Health

How To Detect And Prevent Prostate Cancer?

prostate cancer

Risk factors for prostate cancer

  • Age

Prostate cancer is very rare in men younger than 40, but the chance of having prostate cancer rises rapidly after age 50. Almost 2 out of 3 prostate cancers are found in men over the age of 65.

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  • Race/ethnicity

Prostate cancer occurs more often in African-American men than in men of other races. African-American men are also more likely to be diagnosed at an advanced stage, and are more than twice as likely to die of prostate cancer as white men. Prostate cancer occurs less often in Asian-American and Hispanic/Latino men than in non-Hispanic whites. The reasons for these racial and ethnic differences are not clear.

  • Nationality

Prostate cancer is most common in North America, northwestern Europe, Australia, and on Caribbean islands. It is less common in Asia, Africa, Central America, and South America.

  • Family history

Prostate cancer seems to run in some families, which suggests that in some cases there may be an inherited or genetic factor. Having a father or brother with prostate cancer more than doubles a man’s risk of developing this disease. (The risk is higher for men who have a brother with the disease than for those with an affected father.) The risk is much higher for men with several affected relatives, particularly if their relatives were young at the time the cancer was found.

  • Genes

Scientists have found several inherited gene changes that seem to raise prostate cancer risk, but they probably account for only a small number of cases overall. Genetic testing for most of these gene changes is not yet available.

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  • Diet

The exact role of diet in prostate cancer is not clear, but several factors have been studied.

Men who eat a lot of red meat or high-fat dairy products appear to have a slightly higher chance of getting prostate cancer. These men also tend to eat fewer fruits and vegetables. Doctors are not sure which of these factors is responsible for raising the risk.

Some studies have suggested that men who consume a lot of calcium (through food or supplements) may have a higher risk of developing advanced prostate cancer. Most studies have not found such a link with the levels of calcium found in the average diet, and it’s important to note that calcium is known to have other important health benefits.

  • Obesity

Most studies have not found that being obese (very overweight) is linked with a higher risk of getting prostate cancer overall.

Some studies have found that obese men have a lower risk of getting a low-grade (less dangerous) form of the disease, but a higher risk of getting more aggressive prostate cancer. The reasons for this are not clear.

Some studies have also found that obese men may be at greater risk for having more advanced prostate cancer and of dying from prostate cancer, but not all studies have found this.

  • Exercise

Exercise may slightly lower prostate cancer risk. High levels of physical activity, particularly in older men, may lower the risk of advanced prostate cancer. More research in this area is needed.

  • Smoking

Most studies have not found a link between smoking and the risk of developing prostate cancer. Some recent research has linked smoking to a possible small increase in the risk of death from prostate cancer, but this is a new finding that will need to be confirmed by other studies.

  • Inflammation of the prostate

Some studies have suggested that prostatitis (inflammation of the prostate gland) may be linked to an increased risk of prostate cancer, but other studies have not found such a link. Inflammation is often seen in samples of prostate tissue that also contain cancer. The link between the two is not yet clear, but this is an active area of research.

  • Sexually transmitted infections

Researchers have looked to see if sexually transmitted infections (like gonorrhea or chlamydia) might increase the risk of prostate cancer. These infections could increase cancer risk by leading to inflammation of the prostate. So far, studies have not agreed, and no firm conclusions have been reached.

  • Vasectomy

Some earlier studies had suggested that men who undergo vasectomy (minor surgery to make men infertile) – especially those younger than 35 at the time of the procedure – may have a slightly increased risk for prostate cancer. But most recent studies have not found any increased risk among men who have had this operation. Fear of an increased risk of prostate cancer should not be a reason to avoid a vasectomy.

How to prevent prostate cancer?

1) Eat lots of cruciferous vegetables.

Cruciferous vegetables (broccoli, kale, bok choy, arugula, cauliflower, brussels sprouts, cabbage, radish to name a few) contain phytochemicals that stimulate the body to detoxify carcinogens. Men who consumed three or more half-cup servings of cruciferous vegetables per week were 41 percent less likely to develop prostate cancer.

2) Reduce consumption of animal protein. 

It is widely recognized that a high consumption of animal protein has been linked to a greater risk of prostate cancer. Greater consumption of meat, poultry and fish is associated with higher blood level of IGF-1 (insulin-like growth factor-1), which is positively correlated with an increased risk of prostate cancer. For prostate health, limit or avoid animal products to less than two servings per week. Plant protein, however, is protective – legumes, and specifically minimally processed soy products, are associated with decreased risk of prostate cancer.

