedentary time: beneficial associations with metabolic risk. Diabetes Care. 2008;31(4):661–6. PMID:18252901.

    Article  PubMed  Google Scholar 

  35. Bouchery EE, Harwood HJ, Sacks JJ, Simon CJ, Brewer RD. Economic costs of excessive alcohol consumption in the U.S., 2006. Am J Prev Med. 2011;41(5):516–24. PMID:22011424.

    Article  PubMed  Google Scholar 

  36. Matias SL, Stoecklin-Marois MT, Tancredi DJ, Schenker MB. Adherence to dietary recommendations is associated with acculturation among Latino farm workers. J Nutr. 2013;143(9):1451–8. PMID:23864507. http://www.ncbi.nlm.nih.gov/pubmed/23864507/pubmed/23864507.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. Bagnardi V, Rota M, Botteri E, Tramacere I, Islami F, Fedirko V, et al. Light alcohol drinking and cancer: a meta-analysis. Ann Oncol. 2013;24(2):301–8. PMID:22910838.

    Article  CAS  PubMed  Google Scholar 

  38. Chen WY, Rosner B, Hankinson SE, Colditz GA, Willett WC. Moderate alcohol consumption during adult life, drinking patterns, and breast cancer risk. JAMA. 2011;306(17):1884–90. PMID:22045766.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. Pelucchi C, Tramacere I, Boffetta P, Negri E, La Vecchia C. Alcohol consumption and cancer risk. Nutr Cancer. 2011;63(7):983–90. PMID:21864055.

    Article  CAS  PubMed  Google Scholar 

  40. Johnston LD, O’Malley PM, Miech RA, Bachman JG, Schulenberg JE. Monitoring the future national results on drug use: 1975–2013: overview, key findings on adolescent drug use. Ann Arbor: Institute for Social Research, The University of Michigan; 2014.

    Google Scholar 

  41. Spear LP, Swartzwelder HS. Adolescent alcohol exposure and persistence of adolescent-typical phenotypes into adulthood: a mini-review. Neurosci Biobehav Rev. 2014;45C:1–8. PMID:24813805.

    Google Scholar 

  42. Dick DM, Aliev F, Viken R, Kaprio J, Rose RJ. Rutgers alcohol problem index scores at age 18 predict alcohol dependence diagnoses 7 years later. Alcohol Clin Exp Res. 2011;35(5):1011–4. PMID:21323682.

    Article  PubMed  PubMed Central  Google Scholar 

  43. Smoking and health: report of the Advisory Committee to the Surgeon General of the Public Health Service. Washington, DC: Public Health Service, Office of the Surgeon General; 1964.

    Google Scholar 

  44. The health consequences of smoking—50 years of progress: a report of the Surgeon General. Atlanta GA; 2014.

    Google Scholar 

  45. Cancer Facts & Figures. Atlanta: American Cancer Society, 2014.

    Google Scholar 

  46. Notes from the field: electronic cigarette use among middle and high school students—United States, 2011–2012. MMWR Morb Mortal Wkly Rep. 2013;62(35):729–30. PMID:24005229.

    Google Scholar 

  47. Chatham-Stephens K, Law R, Taylor E, Melstrom P, Bunnell R, Wang B, et al. Notes from the field: calls to poison centers for exposures to electronic cigarettes—United States, September 2010–February 2014. MMWR Morb Mortal Wkly Rep. 2014;63(13):292–3. PMID:24699766.

    PubMed  Google Scholar 

  48. Huang YH, Zhang ZF, Tashkin DP, Feng B, Straif K, Hashibe M. An epidemiologic review of marijuana and cancer: an update. Cancer Epidemiol Biomarkers Prev. 2015;24(1):15–31. PMID:25587109.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  49. Underner M, Urban T, Perriot J, de Chazeron I, Meurice JC. Cannabis smoking and lung cancer. Rev Mal Respir. 2014;31(6):488–98. PMID:25012035.

    Article  CAS  PubMed  Google Scholar 

  50. Zhang LR, Morgenstern H, Greenland S, Chang SC, Lazarus P, Teare MD, et al. Cannabis smoking and lung cancer risk: pooled analysis in the International Lung Cancer Consortium. Int J Cancer. 2015;136(4):894–903. PMID:24947688.

    Article  CAS  PubMed  Google Scholar 

  51. Smoking-attributable mortality, years of potential life lost, and productivity losses—United States, 2000–2004. MMWR Morb Mortal Wkly Rep. 2008;57(45):1226–8. PMID:19008791.

    Google Scholar 

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Correspondence to Elaine Trujillo .

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Trujillo, E., Dunn, B., Greenwald, P. (2016). Cancer. In: Mechanick, J., Kushner, R. (eds) Lifestyle Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-24687-1_24

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  • DOI: https://doi.org/10.1007/978-3-319-24687-1_24

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