New research from Canada suggests
that a diet rich in fruits and vegetables may help prevent
pancreatic cancer, a particularly deadly type of tumor.
The findings, based on a
comparison of 585 pancreatic cancer patients and about 4,779
adults without the disease, suggest that the risk of the
cancer declines as fruit and vegetable intake increases.
Among cancers, pancreatic
tumors have one of the most dismal survival rates, with
less than 5 percent of patients still alive 5 years after
diagnosis. The poor prognosis is in large part due to the
fact that the disease is rarely caught early.
Because of this, uncovering
the modifiable risk factors for the disease is vital, according
to Dr. Parviz Ghadirian of the University of Montreal, one
of the authors of the new study.
Using data from a large study
of Canadians diagnosed with cancer between 1994 and 1997,
Ghadirian and his colleagues found that higher intakes of
fresh fruit and cruciferous vegetables, such as broccoli
and cauliflower, were associated with a lower risk of pancreatic
cancer.
For reasons that are unclear,
the relationship was confined to men; those with the highest
fruit and vegetable intakes were about half as likely to
develop pancreatic cancer as those with the lowest intakes.
There was no clear association between diet and pancreatic
cancer risk among women.
The findings, published in
the International Journal of Cancer, add to a growing body
of evidence on the role of diet in pancreatic cancer risk.
Some research has tied higher consumption of fruits, vegetables
and fiber to a lower risk of the disease, while other studies
have suggested that diets heavy in saturated fat, salted
meats or dairy products may raise the risk.
In the current study all
of the subjects filled out questionnaires on their lifestyle
habits, which included reporting how often they'd eaten
various foods over the previous two years.
In a separate newly published
study of the same group, Ghadirian and his colleagues found
that the antioxidant lycopene, specifically, appeared protective
against pancreatic cancer -- again, only men.
Lycopene, obtained mainly
through tomatoes and tomato products, belongs to a family
of plant compounds called carotenoids, some of which are
converted in the body to the antioxidant vitamin A.
In the current study, adults
with high intakes of fruits and vegetables tended to favor
fresh fruits like apples, oranges and cantaloupe, and cruciferous
vegetables like broccoli and cauliflower. These foods, Ghadirian
and his colleagues note, are key sources of carotenoids
and vitamin C. another antioxidant that has been tied to
lower pancreatic cancer risk.
It's thought that antioxidants
may help ward off cancer by mopping up oxygen free radicals
-- molecules that, though a natural byproduct of metabolism,
can result in potentially disease-causing damage to cells
over time.
With its often rapidly fatal
course, the only way to address pancreatic cancer right
now is through prevention, Ghadirian and his colleagues
note in their report.
Not smoking is one way to
do that, Ghadirian said, and following a diet rich in fiber,
fruits and vegetables may be another.
SOURCE: International Journal
of Cancer, May 1, 2005.