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With the rise of social media, we may have come across many 'anti-cancer' diets and foods. Many people follow them in an attempt to improve cancer treatment side effects, boost their immune systems, cure cancer diseases, or reduce the risk of recurrence. However, is the information evidence-based? On what basis does the diet claim to be effective?

Evidence-based knowledge is essential to identifying cancer prevention methods. Let’s find out together what lifestyle changes reduce cancer risk.

1. Physical Activity versus Cancer Risk

Explanation There is strong evidence that physical activity protects against colon and endometrium cancers and helps prevent excess weight gain
Suggestion – Limit sedentary lifestyle (watching television or screens, using electronic devices)

– Be active with more walking and staircase climbing

– Involve in at least 150 minutes of moderate-intensity or 75 minutes of vigorous-intensity physical activity weekly

* Moderate-intensity: Can talk but cannot sing during workout (brisk walking, leisure cycling, gardening, swimming)

* Vigorous-intensity: Cannot talk and sing during workout (running, fast swimming, fast cycling, aerobics)

2. Sugar Control versus Cancer Risk

Explanation There is convincing evidence that consumption of sugar-sweetened drinks is a cause of overweight and obesity, which increases the risks of many cancers
Suggestion – Limit sugar-sweetened drinks and ensure daily added sugar consumption not more than 50g

– Suggest drinks lower in sugar or no sugar added

– Suggest usage of natural ingredients and artificial sweetener in meal preparation (stevia, aspartame, monk fruit sweetener)

3. Wholegrains, Fruits and Vegetables versus Cancer Risk

Explanation There is strong evidence that eating wholegrains protects against colorectal cancer, and that eating foods containing dietary fibre protects against colorectal cancer and against weight gain, overweight and obesity
Suggestion – Choose wholegrains as carbohydrate sources (brown rice, wholemeal bread, wholegrain noodles, oats, chapatti, buckwheat, millet, quinoa)

– Include two servings of fruits and two servings of vegetables daily (one serving is equivalent to size of a fist)

4. Processed Meat versus Cancer Risk

Explanation There is strong evidence that daily consumption of 50g of processed meat increases the risk of colorectal cancer by 18%

* Processed meat: ham, bacon, sausage, Chinese sausage, salami, fish ball, fish cake, crab meat

World Health Organization claims processed meat as Class 1 carcinogen (cancer-related)

Suggestion – Consume very little processed meat and choose fresh raw meat instead

5. Alcohol and Tobacco Smoking versus Cancer Risk

Explanation There is strong evidence that consumption of alcoholic drinks is a cause of cancers of the mouth, pharynx and larynx, oesophagus (squamous cell carcinoma), liver, colorectum, breast (pre- and postmenopause), and stomach, while tobacco use is a leading cause of cancer and of death from cancer
Suggestion – Avoid alcohol drinking and tobacco smoking

– If consume alcohol, men to drink not more than 2 servings daily, while women not more than 1 serving daily

* 1 serving of alcohol =

1 can (330ml) regular beer ½ glass (175ml) wine 1 shot (35ml) spirit

 

 

References:

  • Department of Health and Human Services, Office of Disease Prevention and Health Promotion (2018). Eat healthy, be active: Community workshops. Skyhorse.
  • Health Promotion Board. (2021, July). National Physical Activity Guidelines: Summary Guide for Professionals.
  • International Agency for Research on Cancer. (n.d.). Cancer topics. https://www.iarc.who.int/cancer-topics/
  • Rock, C. L., Thomson, C., Gansler, T., Gapstur, S. M., McCullough, M. L., Patel, A. V., Andrews, K. S., Bandera, E. V., Spees, C. K., Robien, K., Hartman, S., Sullivan, K., Grant, B. L., Hamilton, K. K., Kushi, L. H., Caan, B. J., Kibbe, D., Black, J. D., Wiedt, T. L., . . . Doyle, C. (2020). American Cancer Society guideline for diet and physical activity for cancer prevention. CA: A Cancer Journal for Clinicians, 70(4), 245–271. https://doi.org/10.3322/caac.21591
  • World Cancer Research Fund International. (2022, April 21). Cancer prevention recommendations. https://www.wcrf.org/diet-activity-and-cancer/cancer-prevention-recommendations/

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