Sweets, fast food and fizzy drinks linked to bowel cancer for the first time

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    • A diet high in sugar and fat has been linked to colorectal cancer
    • Research show high-energy snack foods are a risk factor of disease

By FIONA MACRAE FOR THE DAILY MAIL

PUBLISHED: 12:18 EST, 14 July 2013 | UPDATED: 19:54 EST, 14 July 2013

Indulging in chocolate and other sweet treats such as biscuits and cakes could increase your risk of bowel cancer, researchers say.

It is the first study to link fatty and sugary snacks to bowel tumours, which claim more lives than any other form of the disease apart from lung cancer.

However, not all treats are off the menu. The British study also found drinking lots of coffee could have a protective effect.

Previous research has blamed processed meat, for example bacon and sausages, for raising the odds of bowel cancer. But the latest study suggests other popular foods fuel the disease as well.

Edinburgh and Aberdeen University researchers asked more than 2,000 men and women with bowel cancer to fill in a lengthy questionnaire about what their diets were like before diagnosis.

Another group of around 3,000 volunteers of a similar age and from similar areas also answered the questions, which covered more than 170 different foods.

Those who ate the most ‘high-energy snack foods’, such as desserts, chocolates, biscuits, cakes, sweets, nuts and crisps, were 18 per cent more likely to have developed bowel cancer than those who ate the least.

The finding held true even when obesity and lack of exercise – two factors already known to raise the risk of bowel cancer – were taken into account.

High quantities of fizzy drinks raised the odds of getting the disease by 12 per cent.

The study, published in the European Journal of Cancer Prevention, also linked white fish with the disease. Researchers said this was unexpected but thought it may be because most of the fish eaten by participants was cooked unhealthily.

Coffee, however, seemed to help. Those who drank lots of it had an 8 per cent lower risk of developing bowel cancer than those who did not. A previous study credited four cups a day with lowering the risk by a quarter.

However, other research has failed to find any benefit. Any benefits could be due to plant compounds in coffee. It may also provide protection by keeping the bowels active.

Edinburgh University researcher Dr Evropi Theodoratou said her study stops short of proving that sugary and fatty snacks cause the disease and other, bigger studies are needed.

She added that while it is unclear how these foods cause bowel cancer, her findings shouldn’t be dismissed. ‘It is important to take on board what we’ve found – especially because people in industrialised countries are consuming more of these foods,’ she said.

Jessica Harris, of Cancer Research UK, which part-funded the research, said: ‘While this study on its own can’t show for sure that these foods are linked to cancer risk, it’s still a good idea to limit the amount of high-sugar and high-calorie foods and drinks in your diet. ‘Having too much of these types of foods can lead you to put on weight, which we know is linked to higher risks of bowel cancer.

‘The best ways to reduce the risk of bowel cancer are to cut down on alcohol, get active, eat a balanced diet and aim to keep a healthy weight.’

Mike Lean, professor of nutrition at Glasgow University, cautioned that the figures could have been skewed by the cancer patients placing more emphasis on foods they believed to be bad for them.

He added: ‘We can’t yet start saying that this science shows that these foods cause bowel cancer.

‘But we are fairly sure that eating more fruit and vegetables and taking more exercise can prevent cancer.’

Bowel cancer kills almost 16,000 Britons a year, or 43 people a day.

Story Source
Journal Reference


Associations between dietary and lifestyle risk factors and colorectal cancer in the Scottish population
Theodoratou, Evropi

European Journal of Cancer Prevention:
doi: 10.1097/CEJ.0b013e3283639fb8
Research Papers: Gastrointestinal Cancer

Abstract

Colorectal cancer (CRC) accounts for 9.7% of all cancer cases and for 8% of all cancer-related deaths. Established risk factors include personal or family history of CRC as well as lifestyle and dietary factors. We investigated the relationship between CRC and demographic, lifestyle, food and nutrient risk factors through a case–control study that included 2062 patients and 2776 controls from Scotland. Forward and backward stepwise regression was applied and the stability of the models was assessed in 1000 bootstrap samples. The variables that were automatically selected to be included by the forward or backward stepwise regression and whose selection was verified by bootstrap sampling in the current study were family history, dietary energy, ‘high-energy snack foods’, eggs, juice, sugar-sweetened beverages and white fish (associated with an increased CRC risk) and NSAIDs, coffee and magnesium (associated with a decreased CRC risk). Application of forward and backward stepwise regression in this CRC study identified some already established as well as some novel potential risk factors. Bootstrap findings suggest that examination of the stability of regression models by bootstrap sampling is useful in the interpretation of study findings. ‘High-energy snack foods’ and high-energy drinks (including sugar-sweetened beverages and fruit juices) as risk factors for CRC have not been reported previously and merit further investigation as such snacks and beverages are important contributors in European and North American diets.

Full Text Paper


 

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