3) Eat lots of tomatoes. 

A study of over 40,000 men revealed that those who consumed the most tomato-based foods (including cooked tomatoes and tomato sauce) reduced their total risk of prostate cancer by 35 percent and their risk of advanced prostate cancer by 50 percent. Lycopene, which is abundant especially in cooked tomato products is believed to be primarily responsible for this benefit. Tomatoes are extremely nutrient dense, containing lycopene as well as a variety of other protective phytochemicals.

4) Eat plenty of Allium and yellow/orange vegetables.

Allium vegetables – onions, garlic, leeks, shallots, scallions, and chives – have organosulfur compounds with anti-cancer effects, and are associated with reduced prostate cancer risk. Consumption of orange vegetables including carrots, pumpkin, sweet potatoes, winter squash and corn was also found to be inversely related to prostate cancer.

5) Confirm adequate vitamin D levels with a blood test. 

Accumulating research shows that insufficient vitamin D levels are associated with an increased risk of several cancers, including prostate cancer. While sun exposure is one of the best sources of vitamin D, it is unlikely to get adequate vitamin D from a sun exposure, throughout life, without increasing risk of skin cancer. The safest way to obtain vitamin D is through supplements.

6) Do not rely on PSA screening as a method of “early detection” to prevent prostate cancer.

About 70% of men with elevated PSA do not actually have cancer, and many scientists believe that PSA screening does not reduce prostate cancer-related deaths. In fact, the U.S. Preventive Services Task Force, the American College of Preventive Medicine and the American Cancer Society do not recommend routine PSA screening.

7) Avoid supplemental folic acid

Folic acid is the synthetic form of folate, one of the B vitamins. Similar to breast cancer, folic acid supplementation has been associated with increased risk of prostate cancer, whereas food folate is associated with decreased risk. Get natural folate from green vegetables and beans instead of synthetic folic acid from supplements.

8) Avoid dairy consumption.

There is substantial evidence indicating that men who avoid dairy products are at a lower risk for prostate cancer. One study that spanned 41 countries reported a strong correlation between per capita milk consumption and prostate cancer deaths.

9) Exercise at least 3 hours a week.

Exercise, particularly endurance-type exercise such as walking, running, cycling and swimming, are effective forms of disease protection. In one study, men who reported vigorous activity for at least three hours per week had a 61% lower risk of prostate cancer-specific death. Not only does exercise prevent prostate cancer, but it can also slow the progression of cancer.

10) Supplement with zinc.

In one study of 525 men with prostate cancer, those who consumed the most zinc (15.7 mg daily) were shown to have 74% reduction in risk of death as compared to men who consumed less than 12.8 mg zinc daily. The power of zinc lies in its ability to cause prostate cancer cell death. It is important to note that zinc from plant foods is not always efficiently absorbed by the body. To ensure adequate zinc levels, (and B12, D and iodine), I recommend supplementation with a multivitamin and mineral supplement that does not contain folic acid.

11) Men who drank six or more cups of regular or decaf coffee were 59 percent less likely to develop advanced prostate cancer than those who eschewed the brew.

12) Men with the highest blood levels of trans-fats have more than twice the prostate-cancer risk of men with the lowest levels. Trans-fatty acids increase inflammation and insulin resistance, both of which may play a role in prostate cancer. Avoid commercially baked doughnuts and cookies, as well as packaged baked goods containing hydrogenated oil.

13) Fish don’t have prostates, but if they did, we’re betting they wouldn’t get prostate cancer. In studies on lab animals, the omega-3 fatty acids DHA and EPA in fish oil inhibited tumors. Plus, Harvard researchers found that men who ate fish three times a week reduced their risk of aggressive prostate cancer by 25 percent.

14) A 2004 study in the Journal of the American Medical Association analyzed data on 29,342 men and found that guys who had 21 or more orgasms a month were about 30 percent less likely to develop prostate cancer than those who racked up only four to seven a month. A possible explanation is…wait, who cares? Tell your wife it’s doctor’s orders.

15) A stealth STD may increase your risk for prostate cancer. In a new Harvard study, men with a history of trichomoniasis were more than twice as likely to develop advanced-stage prostate cancer as those who never had the parasite. The infection could lead to prostate inflammation, which has been linked to cancer risk and progression.

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Image courtesy: health-journal.org , cancer.org

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