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Exercise & Fitness for Senior Citizens

Risk of Colon Cancer Increases with Age but Can Be Significantly Reduced by Exercise

Fourth most common cancer in men and women; more common in people over 50

Feb. 12, 2009 - An ambitious new study has added considerable weight to the claim that exercise can lower the risk for colon cancer, one of those cancers that targets older people. Researchers found that people who exercised the most were 24 percent less likely to develop the disease than those who exercised the least.

Researchers at Washington University School of Medicine in St. Louis and Harvard University combined and analyzed several decades worth of data from past studies on how exercise affects colon cancer risk.

 

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Read more on Senior Citizen Exercise & Fitness

 

"What's really compelling is that we see the association between exercise and lower colon cancer risk regardless of how physical activity was measured in the studies," says lead study author Kathleen Y. Wolin, Sc.D., a cancer prevention and control expert with the Siteman Cancer Center at Barnes-Jewish Hospital and Washington University.

"That indicates that this is a robust association and gives all the more evidence that physical activity is truly protective against colon cancer."

Colorectal cancer is the third most common type of cancer. Each year more than 100,000 people in the United States are diagnosed with colon cancer and about 40,000 are diagnosed with rectal cancer. The study suggests that if the American population became significantly more physically active, up to 24 percent, or more than 24,000, fewer cases of colon cancer would occur each year.

Wolin's report was published Feb. 10, 2009 through advance online publication in the British Journal of Cancer. In the study, she and her colleagues gathered the results from all relevant studies published in English on the effect of physical activity on colon cancer risk.

They eliminated from consideration any studies that combined both colon and rectal cancer because exercise has not been shown to affect rectal cancer risk — including such studies would have led to an underestimation of the effect of exercise on colon cancer risk. In all, they analyzed 52 studies going back as far as 1984, making their analysis the most comprehensive to date.

They found that the protective effect of exercise held for all types of physical activity, whether that activity was recreational, such as jogging, biking or swimming, or job related, such as walking, lifting or digging.

"The beneficial effect of exercise holds across all sorts of activities," says Wolin, also assistant professor of surgery. "And it holds for both men and women. There is an ever-growing body of evidence that the behavior choices we make affect our cancer risk. Physical activity is at the top of the list of ways that you can reduce your risk of colon cancer."

The difference between people who were the most physically active and those who were the least varied from study to study in Wolin's analysis. As an example, in a 2007 study by Wolin and colleagues, women who walked the most realized a 23 percent reduction in their risk of colon cancer. Those highly active women walked briskly for five to six hours each week. By comparison, the women in that study who walked the least walked only a half hour each week.

Background Information

Source: Wolin KY, Yan Y, Colditz GA, Lee I-M. Physical activity and colon cancer prevention: a meta-analysis. British Journal of Cancer. Feb. 10, 2009 (advance online publication).

Washington University School of Medicine's 2,100 employed and volunteer faculty physicians also are the medical staff of Barnes-Jewish and St. Louis Children's hospitals. The School of Medicine is one of the leading medical research, teaching and patient care institutions in the nation, currently ranked third in the nation by U.S. News & World Report. Through its affiliations with Barnes-Jewish and St. Louis Children's hospitals, the School of Medicine is linked to BJC HealthCare.

Siteman Cancer Center is the only federally designated Comprehensive Cancer Center within a 240-mile radius of St. Louis. Siteman Cancer Center is composed of the combined cancer research and treatment programs of Barnes-Jewish Hospital and Washington University School of Medicine. Siteman has satellite locations in West County and St. Peters, in addition to its full-service facility at Washington University Medical Center on South Kingshighway.

Information on Colorectal Cancer (Colon Cancer, Rectal Cancer)

By National Cancer Institute

Cancer of the colon or rectum is also called colorectal cancer. In the United States, it is the fourth most common cancer in men and women. Caught early, it is often curable.

It is more common in people over 50, and the risk increases with age. You are also more likely to get it if you have…
  ● Polyps - growths inside the colon and rectum that may become cancerous
  ● A diet that is high in fat
  ● A family history or personal history of colorectal cancer
  ● Ulcerative colitis or Crohn's disease

Symptoms can include blood in the stool, narrower stools, a change in bowel habits and general stomach discomfort. However, you may not have symptoms at first, so screening is important. Everyone who is 50 or older should be screened for colorectal cancer. Colonoscopy is one method that your doctor can use to screen for colorectal cancer. Treatments for colorectal cancer include surgery, chemotherapy, radiation or a combination.

What Are the Key Statistics for Colorectal Cancer?

By American Cancer Society

Excluding skin cancers, colorectal cancer is the third most common cancer diagnosed in both men and women in the United States. The American Cancer Society estimates that about 108,070 new cases of colon cancer (53,760 in men and 54,310 in women) and 40,740 new cases of rectal cancer (23,490 in men and 17,250 in women) will be diagnosed in 2008.

Overall, the lifetime risk for developing colorectal cancer is about 1 in 19 (5.4%). This risk is slightly higher in men than in women. A number of other factors (described in "What are the risk factors for colorectal cancer?") may also affect a person's risk.

Colorectal cancer is the third leading cause of cancer-related deaths in the United States when men and women are considered separately, and the second leading cause when both sexes are combined. It is expected to cause about 49,960 deaths (24,260 men and 25,700 women) during 2008.

>> Click to more statistics on colorectal cancer

More information…

  ● Colon CancerInteractive Tutorial(Patient Education Institute) Also available in Spanish

  ● Colorectal Cancer (PDQ): ScreeningFrom the National Institutes of Health(National Cancer Institute)

  ● What You Need to Know about Cancer of the Colon and RectumFrom the National Institutes of Health(National Cancer Institute)  Also available in Spanish

 

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