Corrêa Lima M P, Gomes-da-Silva M H G
Department of Food and Nutrition, Mato Grosso Federal University, Cuiabá, Brasil.
Nutr Hosp. 2005 Jul-Aug;20(4):235-41.
Colorectal cancer is the most common tumor in the developed countries, and the number of new cases annualy is aproximately equal for men and women. Several environmental factors can interact in all steps of carcinogenesis. Lately the balance between genetic predisposition and these factors, including nutritional components and lifestyle behaviors, determines individual susceptibility to develop colorectal cancer. The aim of this study is to revise the references about lifestyle include diet, physical exercise, tobacco smoking and use of alcohol, and the risk of colorectal cancer in databases published during 1994-2004.
According to the reports high intake of red meat, and particularly of processed meat and positive energetic balance (high intake of total fat and carbohydrate) was associated with a moderate but significant increase in colorectal cancer risk. Convincing preventive factors include increase consumption of a wide variety of fruit and vegetable, particularly, dark-green leafy, cruciferous, a deep-yellow on tones, and fibre.
Physical activity as a means for the primary prevention of colorectal cancer. There is a probable synergic effect among physical inactivity, high energy intake and obesity and incidence of colorectal cancer. A growing body of evidence supports that avoidance overweight and the use of tobacco and alcohol is recommended to prevent colorectal cancer.
Current data suggest that lifestyle modification including proper diet such as the ones rich in vegetable and poor in red meat and fat, regular physical activity and maintaining an appropriate body weight and avoiding the use of tobacco and alcohol may lead to reduce colorectal cancer risk.
结直肠癌是发达国家最常见的肿瘤,每年男女新发病例数大致相等。几种环境因素可在致癌作用的各个阶段相互作用。最近,遗传易感性与这些因素(包括营养成分和生活方式行为)之间的平衡决定了个体患结直肠癌的易感性。本研究的目的是查阅1994 - 2004年期间发表的数据库中关于生活方式(包括饮食、体育锻炼、吸烟和饮酒)与结直肠癌风险的参考文献。
根据报告,红肉摄入量高,尤其是加工肉类摄入量高以及能量正平衡(总脂肪和碳水化合物摄入量高)与结直肠癌风险适度但显著增加有关。令人信服的预防因素包括增加各种水果和蔬菜的摄入量,特别是深绿叶蔬菜、十字花科蔬菜、深黄色蔬菜以及纤维。
体育活动作为结直肠癌一级预防的手段。身体活动不足、高能量摄入和肥胖与结直肠癌发病率之间可能存在协同作用。越来越多的证据支持建议避免超重以及戒烟和戒酒以预防结直肠癌。
目前的数据表明,改变生活方式,包括适当饮食(如富含蔬菜且红肉和脂肪含量低的饮食)、定期体育活动、保持适当体重以及避免吸烟和饮酒,可能会降低患结直肠癌的风险。