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Dietary fat and cancer
Lawrence Kushi1, Edward Giovannucci
1Division of Research, Kaiser Permanente, Oakland, California 94612, USA.
The American Journal of Medicine
|February 5, 2003
Summary
Public health advice to reduce total fat intake for cancer prevention is largely unsupported. However, decreasing red meat consumption may lower the risk of colorectal and prostate cancers.
Area of Science:
- Oncology
- Nutrition Science
- Epidemiology
Background:
- Public health recommendations have often advised reducing total fat intake for cancer prevention.
- The epidemiological evidence supporting these recommendations requires critical evaluation.
Purpose of the Study:
- To assess the current epidemiologic knowledge regarding the impact of dietary fat and red meat intake on cancer risk.
- To provide evidence-based recommendations for cancer prevention strategies.
Main Methods:
- Review of current epidemiologic knowledge on diet and cancer.
- Analysis of the association between total fat, specific fat sources, red meat, and cancer incidence.
- Comparison of the efficacy of different dietary recommendations for cancer risk reduction.
Main Results:
- Reducing total fat intake is largely unwarranted for general cancer prevention.
- Decreasing red meat and processed meat intake may reduce the risk of colorectal and prostate cancers, with a less compelling association for breast cancer.
- No significant cancer prevention benefit from reducing vegetable fat intake; monounsaturated fatty acids (e.g., from olive oil) may offer a modest benefit for breast cancer risk.
- Weight control through physical activity and balanced energy intake, increased plant-based foods, whole grains, vegetables, fruits, and reduced red meat intake are more effective strategies.
Conclusions:
- Dietary recommendations for cancer prevention should focus on overall healthy eating patterns rather than solely on reducing total fat intake.
- Strategies including weight management, increased intake of plant-based foods and whole grains, and reduced consumption of red and processed meats are more effective for preventing breast, colorectal, and prostate cancers.