Dietary changes should be on the prescription pads of doctors
treating men with prostate cancer. New study shows that eating
more whole grains, vegetables, fruit, and legumes while eating
less meat, dairy, and refined carbohydrates could slow the
progression of the deadly disease.
"Studies have associated the Western diet not only with prostate
cancer incidence but also with a greater risk of disease
progression after treatment," said Gordon A. Saxe, MD, PhD, lead
author of the study and assistant professor of Family and
Preventive Medicine at the Moores Cancer Center at the
University of California, San Diego. "Conversely, many elements
of plant-based diets have been associated with reduced risk of
progression."
Prostate-specific antigen (PSA) is a marker for prostate cancer
recurrence and often the earliest sign of spread of the disease
beyond the prostate gland, even in people with no symptoms. Saxe
and colleagues conducted a six-month preliminary research to
investigate whether a plant-based diet, reinforced with
stress-management training, could prevent or reduce a rise in
PSA among ten men with recurrent prostate cancer.
The men and their spouses or other support person participated
in intensive group and individual diet and stress-reduction
trainings. The men were taught to turn their diet to more whole
grains, vegetables, fruit, and legumes and to eat less meat,
dairy, and refined carbohydrates (such as white rice, white
flour, and sugar). The people took cooking classes, participated
in group discussions and meals, and were counseled regarding
calorie intake (1,600 calories per day) and portion sizes.
Compared with the rate of PSA rise in the prestudy period, there
was a significant reduction on the rate of rise throughout the
intervention period. Nine of the ten men had a slower
progression of PSA levels. Four of the ten men had a lower PSA
level than when they started the diet. The time it took the
men's PSA levels to double increased nearly tenfold over six
months, suggesting a powerful protective effect.
Prostate cancer is the second most universal cancer affecting
men in the Western world after skin cancer. About 35% of men who
are treated for the disease will experience a recurrence within
ten years. These men are at higher risk for life-threatening
metastases. Prevention of such recurrences is, therefore, an
essential part of therapy. Unfortunately, the conventional
treatments to prevent recurrence, such as hormone therapy, cause
many undesirable side effects, such as hot flashes, loss of
libido, and loss of bone mass.
"These findings have significant therapeutic potential for
recurrent prostate cancer" concluded Dr. Saxe. "A natural
dietary- and lifestyle-based approach may serve as an adjunct or
alternative to hormonal therapy."
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